The document discusses physiotherapy treatment for bronchiectasis. The goals of treatment include maximizing quality of life and function by educating patients about self-management of their condition and optimizing secretion clearance, ventilation, lung volumes, and exercise capacity. Treatment involves monitoring patients and administering medication before physiotherapy sessions. The primary interventions include aerobic and strengthening exercises, breathing techniques, coughing maneuvers, airway clearance, and education to support long-term self-management.

1. PHYSIOTHERAPY TREATMENT
FOR
BRONCHIECTASIS
T.SUNIL KUMAR

2. Principles of physical therapy
management
The goals of long-term management of the
patient with bronchiectasis include the following:
 Maximize the patient's quality of life, general
health, and well-being and hence
physiological reserve capacity and function
 Educate about bronchiectasis, self-
management, nutrition, weight control,
smoking reduction and cessation,
medications and their use, and infection
control

3.  Facilitate mucociliary transport
 Optimize secretion clearance
 Optimize alveolar ventilation
 Optimize lung volumes and capacities and
flow rates
 Optimize ventilation and perfusion matching
 Reduce the work of breathing
 Maximize aerobic capacity and efficiency of
Oxygen transport
 Optimize physical endurance and exercise
capacity
 Optimize general muscle strength and
thereby Peripheral oxygen extraction

4. MANAGEMENT
 Patient monitoring includes dyspnea,
respiratory distress breathing pattern(depth
andfrequency), arterial saturation, cyanosis
(a delayed sign of desaturation), heart rate,
blood pressure, and rate pressure product.
 Patients with cardiac dysfunction or low
arterial oxygen tensions require ECG
monitoring particularly during exercise.
Subjectively, breathlessness is assessed
using a modified version of the Borg scale
of perceived exertion.

5.  Medication that is needed to maximize
treatment response is administered
before treatment. Knowledge of the type
of medication, its administration route,
and time to and duration of peak efficacy
is essential if treatment is to be
maximally efficacious.
 The primary interventions for maximizing
cardiopulmonary function and oxygen
transport in patients with bronchiectasis
include some combination of education,

6.  Aerobic exercise,
 Strengthening exercise,
 Chest wall mobility exercises,
 Range of motion exercises,
 Body positioning,
 Breathing control and
 Coughing maneuvers,
 Airway clearance interventions,
 Optimizing rest and sleep,
 Relaxation, and energy conservation.

7.  An ergonomic assessment of the patient's
work and home environments may be
indicated to maximize function in these
settings.
 Education is a central component of the
patient’s long-term self-management
rehabilitation program.
 Preventative health practices are taught
(e.g., cold and flu prevention, flu shots,
smoking cessation, sleep, aerobic
exercise, nutrition, weight control, and
hydration, relaxation, stress management,
and the long-term benefits of an
integrative, rehabilitation program).

8. THANK YOU