Volume 26, Issue 123, May 2022

The predictive validity of comprehensive pulmonary rehabilitation in patient with usual interstitial pneumonia and concomitant respiratory complications: A case study

Neha N Bhagdewani¹, Rashmi Walke^2♦, Anam R Sasun¹

¹Intern, Ravi Nair Physiotherapy College, Datta Meghe Institute of Medical Sciences, Sawangi (M), Wardha, (Pin code – 442001), Maharashtra, India
²Assistant Professor, MPT (Department of Cardio-Respiratory Physiotherapy), Ravi Nair Physiotherapy College, Sawangi (Meghe), DMIMS (DU), Wardha (MS), India

^♦Corresponding author
Assistant Professor, MPT (Department of Cardio-Respiratory Physiotherapy), Ravi Nair Physiotherapy College, Sawangi (Meghe), DMIMS (DU), Wardha (MS), India – 442001

ABSTRACT

Usual interstitial pneumonia is the most frequent and fatal of the idiopathic interstitial pneumonias which had a radiological and/or histological characteristic. Dyspnoea with exertion, a dry cough, and, eventually, respiratory failure are all signs of lung parenchyma damage and fibrosis. Pleural and pericardial effusions develop as a result of a disease. The 41-year-old female patient in this case had been suffering from MMRC grade 1-2 dyspnoea for the past 10 years, which had progressed to grade 3 and a dry cough for the previous 7 days. According to chest radiography, interstitial pneumonia (Usual Interstitial Pneumonia/UIP), bilateral pleural effusion, pericardial effusion and cardiomegaly features of pulmonary arterial hypertension were suggested. The ILD was relieved by medical intervention, but our goal was to increase pulmonary ventilation and oxygenation, airway hygiene, exercise tolerance, and breathing work so that the patient could return to his normal activities without difficulty. To accomplish the patient's goals, a comprehensive pulmonary rehabilitation strategies was developed and implemented over the course of a month. Among the therapies were breathing exercises, airway clearance procedures, physical mobility activities, and posture retrained. On both the MMRC dyspnoea rating scale and the WHO-QOL, the patient showed significant functional improvement. It has also been proven in this case that medicinal management combined with pulmonary rehabilitation will lead to significant outcomes.

Keywords: Usual interstitial pneumonia, Pleural effusion, pericardial effusion, pulmonary arterial hypertension, pulmonary rehabilitation

Medical Science, 2022, 26, ms171e2214

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DOI: https://doi.org/10.54905/disssi/v26i123/ms171e2214

Published: 11 May 2022