Pulmonary rehabilitation is a crucial part of managing lung conditions like COPD, asthma, and interstitial lung disease. While many people associate pulmonary rehab with in-clinic sessions, there are several effective exercises you can do at home to strengthen your lungs, improve endurance, and enhance overall respiratory function.
These exercises focus on controlled breathing, gentle movement, and building stamina to help you breathe easier and stay active in your daily life.
In this article, we’ll explore the best pulmonary rehab exercises you can do from the comfort of your home to support lung health and improve quality of life.
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Best Pulmonary Rehab Exercises to Do at Home
- Diaphragmatic breathing
- Pursed-lip breathing
- Lung exerciser device breathing
- Seated marches
- Seated leg extensions
- Standing heel raises
- Wall push-ups
- Step-ups
- Arm raises
- Shoulder blade squeezes
- Resistance training
- Stretching
Watch this video and keep reading to learn more about the best pulmonary rehab exercises that you can try from your own home to improve lung function.
1. Diaphragmatic Breathing
Diaphragmatic breathing, also known as belly breathing, focuses on engaging the diaphragm to improve lung efficiency. Sit or lie down comfortably, placing one hand on your chest and the other on your abdomen. Inhale deeply through your nose, allowing your abdomen to rise while keeping your chest still. Exhale slowly through pursed lips, feeling your abdomen fall. This exercise strengthens the diaphragm, reduces shortness of breath, and promotes relaxation.
It’s particularly beneficial for individuals with chronic lung conditions like COPD, as it maximizes oxygen exchange and reduces the effort required to breathe. Practice for 5–10 minutes daily to enhance lung capacity and overall respiratory function.
2. Pursed-Lip Breathing
Pursed-lip breathing is a simple yet effective technique to control breathing patterns and improve lung function. Inhale slowly through your nose for two counts, then exhale gently through pursed lips (as if blowing out a candle) for four counts.
This method helps keep airways open longer, reduces trapped air in the lungs, and alleviates shortness of breath. It’s especially useful during physical activities or when feeling breathless.
Regular practice can improve oxygen levels, decrease respiratory rate, and enhance overall endurance. Aim to incorporate this exercise into your daily routine or use it as needed to manage breathing difficulties.
3. Lung Exerciser Device Breathing
Using a lung exerciser device, such as an incentive spirometer, helps strengthen respiratory muscles and improve lung capacity. Sit upright, place the mouthpiece in your mouth, and inhale slowly and deeply to raise the indicator or ball. Hold your breath for a few seconds, then exhale slowly.
This exercise encourages deep breathing, prevents lung complications, and is often recommended post-surgery or for individuals with chronic lung conditions. Regular use can enhance oxygen intake, clear mucus from the airways, and improve overall lung function. Follow your healthcare provider’s instructions for optimal results.
An effective tool that provides dual training for both inhalation and exhalation, improving respiratory health across various conditions.
4. Seated Marches
Seated marches are a low-impact aerobic exercise that improves circulation and lung function while being gentle on the joints. Sit upright in a chair with your feet flat on the floor. Lift one knee toward your chest, lower it, and alternate with the other leg in a marching motion. Continue for 1–2 minutes, gradually increasing duration as your endurance improves.
This exercise enhances cardiovascular health, strengthens leg muscles, and promotes better breathing patterns. It’s ideal for individuals with limited mobility or those recovering from illness, as it can be easily modified to suit fitness levels.
5. Seated Leg Extensions
Seated leg extensions target the quadriceps and improve lower body strength while promoting circulation. Sit upright in a chair with your feet flat on the floor. Extend one leg straight out in front of you, hold for a few seconds, then lower it back down. Alternate legs and repeat for 10–15 repetitions.
This exercise helps maintain muscle tone, supports joint health, and enhances overall mobility. It’s particularly beneficial for individuals with limited mobility or those who prefer seated exercises. Incorporate this into your routine to build strength and endurance without straining your lungs.
