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COPD and Exercise: Breathing and Exercise Programs for COPD

How Exercises for COPD Can Help You

Exercise -- especially exercise that works your lungs and heart -- has many benefits for those with chronic obstructive pulmonary disease (COPD). Exercise can:

  • Improve how well your body uses oxygen. That’s important because people with COPD use more energy to breathe than other people do.
  • Decrease your symptoms and improve your breathing
  • Strengthen your heart, lower your blood pressure, and improve your circulation
  • Improve your energy, making it possible to stay more active
  • Improve your sleep and make you feel more relaxed
  • Help you maintain a healthy weight
  • Enhance your mental and emotional outlook
  • Reduce your social isolation, if you exercise with others
  • Strengthen your bones

4 Types of Exercises for COPD

These four types of exercise can help you if you have COPD. How much you focus on each type depends on the COPD exercise program your health care provider suggests for you.

Stretching exercises lengthen your muscles, increasing your flexibility. Stretching can also help prepare your muscles for other types of exercise, decreasing your chance of injury.

Aerobic exercises use large muscle groups to move at a steady, rhythmic pace. This type of exercise works your heart and lungs, improving their endurance. This helps your body use oxygen more efficiently and, with time, can improve your breathing. Walking and using a stationary bike are two good aerobic exercises if you have COPD.

Strengthening exercises involve tightening muscles until they begin to tire. When you do this for the upper body, it can help increase the strength of your breathing muscles.

Breathing exercises for COPD help you strengthen breathing muscles, get more oxygen, and breathe with less effort. Here are two examples of breathing exercises you can begin practicing. Work up to 5 to 10 minutes, three to four times a day.

Pursed-lip breathing:

  1. Relax your neck and shoulder muscles.
  2. Breathe in for 2 seconds through your nose, keeping your mouth closed.
  3. Breathe out for 4 seconds through pursed lips. If this is too long for you, simply breathe out twice as long as you breathe in.

Use pursed-lip breathing while exercising. If you experience shortness of breath, first try slowing your rate of breathing, and focus on breathing out through pursed lips.

Diaphragmatic breathing:

  1. Lie on your back with knees bent. You can put a pillow under your knees for support.
  2. Place one hand on your belly below your rib cage. Place the other hand on your chest.
  3. Inhale deeply through your nose for a count of three. Your belly and lower ribs should rise, but your chest should remain still.
  4. Tighten your stomach muscles and exhale for a count of six through slightly puckered lips.

COPD and Exercise Guidelines

  • Set realistic goals.
  • Gradually increase the number of minutes and days you exercise. A good goal is to exercise 20 to 40 minutes, two to four times a week.
  • Start out slow. Warm up for a few minutes.
  • Choose activities you enjoy, and vary them to help you stay motivated.
  • Find an exercise partner.
  • Keep a record of your exercise to help you stay on track.
  • As you end your exercise, cool down by moving more slowly.

WebMD Medical Reference