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Updated: Dec 15, 2025

Home-Based Prescribed Pulmonary Exercise in Patients with Stable Chronic Obstructive Pulmonary Disease
Published on: August 24, 2019
The COVID-19 Pandemic Confronts the Motivation Fallacy within Pulmonary Rehabilitation Programs
Manuela Karloh1,2,3, Thiago Sousa Matias4,5, Anamaria Fleig Mayer1,3,6,7
1Center for Assistance, Teaching and Research in Pulmonary Rehabilitation, Santa Catarina State University (UDESC), Florianópolis, Santa Catarina, Brazil.
Abstract:
Social distancing and quarantines have been implemented worldwide to reduce the spread of Coronavirus Disease (COVID-19). However, social distancing has had far-reaching health consequences, considering that the COVID-19 pandemic has exposed people to the hazard of physical inactivity and sedentary behavior. For patients with Chronic Obstructive Pulmonary Disease (COPD), which is one of the main diseases at risk for COVID-19, the impact is even greater since outpatient pulmonary rehabilitation (PR) programs are temporarily closed. More than ever, patients' behavior change to exercise calls for urgent debate. We propose a theoretical discussion in light of Self-Determination Theory, aiming to make PR a setting that supports autonomous forms of motivation. The scenario will not be changed in the short-term; but if other conditions hinder the development of PR in its most traditional form, the PR community will be better prepared to overcome the barriers to maintain physical exercise.
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