6. Standing Heel Raises
Standing heel raises are a simple yet effective exercise to strengthen calf muscles and improve balance. Stand upright, holding onto a sturdy surface for support if needed. Slowly lift your heels off the ground, rising onto your toes, then lower them back down. Perform 10–15 repetitions.
This exercise promotes circulation, enhances lower body strength, and supports better posture. It’s a great way to incorporate light physical activity into your day, especially for individuals with respiratory conditions who may benefit from gentle, weight-bearing exercises.
7. Wall Push-Ups
Wall push-ups are a modified version of traditional push-ups that strengthen the upper body and improve breathing control. Stand facing a wall, place your hands on it at shoulder height, and step back slightly. Bend your elbows to lower your chest toward the wall, then push back to the starting position. Perform 10–15 repetitions.
This exercise engages the chest, shoulders, and arms while being gentle on the joints. It’s ideal for individuals with limited strength or mobility, helping to build endurance and support respiratory health.
8. Step-Ups
Step-ups are a functional exercise that improves cardiovascular fitness, leg strength, and balance. Use a sturdy step or low platform. Step one foot onto the platform, followed by the other, then step back down. Alternate leading legs and perform 10–15 repetitions.
This exercise elevates the heart rate, enhancing lung capacity and endurance. It’s a great way to incorporate moderate-intensity activity into your routine, but ensure proper form and use support if needed to prevent falls.
9. Arm Raises
Arm raises are a gentle upper body exercise that improves shoulder mobility and breathing coordination. Sit or stand with your arms at your sides. Slowly raise your arms out to the sides and overhead, then lower them back down. Perform 10–15 repetitions.
This exercise enhances circulation, strengthens shoulder muscles, and encourages deeper breathing. It’s particularly beneficial for individuals with limited mobility or those looking to incorporate light resistance training into their pulmonary rehab routine.
10. Shoulder Blade Squeezes
Shoulder blade squeezes improve posture, strengthen upper back muscles, and promote better breathing mechanics. Sit or stand with your arms at your sides. Squeeze your shoulder blades together, hold for a few seconds, then release. Perform 10–15 repetitions.
This exercise helps open the chest, allowing for deeper breaths, and reduces tension in the upper body. It’s an excellent addition to pulmonary rehab, especially for individuals who spend long periods sitting or have poor posture.
11. Resistance Training
Resistance training, using light weights or resistance bands, builds muscle strength and improves overall endurance. Focus on exercises like bicep curls, shoulder presses, or leg lifts, performing 10–15 repetitions per set.
Strengthening muscles reduces the effort required for daily activities, easing the burden on your lungs. It also enhances circulation and supports cardiovascular health. Start with light resistance and gradually increase as your strength improves. Always maintain proper breathing patterns during exercises to maximize benefits.
12. Stretching
Stretching improves flexibility, reduces muscle tension, and promotes relaxation, which can enhance breathing efficiency. Focus on stretches for the chest, shoulders, and back, such as a seated forward bend or a doorway chest stretch. Hold each stretch for 15–30 seconds, breathing deeply throughout.
Stretching helps maintain range of motion, prevents stiffness, and supports better posture, all of which contribute to improved lung function. Incorporate stretching into your daily routine to complement other pulmonary rehab exercises.
What is Pulmonary Rehab?
Pulmonary rehabilitation (often referred to as “pulmonary rehab”) is a structured program specifically designed for patients with chronic respiratory diseases.
Its primary aim is to improve the patient’s quality of life by:
- Decreasing respiratory symptoms and complications: Through exercises and education, patients learn how to breathe more efficiently and experience fewer breathlessness episodes.
- Improving physical conditioning: Specific exercises help strengthen respiratory muscles, increase endurance, and enhance overall physical stamina.
- Improving emotional well-being: Living with chronic respiratory diseases can be emotionally taxing. Pulmonary rehab offers counseling and support to help patients cope better.
