Does Respiratory Rehabilitation improve the outcome of pleural effusion in pulmonology department? Case report series and short literature review.

Abstract

Introduction. Pulmonary rehabilitation is recognized as a complementary, non-pharmacological therapy for patients with COPD and pulmonary fibrosis. For pleural effusion, however there are not current recommendations in the existing literature. The aim of this study was to evaluate the beneficial role of respiratory rehabilitation (RR) in patients with pleural effusion and to review the main physiotherapy (kinetic therapeutic) techniques, as part of RR programs. Material and method. The article exemplifies three cases of acute pleural effusion or pachypleuritis, describing the diagnostic and treatment procedures as well as the pulmonary rehabilitation technique used. Results and discussions. Treatment goals, intervention, types of exercises were explained for each type of pleural disease. The diaphragmatic breathing, relaxation and/or antalgic postures, early mobilization, and a daily walking are recommended. Conclusions. Pulmonary rehabilitation should be applied in every patient with acute pleural effusion or pachypleuritis considering the potential benefits of physical therapy in the management of the patient`s illness. Key words: pleural effusion, respiratory rehabilitation, pachypleuritis,