This study will test the efficiency of rib rising technique and thoracic lymphatic pump technique combining with manual diaphragmatic release technique in patients with chronic obstructive pulmonary disease
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Diaphragmatic Excursion
Timeframe: all assessment will be performed two times one pretreatment and will be repeated post treatment almost 2 months
Diaphragmatic thickness
Timeframe: all assessment will be performed two times one pretreatment and will be repeated post treatment almost 2 months