[en] Presentation of the case: A 55-year-old male diagnosed with Defined Systemic Sclerosis ("Diffuse Cutaneous" Subtype) (SSc), Interstitial Lung Disease (ILD) and Precapillary Pulmonary Hypertension, who was referred from the Santiago de Compostela Hospital Complex to undergo surgery for a double-lung transplant. Objective: To favor the permeability of the airway, improve their tolerance to effort and exercise, prevent complications derived from their multiple pathologies, improve their physical conditioning and general state of health, educate in disease control and improve their related quality of life. with health, all through an individualized cardiopulmonary rehabilitation program. Intervention: A specialized and individualized cardiopulmonary rehabilitation program was carried out for a patient undergoing lung transplantation during the different phases of his clinical course. This program is based on respiratory physiotherapy techniques and controlled physical exercise as the cornerstone. Includes aerobic type exercise, strengthendurance exercises, flexibility exercises, and submaximal effort activities. All this together with respiratory physiotherapy techniques aimed at improving lung capacity, ventilatory mechanics and airway permeabilization. Results: The results obtained in this clinical case support the importance of implementing cardiopulmonary resuscitation programmes as an integral part of the care process before, during and after lung transplantation. A marked improvement was observed in the patient's physical, functional and quality of life indicators, as well as in the pulmonary parameters assessed. Conclusions: Through the implementation of an individualised cardiopulmonary rehabilitation programme, the objectives set for the clinical case that is the subject of this Final Degree Project were successfully achieved.

[gl] Presentación do caso: Home de 55 anos diagnosticado con Escleroses Sistémica Definida (Subtipo "Cutáneo Difuso") (SSc), Enfermidade Pulmonar Intersticial (EPI) e Hipertensión Pulmonar Arterial (HPA), que é intervido dun transplante bipulmonar. Obxectivo: Favorecer a permeabilidade da vía aérea, mellorar a súa tolerancia ao esforzo e ao exercicio, previr complicacións derivadas da súa pluripatología, mellorar o seu acondicionamento físico e estado xeral de saúde, educar no control da enfermidade e mellorar a súa calidade de vida relacionada coa saúde. Intervención: Desenvólvese un programa de rehabilitación cardiopulmonar especializado e individualizado adaptado ás diferentes fases do seu curso clínico: pre-transplante, reanimación e postrasplante. Devandito programa esta baseado en técnicas de fisioterapia respiratoria e no exercicio físico controlado como pedra angular de tratamento. Inclúe exercicio de tipo aeróbico, exercicios de forza-resistencia, exercicios de flexibilidade e actividades de esforzo submáximo. Todo iso xunto con técnicas de fisioterapia respiratoria encamiñadas á mellora da capacidade pulmonar, mecánica ventilatoria e permeabilización da vía aérea. Resultados: Os resultados obtidos neste caso clínico apoian a importancia de implementar programas de reanimación cardiopulmonar como parte integral do proceso de atención antes, durante e despois dun transplante pulmonar. Observouse unha notable melloría nos indicadores físicos, funcionais e de calidade de vida do paciente, así como nos parámetros pulmonares avaliados. Conclusións: Mediante a implementación dun programa de rehabilitación cardiopulmonar individualizado, logrouse cumprir satisfactoriamente os obxectivos expostos para o caso clínico obxecto deste Traballo de Fin de Grao.