Selection criteria and content of physical therapy for persons with chronic obstructive pulmonary disease

  • Kateryna Tymruk-Skoropad Lviv State University of Physical Culture named after Ivan Boberskyj
  • Iuliia Pavlova Lviv State University of Physical Culture named after Ivan Boberskyj
Keywords: pulmonary rehabilitation, COPD, physical activity, exacerbation


Topicality. The high incidence of chronic obstructive pulmonary disease (COPD), decreased performance and the high cost of treatment make important to find ways to improve both medical therapy and rehabilitation. The effectiveness of physical therapy and pulmonary rehabilitation programs for patients with COPD has been proved. The implementation of modern developments in this area in clinical practice in Ukraine is necessitates. Goal. To substantiate the scope and content of physical therapy for patients with chronic obstructive pulmonary disease on different levels of medical care. Research methods. Analysis and synthesis of data from special scientific and methodological literature on physical therapy of COPD, processing online sources, including the database of the National Medical Library of the National Institute of Health of the United States and the evidence base of physical therapy Pedro. Results. An algorithm for choosing physical therapy for patients with COPD was proposed. It based on analysis of 13 clinical guidelines of the management and rehabilitation of COPD, taken into account the laws of the Ministry of Health of Ukraine and the course of the disease. Recommendations on the scope of physical therapy, depending on the course of the disease and levels of medical care. Conclusions. Physical therapy is a necessary component of rehabilitation during COPD exacerbation and is an essential part of a pulmonary rehabilitation program with a stable COPD. The criteria for choosing the amount of physical therapy determined the patient’s condition, level of dyspnea, FEV1 indicator, level of physical activity and working capacity.


Tymruk-Skoropad, K. (2018). Methods of studying the effectiveness of physical therapy and pulmonary rehabilitation of COPD patients (systematic review). Health, sport, rehabilitation, 4 (4), 148–157. 10.5281/zenodo.1468312 (in Ukrainian).

Tymruk-Skoropad K. (2017). Dysfunction of peripheral muscle through the chronic obstructive pulmonary disease. Young sport science of Ukraine, Т. 3, с. 100−101 (in Ukrainian).

Tymruk-Skoropad, K., Stupnycka, S., & Pavlova, I. (2018). The role of physical therapy in the system of pulmonary rehabilitation in the case of chronic obstructive pulmonary disease (the analysis of clinical guidelines). Physical education, sports and health culture in today’s society, 2 (42), 126–134. (in Ukrainian).

Bolton, C. E., Bevan-Smith, E. F., Blakey, J. D., Crowe, P., Elkin, S. L., Garrod, R., Walmsley, S. (2013). BTS Guideline on Pulmonary Rehabilitation in Adults British. Thorax, 68, 111–130.

Cambach, W., Wagenaar, R. C., Koelman, T. W., Ton Van Keimpema, A. R. J., & Kemp& Phb, H. C. G. (1999). The Long-Term Effects of Pulmonary Rehabilitation in Patients With Asthma and Chronic Obstructive Pulmonary Disease: A Research Synthesis. In Arch Phys Med Rehabil (Vol. 80). 103−111.

Capodaglio, E. M. (2018). [Physical activity, tool for the prevention and management of chronic diseases]. Giornale Italiano Di Medicina Del Lavoro Ed Ergonomia, 40 (2), 106–119.

Charikiopoulou, M., Nikolaidis, P. T., Knechtle, B., Rosemann, T., Rapti, A., & Trakada, G. (2019). Subjective and Objective Outcomes in Patients With COPD After Pulmonary Rehabilitation - The Impact of Comorbidities. Frontiers in Physiology, 10, 286.

Chick, D. A., Grant, P. J., Harrison, R. V., Othman, A., Roark, S. E., & Han, M. K. (2017). Chronic Obstructive Pulmonary Disease Patient: Guidelines for Clinical Care Ambulatory (p. 28). p. 28.

Egan, C., Deering, B. M., Blake, C., Fullen, B. M., McCormack, N. M., Spruit, M. A., & Costello, R. W. (2012). Short term and long term effects of pulmonary rehabilitation on physical activity in COPD. Respiratory Medicine, 106 (12), 1671–1679.

Finnerty, J. P., Keeping, I., Bullough, I., & Jones, J. (2001). The Effectiveness of Outpatient Pulmonary Rehabi-litation in Chronic Lung Disease: A Randomized Controlled Trial. Chest, 119 (6), 1705–1710. CHEST.119.6.1705.

Furlanetto, K. C., Donária, L., Schneider, L. P., Lopes, J. R., Ribeiro, M., Fernandes, K. B., Pitta, F. (2017). Sedentary Behavior Is an Independent Predictor of Mortality in Subjects With COPD. Respiratory Care, 62 (5), 579–587.

Gallo-Silva, B., Cerezer-Silva, V., Ferreira, D., et. al. (2019). Effects of water-based aerobic interval training in patients with copd: a randomized controlled trial. Journal of Cardiopulmonary Rehabilitation and Prevention. 39 (2), 105–111.

Gentry, S., & Gentry, B. (2017). Chronic Obstructive Pulmonary Disease: Diagnosis and Management. American Family Physician, 95(7), 433–441.

GOLD. (2019). Global Initiative for Obstructive Lung Disease, guidelines 2019.

