PENATALAKSANAAN FISIOTERAPI PADA KETERBATASAN AKTIVITAS FUNGSIONAL AKIBAT ADANYA GANGGUAN FUNGSI RESPIRASI OLEH KARENA SESAK NAPAS DAN BATUK E.C PPOK: CASE REPORT

Authors

  • I Gede Eka Juli Prasana UNIVERSITAS UDAYANA
  • Ariezta Jeviana Poliklinik Fisioterapi, Rumah Sakit Universitas Udayana
  • Ni Luh Anita Chandra Dewi Program Studi Profesi Fisioterapi, Fakultas Kedokteran, Universitas Udayana
  • Wirawan Tantra Pratama Program Studi Profesi Fisioterapi, Fakultas Kedokteran, Universitas Udayana
  • Ida Ayu Jelantik Ari Parmitha Program Studi Profesi Fisioterapi, Fakultas Kedokteran, Universitas Udayana
  • Putu Ayu Bintang Anjali Program Studi Profesi Fisioterapi, Fakultas Kedokteran, Universitas Udayana

DOI:

https://doi.org/10.52019/ijpt.v6i1.11827

Abstract

Background: The prevalence of Chronic Obstructive Pulmonary Disease (COPD) in Indonesia has shown a significant increase from year to year. A hallmark of COPD is chronic obstruction of the airways. Rehabilitation in patients with COPD is necessary to prevent further complications and to restore respiratory function and daily activity capacity. Objective: This case report aims to explore the physiotherapy management of functional activity limitations caused by respiratory dysfunction due to shortness of breath and coughing resulting from COPD. Method: This program was carried out directly on a respondent with respiratory dysfunction characterized by shortness of breath and coughing due to COPD. The therapy was administered in three sessions. Assessments included muscle strength using the Manual Muscle Test Grading, dyspnea using the Borg Scale, lung volume through thoracic cage expansion and metline measurements, risk of pressure sores using the Braden Scale, and functional activity using the Barthel Index. Results: After three therapy sessions, there was a decrease in dyspnea scale from 2/10 to 0.5/10. Additionally, lung volume showed an increase in the xiphoid process area with a difference of 2 cm, although it had not yet reached the normal category. Conclusion: Physiotherapy management in a patient with Chronic Obstructive Pulmonary Disease (COPD) demonstrated positive outcomes. Through the application of techniques such as breathing control, pursed-lip breathing, segmental breathing, and diaphragmatic breathing over three sessions, there was a significant reduction in shortness of breath and an improvement in lung volume.

 

Keywords: COPD, breathing control, pursed-lip breathing, segmental breathing, forced expiratory breathing, thoracic cage expansion, positioning.

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Published

2026-02-23

Issue

Vol. 6 No. 1 (2026)

Section

Artikel

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