Research Article

Effectiveness of Chest Physiotherapy in Cerebrovascular Accident Patients With Aspiration Pneumonia


Introduction: According to WHO, a stroke refers to rapidly developing clinical signs of focal (or global) disturbance of cerebral functions, with symptoms lasting 24 hours or longer or leading to death. The damage caused by a stroke can interrupt your normal swallowing and food or fluid is entered into your airways and lungs. Dysphagia can damage the lungs, which can trigger a lung infection (pneumonia). To assess the efficacy of chest physiotherapy in the prevention of aspiration pneumonia in stroke patients.
Materials and Methods: A quasi-experimental study was conducted with a sample size of 35 participants from C1 ward Agha Khan Hospital in Karachi City, Pakistan. The participants were selected via random sampling method. The inclusion criteria include patients of the C1 ward with a cerebrovascular accident, both male and female gender, with the age ranges from 45 to 63 years. All statistical analysis was done by using SPSS v. 19. The paired t test was used to evaluate the effectiveness of chest physiotherapy in a patient with aspiration pneumonia. The chest physiotherapy includes turning, postural drainage, percussion, vibration, deep breathing exercises, coughing, and suctioning were performed on a patient with aspiration pneumonia.
Results: The results of this study show pre-treatment and post-treatment chest congestion, heart rate, and respiratory rate show that the P value is highly significant.
Conclusion: This study concludes that chest physiotherapy seems to be effective in treating aspiration pneumonia in cerebrovascular accident patients.

WHO MONICA Project Principal Investigators. The World Health Organization MONICA project (monitoring trends and determinants in cardiovascular disease): A major international collabaration. Journal of Clinical Epidemiology Oxford. 1988; 41(2):105-14. [DOI:10.1016/0895-4356(88)90084-4]

Della-Morte D, Guadagni F, Palmirotta R, Testa G, Caso V, Paciaroni M, et al. Genetics of ischemic stroke, stroke-related risk factors, stroke precursors and treatments. Pharmacogenomics. 2012; 13(5):595-613. [DOI:10.2217/pgs.12.14] [PMID]

Bonita R, Duncan J, Truelsen T, Jackson RT, Beaglehole R. Passive smoking as well as active smoking increases the risk of acute stroke. Tobacco Control. 1999; 8(2):156-60. [DOI:10.1136/tc.8.2.156] [PMID] [PMCID]

O’donnell MJ, Xavier D, Liu L, Zhang H, Chin SL, Rao-Melacini P, et al. Risk factors for ischaemic and intracerebral haemorrhagic stroke in 22 countries (the INTERSTROKE study): A case-control study. The Lancet. 2010; 376(9735):112-23. [DOI:10.1016/S0140-6736(10)60834-3]

Ebihara S, Sekiya H, Miyagi M, Ebihara T, Okazaki T. Dysphagia, dystussia, and aspiration pneumonia in elderly people. Journal of Thoracic Disease. 2016; 8(3):632-9. [DOI:10.21037/jtd.2016.02.60] [PMID] [PMCID]

Stein MR. Gastroesophageal reflux disease and airway disease. 1th ed. London: Informa Healthcare; 1999.

Marik PE, Kaplan D. Aspiration pneumonia and dysphagia in the elderly. Chest. 2003; 124(1):328-36. [DOI:10.1378/chest.124.1.328] [PMID]

Yoneyama T, Yoshida M, Matsui T, Sasaki H. Oral care and pneumonia. The Lancet. 1999; 354(9177):515. [DOI:10.1016/S0140-6736(05)75550-1]

Mann G, Hankey GJ, Cameron D. Swallowing function after stroke: prognosis and prognostic factors at 6 months. Stroke. 1999; 30(4):744-8. [DOI:10.1161/01.STR.30.4.744] [PMID]

Perren A, Zürcher P, Schefold JC. Clinical approaches to assess post-extubation dysphagia (PED) in the critically ill. Dysphagia. 2019; 34(4):475-86. [DOI:10.1007/s00455-019-09977-w] [PMID]

Torres A, Serra-Batlles J, Ferrer A, Jiménez P, Celis R, Cobo E, et al. Severe community-acquired pneumonia. The American Review of Respiratory Disease. 1991; 144(2):312-8. [DOI:10.1164/ajrccm/144.2.312] [PMID]

Ney DM, Weiss JM, Kind AJH, Robbins J. Senescent swallowing: impact, strategies, and interventions. Nutrition in Clinical Practice. 2009; 24(3):395-413. [DOI:10.1177/0884533609332005] [PMID] [PMCID]

Peruzzi WT, Smith B. Bronchial hygiene therapy. Critical Care Clinics. 1995; 11(1):79-96. [DOI:10.1016/S0749-0704(18)30086-1]

Britton S, Bejstedt M, Vedin L. Chest physiotherapy in primary pneumonia. British Medical Journal (Clinical Research Ed.). 1985; 290(6483):1703-4. [DOI:10.1136/bmj.290.6483.1703] [PMID] [PMCID]

Paludo C, Zhang L, Lincho CS, Lemos DV, Real GG, Bergamin JA. Chest physical therapy for children hospitalised with acute pneumonia: A randomised controlled trial. Thorax. 2008; 63(9):791-4. [DOI:10.1136/thx.2007.088195] [PMID]

Bilan N, Poorshiri B. The role of chest physiotherapy in prevention of postextubation atelectasis in pediatric patients with neuromuscular diseases. Iranian Journal of Child Neurology. 2013;7(1):21-4. [PMCID]

Yen Ha TK, Bui TD, Tran AT, Badin P, Toussaint M, Nguyen AT. Atelectatic children treated with intrapulmonary percussive ventilation via a face mask: Clinical trial and literature overview. Pediatrics International. 2007; 49(4):502-7. [DOI:10.1111/j.1442-200X.2007.02385.x] [PMID]

IssueVol 15 No 1 (2021) QRcode
SectionResearch Article(s)
Stroke Aspiration pneumonia Chest physiotherapy Cerebrovascular accident (CVA)

Rights and permissions
Creative Commons License This work is licensed under a Creative Commons Attribution-NonCommercial 4.0 International License.
How to Cite
Waseem M, Lasi F, Valecha J, Samejo B, Sangrasi S, Ali S. Effectiveness of Chest Physiotherapy in Cerebrovascular Accident Patients With Aspiration Pneumonia. jmr. 2020;15(1):47-52.