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This case report examines the effectiveness of a combined pulmonary rehabilitation and musculoskeletal physiotherapy program for a 26-year-old male post-pulmonary tuberculosis patient with lumbar tuberculous spondylitis. The patient, who had completed anti-tuberculosis treatment, presented with low back pain, shortness of breath, fatigue, and limited mobility. Spirometry indicated severe restrictive ventilatory impairment (FVC 1.28 L, 32% of predicted), and lower extremity muscle strength was reduced (MMT 2-3/5). The patient used a TLSO brace and walking aid. Over a three-week physiotherapy program, the patient participated in breathing exercises, spinal mobilization, muscle strengthening, functional exercises, and education on brace use. Evaluation occurred at the first, second, and third weeks. After treatment, pain intensity decreased from VAS 6 to VAS 3, FVC improved to 1.72 L, chest expansion increased, muscle strength improved to MMT 4/5, and performance on the Five-Times Sit-to-Stand Test showed progress. The Functional Independence Measure (FIM) score increased from 98 to 115, reflecting improved functional independence. These findings suggest that the combination of pulmonary and musculoskeletal physiotherapy effectively improved respiratory function, muscle strength, and the patient’s overall functional capacity.

Bronchopneumonia is a type of infection of the lower respiratory tract that often occurs in children, especially toddlers. This disease is characterized by inflammation of the bronchioles and lung tissue which triggers increased production of secretions in the airways. The buildup of secretions often causes nursing problems in the form of ineffective airway clearance, which is indicated by ineffective coughing, rapid breathing, shortness of breath, and the appearance of additional breath sounds such as rales. Chest physiotherapy in children was carried out to evaluate the effectiveness of the clapping technique in helping to clear the airway in bronchopneumonia patients. The method applied in evidence-based practice (EBP) uses case studies with a nursing care approach. Intervention was given to three patients with a diagnosis of bronchopneumonia for three days, with a duration of approximately 1-2 minutes in each area of ​​the chest. Evaluation is carried out using a stethoscope and measuring time (clock), with the results recorded on an observation sheet. After chest physiotherapy (clapping), the three patients showed improvement in airway clearance, which was indicated by respiratory frequency returning to normal, no additional breath sounds (ronchi), and reduced secretion production. Based on these results, it can be concluded that the application of EBP through chest physiotherapy is effective in increasing airway clearance in bronchopneumonia patients.

Pneumonia is a lung infection that causes the air sacs to fill with fluid or pus. This disease can be caused by bacteria, viruses, fungi, or parasites, with varying degrees of severity depending on the cause and condition of the sufferer. Symptoms include cough, fever, and shortness of breath. Data obtained from the Batam City Health Office of pneumonia in 2023, there were 1,509 cases of pneumonia, the most cases were found in Batam City (1,182 cases), while the fewest cases were recorded in Lingga Regency (5 cases). This Professional Scientific Paper aims to provide medical-surgical nursing care with the application of chest physiotherapy to Ms. N to reduce the amount of sputum for pneumonia sufferers in the inpatient room at Harapan Bunda Hospital, Batam City in 2025. The method used in this Professional Scientific Paper is a case study conducted based on the stages of nursing care including assessment, data analysis, diagnosis, intervention, implementation, and nursing evaluation. The results showed a decrease in sputum production on the third day, a decrease in fever, and an improvement in sleep patterns. Patients are expected to understand that chest physiotherapy can reduce sputum production.

