Inclusion Criteria:  Both male and female patients. Patients with mild / moderate COPD according to Global Initiative for Chronic Obstructive Lung Disease (GOLD) criteria. Patients with fall history in the past 5 years.  Exclusion Criteria:  Oxygen-dependent or mechanically ventilated patients. Patients with impaired hearing or cognition, (e.g., dementia or neurological condition) Patients with limited balance and mobility owing musculoskeletal or neurological condition. Patients with unstable cardiovascular disease. Patients with intellectual disabilities.