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Pulmonary Diseases
Medical Rehabilitation of
Pulmonary Diseases
To restore or prevent the remain of
disabled lung function due to
obstructive or restrictive disorder
Etiology
Restrictive pulmonary disorder,
especially due to thorax cage
abnormality.
Restrictive Pulmonary
Disorder
Extrapulmonal Type:
Pleural Effusion
Inflexible thoracic cage: pain in thoracic
cage, scoliosis, weakness of muscle
breathing, decreasing of diaphragm
movement
Pulmonal Type
Lung tumor, Atelektase, Pneumonia, Heart disease.
Atelectasis
Medical Problem
1. Due to obstructive lung disease:
Decrease FEV1
Short of breath/dyspneu
Chronic accumulation of secreta
Prolonged expiration
Posture deformity
Decrease of endurance
Triad symptoms: short of breath, cough,
easy weak
Medical Problem
2. Due to Restrictive Lung Disorder :
Medical Problems
1. Sitting mobilization, walking and
2.
3.
4.
5.
Protocol
Team Work
Chest Physical Therapy :
1. Relaxation Technique
2. Breathing Control
3. Breathing Exercise
4. Postural Drainage
5. Manual Technique
6. Cough Control
Relaxation Technique
Purpose:
1. To reduce tension of breathing muscle
2. To reduce anxiety.
3. To improve sense of well being
Position:
- Semifowler
- Side lying
- Manual strain on neck, shoulder and upper
extremity
Breathing Control
Breating Lower part of the chest
- Lower power
Advantages:
1.
2.
3.
4.
Breathing Exercise
Patient is active during
inspiration and expiration as
Purpose : To achieve normal
lung function
The advantages of
Breathing Exercise:
1. To put off the sticky bronchial secrete
2. To help remove of secrete
3. To help inflation of lung
4. To mobilize thoracic cage
5. To restore ventilation-perfusion relationship
6. To exercise breathing muscle
7. To help patient to overcome short of breath
Postural Drainage
Definite position, so the gravitational effect can
Contraindication:
1.Hemoptoe
2.Severe Hypertension
3.Edema Cerebri
4.Aneurism aorta and cerebral aneurismal
5.Cor Aritmia
6.Lung Edema
7.Defect in esophagus diaphragm
Manual Technique
1.Percussion :
Clapping
Tapping
CONTRAINDICATION OF
CLAPPING
Tuberculosis
Lung Abscess
Broncogenic Carcinoma
Bronchiectasis with new bleeding
Newly post operation
Acute lung inflammation
Cough Control
Techinique
1.
2.
3.
4.
5.
6.
Endurance