IJPR.2026.132

Type of Article:  Original Research

Volume 14; Issue 3 (August 2026)

Page No.: 4983-4990

DOI: https://dx.doi.org/10.16965/ijpr.2026.132

Awareness of Pulmonary Rehabilitation among Patients Attending Tuberculosis Clinic in Tertiary Care Centre in Mumbai: A Questionnaire-Based Cross-Sectional Study

Prerna Ghodke *1, Vedang Vaidya 2.

*1 Assistant Professor, D. Y. Patil School of Physiotherapy, Navi Mumbai, Maharashtra India.

2 Assistant Professor, D. Y. Patil School of Physiotherapy, Navi Mumbai, Maharashtra, India.

Corresponding Author: Dr. Prerna Ghodke, D. Y. Patil School of Physiotherapy, D. Y. Patil University School of Medicine, Nerul, Navi Mumbai, India. E-Mail: penughodke95@gmail.com

ABSTRACT

Background: Tuberculosis (TB) continues to impose a massive public health burden on India, accounting for roughly a quarter of the global disease burden. Beyond the acute illness, many post-tubercular patients face persistent lung damage and functional limitations that severely diminish their overall quality of life. While pulmonary rehabilitation (PR) has proven to relieve dyspnoea and enhance physical capacity, its integration into standard TB care within primary healthcare settings remains sparse.

Purpose of the study: To evaluate the baseline awareness of Pulmonary Tuberculosis, its anti-tubercular medical management, and the role of Pulmonary Rehabilitation among individuals visiting a specialized TB clinic at a tertiary care facility in Mumbai.

Methods: A cross-sectional assessment survey was conducted among 50 individuals aged 18 to 60 years with a confirmed history of pulmonary TB. Data was processed using descriptive statistics to explore statistical correlations with demographic variables.

Results: Overall, a low level of awareness (36%) was documented regarding the concept of pulmonary rehabilitation itself. While 76% theoretically believed PR would be beneficial, 82% identified a basic lack of awareness as the primary hurdle preventing people from participating. Employed individuals were statistically more likely to be familiar with the actual exercises involved in rehabilitation compared to students or unemployed individuals (p = 0.041)

Conclusion: While grassroots awareness concerning tuberculosis and its basic medical cure is well-established among patients, a significant communication gap persists regarding post-recovery care. Pulmonary rehabilitation remains widely unrecognized and underutilized among the masses. To minimize long-term morbidity and shield patients from post-treatment functional limitations, health systems must prioritize integrating PR education directly into standard TB treatment protocols and bridge infrastructural gaps to ensure accessible, low-cost options.

Keywords: Pulmonary Rehabilitation, Tuberculosis, Physiotherapy. 

