Conditions · COPD and lung health

Exercise Physiology for COPD

Breathlessness makes you want to do less, and doing less makes breathlessness worse. Supervised, monitored exercise helps break that cycle, so you can breathe easier and do more.

✓ Oxygen levels monitored✓ Medicare rebates with a GP plan✓ Works with your respiratory team

Supervised exercise session at Beachside EP, Mordialloc
Lung health Breathe easier, do more
Why it matters

Exercise is central to COPD care

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Less breathlessness in everyday activities
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Better exercise capacity and quality of life, including in severe COPD
SpO2
Oxygen levels monitored during every supervised session
6MWT
Six-minute walk test to measure your starting point and progress

Pulmonary rehabilitation, which is built around exercise training, is strongly recommended in the Australian COPD-X guidelines.

The most important thing to understand

Breaking the cycle of breathlessness and inactivity

Less activity leads to weaker muscles and lower fitness, so you get breathless even sooner. Exercise won't change your lung function test results, but it helps your muscles use oxygen more efficiently, so the same activities leave you less breathless.

Myth

Exercise is dangerous with COPD because I won't get enough oxygen.

Fact

With supervision, exercise is safe for most people with COPD. We monitor your oxygen levels and symptoms and adjust as we go.

Myth

I should rest whenever I'm breathless.

Fact

Some breathlessness during exercise is expected. Resting too much leads to more deconditioning and more breathlessness over time.

Myth

My COPD is too severe for exercise to help.

Fact

People with severe COPD can also improve their exercise capacity and quality of life with a well-designed program.

Important

Know when to get help

Follow your COPD action plan. Call Triple Zero (000) if you have any of these:

!Severe breathlessness that isn't eased by your reliever medication
!Blue lips or fingertips, or trouble speaking
!Chest pain
!Confusion or unusual drowsiness
What we do

Exercise tailored to your lungs and your goals

Your COPD severity, flare-up history, oxygen needs, other conditions and goals all shape your program.

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Aerobic training

Walking, cycling or similar, at an intensity that builds fitness while managing breathlessness.

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Leg strength

Stronger legs make walking, stairs and getting up easier, with less breathlessness.

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Arm strength

Makes everyday tasks like washing, dressing and reaching less tiring.

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Breathing techniques

Pursed-lip breathing and pacing to help manage breathlessness.

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Oxygen monitoring

Oxygen levels checked every session. If you use oxygen, we follow your respiratory physician's advice.

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Flare-up awareness

Recognising early signs of a flare-up and adjusting activity, in line with your action plan.

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Measured progress

Six-minute walk and sit-to-stand tests to track your improvement.

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Your team in the loop

Reports to your GP and respiratory physician after reviews.

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Public pulmonary rehab programs. Many hospitals and community health services run pulmonary rehab, often at little or no cost. Ask your GP or respiratory physician about one, or see Lung Foundation Australia. We can work alongside them or help you keep going afterwards. If you smoke, quitting is the most important step for your lungs. Quitline is 13 7848.
Who we see

COPD from mild to very severe, and other lung conditions

COPD, mild to very severeEmphysemaChronic bronchitisBronchiectasisAsthmaLung changes after COVID-19Pulmonary fibrosisOn home oxygenAfter a hospital stay for a flare-upCOPD with heart conditionsCOPD with anxiety or low mood
Your program

What to expect from start to finish

Bring your latest lung function results, your COPD action plan and a list of your medications.

1

Assessment

Your lung function results, medications, oxygen needs, flare-up history and a baseline walk test.

2

Your prescription

Aerobic and strength exercise set to suit your breathing, not just your heart rate.

3

Supervised sessions

Oxygen levels, effort and symptoms monitored, with breathing techniques built in.

4

Home program

Your program in our app, plus pacing and flare-up awareness.

5

Reviews and reports

Walk tests and questionnaires at reviews, with reports to your GP and respiratory physician.

Common questions

COPD FAQs

Is exercise safe if I get very breathless?
For most people, yes, with supervision. Some breathlessness during exercise is expected with COPD. We monitor your oxygen levels and symptoms and set the intensity to suit you. If you use oxygen, we follow your respiratory physician's advice. Please don't change your oxygen settings without their guidance.
Will exercise improve my lung function?
Exercise won't change your lung function test results. What it does is help your muscles work more efficiently, so everyday activities leave you less breathless and you can do more.
My COPD is severe. Can exercise still help?
Yes. People with severe COPD can also improve their exercise capacity and quality of life. We design your program around your current ability and progress carefully.
I've just had a flare-up. Can I start?
Often, yes, once you're recovering and your doctor is happy for you to start. Guidelines recommend pulmonary rehab after a hospital stay for a flare-up to help rebuild what was lost. We start gently and build up.
Do I need a referral?
Not to be seen privately. For Medicare, you need a GP chronic condition management plan and a referral from your GP. Bring your latest lung function results and a list of your medications.
Can I attend by telehealth?
Yes, for reviews and some sessions. We recommend an in-person first assessment where possible, so we can do a proper baseline walk test.
Get started

Ready to breathe easier and do more?

Start with one appointment and we'll build the plan from there.

✓ We'll tell you honestly if we can't help ✓ Start with one session, no lock-in ✓ No referral needed to book privately

The information on this page is general and doesn't replace advice from your GP or respiratory physician. Keep following your COPD action plan and taking your medications as prescribed. In an emergency, call Triple Zero (000).

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