Effectiveness of Chest Physiotherapy in Cerebrovascular Accident Patients With Aspiration Pneumonia

Abstract

Introduction: According to WHO, a stroke refers to rapidly developing clinical signs of focal (or global) disturbance of cerebral functions, with symptoms lasting 24 hours or longer or leading to death. The damage caused by a stroke can interrupt your normal swallowing and food or fluid is entered into your airways and lungs. Dysphagia can damage the lungs, which can trigger a lung infection (pneumonia). To assess the efficacy of chest physiotherapy in the prevention of aspiration pneumonia in stroke patients.Materials and Methods: A quasi-experimental study was conducted with a sample size of 35 participants from C1 ward Agha Khan Hospital in Karachi City, Pakistan. The participants were selected via random sampling method. The inclusion criteria include patients of the C1 ward with a cerebrovascular accident, both male and female gender, with the age ranges from 45 to 63 years. All statistical analysis was done by using SPSS v. 19. The paired t test was used to evaluate the effectiveness of chest physiotherapy in a patient with aspiration pneumonia. The chest physiotherapy includes turning, postural drainage, percussion, vibration, deep breathing exercises, coughing, and suctioning were performed on a patient with aspiration pneumonia.Results: The results of this study show pre-treatment and post-treatment chest congestion, heart rate, and respiratory rate show that the P value is highly significant.Conclusion: This study concludes that chest physiotherapy seems to be effective in treating aspiration pneumonia in cerebrovascular accident patients.

Implementasi Fisioterapi Dada terhadap Masalah Bersihan Jalan Nafas Tidak Efektif pada Pasien Pneumonia

“…Salah satu tindakan keperawatan yang dapat diterapkan pada pasien dengan pneumonia adalah pemberian fisioterapi dada. Fisioterapi dada dapat melakukan mobilisasi sekresi trakeobronkial berdasarkan parameter klinis seperti frekuensi pernafasan dan saturasi oksigen (Waseem et al, 2020). Tujuan dari fisioterapi dada adalah untuk mengembalikan dan menjaga fungsi otot pernafasan, serta membantu dalam membersihkan sekret dari bronkus dan mencegah penumpukan sputum (Hidayatin 2022).…”

“…Intervensi ini melibatkan manajemen jalan nafas dengan merencanakan tindakan pengajaran batuk efektif dan penerapan fisioterapi dada berdasarkan praktik keperawatan berbasis bukti. Sebuah penelitian yang dilakukan oleh (Waseem et al, 2020) menunjukkan bahwa fisioterapi dada memiliki dampak positif terhadap kebersihan jalan napas dan dapat meningkatkan pengeluaran sputum. Hasil dari penerapan fisioterapi dada terhadap pengeluaran sputum pada pasien dengan gangguan pernapasan menunjukkan perbedaan yang signifikan antara sebelum dan setelah intervensi.…”

BTS clinical statement on aspiration pneumonia

“…However, in patients with respiratory muscle weakness, techniques to enhance cough are likely to be required (proximal ACTs) 247 248. Treatment with conventional physiotherapy has been shown to be effective in AP secondary to stroke 249. Once ACTs have been initiated, these should be continued until the patient is free of secretions and atelectasis.…”

“…247 248 Treatment with conventional physiotherapy has been shown to be effective in AP secondary to stroke. 249 Once ACTs have been initiated, these should be continued until the patient is free of secretions and atelectasis.…”

Reviving Consciousness: A Neurophysiotherapy Triumph in Decompressive Craniotomy Recovery

“…Through this case report, we aim to delineate the intricate relationship between hemorrhagic strokes, decompressive craniotomy, aspiration pneumonia, and the indispensable role of neurophysiotherapy in optimizing the rehabilitation process [ 16 ]. The subsequent sections will provide a detailed exploration of the patient's clinical course, the rationale behind neurophysiotherapy interventions, and the collective effort to enhance functional outcomes and quality of life (QOL).…”