Pulmonary Rehabilitation After Lobectomy On Pulmonary Aspergilloma: Case Report

Andwi Setiawan Kokok (Department of Physical Medicine and Rehabilitation, Dr. Cipto Mangunkusumo Hospital, Faculty of Medicine, University of Indonesia, Jakarta)
Selly Christina Anggoro (Department of Physical Medicine and Rehabilitation, Persahabatan Nastional Respiratory Hospital, Faculty of Medicine, University of Indonesia, Jakarta)
Siti Chandra Widjanantie (Department of Physical Medicine and Rehabilitation, Persahabatan Nastional Respiratory Hospital, Faculty of Medicine, University of Indonesia, Jakarta)

Indonesia Journal Physical Medicine and Rehabilitation
Vol 7 No 02 (2018): Indonesian Journal Of Physical Medicine and Rehabilitation

Introduction: Complete resection of aspergilloma in chronic pulmonary aspergillosis (CPA), may hasseveral health problem after surgery berupa sesak napas, batuk yang tidak efektif.Methods: A case presentation of 45 years old woman, after lobectomy on right upper of lung dueto aspergilloma, with history of cough and haemoptysis for 3 months. Pulmonary Rehabilitation werebreathing retraining exercise (BE), mobilization technique (MT), chest mobility exercise (CM), activecycle breathing technique (ACBT), postural correction exercise (PC) for three weeks.Results: There were dyspnea, peak flow rate (PFR:60-70-60), peak cough flow (PCF: 70-90-60 L/m),and abnormal chest expansion (CE: 2.5 – 3 – 2) cm. After three weeks of Pulmonary Rehabilitation,there were no dyspnea, increased the PCF: 193L/m, and CE: 2.5-4 -3.Conclusion: Pulmonary Rehabilitation programs for three weeks were relieved dyspnea, increasedcough capacity and CEKeywords: Aspergilloma, Lobectomy, Bell’s Palsy, Rehabilitation program, Cough capacity, Chestexpancy