{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,2,24]],"date-time":"2026-02-24T06:27:21Z","timestamp":1771914441629,"version":"3.50.1"},"reference-count":17,"publisher":"Wiley","issue":"3","license":[{"start":{"date-parts":[[2015,2,17]],"date-time":"2015-02-17T00:00:00Z","timestamp":1424131200000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Physiotherapy Res Intl"],"published-print":{"date-parts":[[2015,9]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Background and Purpose<\/jats:title><jats:p>Usual interstitial pneumonia is a chronic pulmonary disease, and it is characterized by progressive and rapid lung fibrosis and typically affects patients older than 50\u2009years. This study sought to discuss the use of chest expansion exercises during the immediate post\u2010operative phase in a lung transplantation recipient.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>This was a non\u2010experimental case report study. A 58\u2010year\u2010old man who was affected by usual interstitial pneumonia with severe respiratory insufficiency requiring continuous oxygen therapy underwent double lung transplantation. Pre\u2010operative x\u2010ray showed elevation of the diaphragm. Rehabilitation treatment started within the first 24\u2009h. Pain intensity was assessed using a numeric rating scale, and pulmonary function was evaluated based on variation in tidal volume. Each treatment lasted about 1\u2009h, and the sessions were initially carried out twice daily, increasing over the intensive care unit stay to three or four times daily.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>At 72\u2009h, the tidal volume increased to 850\u2013900\u2009mL (approximately 400\u2009mL more than baseline) during the chest expansion exercises. The diaphragm began to gradually lower. Chest x\u2010ray examination on post\u2010operative day 6 showed further reshaping of the diaphragm.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusion<\/jats:title><jats:p>Chest expansion exercises seem to be suitable in order to re\u2010establish lung volume and diaphragmatic function as early as within the first 72\u2009h after bilateral lung transplantation. Copyright \u00a9 2015 John Wiley &amp; Sons, Ltd.<\/jats:p><\/jats:sec>","DOI":"10.1002\/pri.1620","type":"journal-article","created":{"date-parts":[[2015,2,17]],"date-time":"2015-02-17T11:58:22Z","timestamp":1424174302000},"page":"191-196","source":"Crossref","is-referenced-by-count":4,"title":["Do Chest Expansion Exercises Aid Re\u2010shaping the Diaphragm Within the First 72\u2009Hours Following Lung Transplantation in a Usual Interstitial Pneumonia Patient?"],"prefix":"10.1002","volume":"20","author":[{"given":"Massimiliano","family":"Polastri","sequence":"first","affiliation":[{"name":"Medical Department of Continuity of Care and Disability, Physical Medicine and Rehabilitation University Hospital S.Orsola\u2010Malpighi  Bologna Italy"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Erika","family":"Venturini","sequence":"additional","affiliation":[{"name":"Medical Department of Continuity of Care and Disability, Physical Medicine and Rehabilitation University Hospital S.Orsola\u2010Malpighi  Bologna Italy"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Saverio","family":"Pastore","sequence":"additional","affiliation":[{"name":"Department of Cardiac\u2010Thoracic and Vascular Diseases University Hospital S.Orsola\u2010Malpighi  Bologna Italy"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Andrea","family":"Dell'Amore","sequence":"additional","affiliation":[{"name":"Heart and Lung Transplantation Programme University Hospital S.Orsola\u2010Malpighi  Bologna Italy"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2015,2,17]]},"reference":[{"key":"e_1_2_5_2_1","doi-asserted-by":"publisher","DOI":"10.1164\/ajrccm.165.2.ats01"},{"key":"e_1_2_5_3_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.transproceed.2012.09.069"},{"key":"e_1_2_5_4_1","first-page":"875","article-title":"The diagnosis and treatment of pulmonary idiopathic fibrosis","volume":"110","author":"Behr J.","year":"2013","journal-title":"Deutsches \u00c4rzteblatt International"},{"key":"e_1_2_5_5_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.rmed.2012.09.016"},{"key":"e_1_2_5_6_1","first-page":"11","volume-title":"Respiratory Physiology","author":"Cloutier MM","year":"2007"},{"key":"e_1_2_5_7_1","doi-asserted-by":"publisher","DOI":"10.1097\/00002060-199903000-00003"},{"key":"e_1_2_5_8_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.apnr.2013.11.005"},{"key":"e_1_2_5_9_1","doi-asserted-by":"publisher","DOI":"10.1097\/MAJ.0b013e31821fbdbc"},{"key":"e_1_2_5_10_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0954-6111(06)80248-9"},{"key":"e_1_2_5_11_1","first-page":"150","volume-title":"Tome 3. 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