Pulmonary Rehabilitation for People with Pulmonary Tuberculosis: A Concept Analysis Based on Walker and Avant Approach

2019 ◽  
Vol 10 (10) ◽  
pp. 1255
Author(s):  
Nur Akbar ◽  
Astuti Yuni Nursasi
Keyword(s):  
Pulmonary Tuberculosis ◽  
Pulmonary Rehabilitation ◽  
Concept Analysis

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

2020 ◽  
Vol 9 (3S) ◽  
pp. 259-261
Keyword(s):  
Pulmonary Tuberculosis ◽  
Functional Activity ◽  
Pulmonary Rehabilitation ◽  
Index Patient ◽  
Borg Scale ◽  
Exertional Dyspnea ◽  
Chest Expansion ◽  
Rehabilitation Programs ◽  
Single Breath ◽  
Life Threatening

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.

scholarly journals A COMPREHENSIVE PULMONARY REHABILITATION PROGRAM FOR THE MANAGEMENT OF POSTTUBERCULOSIS PNEUMOTHORAX: A CASE STUDY

2021 ◽  
pp. 2900-2903
Author(s):  
Vaishnavi Yadav
Keyword(s):  
Pulmonary Tuberculosis ◽  
Pulmonary Rehabilitation ◽  
Exercise Tolerance ◽  
Work Of Breathing ◽  
Major Complication ◽  
Rehabilitation Program ◽  
Medical Intervention ◽  
Lung Damage ◽  
Functional Improvement ◽  
Breathing Exercises

Pulmonary tuberculosis is a contagious disease of the lung caused by mycobacterium tuberculosis. The disease is curable and preventable, but its sequelae induce structural lung damage, physiological dysfunction resulting in disability, respiratory distress, and decreased exercise capacity affecting ADLs. Pneumothorax is considered to be a major complication of TB among all the known sequelae. In the present case, the patient complained of moderate dyspnea, chest pressure, and chest pain. Based on chest radiography and a previous diagnosis of pulmonary tuberculosis, the patient was diagnosed with secondary spontaneous pneumothorax (SSP). The pneumothorax was relieved by medical intervention, i.e. by intercostal drainage, but our goal was to increase the ventilation and oxygenation of the lungs, improve airways hygiene, improve the exercise tolerance and minimize the work of breathing so that the patient can go back to his normal day-to-day activities without any trouble. A comprehensive pulmonary rehabilitation plan was structured to suit the patient's goal and was implemented and routinely followed for 1 month. It included a range of interventions like breathing exercises, airway clearance techniques, physical mobility exercises, and posture retraining. The patient demonstrated significant functional improvement in aerobic capacity, endurance, exercise tolerance capacity, and increased shoulder joint mobility. In the present case, it has also been validated that medical management anchored with Pulmonary Rehabilitation will help in gaining better outcomes.

scholarly journals Pulmonary impairment after tuberculosis in a South African population

2016 ◽  
Vol 72 (1) ◽  
Author(s):  
Gibwa Cole ◽  
Duncan Miller ◽  
Tasneem Ebrahim ◽  
Tannith Dreyden ◽  
Rory Simpson ◽  
...  
Keyword(s):  
Lung Function ◽  
Pulmonary Tuberculosis ◽  
South African ◽  
Pulmonary Rehabilitation ◽  
Population Based ◽  
Forced Expiratory Volume ◽  
Chronic Obstructive ◽  
Cross Sectional ◽  
Obstructive Pulmonary Disease ◽  
Predicted Values

Background: In South Africa, pulmonary tuberculosis (PTB) remains a problem of epidemic proportions. Despite evidence demonstrating persistent lung impairment after PTB cure, few population-based South African studies have investigated this finding. Pulmonary rehabilitation post-cure is not routinely received.Objectives: To determine the effects of PTB on lung function in adults with current or past PTB. To determine any association between PTB and chronic obstructive pulmonary disease (COPD). Methods: This study was observational and cross-sectional in design. Participants (n = 55) were included if they were HIV positive on treatment, had current PTB and were on treatment, and/or had previous PTB and completed treatment or if they were healthy adult subjects with no history of PTB. A sample of convenience was used with participants coming from a similar socio-economic background and undergoing spirometry testing. Multiple regression analyses were conducted on each lung function variable.Results: Compared to normal percentage-predicted values, forced expiratory volume in 1 second (FEV1 ), forced vital capacity (FVC) and FEV1 :FVC were significantly reduced in those with current PTB by 23.39%, 15.99% and 6.4%, respectively. Both FEV1 and FVC were significantly reduced in those with past PTB by 11.76% and 10.79%, respectively. There was no association between PTB and COPD – those with previous PTB having a reduced FEV1 :FVC (4.88% less than the norm), which was just short of significance (p = 0.059).Conclusions: Lung function is reduced both during and after treatment for PTB and these deficits may persist. This has implications regarding the need for pulmonary rehabilitation even after medical cure.Keywords: Lung function, pulmonary, tuberculosis

scholarly journals Pulmonary Rehabilitation in Patients with Chronic Lung Impairment from Pulmonary Tuberculosis

Cureus ◽  
2018 ◽  
Author(s):  
Seema K Singh ◽  
Ashutossh Naaraayan ◽  
Prakash Acharya ◽  
Balakrishnan Menon ◽  
Vishal Bansal ◽  
...  
Keyword(s):  
Pulmonary Tuberculosis ◽  
Pulmonary Rehabilitation ◽  
Lung Impairment

scholarly journals Course of recovery in COVID-19 patients with pre-existing post Koch’s sequelae

2021 ◽  
Vol 10 (3) ◽  
pp. 113-120
Author(s):  
Manali Ganesh Sonavane ◽  
Snehal Sunil Sawant ◽  
Jyotsna Amod Thosar ◽  
Jaimala Vijay Shetye
Keyword(s):  
Pulmonary Tuberculosis ◽  
Respiratory Disease ◽  
Functional Capacity ◽  
Medical Management ◽  
Pulmonary Rehabilitation ◽  
Case Series ◽  
Viral Pneumonia ◽  
Active Pulmonary Tuberculosis ◽  
Physiotherapy Intervention

Coronavirus disease 2019 (COVID-19) caused by SARS-CoV-2 predominantly causes respiratory disease in the form of viral pneumonia. Susceptibility to SARS-CoV-2, its progression and severity increases with presence of latent or active pulmonary tuberculosis (PTB). PTB is a highly prevalent respiratory disease in India. This case series explains the rehabilitation and course of recovery in ICU of two COVID-19 patients with post PTB sequelae. Both the cases showed safe and timely recovery due to appropriate and early physiotherapy intervention which needed modification in accordance with the medical management. However, their reduced functional capacity on pre-discharge assessment highlights the need for continuing pulmonary rehabilitation.

Recent Advances in the Treatment of Pulmonary Tuberculosis

1950 ◽  
Vol 34 (5) ◽  
pp. 1363-1380
Author(s):  
Theodore L. Badger ◽  
William E. Patton
Keyword(s):  
Pulmonary Tuberculosis ◽  
Recent Advances
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