Gosselink, R., Langer, D., Burtin, C., Probst, V., Hendriks, H. J. M., van der Schans, C. P., Muris, J. (2008). KNGF - Guideline Chronic obstructive pulmonary disease Practice guidelines. Supplement to the Dutch Journal of Physical Therapy, 118 (4), 1–64.

Greulich, T., Kehr, K., Nell, C., Koepke, J., Haid, D., Koehler, U., … Koczulla, A.-R. (2014). A randomized clinical trial to assess the influence of a three months training program (gym-based individualized vs. calisthenics-based non-invidualized) in COPD-patients. Respiratory Research, 15 (1), 36.

Güell, R., Casan, P., Belda, J., Sangenis, M., Morante, F., Guyatt, G. H., & Sanchis, J. (2000). Long-term Effects of Outpatient Rehabilitation of COPD: A Randomized Trial. Chest, 117 (4), 976–983. CHEST.117.4.976.

Ko, F. W., Chan, K. P., Hui, D. S., Goddard, J. R., Shaw, J. G., Reid, D. W., & Yang, I. A. (2016). Acute exacerbation of COPD. Respirology, 21 (7), 1152–1165.

Koskela, J., Kilpeläinen, M., Kupiainen, H., Mazur, W., Sintonen, H., Boezen, M., Laitinen, T. (2014). Co-morbidities are the key nominators of the health related quality of life in mild and moderate COPD. BMC Pulmonary Medicine, 14 (1), 1–11.

Kruis, A. L., Boland, M. R. S., Assendelft, W. J. J., Gussekloo, J., Tsiachristas, A., Stijnen, T., Chavannes, N. H. (2014). Effectiveness of integrated disease management for primary care chronic obstructive pulmonary disease patients: results of cluster randomised trial. BMJ (Clinical Research Ed.), 349, g5392.

Lorenz, J., Bals, R., Dreher, M., Jany, B., Koczulla, R., Pfeifer, M., Windisch, W. (2017). Expertentreffen COPD: Exazerbation der COPD. Pneumologie, 71 (05), 269–289.

McNamara, R. J., McKeough, Z. J., McKenzie, D. K., & Alison, J. A. (2013). Water-based exercise in COPD with physical comorbidities: a randomised controlled trial. The European Respiratory Journal, 41 (6), 1284–1291.

Meshe, O. F., Claydon, L. S., Bungay, H., & Andrew, S. (2017). The relationship between physical activity and health status in patients with chronic obstructive pulmonary disease following pulmonary rehabilitation. Disability and Rehabilitation, 39 (8), 746–756.

Puente-Maestu, L., Luisa Sánz, M., Sánz, P., de Oña, R. J. M., Arnedillo, A., & Casaburi, R. (2003). Long-Term Effects of a Maintenance Program After Supervised or Self-Monitored Training Programs in Patients with COPD. Lung, 181 (2), 67–78.

Ries, A. L., Kaplan, R. M., Myers, R., & Prewitt, L. M. (2003). Maintenance after Pulmonary Rehabilitation in Chronic Lung Disease. American Journal of Respiratory and Critical Care Medicine, 167 (6), 880–888.

Schneider, L. P., Furlanetto, K. C., Rodrigues, A., Lopes, J. R., Hernandes, N. A., & Pitta, F. (2018). Sedentary Behaviour and Physical Inactivity in Patients with Chronic Obstructive Pulmonary Disease: Two Sides of the Same Coin? COPD: Journal of Chronic Obstructive Pulmonary Disease, 15 (5), 432–438. 15412555.2018.1548587.

Simonÿ, C., Andersen, I. C., Bodtger, U., & Birkelund, R. (2019). Breathing through a troubled life – a phenomenological-hermeneutic study of chronic obstructive pulmonary disease patients’ lived experiences during the course of pulmonary rehabilitation. International Journal of Qualitative Studies on Health and Well-Being, 14 (1), 1647401.

Singh, S. J., & Steiner, M. C. (2013). Pulmonary rehabilitation; what’s in a name? Thorax, 68 (10), 899–901.

Tarigan, A. P., Pandia, P., Mutiara, E., Pradana, A., Rhinsilva, E., & Efriyandi, E. (2018). Impact of Lower-Limb Endurance Training on Dyspnea and Lung Functions in Patients with COPD. Open Access Macedonian Journal of Medical Sciences, 6 (12), 2354–2358.

Troosters, T., Blondeel, A., Janssens, W., & Demeyer, H. (2019). The past, present and future of pulmonary rehabilitation. Respirology.

Yang, I. A., Brown, J. L., George, J., Jenkins, S., McDonald, C. F., McDonald, V. M., Dabscheck, E. (2017). COPD-X Australian and New Zealand guidelines for the diagnosis and management of chronic obstructive pulmonary disease: 2017 update. The Medical Journal of Australia, 207(10), 436-442.

Zwerink, T., Brusse-Keizer, M., van der Valk, P. P., Zielhuis, G., Monninkhof, E., van der Palen, J., & Frith, P. (n.d.). Self management for patients with chronic obstructive pulmonary disease (Cochrane review) [with consumer summary]. Cochrane Database of Systematic Reviews 2014;Issue 3.
How to Cite
Tymruk-Skoropad, K., & Pavlova, I. (2019). Selection criteria and content of physical therapy for persons with chronic obstructive pulmonary disease. Physical Education, Sport and Health Culture in Modern Society, (4(48), 96-108.
Therapeutic physical training, sports medicine and physical rehabilitation