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Synergistic effects of physiotherapy and diaphragmatic stretching in post-tuberculosis pleural effusion management: A case report

Year: 2025

Type: article

Abstract: BACKGROUND: Post-tuberculosis pleural effusion represents a significant and often underappreciated complication that can arise following the treatment of pulmonary tuberculosis. This condition can lead to substantial respiratory impairment, severely affecting patients' quality of life and functional capacity. In this context, targeted physiotherapy strategies, particularly diaphragmatic stretching, emerge as vital interventions that may enhance respiratory function and overall recovery. Understanding the role of these therapeutic approaches is essential for optimizing patient outcomes in this challenging clinical scenario. METHODS: This case report details the rehabilitation of a 29-year-old female with a history of pulmonary tuberculosis who developed post-tuberculosis pleural effusion. A structured physiotherapy protocol was implemented over four weeks, comprising diaphragmatic stretching, aerobic conditioning, and resistance training. Outcomes were measured through objective assessments of respiratory performance, including chest expansion and peak expiratory flow rate (PEFR). RESULTS: The patient exhibited marked improvements in respiratory parameters following the intervention, with a notable increase in chest expansion and PEFR. These enhancements suggest a positive impact of targeted physiotherapy on lung mechanics and overall respiratory efficiency. CONCLUSION: This case underscores the potential benefits of incorporating diaphragmatic stretching and complementary physiotherapy techniques into the management of post-tuberculosis pleural effusion. By addressing residual pulmonary deficits, these interventions can significantly improve respiratory function and patient outcomes. Future studies should explore the broader applicability and long-term effects of such rehabilitation strategies in larger cohorts.

Source: Journal of Bodywork and Movement Therapies

DOI: 10.1016/j.jbmt.2025.04.034

Authors: Richa Hirendra Rai, Minal Fiza, Tabassum saher, Sheetal Kalra, Prabhu Lal Jat

Institutions: Delhi Pharmaceutical Science and Research University, LRS Institute of Tuberculosis and Respiratory Diseases

Language: English

Topic: Pleural and Pulmonary Diseases

Subfield: Pulmonary and Respiratory Medicine

Field: Medicine

Domain: Health Sciences

SDG: Good health and well-being

Open Access status: hybrid

Estimated APC paid: $3,070