Pulmonary health experts have issued guidelines for pulmonary rehabilitation programs to follow. These guidelines are based on the best available studies of pulmonary rehab and its benefits.
Some of the recommendations in the most well-recognized pulmonary rehab guidelines are:
- Both high-intensity and low-intensity pulmonary rehab exercise programs are effective. But in general, the more vigorous the exercise, the better.
- All pulmonary rehab exercise programs should include leg exercises.
- Arm exercises should be "unsupported," working the arms against gravity as well as resistance.
- People with low oxygen levels should use their supplemental oxygen during pulmonary rehab exercises.
- Oxygen during high-intensity exercises may help people with normal oxygen levels make gains in endurance.
- Pulmonary rehab can help people with lung diseases other than COPD, such as interstitial lung disease.
There is no evidence to show one exercise program is better than another. Although "more is better" when it comes to pulmonary rehab exercises, some people may be better able to maintain a lower-intensity exercise program for the long term. Continued exercise is important, even after completing pulmonary rehab for COPD.
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