 REFERENCES

[1]. World Health Organization. Tuberculosis [Internet]. Geneva: World Health Organization; [cited 2026 May 29]. Available from: https://www.who.int/news-room/fact-sheets/detail/tuberculosis
[2]. Sathiyamoorthy R, Kalaivani M, Aggarwal P, Gupta SK. Prevalence of pulmonary tuberculosis in India: A systematic review and meta-analysis. Lung India. 2020 Jan-Feb;37(1):45-52.
https://doi.org/10.4103/lungindia.lungindia_181_19
PMid:31898620 PMCid:PMC6961104
[3]. Mahadev B, Kumar P. History of tuberculosis control in India. J Indian Med Assoc. 2003 Mar;101(3):142-3.
[4]. Padda IS, Reddy KM. Antitubercular medications. In: StatPearls [Internet]. Treasure Island (FL): StatPearls Publishing; 2024 Jan-. Available from: https://www.ncbi.nlm.nih.gov/books/NBK430685/ and https://www.ncbi.nlm.nih.gov/books/NBK557666/
[5]. Meca AD, Mititelu-Tarțău L, Bogdan M, Dijmarescu LA, Pelin AM, Foia LG. Mycobacterium tuberculosis and Pulmonary Rehabilitation: From Novel Pharmacotherapeutic Approaches to Management of Post-Tuberculosis Sequelae. J Pers Med. 2022 Apr 2;12(4):569.
https://doi.org/10.3390/jpm12040569
PMid:35455684 PMCid:PMC9027178
[6]. Hussain A, Khurana AK, Goyal A, et al. Effect of pulmonary rehabilitation in patients with post-tuberculosis sequelae with functional limitation. Indian Journal of Tuberculosis. 2024 Apr;71(2):123-129.
https://doi.org/10.1016/j.ijtb.2023.08.005
PMid:38110253
[7]. World Health Organization. Taking rehabilitation seriously. Bulletin of the World Health Organization. 2019;97(8):519-520.
https://doi.org/10.2471/BLT.19.020819
PMid:31384069 PMCid:PMC6653826
[8]. Stubbs B, Siddiqi K, Elsey H, Siddiqi N, Ma R, Romano E, Siddiqi S, Koyanagi A. Tuberculosis and Non-Communicable Disease Multimorbidity: An Analysis of the World Health Survey in 48 Low- and Middle-Income Countries. Int J Environ Res Public Health. 2021 Mar;18(5):2439.
https://doi.org/10.3390/ijerph18052439
PMid:33801381 PMCid:PMC7967573
[9]. Visca D, Zampogna E, Sotgiu G, Centis R, Saderi L, D’Ambrosio L, Pegoraro V, Pignatti P, Muňoz-Torrico M, Migliori GB, et al. Pulmonary rehabilitation is effective in patients with tuberculosis pulmonary sequelae. Eur Respir J. 2019 Mar;53(3):1802184.
https://doi.org/10.1183/13993003.02184-2018
PMid:30872556
[10]. Akkerman OW, Ter Beek L, Centis R, Maeurer M, Visca D, Muñoz-Torrico M, Tiberi S, Migliori GB. Rehabilitation, optimized nutritional care, and boosting host internal milieu to improve long-term treatment outcomes in tuberculosis patients. Int J Infect Dis. 2020 Mar;92S:S10-S14.
https://doi.org/10.1016/j.ijid.2020.01.029
PMid:31982628
[11]. Jesus TS, Hoenig H, Landry MD. Development of the Rehabilitation Health Policy, Systems, and Services Research Field: Quantitative Analyses of Publications over Time (1990-2017) and across Country Type. Int J Environ Res Public Health. 2020 Feb;17(3):965.
https://doi.org/10.3390/ijerph17030965
PMid:32033180 PMCid:PMC7036950
[12]. Muñoz-Torrico M, Rendon A, Centis R, et al. Is there a rationale for pulmonary rehabilitation following successful chemotherapy for tuberculosis? J Bras Pneumol. 2016 Oct;42(5):374-385.
https://doi.org/10.1590/S1806-37562016000000226
PMid:27812638 PMCid:PMC5094875
[13]. McCarthy B, Casey D, Devane D, Murphy K, Murphy E, Lacasse Y. Pulmonary rehabilitation for chronic obstructive pulmonary disease. Cochrane Database of Systematic Reviews. 2015 Feb 23;(2):CD003793.
https://doi.org/10.1002/14651858.CD003793.pub3
[14]. Lee AL, Butler SJ, Varadi RG, Goldstein RS, Brooks D. The Impact of Pulmonary Rehabilitation on Chronic Pain in People with COPD. COPD: Journal of Chronic Obstructive Pulmonary Disease. 2020 Mar 3;17(2):165-174.
https://doi.org/10.1080/15412555.2020.1733952
PMid:32131643
[15]. Directorate General of Health Services (DGHS). Revised National Tuberculosis Control Programme [Internet]. New Delhi: Ministry of Health & Family Welfare, Government of India; [cited 2026 May 29]. Available from: https://dghs.gov.in/content/1358_3_RevisedNationalTuberculosisControlProgramme.aspx

Cite this article: Prerna Ghodke, Vedang Vaidya. Awareness of Pulmonary Rehabilitation among Patients Attending Tuberculosis Clinic in Tertiary Care Centre in Mumbai: A Questionnaire-Based Cross-Sectional Study. Int J Physiother Res 2026;14(3):4983-4990. DOI: 10.16965/ijpr.2026.132