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

Abstract

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.