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PNA RESEARCH CASE LIBRARYCardiorespiratory · 2024

Novelty of Physiotherapy Management in a Classic Case of Chronic Obstructive Pulmonary Disease in an 84-Year-Old Male Patient with Hypertension and Well-Controlled Hypothyroidism: A Case Report

Radha Nangliya, Vaishnavi Yadav, Sojwal P. Nandanwar

Cureus · 2024 · DOI: 10.7759/cureus.57318

Free full text available · Open access article; cite the original source and check the article's stated licence.

THE CASE IN PLAIN ENGLISH

What happened?

An 84-year-old man with COPD and comorbidities was referred with worsening cough and breathlessness. Physiotherapy was provided alongside medical management, with a focus on breathing, relaxation and activity tolerance.

Clinical findings

  • COPD with breathlessness and reduced exercise tolerance.
  • The case included hypertension and well-controlled hypothyroidism.
  • Clinical monitoring was important because of age, comorbidities and respiratory status.

Rehabilitation described in the report

  • A two-week individualized programme including deep-breathing and relaxation techniques, aerobic activities and patient education alongside medical treatment.

Reported outcomes

  • The authors reported improvement in dyspnoea grading, perceived exertion and thoracic excursion, with follow-up benefits described.

Clinical lessons to consider

  • Coordinate respiratory physiotherapy with medical management and monitor clinical stability.
  • Tailor exercise to tolerance rather than applying a fixed intensity to every older adult.
  • Document function and symptoms before and after the programme.

Limitations — what this case cannot tell us

  • One patient cannot show which programme element drove change.
  • The case should not be used to replace guideline-based COPD assessment or individualized risk screening.

Original source

Radha Nangliya, Vaishnavi Yadav, Sojwal P. Nandanwar. “Novelty of Physiotherapy Management in a Classic Case of Chronic Obstructive Pulmonary Disease in an 84-Year-Old Male Patient with Hypertension and Well-Controlled Hypothyroidism: A Case Report.” Cureus, 2024. DOI: 10.7759/cureus.57318

View the original publication

This page is an independently written educational summary, not a reproduction of the full paper. Check the original article for complete methods, outcome tables, references and licensing.