Why Cardiopulmonary Physiotherapy Is Crucial After Paralysis
Supporting the Heart and Lungs for a Stronger Recovery
Dr Faraz Shah (MPT, CPRS)- Lead PT
8/3/20252 min read
When we think about rehabilitation after paralysis, we often focus on regaining mobility in the limbs, rebuilding muscle strength, or learning how to perform daily activities again. But one vital component that’s often overlooked is the health of the heart and lungs. This is where cardiopulmonary physiotherapy plays a key role in the recovery journey after paralysis.
Paralysis, whether due to a spinal cord injury, stroke, or neurological condition, doesn’t just affect movement—it also impacts how efficiently the body’s internal systems function. Reduced mobility means reduced physical activity, which can weaken the cardiovascular and respiratory systems over time. Without regular movement, the heart has to work harder to circulate blood, and the lungs may not expand fully, increasing the risk of complications like pneumonia, low oxygen levels, or blood clots.
Cardiopulmonary physiotherapy is designed to counter these risks. It focuses on improving the strength and endurance of the heart and lungs through targeted exercises, breathing techniques, and functional mobility training. For individuals recovering from paralysis, this form of therapy can make a profound difference—not only in preventing secondary complications but in boosting overall recovery outcomes.
One of the major benefits is improved oxygenation and circulation. When the lungs and heart function more efficiently, oxygen is delivered more effectively to the muscles and brain, which supports healing and cognitive function. It also enhances stamina, making it easier for patients to participate in other parts of their rehabilitation, such as physiotherapy, occupational therapy, and mobility training.
Another critical aspect is the prevention of respiratory infections and deconditioning. People with paralysis, especially those with reduced trunk or diaphragm control, are more vulnerable to respiratory issues. Cardiopulmonary therapy helps clear the lungs, maintain healthy breathing patterns, and reduce the risk of complications that could delay recovery or lead to hospitalization.
Additionally, structured cardiovascular training improves mental well-being. The act of breathing deeply, engaging in even mild aerobic activity, and seeing measurable improvements in physical endurance can have a positive impact on mood, motivation, and self-confidence—key factors in a patient’s journey to independence.
At centres like NeRI (Northeast Neuro Rehab & Recovery Institute), we integrate cardiopulmonary physiotherapy into our holistic rehabilitation plans. Each patient receives a personalized program based on their condition, goals, and capacity. Our therapists work closely to monitor progress, ensure safety, and build confidence step by step.
In summary, cardiopulmonary physiotherapy is not just supportive care—it is essential. It strengthens the foundation for overall recovery by optimizing heart and lung health, enabling better participation in physical therapy, and improving long-term outcomes. For individuals recovering from paralysis, this therapy is a powerful tool to reclaim strength, resilience, and quality of life.
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