Inpatient pulmonary rehabilitation followed by Tele-Rehabilitation in a patient with Post Tubercular sequelae: A case study

Abstract

A 52-year-old known case of pleural effusion caused by tuberculosis presented with complaints of breathlessness, right-sided chest pain, and weakness. History revealed that this was her second episode as a post tuberculosis sequel. She was treated with a multidisciplinary approach i.e. pharmacological as well as physiotherapeutic management. Necessary radiological imaging included chest x-ray and HRCT thorax which gave a better understanding of the lung condition of the patient. Pharmacological treatment included oxygen therapy and Inj. Augmentin, Inj. Aminophylline, Inj. Hydrocort, Tab. Mucinac 600mg and Tab. Montair; whereas physiotherapeutic management included airway clearance techniques, chest expansion techniques, early graded mobilization, strengthening, and stretching through telerehabilitation. The progression of the patient was recorded on outcome measures taken such as Dyspnea (MMRC score), 6-minute walk test, and HADS (Hospital Anxiety and Depression Scale).