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PulmonaryActive referenceUnder clinical review

Pulmonary Rehab COPD (Educational)

Paced aerobic + breathing-controlled plan for COPD. Active phases need pulmonary team clearance; SpO2 + dyspnoea monitoring built in.

Condition: Chronic Obstructive Pulmonary Disease · ICD-10 J44

25

Minutes / session

12

Weeks

3

Phases

12

Outcome measures

Under clinical review

At least one module, condition, or outcome record is not marked approved. Treat this page as educational reference material, not an individualized prescription.

Safety rules and escalation

Review these module-specific checks before considering any exercise phase.

Non-bypassable platform pain rules

  • Pain at or above 6/10 requires an exercise substitution.
  • Pain at or above 8/10 stops the workout and surfaces emergency-stop guidance.

Red-flag screening

  • Is your resting SpO2 currently < 88%?

    Urgent Care · Please contact your respiratory team before exercising.

  • Are you currently in an exacerbation (increased sputum, wheeze, or dyspnoea)?

    Block Self Guided · Treat the exacerbation first; resume after recovery.

Clearance and monitoring checks

  • Morning SpO2 (%)?

    Monitoring · Inform

Phases and exercise prescriptions

Phase 1 · T0

Educational Reference

2 weeks

Goals

  • Master pursed-lip breathing
  • Recognise SpO2 thresholds

Precautions

  • Have inhaler within reach
Adductor Stretch (Butterfly)

Mobility · T0 · Beginner

1 sets · 10 reps · 90 sec · 30 sec rest

Recorded pain ceiling: 4/10
Ankle Alphabet (ABCs)

Mobility · T0 · Beginner

1 sets · 1 reps · 0 sec · 30 sec rest

Recorded pain ceiling: 4/10
Ankle Circles

Mobility · T0 · Beginner

1 sets · 15 reps · 0 sec · 30 sec rest

Recorded pain ceiling: 4/10
Ankle Dorsiflexion Rock (Knee-to-Wall)

Mobility · T0 · Beginner

1 sets · 10 reps · 0 sec · 30 sec rest

Recorded pain ceiling: 4/10
Ankle Pumps

Mobility · T0 · Beginner

1 sets · 30 reps · 0 sec · 30 sec rest

Recorded pain ceiling: 4/10
Calf Stretch (Wall)

Mobility · T0 · Beginner

1 sets · 10 reps · 40 sec · 30 sec rest

Recorded pain ceiling: 4/10

Phase 2 · T1

Pace + Breathing

6 weeks

Goals

  • Walk-rest 5+5 min
  • Maintain SpO2 > 88% on exertion

Precautions

  • Stop on dyspnoea > 6/10
  • Rest 1-2 min between bouts
90/90 Hip Switch

Mobility · T1 · Beginner

2 sets · 8 reps · 0 sec · 30 sec rest

Recorded pain ceiling: 4/10
Backward Walking/Jogging

Endurance · T1 · Beginner

2 sets · 10 reps · 300 sec · 60 sec rest

Recorded pain ceiling: 4/10
Adductor Rock-Back

Mobility · T1 · Beginner

2 sets · 12 reps · 0 sec · 30 sec rest

Recorded pain ceiling: 4/10
Band 4-Way Ankle

Endurance · T1 · Beginner

2 sets · 15 reps · 0 sec · 30 sec rest

Recorded pain ceiling: 4/10
Ankle Dorsiflexion Mobilization with Band

Mobility · T1 · Intermediate

2 sets · 15 reps · 60 sec · 30 sec rest

Recorded pain ceiling: 4/10
Band Dorsiflexion

Endurance · T1 · Beginner

2 sets · 15 reps · 0 sec · 45 sec rest

Recorded pain ceiling: 4/10
Anterior Ankle Stretch (Half-Kneeling)

Mobility · T1 · Beginner

2 sets · 5 reps · 20 sec · 30 sec rest

Recorded pain ceiling: 4/10
Band Eversion (Peroneals)

Endurance · T1 · Beginner

2 sets · 15 reps · 0 sec · 45 sec rest

Recorded pain ceiling: 4/10
Calf Self-Massage (Foam Roller/Ball)

Mobility · T1 · Beginner

2 sets · 1 reps · 180 sec · 30 sec rest

Recorded pain ceiling: 4/10
Band Inversion

Endurance · T1 · Beginner

2 sets · 15 reps · 0 sec · 45 sec rest

Recorded pain ceiling: 4/10
Frog Stretch (Gentle)

Mobility · T1 · Beginner

2 sets · 10 reps · 90 sec · 30 sec rest

Recorded pain ceiling: 4/10
Band Plantarflexion

Endurance · T1 · Beginner

2 sets · 15 reps · 0 sec · 45 sec rest

Recorded pain ceiling: 4/10

Phase 3 · T2

Build Endurance

4 weeks

Goals

  • Continuous 15 min walk
  • Light resistance 2x/week

Precautions

  • Avoid extremes of cold/heat
  • Pace ADLs
Ankle Eversion Walk

Endurance · T2 · Intermediate

2 sets · 1 reps · 30 sec · 45 sec rest

Recorded pain ceiling: 4/10
Ankle Eversion Walk

Strength · T2 · Intermediate

2 sets · 1 reps · 30 sec · 45 sec rest

Recorded pain ceiling: 4/10
Ankle Inversion Walk

Endurance · T2 · Intermediate

2 sets · 1 reps · 30 sec · 45 sec rest

Recorded pain ceiling: 4/10
Ankle Inversion Walk

Strength · T2 · Intermediate

2 sets · 1 reps · 30 sec · 45 sec rest

Recorded pain ceiling: 4/10
Band Resisted Hip IR/ER (Standing)

