Your doctor may recommend lung transplant or lung .rehabilitation to help you breathe easier and improve your quality of life for certain lung conditions such as chronic obstructive pulmonary disease (COPD), asthma, pulmonary hypertension, and cystic fibrosis. It can also improve daily life for people who have scoliosis or other health problems that limit lung function. Your doctor may also recommend pulmonary rehabilitation before and after surgery for a
Pulmonary rehabilitation can help you gain strength, reduce symptoms of anxiety or depression, and make it easier to manage routine activities, work, and outings or social activities that you enjoy.
You may have pulmonary rehabilitation in the hospital or a clinic, or you may learn physical therapy or breathing exercises to do at home. You may also use activity monitors or smartphone-based lessons or monitoring. Your team of healthcare providers will design a personal pulmonary rehabilitation plan based on your needs.
Pulmonary rehabilitation has few risks. Rarely, physical activity during the program can cause problems, such as injuries to your muscles and bones. If serious problems occur during the supervised sessions, your pulmonary rehabilitation team will stop the physical activity right away, give you the appropriate treatment, and contact your doctor.
Visit Pulmonary Rehabilitation for more information about this topic.
What To Expect
If your doctor recommends pulmonary rehabilitation, you will receive care from a team of healthcare providers, who will design a plan that fits your needs based on the health of your lungs, your age, and other health factors. After your program ends, your team will assess your lung function again to see if your breathing has improved.
Before pulmonary rehabilitation
Your healthcare team will include doctors, nurses, respiratory therapists, physical and occupational therapists, dietitians or nutritionists, and psychologists or social workers.
To help design your pulmonary rehabilitation plan, your healthcare team may do one of the following tests:
During pulmonary rehabilitation
Your pulmonary rehabilitation plan may include one or more of the following:
- Breathing techniques. You may learn specific techniques such as pursed lip breathing, yoga breathing, or breathing with computer-aided feedback. With these techniques, you can better control your breathing and avoid feeling out of breath, especially when you are physically active or under stress. You may also learn ways to help clear mucus from your lungs.
- Education. In group or individual sessions, your providers can answer questions about your lung disease and offer guidance for how to manage it. You may learn How the Lungs Work and effective ways to take your medicines. You may learn to recognize the signs of a flare-up early and develop a plan to avoid or manage one. If you smoke, your team may be able to help you quit. You may learn how to conserve your energy and avoid feeling short of breath by finding easier ways to do daily tasks. This may include ways to avoid reaching, lifting, and bending, or ways to avoid or relieve stress.
- Psychological counseling. People who have a lung disease may also experience depression, anxiety, and other emotional problems. Individual or group support can offer training in stress management.
- Exercise training. Exercise training aims to strengthen your back, arms, and legs, as well as the muscles you use to breathe. Training can also help you build stamina and flexibility, making it easier to do everyday tasks and the things you enjoy. Your healthcare team may recommend using medicine to open your airways or adjusting your regular oxygen therapy during physical activity.
- Nutritional counseling. You will learn what foods to eat and how to prepare meals to manage your condition and feel your best. Nutritional counseling can help ensure that you are getting the right nutrients in the proper amounts. A dietitian may also recommend a weight-loss plan or nutritional supplements or medicines to help you build muscle.
After pulmonary rehabilitation
Usually, pulmonary rehabilitation is a series of two or three weekly sessions lasting several weeks or months. At the end of your program, your healthcare team will give you tests to assess your lung function again to see if your breathing has improved. Some of these tests, such as exercise tests, will be the same ones you had at the start of your program.
Improving health with current research
Learn about the following ways the NHLBI continues to translate current research into improved health for people with conditions benefiting from pulmonary rehabilitation. Research on this topic is part of the NHLBI’s broader commitment to advancing lung disease scientific discovery.
- COPD Town Hall. Following a request from Congress to develop a national plan to reduce the burden of COPD, the NHLBI, in collaboration with the Centers for Disease Control and Prevention, organized workshops and established initial goals for the plan. To address those goals in detail, the NHLBI in early 2016 convened the COPD community for a two-day COPD Town Hall at NIH. Federal and nonfederal partners, including patients and their families, healthcare providers, academics, and industry representatives, came together and formed working groups that recommended ways each goal could be met. Learn more about the Town Hall.
