MANAGEMENT FISIOTERAPI DENGAN AIRWAY CLEARANCE THECHNIQUES (ACT) PADA KASUS BRONCHIECTASIS DI RUMAH SAKIT PARU BANTUL: A CASE REPORT
DOI:
https://doi.org/10.53625/jirk.v3i2.6150Keywords:
Bronchiectasis, Airway Clearance Techniques,, Postural Drainage, Manual TeknikAbstract
Background: Bronchiectasis is a chronic respiratory disease characterised by widening and thickening of the airways, leading to accumulation of secretions and recurrent infections. Airway clearance techniques (ACT) are non-pharmacological strategies to improve symptoms, health-related quality of life and reduce exacerbation frequency. Objective: knowing physiotherapy management with airway clearance techniques in case bronchiectasis. Methods: research using case report method at RS Paru Respira Bantul in a 63 years old female patient with diagnosed bronchiectasis with complaints of coughing and sputum that are difficult to get out. Patients were given intervention once a week for two weeks. Result: the intervention was carried out two times resulted in BORG scale was decrease, peakflow was decrease, voldine increase, measurement of the thoracic cage in the axilla has increased, and for the patient's functional abilities did not change from the first to the last intervention. Conclusion: Based on the research using Case Report, it shows that physiotherapy management with ACT method in cases of bronchiectasis, as a whole the evaluation results found an increase.
References
Basavaraj, A., Choate, R., Addrizzo-Harris, D., Aksamit, T. R., Barker, A., Daley, C. L., Anne Daniels, M. L., Eden, E., DiMango, A., Fennelly, K., Griffith, D. E., Johnson, M. M., Knowles, M. R., Metersky, M. L., Noone, P. G., O’Donnell, A. E., Olivier, K. N., Salathe, M. A., Schmid, A., … Winthrop, K. L. (2020). Airway Clearance Techniques in Bronchiectasis: Analysis From the United States Bronchiectasis and Non-TB Mycobacteria Research Registry. Chest, 158(4), 1376–1384. https://doi.org/10.1016/j.chest.2020.06.050
Belli, S., Prince, I., Savio, G., Paracchini, E., Cattaneo, D., Bianchi, M., Masocco, F., Bellanti, M. T., & Balbi, B. (2021). Airway Clearance Techniques: The Right Choice for the Right Patient. In Frontiers in Medicine (Vol. 8). Frontiers Media S.A. https://doi.org/10.3389/fmed.2021.544826
Blackall, S. R., Hong, J. B., King, P., Wong, C., Einsiedel, L., Rémond, M. G. W., Woods, C., & Maguire, G. P. (2018). Bronchiectasis in indigenous and non-indigenous residents of Australia and New Zealand. Respirology, 23(8), 743–749. https://doi.org/10.1111/resp.13280
Chalmers, J. D., Chang, A. B., Chotirmall, S. H., Dhar, R., & McShane, P. J. (2018). Bronchiectasis. Nature Reviews Disease Primers, 4(1). https://doi.org/10.1038/s41572-018-0042-3
Hamzeh, H., Spencer, S., Kelly, C., & Pilsworth, S. (2023). Evaluation of outcome reporting in clinical trials of physiotherapy in bronchiectasis: The first stage of core outcome set development. PLoS ONE, 18(3 March). https://doi.org/10.1371/journal.pone.0282393
Hariyanto, W., & Hasan, H. (2016). Bronkiektasis (Vol. 2, Issue 2).
Lee, A. L., Gordon, C. S., & Osadnik, C. R. (2021). Exercise training for bronchiectasis. In Cochrane Database of Systematic Reviews (Vol. 2021, Issue 4). John Wiley and Sons Ltd. https://doi.org/10.1002/14651858.CD013110.pub2
O’Neill, K., O’Donnell, A. E., & Bradley, J. M. (2019). Airway clearance, mucoactive therapies and pulmonary rehabilitation in bronchiectasis. In Respirology (Vol. 24, Issue 3, pp. 227–237). Blackwell Publishing. https://doi.org/10.1111/resp.13459
Pan, C. X., Shi, M. X., & Guan, W. J. (2023). Airway clearance technique in the modern era of bronchiectasis management. In ERJ Open Research (Vol. 9, Issue 2). European Respiratory Society. https://doi.org/10.1183/23120541.00674-2022
