Effects of chest physiotherapy and cognitive behavioral therapy in preventing post-operative complications in a patient who has undergone double barrel ileostomy: a case study

Bowel obstruction is a common complication in advanced ovarian cancer with a reported obstruction rate between 5–42%, which is treated with resection and anastomosis. Post-operative complications (PPCs) generally occur due to immobility, decreased chest expansion, reduced thoracic mobility, weakness of respiratory muscles, severe pain at the suture site, and bandaging, making it difficult for the patient to cough. Thick and sticky mucus and depressed mucociliary clearance as an effect of anesthesia, cause accumulation of secretions in the lungs and can lead to PPCs. All this leads to prolonged hospital stays for the patient and delays recovery. Hence, our study aims to study the effects of chest physiotherapy and cognitive behavioral therapy in preventing post-operative complications in a patient who has undergone double barrel ileostomy. A 47-year-old female presented with the chief complaint of pain in the abdomen, for 2 months, which was dull aching and did not relieve with medication. She underwent double barrel ileostomy surgery. Following surgery, a 1- week exercise program was designed for the patient, which included the combination of chest PT and cognitive behavioral therapy with pre- and post-assessment of 3 scales, HAM-A, MGS-2, and POP DST, which showed remarkable differences in the pre and post values of the patient. Our present study concluded that post-operative physiotherapy intervention of chest PT and cognitive behavioral therapy was effective in preventing post-operative complications in the patient and promoted her early discharge from the hospital.

Combined effect of positioning and conventional respiratory physical therapy in complicated case of COVID-19: a case report

Many neurological and cardiovascular complications have been discovered post-COVID 19 infections. Long-term pulmonary complications like pneumonia, respiratory failure, ARDS, and lung abscess are described in different studies. To overcome these complications respiratory chest physiotherapy plays an important role for an individual. Respiratory chest physiotherapy has been shown to improve gas exchange, reverse pathological progression, and reduce or avoid the need for artificial ventilation when it is provided very early in other respiratory conditions. This case study highlights the combined effects of positioning with conventional Respiratory chest physiotherapy in post-COVID 19 respiratory complications in a 26-year-old young individual, presenting with complaints like dyspnoea. Changes in modified medical research council (MMRC) score and chest X-ray were seen by end of discharge of the patient

A STUDY ESTABLISHING THE IMPORTANCE OF BODY COMPOSITION ANALYSIS, REGULAR PHYSIOTHERAPY AND DIETARY MODIFICATIONS FOR INDEPENDENT AND HEALTHY LIVING AMONG GERIATRIC POPULATION: A DETAILED SYSTEMATIC REVIEW ARTICLE

Background: This systematic review article aims towards comprehensive and elaborative collection of research articles related to the importance of body composition analysis, Physiotherapy and nutrition for independent geriatric lifestyle. The review article includes articles which suggest the importance of Body composition analysis, Physiotherapy interventions, specific exercises and a combination of fat free, fiber, fruit and fluid diet. Methods: A comprehensive electronic search was conducted using electronic databases Pub Med, MEDLINE, Google Scholar, Science Direct, Research gate, ICMJE, DOAJ, DRJI, IOSR, WAME and many others. In Total 3714, Research papers were reviewed which reported, Age ≥50 years, changes in Body composition in elderly , effects of Diet &Exercises on Body composition and effects of regular Physiotherapy in Geriatric health and obesity. Literature search was restricted to the studies conducted during 1980-2015. Results: Finally 55 papers along with references in research proposal were included. Review shows that ageing, body composition, Physiotherapeutic intervention and nutrition play an interdependent role in providing independent and healthy living among geriatric population. Conclusion: Combined and comprehensive interventions in form of periodic Body Composition Analysis, Physiotherapy interventions with Exercise therapy sessions and Nutritional Supplementation, will be more effective in combating ageing and independent healthy living among Geriatric population. Finally with this review we shall conclude that achieving perfect geriatric health depends upon awareness among the geriatric community to periodically analyze their body composition and regularly comply with exercise therapy sessions, subjective Physiotherapy modality sessions and nutritional supplementation. These principles help in achieving physically fit, healthy, happy and independent geriatric Community