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Updated: May 4, 2026

Home-Based Prescribed Pulmonary Exercise in Patients with Stable Chronic Obstructive Pulmonary Disease

Home-Based Prescribed Pulmonary Exercise in Patients with Stable Chronic Obstructive Pulmonary Disease

Published on: August 24, 2019

Water-based exercise training for chronic obstructive pulmonary disease.

Renae J McNamara¹, Zoe J McKeough, David K McKenzie

¹Clinical and Rehabilitation Sciences, Faculty of Health Sciences, The University of Sydney, Lidcombe, Australia.

The Cochrane Database of Systematic Reviews

|December 20, 2013

Summary

This summary is machine-generated.

Water-based exercise training improves exercise capacity and quality of life for individuals with chronic obstructive pulmonary disease (COPD). While offering benefits over no exercise, its advantages over land-based training for COPD patients are less clear.

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Using Continuous Data Tracking Technology to Study Exercise Adherence in Pulmonary Rehabilitation

Published on: November 8, 2013

Area of Science:

Pulmonary Rehabilitation
Cardiorespiratory Fitness
Chronic Obstructive Pulmonary Disease (COPD) Management

Background:

Land-based exercise training is a cornerstone for improving exercise capacity and quality of life in COPD patients.
Water-based exercise training presents an alternative modality, potentially beneficial for older individuals, those with limitations for land-based programs, and those with comorbid conditions.

Purpose of the Study:

To systematically assess the effects of water-based exercise training on individuals diagnosed with chronic obstructive pulmonary disease (COPD).

Main Methods:

A comprehensive literature search was conducted across multiple databases up to August 2013.
Included were randomized or quasi-randomized controlled trials comparing water-based exercise (≥4 weeks) against no exercise or other exercise forms in COPD patients, excluding swimming.
Standard Cochrane Collaboration methodological procedures were employed for data collection and analysis.

Main Results:

Water-based exercise significantly improved six-minute walk distance, incremental shuttle walk distance, and endurance shuttle walk distance compared to no exercise.
Quality of life also showed improvement post-water-based exercise versus no exercise, though evidence quality was low.
Compared to land-based exercise, water-based training showed no significant difference in six-minute walk distance or incremental shuttle walk distance, but improved endurance shuttle walk distance and the fatigue domain of quality of life.

Conclusions:

Limited evidence suggests water-based exercise training is safe and enhances immediate exercise capacity and quality of life in COPD patients.
While water-based exercise may offer advantages in endurance capacity over land-based training, its superiority for overall quality of life remains uncertain.
Further research is needed to understand the long-term effects of water-based exercise training in this population.