Senobi Exercises with Jacobson’s Muscular Relaxation Exercises in Chronic Obstructive Pulmonary Disease

Background: Chronic obstructive pulmonary disease (COPD) is characterized by persistent airflow limitation and symptom burden, particularly exertional dyspnea and sleep disturbance, which contribute to functional decline and impaired quality of life. Objective: To compare the effects of Senobi exercises versus Jacobson progressive muscle relaxation (PMR) on pulmonary function, dyspnea, functional capacity, and sleep quality in adults with COPD. Methods: An assessor-blinded randomized clinical trial was conducted at Sarwet Anver Medical Complex, Lahore, enrolling 40 adults (35–50 years) with COPD (stage 2–3). Participants were randomized to Senobi (Group A, n=20) or Jacobson PMR (Group B, n=20), delivered alongside conventional COPD care for 8 weeks. Outcomes included spirometry (FVC, FEV1), Modified Borg Dyspnea Scale following a 6-minute walk test procedure, and sleep quality via the SATED questionnaire, assessed pre- and post-intervention. Results: Both groups improved significantly within-group across all outcomes (p<0.001). Between-group post-intervention comparisons favored Jacobson PMR for dyspnea (mean difference −2.30 Borg units; p=0.0004) and functional capacity score (mean difference 1.40; p=0.0009), while Senobi favored sleep quality (mean difference −0.70 SATED units; p=0.0006). Spirometric post-intervention differences favored Jacobson PMR numerically but were not statistically robust with the reported dispersion. Conclusion: Both interventions were beneficial; Jacobson PMR showed greater benefit for dyspnea and functional capacity, whereas Senobi showed greater benefit for sleep quality.