- COPD National Action Plan. The NHLBI, with input from federal and nonfederal partners, developed the COPD National Action Plan to guide stakeholders nationwide in their efforts to minimize the toll of COPD. The NHLBI’s COPD Learn More Breathe Better® program is playing a role in those efforts by increasing the awareness and understanding of COPD and encouraging screening for people who are at risk of the disease. In 2018, NHLBI convened experts in rural health and COPD to discuss challenges, opportunities, and resources as they relate to the COPD National Action Plan. Read more about the COPD & Rural Health meeting.
- National Asthma Education and Prevention Program (NAEPP). Established in 1989, the NAEPP raises awareness about asthma as a major public health problem. Working with medical associations, voluntary health organizations, and community programs, the NAEPP Coordinating Committee seeks to educate patients, health professionals, and the public. The NAEPP Guidelines for the Diagnosis and Management of Asthma were last updated in 2007.
Several ongoing research efforts advance our understanding of lung disease and repair.
Learn about some of the pioneering research contributions we have made over the years that have improved clinical care.
- Fostering research on new treatments for lung diseases. The Centers for Advanced Diagnostics and Experimental Therapeutics in Lung Diseases (CADET) program stimulates the development of new treatments for lung diseases and sleep disorders. The first stage, CADET I, supported research on how lung diseases develop. The second stage, CADET II, is funding research on new drugs.
- Improving earlier treatment and prevention of acute respiratory distress syndrome (ARDS). The NHLBI’s Prevention and Early Treatment of Acute Lung Injury (PETAL) Clinical Trials Network consists of 12 clinical centers and one clinical coordinating center. From 2014 to 2021, PETAL will build on ARDSNet, with the goal of testing new treatments or approaches to improve clinical outcomes for patients at risk for or who already have ARDS.
- Studying the risks and benefits of surgery to treat emphysema. The National Emphysema Treatment Trial (NETT) was a landmark study that clarified the risks and benefits of lung volume reduction surgery (LVRS) to treat patients whose COPD is mainly emphysema. LVRS reduces the size of the lungs to make breathing easier. The NETT also helped identify which patients are most likely to benefit from LVRS.
- Supporting research collaboration. The Pulmonary Trials Cooperative brings together patients, researchers, and healthcare professionals from more than 50 institutions, with a common goal of developing new treatments and testing current clinical care practices.
Advancing research for improved health
In support of our mission, we are committed to advancing pulmonary rehabilitation research in part through the following ways.
- We perform research. Our Division of Intramural Research, which includes investigators from the Pulmonary Branch, performs research on lung diseases.
- We fund research. The research we fund today will help improve our future health. Our Division of Lung Diseases supports research on the causes, diagnosis, prevention, and treatment of lung diseases. Search the NIH RePORTer to learn about research the NHLBI is funding on pulmonary rehabilitation.
- We stimulate high-impact research. Our Trans-Omics for Precision Medicine (TOPMed) program includes participants who have COPD, asthma, and sarcoidosis, which may help us understand how genes contribute to differences in disease severity and how patients respond to treatment. The NHLBI Strategic Vision highlights ways we may support research over the next decade.
Research can help us find ways to bring the benefits of pulmonary rehabilitation to more people.
Learn about exciting research areas the NHLBI is exploring about pulmonary rehabilitation.
- New techniques can help increase access to pulmonary rehabilitation. We support research on approaches to help patients overcome barriers to joining and completing pulmonary rehabilitation. These approaches include computer- and phone-based programs, programs that can be done at home, and better ways to address depression.
- Pulmonary rehabilitation programs may need to be adjusted for patients who have different diseases. Pulmonary rehabilitation programs are based primarily on evidence from research on COPD. NHLBI-supported research seeks to understand how other disorders affect breathing and how programs can be tailored to benefit patients who have those other disorders.
We lead or sponsor many studies on pulmonary rehabilitation. See if you or someone you know is eligible to participate in our.
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