Managing Breathlessness

INFORMATION FROM RESPIRATORY PHYSIOTHERAPIST ZOE MANDERSON

In 2021, the New Zealand COPD Guidelines were released. They recommend that pulmonary rehabilitation should be offered to all people with COPD. But what is pulmonary rehabilitation and why is it so important?

What is Pulmonary rehabilitation?

Pulmonary rehabilitation is a supervised exercise programme for people with respiratory conditions, including COPD. Along with exercise, there is also usually an education component regarding self-management of symptoms. In New Zealand, most programmes are eight weeks long and are run by a respiratory physiotherapist and/or nurse. The programmes are run out of hospitals, community gyms or halls and even, in this COVID-era, online.

What are the benefits of Pulmonary rehabilitation?

Pulmonary rehabilitation has been shown to reduce breathlessness, improve quality of life, and reduce depression in people with COPD. Of course, participants also gain improved strength and exercise capacity. It can be hard to know where to start if you are new to exercise, but that is the benefit of attending an organised programme where you can get guidance regarding the right exercise for you. Participants also enjoy the camaraderie of exercising alongside others with medical conditions similar to themselves.

How fit do I need to be to do Pulmonary rehabilitation?

Any level of fitness is appropriate for pulmonary rehabilitation and no prior gym or exercise experience is necessary. People who get breathless with exercise may feel reluctant to attend an exercise programme, but in fact the people who benefit most from pulmonary rehabilitation are those who are most breathless.

How do I join a class?

Ask your GP to make a referral or check out what is available in your region. There is a list of regional classes available on the Foundation’s website: https://www.asthmafoundation. org.nz/about-us/support-groups

About the author

Zoe Manderson is a respiratory physiotherapist in Taranaki for Te Whatu Ora and a member of the Asthma and Respiratory Foundation’s Scientific Advisory Board .