PROVISION OF BED EXERCISE AND MYOFACIAL RELEASE IN CONDITIONS OF INSTALLATION OF WATER SEAL DRAINAGE E.C. PLEURA EFFUSION: SINGLE CASE STUDY

Abstract

Introduction: Pleural effusion is the accumulation of excess fluid in the pleural cavity, potentially leading to respiratory and musculoskeletal complications. This study aimed to evaluate the effectiveness of physiotherapy interventions, specifically breathing exercises and myofascial release, in a patient with pleural effusion undergoing water seal drainage (WSD). Methods: A single-case study design was employed involving a 62-year-old female patient diagnosed with right-sided pleural effusion. The intervention lasted two weeks and included three therapy sessions, each lasting 60 minutes. Evaluations were conducted using the Borg scale for dyspnea, the Visual Analog Scale (VAS) for pain, and auscultation to assess ronchi. Results: The results showed a reduction in the Borg scale from 5 to 3, a decrease in pressure pain from 5 to 2, and significant improvements in ronchi. Additionally, there was an enhancement in lung capacity and functional activity. Discussion: Breathing exercises and myofascial release proved to be effective in reducing respiratory complications and musculoskeletal pain in patients with pleural effusion undergoing WSD. Conclusion: This study highlights the importance of an individualized approach for patients with pleural effusion, particularly those using WSD, to optimize the outcomes of physiotherapy interventions.