SESAK NAFAS PADA ASMA-

BRONKIAL
 ASMA-BRONKIAL
Fungsi, dan disabilitas Prognosis factor

Faktor eksternal Faktor internal

Anatomic impairment
Lingkungan
Genetik
Terminal Bronchioles Alveolar Muscle
bronchi spasm hypersecret hypoelasticity spasm Aktivitas/
Olahraga
Terminal Bronchioles Alveolar Extrarespiratory
bronchi colaps restriction hyporespiratory muscle tightness

Diafragm tightn
Air trappen Airway
clearance Hypoventilatory
Functional
Barrel chest /
shoulder protracted impairment
Chicken breath
Activity
Sesak nafas limitation Participation
restriction
Batuk
Berlari Work
Lower lobes Dll Sport
hypomobility
Deformity Stair climbing Recreation
PEMERIKSAAN FISIOTERAPI YG
DIBUTUHKAN
Diutamakan pemilihan evidence untuk:
 Pemeriksaan Bronkus:
◦ Auscultasi: air trappen wheezing; akumulasi
dahak  ronchi
◦ Perkusi: Akumulasi dahak
◦ Mobilitas paru:  chest expansion – abdominal
expansion
◦ Capasitas vital paru: Spirometer
 Pemeriksaan extra respiratory:
◦ Palpasi dan tes kelenturan otot ekstra respirasi
 Pemeriksaan fungsi
◦ Exercise tolerance
INTERVENSI FISIOTERAPI YG
DIBUTUHKAN
MODALITAS DAN METODA
 Anatomic Impairment target:
◦ Broncho spasm Nebulize
(+bronhodilator), Pursed lip breathing exc,
relaxation exc
◦ Bronchi hypersecret  Water intake
(nebulize), Postural drainage,
coughing/huffing.
◦ Lower lobe hypomobility Abdominal
breathing exc.
 Functional Impairment target
◦ Postural correction
 Disability target
◦ Improve ADL, Work and Sport
ALAT UKUR/EVALUASI
FISIOTERAPI YG DIBUTUHKAN

 Pengukuran ekspansi paru -lingkar dada

 Pengukuran VO2max
 Pengukuran kebugaran,
 Pengukuran disabilitas