Dengue fever is a mosquito-borne sickness that has become a serious international public health issue in recent years.A 54 years old male patient, farmer by occupation came to rural hospital on 10TH September 2021 with complaint of fever associated with chills and rigors, slurring of speech 2 days back and 2 episodes of generalized tonic clonic seizures. Dengue was confirmed by the non-structural protein 1 (NS1) antigen and immunoglobulin M (IgM) antibody test. Radiological investigations revealed encephalitis and pneumothoraxfor which medical management along with inter costal drainage and collateral physiotherapeutic rehabilitation was administered.The goals of the physiotherapy rehabilitation were to reduce bronchospasm, to clear secretions lung fields, to regain full expansion of lungs and best possible functional recovery. Physiotherapy management has shown satisfactory results in regaining pulmonary function.After the completion of the treatment the patient gained maximum re-expansion of the lungs, had no breathing difficulties, the lungs were clear of sputum and was functionally independent.
Background: Paediatric cardiac surgeries have an immense survival rate and rehabilitation plays a major role in such cases. Many patients are diagnosed with septal defects or valve defects at birth which come sunder cardiac surgeries.
Case Presentation: This is a case of 16 year old boy who had atrial septal defect and underwent atrial septal defect closure.
Investigations: 2D echocardiography revealed atrial septal defect.
Management: Physiotherapy intervention included patient education, breathing retraining, airway clearance techniques, positioning, and psychological support and mobility program. Outcome measures have shown enhancement in functional independence and performance of activities of daily living.
Conclusion: The evidence from this study suggest that paediatric cardiac rehabilitation found to play a pivotal role in managing a patient who had atrial septal defect.
Introduction: Aortic stenosis (AS) is brought on by a restriction in the aortic valve's opening, which results in enlarged and dysfunctional left ventricles and increased pressure in the lungs and right side of the heart. Aortic valve replacement is a surgical operation in which a failing aortic valve is being replaced by a prosthetic heart valve. Cardiac rehabilitation after surgery involves physical activity promotion, exercise training, cardio vascular risk management, and health education. A 59 year old female presented with complaints of breathlessness on exertion and during activities, chest pain, palpitations, sweating and dizziness since 1 month. She was diagnosed with severe aortic stenosis the patient was evaluated and was suggested for Aortic Valve Replacement surgery and successfully underwent the same. She was started with 12 weeks of cardiac rehabilitation from postoperative day 1.
Conclusion:In this case study, the physiotherapy protocol used has a significant effect on improving functional independence, reducing cardio vascular risk factors related to prolonged bed rest, and gaining an optimal level of physical fitness through cardiac rehabilitation.
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