Table 5. Post-operative physiotherapy management from day three to week one.

post-op: post-operative, cc: cubic centimeter, ADL: activity of daily living.

Sr. no	Physiotherapy goal	Interventions	Dosage
1.	To relieve dyspnea	Breathing exercises: diaphragmatic breathing; pursed lip breathing.	Ten repetitions x one set twice a day at first, then ten repetitions x two sets
2.	To encourage the clearing of the airways	Coughing and huffing techniques (to remove secretions)	Ten repetitions x one set twice a day at first, then ten repetitions x two sets
3.	To overcome anxiety and depression	Relaxation techniques like Jacobson's relaxation	Five repetitions x one set
4.	To increase lung capacities and volumes	Exercises for thoracic expansion: fully flexed shoulder with deep inspiration and fully extended shoulder with expiration	Ten repetitions x one set twice a day at first, then ten repetitions x two sets three to four times daily.
		Initially, incentive spirometry was performed using a flow-oriented spirometer. Observational feedback via various balls that stand for 600, 900, and 1200cc	Beginning on the third day following surgery, at first two to three times a day, and then every two hours following that. On day three, <600cc without hold progressed upto >900cc with three seconds hold on day 13.
5.	To avoid joint stiffness and preserve joint mobility and integrity	Upper and lower extremities: active range of motion exercises.	Ten repetitions x one set twice a day at first, then ten repetitions x two sets three to four.
6.	Returning to regular ADLs	Walking at self-pace in a 10-meter hallway with assistance.	Initiate on post-op day four with 10 meters, gradually increasing to 30 meters.