{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,6,26]],"date-time":"2026-06-26T13:49:19Z","timestamp":1782481759430,"version":"3.54.5"},"reference-count":12,"publisher":"BMJ","issue":"6","content-domain":{"domain":["bmj.com"],"crossmark-restriction":true},"short-container-title":["BMJ Case Rep"],"accepted":{"date-parts":[[2026,5,4]]},"published-print":{"date-parts":[[2026,6]]},"abstract":"<jats:p>\n                    A man in his 60s presented with acute hypoxaemic respiratory failure secondary to post-COVID-19 fibrotic pneumonia, requiring 3 L\/min oxygen therapy (peripheral oxygen saturation (SpO\n                    <jats:sub>2<\/jats:sub>\n                    ) 75%), peripheral cyanosis, modified Borg Dyspnoea Scale score 4 and exertional desaturation. An 8-week physiotherapy protocol progressed from diaphragmatic breathing\/gravity-assisted postures (days 1\u20133) through segmental percussion\/proprioceptive neuromuscular facilitation (day 4 to week 2), short-lever\/long-lever upper limb exercises (weeks 3\u20134), to trunk mobility\/ambulation (weeks 5\u20138). Outcomes included oxygen weaning to 0.5 L\/min, SpO\n                    <jats:sub>2<\/jats:sub>\n                    94% on room air, Borg score 1 and 50 m unsupported ambulation. The interventions enhanced secretion clearance, alveolar recruitment and ventilation\u2013perfusion matching via titration matched to clinical stability (SpO\n                    <jats:sub>2<\/jats:sub>\n                    \u226590% phase thresholds). This demonstrates the role of structured physiotherapy in resource-limited settings for post-COVID-19 recovery.\n                  <\/jats:p>","DOI":"10.1136\/bcr-2025-271881","type":"journal-article","created":{"date-parts":[[2026,6,26]],"date-time":"2026-06-26T13:10:54Z","timestamp":1782479454000},"page":"e271881","update-policy":"https:\/\/doi.org\/10.1136\/crossmarkpolicy","source":"Crossref","is-referenced-by-count":0,"title":["The efficacy of conventional chest physiotherapy in managing acute hypoxaemic respiratory failure"],"prefix":"10.1136","volume":"19","author":[{"given":"Mayura","family":"Deshmukh","sequence":"first","affiliation":[{"name":"Dr DY Patil College of Physiotherapy, Pune, Maharashtra, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Janvi Chandrasen","family":"Vishwakarma","sequence":"additional","affiliation":[{"name":"Dr DY Patil College of Physiotherapy, Pune, Maharashtra, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-1586-0612","authenticated-orcid":false,"given":"Neha","family":"Chitale","sequence":"additional","affiliation":[{"name":"Physiotherapy, Dr DY Patil College of Physiotherapy, Pune, Maharashtra, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Tushar","family":"Palekar","sequence":"additional","affiliation":[{"name":"Physiotherapy, Dr DY Patil College of Physiotherapy, Pune, Maharashtra, India"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"239","published-online":{"date-parts":[[2026,6,26]]},"reference":[{"key":"2026062606101209000_19.6.e271881.1","doi-asserted-by":"crossref","first-page":"165","DOI":"10.1258\/0007142991902196","article-title":"Non-ventilatory treatment of acute hypoxic respiratory failure","volume":"55","author":"Young","year":"1999","journal-title":"Br Med 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Conventional oxygen therapy versus high\u2010flow nasal cannula in the emergency department","volume":"29","author":"Gedikloglu","year":"2022","journal-title":"Hong Kong j emerg med"}],"container-title":["BMJ Case Reports"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/syndication.highwire.org\/content\/doi\/10.1136\/bcr-2025-271881","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,6,26]],"date-time":"2026-06-26T13:10:55Z","timestamp":1782479455000},"score":1,"resource":{"primary":{"URL":"https:\/\/casereports.bmj.com\/lookup\/doi\/10.1136\/bcr-2025-271881"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026,6]]},"references-count":12,"journal-issue":{"issue":"6","published-online":{"date-parts":[[2026,6,26]]},"published-print":{"date-parts":[[2026,6]]}},"alternative-id":["10.1136\/bcr-2025-271881"],"URL":"https:\/\/doi.org\/10.1136\/bcr-2025-271881","relation":{},"ISSN":["1757-790X"],"issn-type":[{"value":"1757-790X","type":"electronic"}],"subject":[],"published":{"date-parts":[[2026,6]]}}}