- Educating about the disease: This involves teaching patients about their specific condition, medications, oxygen therapy, and other related topics, enabling them to better manage their health.
- Reducing hospitalizations: By managing symptoms effectively, there’s a reduced risk of exacerbations and complications that lead to hospital stays.
Pulmonary rehab programs are multidisciplinary, typically involving a team of healthcare professionals, including respiratory therapists, doctors, nurses, dietitians, and physical therapists. The program is tailored to the individual’s needs and can include exercise training, nutritional counseling, education, and psychological support.
It’s commonly prescribed for patients with chronic obstructive pulmonary disease (COPD) but can also benefit those with other respiratory conditions such as interstitial lung disease, cystic fibrosis, and pulmonary hypertension.
How to Create Your Own Home Pulmonary Rehabilitation Program
Creating your own home pulmonary rehabilitation program requires careful planning, consistent monitoring, and possibly consultation with healthcare professionals. Here is a step-by-step guide:
1. Consult with Healthcare Professionals
- Before starting any exercise or rehab program, consult with your pulmonologist or primary care doctor to ensure it’s safe and beneficial for you.
- Consider working with a physical therapist or respiratory therapist initially to design an appropriate exercise regimen tailored to your needs.
2. Design Your Exercise Program
- Warm-up: Start with 5-10 minutes of low-intensity activities like walking or slow cycling.
- Aerobic exercises: Walking, stationary biking, or step-ups. Begin with short durations (5-10 minutes) and gradually increase as tolerated.
- Strength training: Use light weights or resistance bands for upper and lower body exercises. Aim for 2-3 sets of 8-12 repetitions for each exercise.
- Flexibility exercises: Gentle stretches for major muscle groups. Hold each stretch for 15-30 seconds.
- Breathing exercises: Incorporate diaphragmatic breathing and pursed-lip breathing to improve lung function and oxygenation.
- Cool down: Another 5-10 minutes of reduced activity and stretching to end the session.
3. Schedule and Consistency
- Aim for at least 20-30 minutes of exercise on most days of the week, but adapt based on your capability and comfort.
- Track your progress by using a diary or a digital tool to log your exercises, durations, and any symptoms or challenges faced.
4. Incorporate Education
- Learn about your respiratory condition, medications, inhaler techniques, and oxygen therapy, if applicable.
- Resources like the American Lung Association or the COPD Foundation offer valuable educational materials.
5. Create a Safe Environment
- Ensure the exercise area is free from obstacles to prevent falls or injuries.
- Keep essential items like water, a phone (in case of emergencies), and your inhaler close by.
- If using oxygen, make sure the setup allows for movement without tangling or pulling.
6. Monitor Symptoms
- Regularly assess your breathlessness using scales like the Borg Rating of Perceived Exertion.
- If you experience severe breathlessness, chest pain, or any unusual symptoms, stop the exercise and consult with a healthcare professional.
7. Include Relaxation and Psychological Well-being
- Consider techniques like deep breathing, meditation, or progressive muscle relaxation.
- Seek support if you’re feeling anxious or depressed. This can be through online support groups, counseling, or telehealth appointments.
8. Nutritional Counseling
- Ensure you’re eating a balanced diet that supports lung health.
- Seek advice from a registered dietitian if you have specific dietary concerns related to your respiratory condition.
9. Regularly Review and Adjust
- As you progress, your capacity may change. Review your program every few weeks to adjust the intensity and duration of exercises.
- Consider periodic consultations with healthcare professionals to ensure you’re on the right track.
Note: Each individual’s needs and capabilities will vary, so it’s essential to tailor the program accordingly. Always prioritize safety and ensure you’re not pushing yourself too hard too quickly.
FAQs About Pulmonary Rehab Exercises
Who Needs Pulmonary Rehabilitation?
Pulmonary rehabilitation is primarily recommended for individuals with chronic respiratory diseases or conditions that affect their breathing and lung function.
