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Written by: Vester Gravley on Thursday, August 20, 2015 Posted in:

While catching up on my reading, I came across an excellent study titled “Effects of 2 Exercise Training Programs on Physical Activity in Daily Life in Patients With COPD” (Respiratory Care, November 2011 / Volume 56 / Number 11). The study set out to ascertain whether high intensity versus low intensity exercise for pulmonary rehabilitation had more of an effect on “the level of physical activity in daily life” in COPD patients. The study concluded that, while patients in both groups “report improvements in their self-perceived efficiency on performing their daily tasks”, at the end of the program (twice a week for 12 weeks) there was no effect on the “the level of physical activity in daily life;” none, zip, nada! May I observe: ‘A program does not a habit make.’ Habits begin at home. Habits are hard to break. And COPD patients, like all of us, are creatures of habit. I believe this highlights the comprehensive, even organic approach that must be undertaken to achieve a return to wellness. Pulmonary rehabilitation must, at some point, move beyond outpatient programs to in-home cooperatives between patient and clinician designed to break old habits and make new ones. Only then will any impact be made in “daily life.”

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