Authors : Dr. Abhinav Choubey

Volume/Issue : Volume 9 - 2024, Issue 10 - October

Google Scholar : https://tinyurl.com/mu97drek

Scribd : https://tinyurl.com/53w2vzz3

DOI : https://doi.org/10.38124/ijisrt/IJISRT24OCT028

Note : A published paper may take 4-5 working days from the publication date to appear in PlumX Metrics, Semantic Scholar, and ResearchGate.

Abstract : Pulmonary rehabilitation (PR) and chest physiotherapy are vital components in the management of chronic respiratory diseases, particularly in India, where the prevalence of conditions such as chronic obstructive pulmonary disease (COPD), interstitial lung disease (ILD), asthma, and post-tuberculosis sequelae is rising. Pulmonary rehabilitation is a comprehensive, multidisciplinary intervention combining exercise training, education, and psychosocial support, aimed at improving patients' quality of life and reducing hospital admissions. Chest physiotherapy focuses on enhancing lung function and airway clearance through techniques like postural drainage, percussion, vibration, and breathing exercises. Despite the recognized benefits, these services remain underutilized in India, primarily due to a lack of awareness, limited infrastructure, and financial constraints. This review highlights the current state of PR and chest physiotherapy in India, comparing it with global practices, identifying the challenges to access, and offering strategies to expand and improve services, particularly in rural areas. Expanding home- based rehabilitation models and incorporating telemedicine could bridge the service gap, while strengthening healthcare provider training and policy integration may enhance accessibility and affordability.

References :

1. Global Initiative for Chronic Obstructive Lung Disease (GOLD). "2023 GOLD Report: Global Strategy for the Diagnosis, Management, and Prevention of COPD."
2. McCarthy, B., et al. "Pulmonary rehabilitation for chronic obstructive pulmonary disease." *Cochrane Database of Systematic Reviews* (2015).
3. Vijayan, V.K. "Chronic obstructive pulmonary disease." *Indian Journal of Medical Research* (2013).
4. Joshi, J.M. "Chest Physiotherapy: The Indian Perspective." *Journal of Indian Medical Association* (2020).
5. Holland, A.E., et al. "Home-based rehabilitation for COPD using minimal resources: a randomized, controlled equivalence trial." *Thorax* (2017).
6. Mehrotra, A., et al. "The status of respiratory physiotherapy in Indian hospitals: A cross- sectional study." *Physiotherapy Journal* (2022).
7. Mutt, R. "Challenges in Delivering Pulmonary Rehabilitation in India." *Journal of Pulmonology* (2021).
8. Agarwal, D., et al. "Educating Patients on Pulmonary Rehabilitation: Key Steps for Success." *Indian Journal of Pulmonary Care* (2020).
9. Chawla, R., et al. "Pulmonary Rehabilitation in India: A Way Forward." *Lung India* (2019).
10. Murthy, K.J.R., et al. "The Role of Physiotherapy in Pulmonary Rehabilitation: Experiences from a Large Urban Center in India." *Indian Journal of Chest Diseases and Allied Sciences* (2018).
11. Nair, A., et al. "Expanding Training for Physiotherapists in Pulmonary Care: A National Need." *Indian Journal of Physiotherapy* (2021).
12. Holland, A.E., et al. "Home-based rehabilitation for COPD using minimal resources: a randomized, controlled equivalence trial." *Thorax* (2017).
13. Vijayan, V.K., and Shah, A. "Respiratory Diseases in India: The Vision 2030." *Lung India* (2021).
14. Rajasekaran, S. "Training Indian Healthcare Professionals in Pulmonary Rehabilitation and Physiotherapy." *Indian Journal of Medical Research* (2020).
15. National Health Mission. "National Programme for Prevention and Control of Cancer, Diabetes, Cardiovascular Diseases and Stroke (NPCDCS)." (2020).
16. Sundar, S., et al. "The Financial Burden of Chronic Respiratory Diseases in India: A Public Health Perspective." *Journal of Public Health Policy* (2020).
17. Mahesh, P.A., et al. "Improving Public Awareness of Pulmonary Rehabilitation: The Role of Community Health Workers." *Indian Journal of Pulmonary Care* (2021).
18. Agarwal, D., et al. "Tele-Rehabilitation: A Promising Solution for Expanding Access to Pulmonary Rehabilitation in India." *Journal of Telemedicine and eHealth* (2022).