Back to top Behavioral Therapies Pulmonary Rehabilitation Nutritional Support Pulmonary Rehabilitation Patients with COPD become physically unfit. Most hospitals offer pulmonary rehabilitation programs that can improve fitness, even in severe cases. The programs usually include exercises for the lower and upper extremities, education, breathing retraining, and psychosocial support. Exercising the legs particularly can improve endurance. Upper extremity exercises may be beneficial as well.
Patients use a lot of energy and tire easily because they breathe rapidly and shallowly.
Learning pursed-lip breathing can help relieve these symptoms. Nutritional Support Nutrition is critically important for patients who lose a lot of weight. High fat, low carbohydrate diets are recommended. If a patient is significantly overweight, losing weight may be appropriate. How the procedure improves symptoms and lung function for some patients is not well understood.