Asthma is a non-communicable lung disease, with symptoms such as shortness of breath, wheezing and repeated coughing. Attacks can last for only a few minutes, hours, days or up to several weeks. The therapy given in this case using Infra red aims to relax the respiratory muscles and also improve blood circulation. Chest physiotherapy includes a nebulizer which aims to deliver drugs in the form of gas that can be inhaled by the patient's respiratory tract. Postural Drainage aims to drain mucus from various segments in the lungs to the larger airways with the help of gravity. Tappotement aims to divert sputum from the lungs. Works This Scientific Writing is a case study, raising patient cases and collecting data through the physiotherapy process. The modality provided is Infra red and Chest physiotherapy. The results showed significant improvements after six therapy sessions. Cough intensity decreased from frequent to no cough, while shortness of breath reduced from moderate to none. Auscultation revealed that wheezing and ronchi sounds, initially present in both lungs, eventually disappeared. Additionally, thoracic expansion improved, and the respiratory rate, initially 32 breaths per minute, decreased to 24 breaths per minute, approaching normal levels. In conclusion the combination of Infrared therapy and Chest physiotherapy is effective in managing Bronchial Asthma, particularly in reducing sputum production, improving thoracic expansion, and normalizing breathing patterns. This therapy can serve as a supportive approach in pediatric physiotherapy for respiratory disorders caused by inflammation and mucus accumulation.

Pneumonia ialah penyakit Infeksi Saluran Pernapasan Bawah yang bersifat akut pada parenkim paru meliputi alveolus dan jaringan interential yang dikarenakan mikroorganisme seperti jamur, virus dan bakteri. Mikroorganisme yang masuk ke saluran pernafasan bagian bawah dapat mengganggu proses pernapasan serta membuat saluran pernapasan tidak berfungsi secara optimal, sehingga proses keluar masuk oksigen juga terhambat dan mengakibatkan gangguan pada pola napas. Beberapa permasalahan lain yang ditimbulkan dari pneumonia seperti adanya penumpukan sputum, otot bantu pernapasan, penurunan ekspansi thoraks dan juga nyeri dada. Dalam perawatanya, tenaga medis berperan dalam pemberian antibiotik selama 8 jam setelah pasien mengalami perawatan serta fisioterapi berperan dalam pemberian intervensi penyinaran Infrared, Chest physiotherapy, dan Myofascial release. Penelitian ini bersifat studi kasus yang mengangkat satu kasus pasien serta mengumpulkan data melalui proses fisioterapi. Intervensi fisioterapi dilakukan sebanyak 4 kali pertemuan di Rumah Sakit dr. Ario Wirawan, Salatiga dengan menggunakan Infrared, Chest physiotherapy yang meliputi Postural Drainage, Clapping, Vibrasi, Latihan Batuk Efektif, Pursed Lip Breathing dan Myofascial release. Setelah menjalani 4 kali terapi, diperoleh hasil kondisi pasien yang mengalami penurunan nyeri dada, penurunan tingkat sesak napas, peningkatan ekspansi thoraks, berkurangnya spasme otot bantu pernapasan dan retensi sputum.

Pulmonary contusion is a common complication of blunt chest trauma that leads to parenchymal damage, edema, and bleeding, resulting in impaired respiratory function. Thoracotomy procedures to manage rib fractures are often accompanied by complaints of chest pain and dyspnea. This study aimed to evaluate the effect of physiotherapy interventions, specifically breathing exercises and early mobilization, in reducing pain and shortness of breath in a patient diagnosed with pulmonary contusion post-thoracotomy. A case report method was employed with six sessions of breathing exercises and assisted active mobilization over a seven-day period. Assessment was conducted using pain scores, Borg dyspnea scale, and thoracic expansion measurements. Results indicated a reduction in pain and dyspnea scores as well as improved thoracic expansion in the fracture area. Physiotherapy interventions were shown to be effective in promoting respiratory recovery and reducing postoperative complications.

COPD is a condition characterized by airflow obstruction that cannot be completely corrected. This limitation generally worsens over time and is associated with abnormal permeability to noxious particles or gases, resulting in narrowing of the airways, increased mucus secretion, and changes in the vascular system. The increase in chest expansion capacity is caused by the activity of respiratory muscle contraction. The activity of the respiratory muscles plays a role in chest expansion, which also affects lung growth. It is stated that the strength of the respiratory muscles decreases with age. Loss of intercostal muscle mass and strength are factors that reduce the ability of chest wall presence or development. This study used a case report design research method. Physiotherapy management for COPD is increasingly focused on exercise-based rehabilitation, both in outpatient and inpatient settings. Some therapies such as breathing exercises, thoracic expansion exercises and muscle release.

