[en] The following clinical case below presents the assessment and treatment in hospital and outpatient phase of a 69-year-old patient with Idiopathic Pulmonary Fibrosis who was admitted due to cough and expectoration, dyspnea with minimal efforts, little response to antibiotic therapy treatment. The objectives with this treatment are, on the one hand, to help her to solve the complications of her acute process by means of permeabilization of the airway, and increase in pulmonary compliance, and on the other hand, to reduce respiratory symptoms and control the physical deconditioning that presents because of her pathology, reducing your limitations in daily life and improving her quality of life. To this end, the intervention was divided into two phases: the hospital phase, which consisted of 8 sessions, where breathing control exercises, secretion elimination techniques, techniques to increase lung volumes and capacities and therapeutic exercise to reduce the adverse effects of prolonged immobilization were performed; and the outpatient clinic, with 10 sessions, where a training program in cycle ergometer and muscle strengthening was carried out, seeking to increase the patient's exercise tolerance, in addition to continuing with techniques to improve lung volumes and capacities. After making a final assessment and taking into account each of the sessions and the evolution of the patient during them, results have been found that show improvements in all the variables evaluated. Therefore, it is considered that all the objectives set have been achieved, improving the respiratory pattern, the permeabilization of the airway, lung volumes and capacities, and also achieving the reduction of dyspnea and MMII fatigue with the increase in exercise tolerance. This led to a decrease in activity limitations with the final improvement of the patient's quality of life.

[gl] O caso clínico que se presenta a seguir expón a valoración e tratamento en fase hospitalaria e ambulatoria dunha paciente de 69 anos con Fibrosis Pulmonar Idiopática que ingresa por cadro de tos e expectoración, disnea ante mínimos esforzos e pouca resposta ao tratamento de antibioticoterapia. Os obxectivos co dito tratamento son, por un lado, axudarlle a solucionar as complicacións do seu proceso agudo por medio de permeabilización da vía aérea, e aumento da distensibilidade pulmonar, e por outro lado, diminuír os síntomas respiratorios e controlar o desacondicionamento físico que presenta pola súa patoloxía, diminuíndo as súas limitacións na vida diaria e mellorando a súa calidade de vida. Para iso, a intervención dividiuse en dúas fases: a hospitalaria, que constou de 8 sesións, onde se realizaron exercicios de control da respiración, técnicas de eliminación das secrecións, técnicas para aumentar volumes e capacidades pulmonares e exercicio terapéutico para diminuír os efectos adversos da inmobilización prolongada; e a ambulatoria, de 10 sesións, onde se levou a cabo un programa de adestramento en cicloergómetro e fortalecemento muscular, buscando incrementar a tolerancia ao exercicio da paciente, ademais de continuar coas técnicas para mellorar os volumes e capacidades pulmonares. Tras realizar unha valoración final e tendo en conta cada unha das sesións e a evolución da paciente durante estas, atopáronse uns resultados que mostran melloras en todas as variables avaliadas. Polo tanto, considérase que se conseguiron todos os obxectivos formulados, mellorando o patrón respiratorio, a permeabilización da vía aérea, os volumes e capacidades pulmonares, e conseguindo tamén a diminución da disnea e a fatiga MMII co incremento da tolerancia ao exercicio. Isto levou a unha diminución das limitacións na actividade coa mellora final da calidade de vida da paciente.