Pulmonary Rehabilitation


Pulmonary Rehabilitation, Pulmonary Rehabilitation Exercise, COPD Pulmonary Rehabilitation

  • Indications
  1. Moderate to severe COPD with Dyspnea-limited activities or impaired quality of life
  • Components
  1. Pulmonary Rehabilitation Exercise
  2. Nutritional counseling
  3. Education
  4. Behavioral modification
  • Efficacy
  1. For benefit, program must be if continued for at least 6 months
    1. Reduces Dyspnea and increases Exercise capacity
    2. Improves health status and quality of life
    3. Decreases hospitalizations
    4. Salman (2003) J Gen Intern Med 18(3): 213-21 [PubMed]
    5. Hui (2003) Chest 124:94-7 [PubMed]
  2. Virtual Pulmonary Rehab or Telerehabilitation (phone call, phone app, computer, video conference)
    1. As effective as in-person in reducing breathlessness and increasing walk distance in COPD
    2. Cox (2021) Cochrane Database Syst Rev (1):CD013040 [PubMed]
  1. Upper and Lower extremity Exercises
  2. Inspiratory Muscle training
    1. Inspiratory resistance breathing device
  3. Ventilatory therapy and breathing training
  4. Chest physical therapy
  5. Respiratory Muscle rest