Review article Pulmonary Tuberculosis Rehabilitation: Evidence-Based Physiotherapy and Technological Advancements for Sustainable Development Goal Achievement, a Narrative Review: Pulmonary Tuberculosis Rehabilitation: Sustainable Development Goal Achievement

Danyal Ahmad; Syeda Khadija Kazmi; Umer Ilyas; Gull Mahnoor Hashmi; Muhammad Areeb Shahid; Saleh Shah; Muhammad Naveed Babur

doi:10.54393/pbmj.v8i6.1247

Authors

Danyal Ahmad Department of Allied Health Sciences, The Superior University, Lahore, Pakistan
Syeda Khadija Kazmi Department of Allied Health Sciences, The Superior University, Lahore, Pakistan
Umer Ilyas Department of Allied Health Sciences, The Superior University, Lahore, Pakistan
Gull Mahnoor Hashmi Department of Allied Health Sciences, The Superior University, Lahore, Pakistan
Muhammad Areeb Shahid School of Health Sciences, University of Management and Technology, Lahore, Pakistan
Saleh Shah Department of Allied Health Sciences, The Superior University, Lahore, Pakistan
Muhammad Naveed Babur Department of Allied Health Sciences, The Superior University, Lahore, Pakistan

DOI:

https://doi.org/10.54393/pbmj.v8i6.1247

Keywords:

Tuberculosis, Pulmonary, Rehabilitation, Exercise Therapy, Technology, Medical

Abstract

Pulmonary tuberculosis (PTB) remains a leading cause of global morbidity and mortality, with over 10 million new cases annually and 155 million survivors worldwide. Many TB survivors suffer from post-TB lung disease (PTLD), including chronic airflow obstruction, fibrosis, and bronchiectasis, leading to persistent respiratory symptoms and reduced quality of life. This review summarizes the evidence-based physiotherapy interventions and technological advancements in pulmonary rehabilitation (PR) for TB survivors, and highlights their potential contribution to Sustainable Development Goal (SDG) 3 (Good Health and Well-being) by improving lung function, physical capacity, and overall health outcomes. A comprehensive review of recent studies (2015–2025) was conducted, encompassing randomized controlled trials, quasi-experimental studies, and pilot programs investigating PR interventions and technology-assisted rehabilitation for PTLD. Evidence supports the effectiveness of airway clearance techniques (e.g. postural drainage, percussion, breathing exercises), exercise training (aerobic and resistance), and multicomponent PR programs in improving lung function (FEV₁, FVC), exercise tolerance (6-minute walk distance), and quality of life. Technological innovations such as wearables, AI-based monitoring, and virtual reality (VR) platforms enhance remote supervision, adherence, and engagement. AI algorithms show promise in predicting rehabilitation response, personalizing training, and detecting early deterioration, while telerehabilitation platforms facilitate access to PR in low-resource settings. Evidence-based physiotherapy interventions, supported by technological advancements, offer effective rehabilitation strategies for TB survivors with PTLD. Integration of wearable sensors, AI, and VR into PR programs can improve adherence, exercise capacity, and health outcomes, contributing to SDG 3 by promoting inclusive, equitable health services.

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