The Role of Pulmonary Rehabilitation in Pulmonary Tuberculosis and Pneumothorax on Functional Activity: a Case Report

Exertional dyspnea is among the most frequently experienced symptoms of pulmonary disease and leads to physical disability and functional impairment. Secondary pneumothorax is one of pulmonary tuberculosis (TB) complication and also life threatening. Pulmonary rehabilitation is proven effective for decreasing exertional dyspnea and improving functional activity. The goal is to improve the inspiration capacity. A 24-years-old female with pulmonary tuberculosis on OAT and left pneumothorax with shortness of breath (SOB). She came first with bedridden (METS 1), pulmonary function, exertional dyspnea with Borg Scale (9), chest expansion 1 cm, single-breath counting (SBC) test 17 s, SpO2 95%, BI 30. The pulmonary rehabilitation programs were deep breathing, chest expansion exercise and cardiorespiratory endurance training using ergocycle. After 1 week got pulmonary rehabilitation there were improvement of SOB, Borg Scale, chest expansion, SBC test, and Barthel Index. Patient came to hospital with wheelchair and standing with parallel bar (METS 1,2). The Borg Scale was improved (8), chest expansion was improve to 1,2 cm, SBC test was improved to 20 s and BI 60. After 3-week, patient were undergo 6-MWT (120 m, METS 2,76) with Borg Scale 7, chest expansion 2 cm, SBC test was 23 s, and BI 85. Pulmonary rehabilitation programs is great to improve respiratory function & functional activity, even in the condition of patients with pneumothorax that have not improved in outpatient with SOB dt. Pulmonary Tuberculosis and Pneumothorax.

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Pulmonary Rehabilitation After Lobectomy On Pulmonary Aspergilloma: Case Report

Indonesian Journal of Physical Medicine & Rehabilitation ◽

10.36803/2019.ikfr.07(2).05 ◽

2019 ◽

pp. 35-41

Author(s):

Andwi Setiawan Kokok ◽

Selly Christina Anggoro ◽

Siti Chandra Widjanantie

Keyword(s):

Pulmonary Rehabilitation ◽

Peak Flow ◽

Case Presentation ◽

Rehabilitation Programs ◽

Abnormal Chest ◽

History Of ◽

Postural Correction ◽

Chronic Pulmonary Aspergillosis ◽

Pulmonary Aspergilloma ◽

Breathing Retraining

Introduction: Complete resection of aspergilloma in chronic pulmonary aspergillosis (CPA), may has several health problem after surgery berupa sesak napas, batuk yang tidak efektif. Methods: A case presentation of 45 years old woman, after lobectomy on right upper of lung due to aspergilloma, with history of cough and haemoptysis for 3 months. Pulmonary Rehabilitation were breathing retraining exercise (BE), mobilization technique (MT), chest mobility exercise (CM), active cycle breathing technique (ACBT), postural correction exercise (PC) for three weeks. Results: There were dyspnea, peak flow rate (PFR:60-70-60), peak cough flow (PCF: 70-90-60 L/m), and abnormal chest expansion (CE: 2.5 – 3 – 2) cm. After three weeks of Pulmonary Rehabilitation, there were no dyspnea, increased the PCF: 193L/m, and CE: 2.5-4 -3. Conclusion: Pulmonary Rehabilitation programs for three weeks were relieved dyspnea, increased cough capacity and CE.

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Case Series of Three Patients with Rifampicin-Induced Thrombocytopenia

Journal of Health and Allied Sciences NU ◽

10.1055/s-0040-1718608 ◽

2020 ◽

Author(s):

Chandramouli M.T

Keyword(s):

Pulmonary Tuberculosis ◽

Adverse Reactions ◽

Rare Complication ◽

Case Series ◽

Tuberculosis Treatment ◽

Effective Drug ◽

Antitubercular Drugs ◽

Short Course ◽

Life Threatening

AbstractLife-threatening adverse reactions of antitubercular drugs are uncommon; however, thrombocytopenia is one such rare complication encountered with rifampicin, isoniazid, ethambutol, and pyrazinamide. Rifampicin is the most effective drug and its use in the tuberculosis treatment led to the emergence of modern and effective short-course regimens. I am reporting case series of three patients with pulmonary tuberculosis presented with rifampicin-induced thrombocytopenia.

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Maintaining Effects of Pulmonary Rehabilitation at Home in Chronic Obstructive Pulmonary Disease: A Systematic Literature Review

Home Health Care Management & Practice ◽

10.1177/1084822321990376 ◽

2021 ◽

pp. 108482232199037

Author(s):

Duarte Pinto ◽

Lissa Spencer ◽

Soraia Pereira ◽

Paulo Machado ◽

Paulino Sousa ◽

...

Keyword(s):

Chronic Obstructive Pulmonary Disease ◽

Literature Review ◽

Pulmonary Rehabilitation ◽

Rehabilitation Program ◽

Chronic Obstructive ◽

Obstructive Pulmonary Disease ◽

Maintenance Strategies ◽

Rehabilitation Programs ◽

Home Based ◽

Pulmonary Rehabilitation Program

To systematize strategies that may support patients with Chronic Obstructive Pulmonary Disease to maintain the effects of pulmonary rehabilitation over time. This systematic literature review was conducted, and the evidence was electronically searched in the Web of Science, Scopus, and EBSCO databases. This review included randomized controlled clinical trials, published until September 2019, that addressed components of an unsupervised home-based pulmonary rehabilitation program, maintenance strategies following outpatient pulmonary rehabilitation programs, as well as data on outcomes for quality of life, exercise performance, and dyspnea. A final sample of 5 articles was obtained from a total of 1693 studies. Data for final synthesis were grouped into 2 categories: components of unsupervised home-based pulmonary rehabilitation programs and maintenance strategies. An unsupervised home-based pulmonary rehabilitation program should consist of an educational component, an endurance training component, and a strength training component. When patients are transferred to the home environment, it is important to include more functional exercises specifically adapted to the patient’s condition, goals, and needs.

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