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These recommendations target those patients who, at the age of 35, have been exposed to risk factors for 10 years or more and expand to the time that COPD is established

(Steve August) Exercise: 30 to 80 degrees shoulder abduction with shoulder blades on wall and arms on wall with lower trapezius muscle activation for scapular upward rotation Instructions: Shoulder blades back, head upright, try and flatten midback into wall, create movement of arms upward on wall with lower trapezius muscles activation

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