INTRODUCTION : Physical therapy may be applied for patients in the intensive care setting when they have retained secretions and radiological evidence of atelectasis or infiltration, or as prophylaxis in conditions such as acute head injury and smoke inhalation (Stiller ,2000;Buhop,1996). The short-term physical therapy goals was to reduce the gas exchange impairment by optimizing the ventilation perfusion ratio, decreasing patient’s work in breathing, instructing them in effective coughing or huffing, removing or facilitating the removal of secretions and educating them on self – administered bronchial hygiene with in exercises tolerance. The long-term goals, when the patient became less dyspneic, were to assess and improve exercise tolerance and to facilitate independent management of dyspnea and bronchial hygiene

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