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Related Experiment Video
Updated: May 18, 2026
07:10
Home-Based Prescribed Pulmonary Exercise in Patients with Stable Chronic Obstructive Pulmonary Disease
Published on: August 24, 2019
Water-based exercise in COPD with physical comorbidities: a randomised controlled trial.
Renae J McNamara1, Zoe J McKeough, David K McKenzie
1Clinical and Rehabilitation Sciences, University of Sydney, Lidcombe, Australia. renae.mcnamara@sesiahs.health.nsw.gov.au
The European Respiratory Journal
|September 22, 2012
Summary
Water-based exercise significantly improves exercise capacity and quality of life for individuals with chronic obstructive pulmonary disease (COPD) and physical comorbidities. This approach is more effective than land-based exercise for these patients.
Area of Science:
- Pulmonary Rehabilitation
- Cardiorespiratory Fitness
- Exercise Physiology
Background:
- Land-based exercise presents challenges for individuals with chronic obstructive pulmonary disease (COPD) due to coexisting conditions like obesity or neuromuscular issues.
- Pulmonary rehabilitation programs often struggle to accommodate patients with COPD who have physical comorbidities, limiting their exercise options.
Purpose of the Study:
- To compare the effectiveness of water-based exercise training against land-based exercise training and a control group in improving exercise capacity and quality of life for COPD patients with physical comorbidities.
Main Methods:
- A randomized controlled trial involving participants referred to pulmonary rehabilitation.
- Participants were allocated to water-based exercise, land-based exercise, or a control group, with exercise interventions lasting 8 weeks (3 sessions/week).
- Outcome measures included the 6-min walking distance, incremental and endurance shuttle walk distances, and the Chronic Respiratory Disease Questionnaire (CRDQ).
Main Results:
- Water-based exercise significantly increased 6-min walking distance, incremental and endurance shuttle walk distances, and improved CRDQ scores for dyspnea and fatigue compared to controls.
- Compared to land-based exercise, water-based exercise led to significant improvements in incremental shuttle walk distance and endurance shuttle walk distance, along with CRDQ fatigue scores.
- Water-based exercise demonstrated superior effectiveness in enhancing peak and endurance exercise capacity and improving quality of life aspects in COPD patients with comorbidities.
Conclusions:
- Water-based exercise training is a highly effective intervention for improving exercise capacity and quality of life in individuals with COPD and coexisting physical limitations.
- This study highlights the benefits of aquatic exercise as a viable and superior alternative to land-based exercise for this patient population.
- Water-based exercise should be considered as a key component of pulmonary rehabilitation for COPD patients with physical comorbidities.