Journal List > J Korean Med Assoc > v.49(4) > 1080631

J Korean Med Assoc. 2006 Apr;49(4):342-346. Korean.
Published online April 30, 2006.
Copyright © 2006 Korean Medical Association
Pulmonary Rehabilitation in Chronic Obstructive Pulmonary Disease
Sung-Soon Lee, M.D.
Department of Internal Medicine, Inje University College of Medicine, Ilsan Paik Hospital, Korea. Email:

Pulmonary rehabilitation is a multidisciplinary program of care for patients with chronic respiratory impairment that is individually tailored and designed to optimize physical and social performance and autonomy. It can reduce symptoms, decrease disability, increase participation in physical and social activities, and improve the overall quality of life for individuals with chronic respiratory disease. Pulmonary rehabilitation consists of exercise training, patient and family education, psychosocial and behavioral intervention. The exercise training should be performed at least five times per week for 30 min in each session. The intensity of aerobic exercise training should be more than 60 per cent of the peak oxygen consumption.

Keywords: Pulmonary rehabilitation; COPD; Exercise therapy


Figure 1
The Cycle of Physical, Social, and Psychosocial Consequences of COPD
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Table 1
Benefits of Pulmonary Rehabilitation in COPD
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1. American Thoracic Society Statement. Pulmonary rehabilitation-1999. Am J Respir Crit Care Med 1999;159:1666–1682.
2. Killian KJ, Leblanc P, Martin DH, Summers E, Jones NL, Campbell EJ, et al. Exercise capacity and ventilatory, circulatory, and symtom limitation in patients with chronic airflow limitaion. Am Rev Respir Dis 1992;146:935–940.
3. Rochester CL. Exercise training in chronic obstructive pulmonary disease. J Rehabil Res Dev 2003;40 5 Suppl 2:59–80.
4. NHLBI/WHO workshop report 2004. Global strategy fo the diagnosis, management, and prevention of chronic obstructive pulmonary disease.
5. British Thoracic Society Standards of Care Subcommittee on Pulmonary Rehabilitation. Pulmonary rehabilitation. Thorax 2001;56:827–834.
6. Kaminsky LA, Bonzhein KA, et al. In: ACSM's Guidelines for Exercise testing and Prescription. 5th ed. Baltimore: Lippincott Williams & Wilkins;
7. Casaburi R, Patessio A, Ioli F, Zanaboni S, Donner CF, Wasserman K. Reductions in exercise lactic acidosis and ventilation as a result of exercise training in patients with obstructive lung disease. Am Rev Respir Dis 1991;143:9–18.
8. Lacasse Y, Brosseau L, Milne S, Martin S, Wong E, Goldstein RS, et al. Pulmonary rehabilitation for chronic obstructive pulmonary disease. Cochrane Database Syst Rev 2002;3:CD003793.
9. Troosters T, Gosselink R, Van Hove P, Derom E, Barch P, Decramer M, et al. REVALIS Study Group. Effects of pulmonary rehabilitation in a clinical setting [abstract]. Am J Respir Crit Care Med 2002;165:A735.
10. Jensen PS. Risk, Protective factors, and supportive interventions in chronic airway obstruction. Arch Gen Psychiatry 1983;40:1203–1207.
11. Spruit MA, Gosselink R, Troosters T, De Paepe C, Decramer M. Resistance versus endurance training in patients with COPD and skeletal muscle weakness. Eur Respir J 2002;19:1072–1078.
12. de Godoy DV, de Godoy RF. A randomized controlled trial of the effect of psychotherapy on anxiety and depression in chronic obstructive pulmonary disease. Arch Phys Med Rehabil 2003;84:1154–1157.
13. Laaban JP, Kouchakji B, Dore MF, Orvoen-Frija E, David P, Rochemaure J. Nutritional status of patients with chronic obstructive pulmonary disease and acute respiratory failure. Chest 1993;103:1362–1368.
14. Schols AM, Soeters PB, Mostert R, Pluymers RJ, Wouters EF. Physiologic effects of nutritional support and anabolic steroids in patients with chronic obstructive pulmonary disease: a placebo-controlled randomized trial. Am J Respir Crit Care Med 1995;152:1.
15. Steiner MC, Barton RL, Singh SJ, Morgan MD. Nutritional enhancement of exercise performance in chronic obstructive pulmonary disease: a randomised controlled trial. Thorax 2003;58:745–751.
16. Na JO, Kim DS, Yoon SH, Jegal YJ, Kim WS, Kim MW, et al. A simple and easy home-based pulmonary rehabilitation programme for patients with Chronic Lung Diseases. Monaldi Arch Chest Dis Dis 2005;63:30–36.