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Abstract Chronic obstructive pulmonary disease (COPD) is preventable and treatable lung disease characterized by narrowing airways and inflammation. However, it is accompanied by several extrapulmonary problems as balance problems and decrease in postural control combined with muscle weakness and proprioception deficits. Aim of Study: To determine the effect of proprioceptive training with muscle strengthening on postural instability in patients with COPD Patients and Methods: Sixty male COPD patients with postural balance problems ranged between 55 to 65 years were randomly chosen and divided into study and control groups. Both groups received pulmonary rehabilitation program with medications, the study group in addition to pulmonary rehabilitation applied proprioceptive training with muscle strengthening exercises for 12 weeks 3 times per week. Balance was evaluated by using Berg Balance Scale (BBS) and Activitiesspecific Balance Confidence Scale (ABC), and muscle strength was assessed using handheld dynamometer. |