Pulmonary rehabilitation of the patient with COPD

The basic aims in managing COPD are to minimize hypoxia and to improve the ventilation-perfusion relationship. A progressive daily walking exercise program together with pulmonary physiotherapy, creative or occupational therapy, and respiratory therapy to improve bronchial hygiene is advocated. The main benefits of this program, in addition to improved emotional and sociologic status, are increased exercise tolerance, reduced dyspnea (work of breathing), and reduced oxygen requirements.