• Riza Pahlawi Program Studi Fisioterapi, Program Pendidikan Vokasi, Universitas Indonesia
  • Salma Zahra


Background: the pleura effusion is a circumstance characterized by a buildup of fluid in the pleura cavities on the surface of pleura visceral and pleura pariental. Besides the fluid, the pleura effusion also contains pus and blood. Pleura sufferers commonly complain of shortness of breath, pain in the chest wall area, ineffective breathing patterns, posture disorders, a decline in chest expansion that would result in diminished lung capacity. Deep breathing is thought to reduce respiratory work and improve the efficiency of respiratory ventilation. Chest mobility are effective in improving chest mobility, improving respiratory ventilation, controlling inspiration and spiraling. Purpose: to identify the effects of deep breathing and chest excretion to increase lung capacity in the case of the pleura efusi. Method: a single case study conducted with physiotherapy interventions on patients with the diagnosis of a 52-year-old pleura of deep breathing and chest training during the 6 evaluation. The dyspnea assessment is measured with a dyspnea desired scale, a thorax expansion with a midline and a pulmonary capacity of inspiring volume with spirometry incentives. Results: the case study shows that there is a decrease in density, increased thoraks expansion and increased lung capacity at inspiration volume by 500 ml to 800 ml. Conclusion: the study showed that increased lung capacity was given deep breathing and chest mobility.


Ali, M., Satwika, E., Pamungkas, R., & Sariana, E. (2022). Pengaruh Deep Breathing Exercise Pada Kasus Pneumonia Terhadap Penurunan Sesak Dengan Parameter Dyspnea Severity Scale di Rumah Sakit Paru DR. M. Geonawan Partowidigdo. In Jurnal Fisioterapi dan Kesehatan Indonesia (Vol. 2, Issue 1).
Chaudhary, S., Chaudhary, N. I., Ghewade, B., & Mahajan, G. (2020). The Immediate Effects of Breathing Exercises with Acapella and Incentive Spirometer on Preventing Early Pulmonary Complications Following Cabg. - A Comparitive Study. International Journal of Current Research and Review, 12(17), 51–58. https://doi.org/10.31782/IJCRR.2020.121710
Dewi, H., Patologi Anatomi, D., & Kedokteran dan Ilmu Kesehatan Universitas Jambi, F. (2020). Karakteristik Pasien Efusi Pleura di Kota Jambi.
Eltorai, A. E. M., Baird, G. L., Pangborn, J., Eltorai, A. S., Antoci, V., Paquette, K., Connors, K., Barbaria, J., Smeals, K. J., Riley, B., Patel, S. A., Agarwal, S., Healey, T. T., Ventetuolo, C. E., Sellke, F. W., & Daniels, A. H. (2018). Financial Impact of Incentive Spirometry. Inquiry (United States), 55. https://doi.org/10.1177/0046958018794993
Eltorai, A. M., Martin, T. J., Szabo Eltorai, A., BairD, G. L., Healey, T., & Daniels. (n.d.). Utility of Inspiratory Volume in Incentive Spirometry. 2018. https://doi.org/10.4187/resp
Ferreiro, L., Suárez-Antelo, J., Álvarez-Dobaño, J. M., Toubes, M. E., Riveiro, V., & Valdés, L. (2020). Malignant Pleural Effusion: Diagnosis and Management. In Canadian Respiratory Journal (Vol. 2020). Hindawi Limited. https://doi.org/10.1155/2020/2950751
Ferreiro, L., Toubes, M. E., San José, M. E., Suárez-Antelo, J., Golpe, A., & Valdés, L. (2020). Advances in Pleural Effusion Diagnostics. In Expert Review of Respiratory Medicine (Vol. 14, Issue 1, pp. 51–66). Taylor and Francis Ltd. https://doi.org/10.1080/17476348.2020.1684266
Gondos, T., Szabó, V., Sárkány, Á., Sárkány, A., & Halász, G. (2017). Estimation of the Severity of Breathlessness in the Emergency Department: A Dyspnea Score. BMC Emergency Medicine, 17(1). https://doi.org/10.1186/s12873-017-0125-6
Kader, M., Hossain, M. A., Reddy, V., Perera, N. K. P., & Rashid, M. (2022). Effects of Short-term Breathing Exercises on Respiratory Recovery in Patients With COVID-19: A Quasi-experimental Study. BMC Sports Science, Medicine and Rehabilitation, 14(1). https://doi.org/10.1186/s13102-022-00451-z
Kotta, P. A., & Ali, J. M. (2021). Incentive Spirometry for Prevention of Postoperative Pulmonary Complications After Thoracic Surgery. Respiratory Care, 66(2), 3.27-333. https://doi.org/10.4187/respcare.07972
Marvellini, R. Y. (2020). Gambaran Volume Efusi Pleura. Bahan Kuliah In Departemen Radiologi Fakultas Kedokteran Universitas Kristen Indonesia.
