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Synergistic effects of physiotherapy and diaphragmatic stretching in post-tuberculosis pleural effusion management: A
Richa Hirendra Rai1, Minal Fiza1, Tabassum Saher1
1School of Physiotherapy, Delhi Pharmaceutical Science and Research University, New Delhi, India.
Background:
Post-tuberculosis pleural effusion represents a significant and often underappreciated complication that can arise following the treatment of pulmonary tuberculosis. This condition can lead to substantial respiratory impairment, severely affecting patients' quality of life and functional capacity. In this context, targeted physiotherapy strategies, particularly diaphragmatic stretching, emerge as vital interventions that may enhance respiratory function and overall recovery. Understanding the role of these therapeutic approaches is essential for optimizing patient outcomes in this challenging clinical scenario.
Methods:
This case report details the rehabilitation of a 29-year-old female with a history of pulmonary tuberculosis who developed post-tuberculosis pleural effusion. A structured physiotherapy protocol was implemented over four weeks, comprising diaphragmatic stretching, aerobic conditioning, and resistance training. Outcomes were measured through objective assessments of respiratory performance, including chest expansion and peak expiratory flow rate (PEFR).
Results:
The patient exhibited marked improvements in respiratory parameters following the intervention, with a notable increase in chest expansion and PEFR. These enhancements suggest a positive impact of targeted physiotherapy on lung mechanics and overall respiratory efficiency.
Conclusion:
This case underscores the potential benefits of incorporating diaphragmatic stretching and complementary physiotherapy techniques into the management of post-tuberculosis pleural effusion. By addressing residual pulmonary deficits, these interventions can significantly improve respiratory function and patient outcomes. Future studies should explore the broader applicability and long-term effects of such rehabilitation strategies in larger cohorts.
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