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Back ground and Purpose: Bronchiectasis is associated with impairment of the mucociliary escalator and retention of secretions within the bronchial tree, making airway clearance a primary concern in the management of bronchiectasis. Patients and methodology: Objective: The objective of this study was to determine the effect of active cycle of breathing as an airway clearance technique on functional capacity in adults with productive bronchiectasis by using six minute walk test and dyspnea index. Design: The study was cohort design carried out on 45 patients (mean age 54. 93± 3.82 years) of both genders with stable productive bronchiectasis receiving multiple sessions (3 times/week for two months) of active cycle of breathing. Measurements: Pre and post treatment measures were recorded for functional capacity in form of six minute walk test and dyspnea index. Results: All 45 patients were stable during the study period. The functional capacity and level of dyspnea were significantly improved post treatment sessions with mean difference 48.06 for six minute walk test and 29.2 for dyspnea index. Conclusion: The active cycle of breathing technique is an effective method for airway clearance and improving functional capacity in patients with bronchiectasis.

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Blood pressure and lipid profile are strongly linked to function, particularly in patients with hypertension disease (HTN). That study was aimed to differentiate between the cupping therapy and continuous aerobic exercise effect on lipid profile in hypertensive men. Thirty volunteers male patient with primary hypertension selected from outpatients Desouk general hospital. Their age ranged between 40-50 years, they were divided into two equal groups: group (A) attended a program of cupping therapy one time per month for three months and group (B) attended a program of continuous aerobic exercise on a treadmill for 30 minutes, two times per week for three months. Analysis of the results revealed that there was a major decrease in blood pressure (systole and diastole) and lipid profile (Triglyceride LDL, and Total Cholesterol) and increase in HDL during the cupping therapy closely same continuous aerobic exercise. A major decrease post treatment compared with that pre-treatment (p > 0.05) in both groups, but there was no major difference between both groups (A, B) in pre-treatment and also post treatment (p > 0.05). Both cupping therapy, as well as continuous aerobic exercises, showed a significant decrease in blood pressure and lipid profile (Total Cholesterol, Triglyceride and LDL) and a significant increase in HDL post-treatment compared with that pre-treatment.