Physiotherapy management in patients with pulmonary tuberculosis: a systematic review
DOI:
https://doi.org/10.18203/2320-6012.ijrms20261704Keywords:
Pulmonary tuberculosis, Physiotherapy management, Pulmonary rehabilitation, Breathing exercises, Chest physiotherapy, Airway clearance, Functional capacity, Quality of life, Systematic reviewAbstract
Physiotherapy approaches like pulmonary rehabilitation, respiratory exercises, airway clearance methods, chest physiotherapy, organized physical training have been progressively included in PTB treatment. These interventions are designed to improve lung function, facilitate sputum clearance, boost physical conditioning, regain functional independence. To find various physiotherapy interventions for patients with pulmonary tuberculosis. A systematic review was carried out descriptively in accordance with PRISMA guidelines. Electronic databases such as PubMed, Google Scholar were explored using terms associated with pulmonary tuberculosis and physiotherapy treatments. research published over the past decade was included. Qualifying designs included randomized controlled trials, quasi-experimental studies, observational studies, and systematic reviews. Following the review of 50 records and the elimination of duplicates, 10 studies satisfied the inclusion criteria for qualitative synthesis. Studies in the review showed that physiotherapy methods—like pulmonary rehabilitation, breathing exercises, chest physiotherapy, effective coughing strategies, airway clearance techniques, organized exercise training—greatly enhanced lung function measures (FEV1, FVC), exercise capacity (6-minute walk distance), sputum clearance, fatigue levels, and overall physical well-being. Furthermore, decreases in dyspnoea, anxiety, respiratory rate, and symptom burden were noted, enhancements in quality of life and functional independence. Physiotherapy treatment acts as a beneficial complement to medical therapy in pulmonary tuberculosis. It improves respiratory effectiveness, functional ability, and life quality while lessening symptoms and physical deterioration. Additional rigorous randomized controlled trials are required to develop standardized protocols and enhance treatment results.
References
Marica C, Didilescu C, Murgoci G, Tănăsescu M, Arghir O. Compendiu de tuberculoză. București: Curtea Veche. 2011.
Jeong YJ, Lee KS. Pulmonary tuberculosis: up-to-date imaging and management. AJR Am J Roentgenol. 2008;191(3):834-44.
Pezzella AT. History of pulmonary tuberculosis. Thorac Surg Clin. 2019;29(1):1-17.
Natarajan A, Beena PM, Devnikar AV, Mali SA. systematic review on tuberculosis. Indian J Tuberc. 2020;67(3):295-311.
Luies L, Du Preez I. The echo of pulmonary tuberculosis: mechanisms of clinical symptoms and other disease-induced systemic complications. Clin Microbiol Rev. 2020;33(4):e00036-20.
Nogas A, Hutsman S, Melnyk V, Borovets O, Sirman O. Effect of physical therapy on general physical health of patients with pulmonary tuberculosis. J Phys Educ Sport. 2021;21:2963-9.
Lyon SM, Rossman MD. Pulmonary tuberculosis. Microbiol Spectr. 2017;5(2):TNMI7-0032-2016.
Mahler B, Croitoru A. Pulmonary rehabilitation and tuberculosis: a new approach for an old disease. Pneumologia. 2019;68(3):107-13.
Nogas A, Grygus I, Nagorna O, Stasiuk M, Zukow W. Results of the physical rehabilitation of patients with pulmonary tuberculosis. J Phys Educ Sport. 2019;19(1):684-90.
Tiwari PR, Vardhan VD, Tayade V, Jain M. Efficacy of pulmonary rehabilitation in pulmonary tuberculosis sequelae with cystic bronchiectasis and pulmonary hypertension. J Clin Diagn Res. 2023;17(9):YD01-4.
Windiastoni YH, Basuki N, Haritsah NF. Effects of chest physiotherapy and effective cough exercise on sputum clearance and respiratory frequency in tuberculosis patients. J Epidemiol Public Health. 2023;8(4):527-32.
Orooj, Munazzah, et al. "Long-term Effect of Pulmonary Rehabilitation in Pulmonary Tuberculosis Patients." Thoracic Research and Practice 26.6 (2025): 323.
Aytaç, Sema, Özlem Ovayolu, and Sibel Dogru. "The effect of breathing exercises on fatigue in tuberculosis patients: a randomized controlled trial." Revista da Associação Médica Brasileira 70.12 (2024): e20240888.
Kaur J, Masih M, Sarin J. The effectiveness of breathing exercises on the physiological and psychological variables of patients with pulmonary tuberculosis. Indian J Forensic Med Toxicol. 2021;15(2):809-15.
Tenriola, A., Aulia Khumaerah, & Dewi Hestiani K. (2025). The Effect of Respiratory Exercise Therapy on Improving Lung Function in Tuberculosis Patients: A Systematic Review. Comprehensive Health Care, 9(2).
Listari, Risti Puji, Eppy Setiyowati, and Chilyatis Zahroh. "Combination of Active Cycle of Breathing Techniques (ACBT) and Chest Physiotherapy on the Effectiveness of Airborne Cleaning in Pulmonary TB Patients." Journal Of Nursing Practice 8.3 (2025): 650-656.
Silva TS, Arêas GPT, Cruz DALM. Effect of pulmonary rehabilitation on functional capacity in individuals treated for pulmonary tuberculosis: a systematic review protocol. JBI Evid Synth. 2022;20(10):2552-8.
Rivera Motta JA, Wilches EC, Mosquera RP. Pulmonary rehabilitation on aerobic capacity and health-related quality of life in patients with sequelae of pulmonary tuberculosis. Am Thorac Soc Int Conf Abstracts. 2016:A2321.