Volume 26, Issue 127, September 2022

Impact of pulmonary rehabilitation on improving lung health in a known case of Pseudobulbar Palsy - A case report

Nikita H Seth^1♦, Sakshi K Kariya², Moli J Jain³, Vishnu Vardhan⁴

¹Intern, Ravi Nair Physiotherapy College, Datta Meghe Institute of Medical Sciences, Sawangi (M), Wardha, Maharashtra, India
²Intern, Ravi Nair Physiotherapy College, Datta Meghe Institute of Medical Sciences, Sawangi (M), Wardha, Maharashtra, India
³Resident, Department of Cardiorespiratory Physiotherapy, Ravi Nair Physiotherapy College, Datta Meghe Institute of Medical Sciences, Sawangi (M), Wardha, Maharashtra, India
⁴Professor and Head of Cardiorespiratory physiotherapy department, Ravi Nair Physiotherapy College, Datta Meghe Institute of Medical Sciences, Sawangi (M), Wardha, Maharashtra, India

^♦Corresponding author
Intern, Ravi Nair Physiotherapy College, Datta Meghe Institute of Medical Sciences, Sawangi (M), Wardha, Maharashtra, India

ABSTRACT

Aspiration Pneumonia is a deadly complication of pseudobulbar palsy, which is characterized by abrupt respiratory distress, hypoxia, and temperature spikes. We discuss a four-month-old kid who was taken to a tertiary care hospital with complaints of unrelieved fever and hypoxemia. He was a known instance of pseudobulbar with developmental delay and on nasogastric feed .Based on radiological and clinical results; he was diagnosed with aspiration pneumonia and placed on mechanical ventilation due to inability to maintain saturation on room air. Goal-directed therapy is used in conjunction with medical care. Physiotherapy rehabilitation was begun to treat hypoxemia and help in the elimination of secretions, hence enhancing air admission into the lungs. Initial treatment was also provided for dysphagia and hypertonicity. The Modified Ashworth scale (MAS), Alberta Infant Motor Scale (AIMS), and Peabody developmental motor scale were used as outcome measures. The multidisciplinary technique has been shown to be effective in terms of early ventilator weaning, preserving general lung health, and reducing hospital stay duration.

Keywords: Aspiration Pneumonia, Pseudobulbar palsy, Physiotherapy, Case report

Medical Science, 2022, 26, ms358e2392

PDF

DOI: https://doi.org/10.54905/disssi/v26i127/ms358e2392

Published: 08 September 2022