Severe COPD (FEV1/FVC \< 70% and FEV1 \< 50% pred.) associated to hypoxaemic chronic respiratory insufficiency (PaO2 \< 60mmHg) or
Very severe COPD (FEV1/FVC \< 70% and FEV1 \< 30% pred.)
With the following characteristics:
no signs of lung restriction (TLC≥80%)
clinically stable for at least the last four weeks
MRC ≥ 2
no participation to PR programmes in the last year
FEV1= Forced expiratory volume in the 1st second FVC= Forced vital capacity TLC= Total Lung Capacity PaO2= Partial pressure of arterial oxygen
You may not be if
\- Muscular-skeletal impairment that could limit the patient's participation to the exercise programme;
Cognitive impairment that could limit the patient's participation to the activities of education and exercise, as assessed by the Mini Mental State (MMS) test \<26;
Malignancies
Clareo Health | Effects of Home-based Pulmonary Rehabilitation in Patients With Severe or Very Severe Chronic Obstructive Pulmonary Disease (COPD)