DATA COLLECTION FORM
Name: Age: Gender: Height/Weight:
UHID:
Diagnosis:
Investigation:
PHYSICAL EXAMINATION
S.NO. Physical examination component Measurement
1. Laryngeal height
2. Chest expansion Upper chest expansion Lower chest expansion
3. Bilateral reduction in breath sound Right - Left-
4. Forced expiratory time
5. Ratio b/w anteroposterior and
transverse diameter of chest
MAXIMAL INSPIRATORY PRESSURE (MIP): 1 :-_________ AVERAGE:__________________
2 :-__________
3 :-__________