Endurance · T2 · Intermediate

2 sets · 12 reps · 0 sec · 30 sec rest

Recorded pain ceiling: 4/10
Band Resisted Hip IR/ER (Standing)

Strength · T2 · Intermediate

2 sets · 12 reps · 0 sec · 30 sec rest

Recorded pain ceiling: 4/10
Banded Ankle Walks

Endurance · T2 · Intermediate

2 sets · 20 reps · 0 sec · 45 sec rest

Recorded pain ceiling: 4/10
Banded Ankle Walks

Strength · T2 · Intermediate

2 sets · 20 reps · 0 sec · 45 sec rest

Recorded pain ceiling: 4/10
Box Squat

Endurance · T2 · Beginner

2 sets · 10 reps · 0 sec · 60 sec rest

Recorded pain ceiling: 4/10
Box Squat

Strength · T2 · Beginner

2 sets · 10 reps · 0 sec · 60 sec rest

Recorded pain ceiling: 4/10
Cable Hip Abduction

Endurance · T2 · Beginner

2 sets · 12 reps · 0 sec · 45 sec rest

Recorded pain ceiling: 4/10
Cable Hip Abduction

Strength · T2 · Beginner

2 sets · 12 reps · 0 sec · 45 sec rest

Recorded pain ceiling: 4/10

Outcome measures

These are the measures linked to this module's current public record.

Pain Numeric Rating (0-10)

Simple · Required

Under clinical review

Patient-rated pain intensity over the last 24 hours.

Cadence
Baseline
Scale
0–10 score
Scoring direction
Lower Better

Weekly Session Count

Simple · Optional

Under clinical review

Sessions completed in the last 7 days.

Cadence
Weekly
Scale
0–14 sessions
Scoring direction
Higher Better

Borg Dyspnoea (0-10)

Simple · Optional

Under clinical review

Modified Borg dyspnoea scale during typical exertion.

Cadence
End Of Phase
Scale
0–10 score
Scoring direction
Lower Better

Pain Numeric Rating (0-10)

Simple · Required

Under clinical review

Patient-rated pain intensity over the last 24 hours.

Cadence
End Of Program
Scale
0–10 score
Scoring direction
Lower Better

Functional Limitation (0-10)

Simple · Required

Under clinical review

Self-rated difficulty performing daily tasks.

Cadence
Baseline
Scale
0–10 score
Scoring direction
Lower Better

Borg Dyspnoea (0-10)

Simple · Optional

Under clinical review

Modified Borg dyspnoea scale during typical exertion.

Cadence
Weekly
Scale
0–10 score
Scoring direction
Lower Better

Functional Limitation (0-10)

Simple · Optional

Under clinical review

Self-rated difficulty performing daily tasks.

Cadence
End Of Phase
Scale
0–10 score
Scoring direction
Lower Better

Functional Limitation (0-10)

Simple · Required

Under clinical review

Self-rated difficulty performing daily tasks.

Cadence
End Of Program
Scale
0–10 score
Scoring direction
Lower Better

Borg Dyspnoea (0-10)

Simple · Required

Under clinical review

Modified Borg dyspnoea scale during typical exertion.

Cadence
Baseline
Scale
0–10 score
Scoring direction
Lower Better

Borg Dyspnoea (0-10)

Simple · Required

Under clinical review

Modified Borg dyspnoea scale during typical exertion.

Cadence
End Of Program
Scale
0–10 score
Scoring direction
Lower Better

Resting SpO2 (%)

Simple · Required

Under clinical review

Pulse-oximetry resting saturation.

Cadence
Baseline
Scale
70–100 %
Scoring direction
Higher Better

Resting SpO2 (%)

Simple · Required

Under clinical review

Pulse-oximetry resting saturation.

Cadence
End Of Program
Scale
70–100 %
Scoring direction
Higher Better

Guide questions

What is the Pulmonary Rehab COPD (Educational) guide?

Paced aerobic + breathing-controlled plan for COPD. Active phases need pulmonary team clearance; SpO2 + dyspnoea monitoring built in.

Is this an individualized treatment plan?

No. This page is a public educational reference. Individualized use belongs in the authenticated safety-screening and clinician workflow.

Does this module require medical clearance?

Yes. The Chronic Obstructive Pulmonary Disease record requires medical clearance before the interactive workflow can progress.

Has this guide completed clinical review?

No. One or more of the module, condition, or listed outcome measures is not marked approved, so this page is labelled under clinical review.

How is this rehabilitation pathway organized?

The current record contains 3 phases, a typical session length of 25 minutes, and an overall duration of 12 weeks.