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Related Concept Videos

COPD: Management Using Bronchodilators and Corticosteroids01:26

COPD: Management Using Bronchodilators and Corticosteroids

Chronic obstructive pulmonary isease (COPD) involves a group of progressive lung disorders characterized by persistent airflow limitation and chronic respiratory symptoms. Asthma-COPD Overlap Syndrome (ACOS), encompassing features of both asthma and Chronic obstructive pulmonary disease (COPD), is a group of progressive lung disorders that includes chronic bronchitis, emphysema, and refractory (non-reversible) asthma. ACOS leads to complex clinical presentations that combine the inflammatory...
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Chronic Obstructive Pulmonary Disease (COPD) is a long-lasting respiratory condition requiring continuous attention and care. It is a progressive lung disease that leads to breathing challenges due to airflow obstruction. It manifests as persistent respiratory symptoms and restricted airflow resulting from abnormalities in the airways and alveoli, usually due to long-term exposure to harmful particles or gases. COPD mainly consists of two primary conditions: emphysema and chronic bronchitis.
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Chronic Obstructive Pulmonary Disease-IV: Assessement and Diagnostic Studies

Assessing and diagnosing Chronic Obstructive Pulmonary Disease (COPD) involves a detailed approach that includes a comprehensive review of medical history, physical examination, and a variety of diagnostic tests. This thorough evaluation is essential to ensure an accurate diagnosis and guide effective management strategies.
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Managing Chronic Obstructive Pulmonary Disease (COPD) involves a multifaceted approach to reduce symptoms, prevent exacerbations, improve overall health status, and slow disease progression. Key strategies include lifestyle modifications, pharmacotherapy, supportive therapies, and, in some cases, surgery. Here is an overview of the primary COPD management strategies:
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Chronic Obstructive Pulmonary Disease01:24

Chronic Obstructive Pulmonary Disease

COPD is defined as a heterogeneous lung condition marked by persistent respiratory symptoms such as dyspnea, cough, and sputum production, caused by abnormalities in the airways that cause airflow obstruction.
Smoking is a primary risk factor for COPD, with over 80% of patients having a history of it. Patients typically experience progressive dyspnea or labored breathing, frequent coughing, and recurrent pulmonary infections. Many eventually succumb to respiratory failure, characterized by...
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Chronic obstructive pulmonary disease is a common, preventable, and treatable respiratory disorder characterized by persistent symptoms and progressive airflow limitation. This limitation results from a combination of small-airway disease (obstructive bronchiolitis) and parenchymal destruction (emphysema), both driven by chronic inflammation from exposure to harmful particles or gases.The disease includes two main pathological entities: emphysema, marked by destruction of alveolar walls and...

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Updated: May 18, 2026

Home-Based Prescribed Pulmonary Exercise in Patients with Stable Chronic Obstructive Pulmonary Disease
07:10

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

Published on: August 24, 2019

Chair-based versus standard home exercise programs in people with COPD: A randomized controlled trial.

Esra Pehlivan1, Zeynep Betül Özcan2, Fulya Senem Karaahmetoğlu2

  • 1Faculty of Hamidiye Health Sciences, Department of Physiotherapy and Rehabilitation, University of Health Sciences, Istanbul, Turkey.

Heart & Lung : the Journal of Critical Care
|May 17, 2026
PubMed
Summary

Chair-based exercise programs offer significant benefits for individuals with chronic obstructive pulmonary disease (COPD), improving functional capacity and respiratory parameters more than standard programs. This approach provides a practical alternative for COPD patients facing exercise limitations.

Keywords:
Functional capacityHome-based exercisePhysical activity levelPulmonary rehabilitationRespiratory muscle strength

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Published on: April 19, 2019

Area of Science:

  • Pulmonary Rehabilitation
  • Exercise Physiology
  • Respiratory Medicine

Background:

  • Chronic obstructive pulmonary disease (COPD) patients often face limitations with standing exercises due to balance issues or fatigue.
  • Chair-based exercise presents a viable alternative for this population, promoting accessibility and adherence.
  • Home-based exercise programs are crucial for managing COPD, but their optimal format requires investigation.

Purpose of the Study:

  • To compare the effectiveness of chair-based versus standard home-based exercise programs in COPD patients.
  • To evaluate improvements in functional capacity, respiratory parameters, and quality of life.

Main Methods:

  • A randomized controlled trial involving 64 clinically stable COPD patients.
  • Participants were allocated to either a Standard Exercise Group (SGr) or a Chair-Based Exercise Group (ChGr).
  • Both groups underwent an 8-week home-based program with supervised online sessions and weekly follow-ups, assessing outcomes like the 6-minute walk test (6MWT), dyspnea scale (mMRC), and pulmonary function.

Main Results:

  • Both groups demonstrated significant improvements in dyspnea, fatigue, physical activity, and quality of life (SGRQ).
  • The chair-based group showed significant increases in 6MWT distance, maximal inspiratory and expiratory pressures (MIP/MEP), and peak expiratory flow percentage (PEF%).
  • The chair-based group exhibited superior improvements in MEP% and PEF% compared to the standard group, with no reported adverse events.

Conclusions:

  • Both chair-based and standard home-based exercises enhance COPD symptoms, physical activity, and quality of life.
  • Chair-based exercise programs lead to significant improvements in functional capacity and specific respiratory measures.
  • This study highlights the efficacy of chair-based exercise as a beneficial intervention for COPD management.