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