Nasution, S. A. (2019). Skrining Makroskopi Cairan Pleura Dari Efusi Pleura di Unit Laboratorium Patologi Anatomi Rumah Sakit Umum Pendidikan Haji Adam Malik Medan. In Jurnal AnLabMed Vo.1 No.1 Desember.
Nazhira, F., Made Muliarta, I., Astawa, P., Agung Sagung Sawitri, A., & Purnawati, S. (2021). The Effectivity Of Addition Chest Mobilization Or Pursed Lip Breathing In Conventional Therapy in COPD Patients. Sport and Fitness Journal, 9.
Parmar, R., Sahasrabudhe, P., Shyam, A. K., & Sancheti, P. K. (2019). Effect of Conventional Transcutaneous Electrical Nerve Stimulation (TENS) at Intercostal Chest Drain (ICD) Site in Patients with Pleural Effusion on Pain, Dyspnea and Chest Expansion. International Journal of Health Sciences & Research (Www.Ijhsr.Org), 9(5), 167. www.ijhsr.org
Putri, J., Primayanti, D., & Wiryanthini, D. (2018). Deep Breathing Exercise More Effective Than Diaphragmatic Breathing Exercise to Inrease Lung Vital Capacity on Elderly People in Banjar Kedaton, Tonja Village, Denpasar Timur District. 5(No.1), 13–14.
Reddy, R. S., Alahmari, K. A., Silvian, P. S., Ahmad, I. A., Kakarparthi, V. N., & Rengaramanujam, K. (2019). Reliability of chest wall mobility and its correlation with lung functions in healthy nonsmokers, healthy smokers, and patients with COPD. Canadian Respiratory Journal, 2019. https://doi.org/10.1155/2019/5175949
Rehman, A., Ganai, J., Aggarwal, R., Alghadir, A. H., & Iqbal, Z. A. (2020). Effect of Passive Stretching of Respiratory Muscles on Chest Expansion and Six-Minute Walk Distance in COPD Patients. International Journal of Environmental Research and Public Health, 17(18), 1–9. https://doi.org/10.3390/ijerph17186480
Rozak, F., Clara, H., Keperawatan, D., Bedah, M., Keperawatan, A., & Rebo, P. (2022). Studi Kasus : Asuhan Keperawatan Pasien Dengan Efusi Pleura. Buletin Kesehatan, 6(1).
Saferi, A. Mariza. Y. (2017). Keperawatan Medikal Bedah Keperawatan Dewasa Teori dan Contoh Askep.
Somasundari, P., Swapna, M., & Hv, R. (2020). Effect of Chest Mobility Exercises and Myofascial Release on Chest Expansion and Dyspnoea in Subjects with Chronic Obstructive Pulmonary Disease. ~ 4 ~ International Journal of Physical Education, Sports and Health, 7(4). www.kheljournal.com
Sreejith, A. (2022). Effectiveness of Respiratory Muscle Stretch and Chest Mobility Exercise on Pulmonary Function and Chest Expansion in Elderly Population. International Journal of Science and Research. https://doi.org/10.21275/SR22131105433
Tahir, M., Fatima, T., Trivedi, D., & Kumar, M. (2021). Chest Mobility Exercise with Staked Breathing Versus Chest Mobility Exercises with Incentive Spirometery On Chest Expansion with Pleural Effusion Patient: A Comparative Study. International Journal of Physiotherapy and Research, 9(4), 3949–3953. https://doi.org/10.16965/ijpr.2021.155
Yokogawa, M., Kurebayashi, T., Ichimura, T., Nishino, M., Miaki, H., & Nakagawa, T. (2018). Comparison of Two Instructions for Deep Breathing Exercise: Non-Specific and Diaphragmatic Breathing.
Zahra, I., Liaqat, M., & Qadeer, U. (2020). Effects of Breathing Exercises on Lung Volumes and Capacities Among Smokers. In International Islamic Medical Journal.
Zaniar Tristianti, I., Jaya Gumilang, T., Kedokteran, F., Muhammadiyah Surakarta, U., Harjono Ponorogo Korespondensi, R. S., & Zaniar Tristianti Alamat, I. (2022). A 61 Years Old Woman with Left Hemorrhagic Massive Pleural Effusion.
How to Cite
Pahlawi, R., & Zahra, S. (2023). KOMBINASI DEEP BREATHING DAN CHEST MOBILITY DALAM MENINGKATKAN KAPASITAS PARU PADA KASUS EFUSI PLEURA. Jurnal Fisioterapi Dan Kesehatan Indonesia, 3(2), 19-30. https://doi.org/10.59946/jfki.2023.217