IRCT2014061018038N1 IRCT 2014-08-29 Guilan Research Center of Medical Sciences and Health Services Reduce pulmonary complications in patients COPD after coronary artery bypass grafting(CABG) A comparison of reduce pulmonary complications in two groups, with The exercises 2 weeks before and after coronary artery bypass surgery and no exercise therapy In patients with chronic obstructive pulmonary disease. 2014-08-22 anticipated 40 Complete https://irct.ir/trial/16454 interventional Randomization: Not randomized, Blinding: Not blinded, Placebo: Not used, Assignment: Parallel, Purpose: Prevention. N/A Chronic Obstructive Pulmonary Disease. Intervention 1: Intervention 1 : Program breathing exercises , including breathing and lip- buds are sitting in a chair or walking 3 times a day , exercise the diaphragm in 3 times daily, 1 min , 2 min rest and gradually increase during exercise up to 5 minutes, Cough circuit technique two times a day with hands on abdomen that slightly bent forward and Coughing with mouth open. cough 2 or 3 short and sharp and stay and then the rest. Intervention 2: Intervention 2 : Exercise hands at shoulder width in three ways that are comfortable to sit on a chair , lift shoulders After 3 times, rest and other exercise، lift elbows to shoulder level and touch fingertips in front of chest. breathe in as pull elbows back so that fingertips separate and so beathe out as return elbows and fingertips to the original position and other exercise, hands on shoulders with elbows at shoulder level and pointing out, slowly make a circle with elbows, breathe out as start the circle and breathe in as complete the circle. each of the five episodes of shoulder exercises and then relax and each of exercise 10 minute in 3 turn daily will be. Intervention 3: Intervention 3:6minute walk three times a day. Intervention 4: Control group : routine exercise without regulation before and after surgery. Including the use of spirometry and chest physiotherapy and coughing techniques by physiotherapist residing in the morning.