Introduction: Chronic Obstructive Pulmonary Disease or often referred to as COPD, is a disease that occurs due to limited airflow, this is caused by abnormalities of the airways and/or damage to the alveoli, abnormalities or damage that occurs are caused by significant exposure to hazardous particles or gases, not only due to exposure, COPD is also influenced by lung abnormalities. Dyspnea is a condition that describes a sensation of shortness of breath, which is characterized by obstruction of airflow, or difficulty breathing and chest tightness which is often associated with heart or respiratory disease. Purpose: This study is to determine the management of physiotherapy in cases of right chronic obstructive pulmonary disease. Method: This study uses a case report approach in patients with right chronic obstructive pulmonary disease by providing interventions in the form of nebulizers, pulsed lip breathing and muscle release for 4 weeks 5x meetings with doses of 3 times a day every week. Evaluation is carried out using the vital sign index, auscultation, borg scale, MMRC scale and thorax cage mobilization examination. Results: evaluation measurements using vital sign index, auscultation, borg scale, MMRC scale and thorax cage examination. Thus, the results show an increase and decrease in the degree of shortness of breath before and after intervention. Conclusion: there is an increase and decrease in shortness of breath before and after intervention.

Background: Respiratory failure is a condition in which the respiratory system fails to perform the function of gas exchange, namely the entry of oxygen and the exit of carbon dioxide. Patients with respiratory failure are usually put on a ventilator. Patients who are put on a ventilator will experience a buildup of secretions, to overcome this, chest physiotherapy and suction will be performed. Chest physiotherapy is a procedure performed on patients who experience secretion retention and oxygenation disorders who require assistance to thin or remove secretions. While suction is the act of inserting a suction catheter tube through the mouth or nose or endotracheal tube (ETT) which aims to reduce sputum retention, free the airway and prevent lung infections. The purpose of this community service is to teach and understand changes in oxygen saturation levels in patients with respiratory failure in the ICU room of the Dr. Ario Wirawan Salatiga Lung Hospital after chest physiotherapy and suction interventions. The methods used are training, lectures and direct demonstrations. The number of patients in this community service is 4 patients. The results of this community service are the effect of increasing oxygen saturation after chest physiotherapy and suction. That is, before chest physiotherapy, the average oxygen saturation level was 93%, after chest physiotherapy for 3 days it became 97%. While before suction, the average saturation level was 95%, after suction for 3 days the 4th saturation became 100%. The conclusion is that there is an increase in oxygen saturation levels after chest physiotherapy and suction in patients with respiratory failure in the ICU Room of the Dr. Ario Wirawan Salatiga Lung Hospital.

Pleural effusion is a pathological condition characterized by the accumulation of fluid in the pleural cavity, which can cause shortness of breath, chest pain, and other complications. This study aims to evaluate evidence-based nursing care for patients diagnosed with pleural effusion using a case report approach. The assessment was conducted holistically, including interviews, observations, and physical examinations. The results show that nursing interventions combining respiratory physiotherapy, such as breathing exercises, mobilization, and patient education, along with medical care, are effective in reducing shortness of breath and improving chest expansion in patients. The management of pleural effusion involves a multidisciplinary approach, including early diagnosis through thoracentesis and imaging, as well as supportive therapies such as respiratory physiotherapy, pleural fluid drainage, and medical interventions tailored to the underlying etiology. This study also highlights the critical role of respiratory physiotherapy in accelerating patient recovery, including deep breathing exercises, chest mobilization, and posture correction. The evaluation indicates that, although the patient’s respiratory problems were not completely resolved, there was significant improvement in overall health status. This study underscores the importance of applying a multidisciplinary approach to improve the quality of life for patients with pleural effusion.