This includes patients with chronic obstructive pulmonary disease (COPD), asthma, interstitial lung disease, cystic fibrosis, and pulmonary hypertension, among others. The program is tailored to improve their quality of life, enhance lung capacity, and reduce symptoms.
Note: It’s essential to consult with a healthcare professional to determine if pulmonary rehabilitation is suitable for an individual.
Can Pulmonary Rehabilitation Be Done at Home?
Yes, pulmonary rehabilitation can be performed at home. While traditional pulmonary rehab programs are often conducted in clinical settings with supervision, many exercises and techniques can be adapted for home use.
With proper guidance and monitoring, a home-based pulmonary rehab program can be just as beneficial. It’s important to work closely with healthcare professionals to ensure the program is safe and effective.
Is At-Home Pulmonary Rehab Effective?
At-home pulmonary rehab can be very effective when done correctly and consistently. The effectiveness of home-based programs often depends on the individual’s commitment, the appropriateness of exercises chosen, and regular monitoring and adjustment of the program.
Many patients find home-based programs more convenient and are, therefore, more likely to stick to them, leading to better outcomes. However, it’s crucial to maintain regular communication with healthcare providers to track progress and address any issues.
How Often Should You Do Pulmonary Rehab Exercises?
The frequency of pulmonary rehab exercises largely depends on the individual’s health status, the specific exercises in their program, and their overall fitness goals.
Generally, aerobic exercises, like walking or cycling, are recommended most days of the week for about 20-30 minutes, while strength training exercises might be suggested 2-3 times a week. Breathing exercises and stretches can be practiced daily. Always consult with a healthcare or rehab professional to determine the best frequency for your unique situation.
What is the Cost of Pulmonary Rehabilitation?
The cost of pulmonary rehabilitation can vary significantly based on several factors: the country or region, whether it’s a hospital-based or outpatisent program, the length and frequency of sessions, and what’s included in the program (e.g., exercises, education, counseling).
Additionally, insurance coverage can play a significant role. In many places, health insurance, including Medicare, might cover part or all of the cost, especially if the rehab is deemed medically necessary.
What are the Advantages of Pulmonary Rehabilitation?
Pulmonary rehabilitation offers numerous advantages for individuals with respiratory diseases:
- Improved lung function: Regular exercises can enhance breathing and oxygen utilization.
- Reduced symptoms: Many participants report decreased breathlessness and fatigue.
- Increased exercise capacity and endurance: This can lead to a more active and independent lifestyle.
- Better emotional well-being: Counseling and group interactions can reduce feelings of anxiety and depression.
- Enhanced quality of life: Overall improvement in physical and emotional health often leads to a more fulfilling daily life.
- Education: Patients learn more about their condition, treatment options, and how to manage symptoms effectively.
- Decreased hospitalizations: Effective symptom management can lead to fewer exacerbations and hospital stays.
What are the Risks Associated with Pulmonary Rehabilitation?
While pulmonary rehabilitation is generally safe and beneficial, there are potential risks, particularly if exercises are done incorrectly or if the program isn’t tailored to the individual’s needs:
- Muscle strain or injury: Incorrect technique or overexertion can lead to injuries.
- Cardiovascular risks: Like any exercise program, there’s a minimal risk of cardiovascular events, especially if the individual has underlying heart conditions.
- Respiratory exacerbations: Overexertion might occasionally lead to increased breathlessness or an exacerbation of respiratory symptoms.
- Overdependence on supplemental oxygen: For those using oxygen, there might be a risk of becoming too reliant if not used appropriately during exercises.
Note: It’s imperative for individuals to work closely with their healthcare providers and report any unusual symptoms immediately. Regular monitoring ensures that the program remains safe and beneficial.
Final Thoughts
Incorporating pulmonary rehab exercises into your daily routine can make a significant difference in lung function, stamina, and overall well-being.
By practicing techniques like pursed-lip breathing, diaphragmatic breathing, and gentle aerobic exercises, you can improve oxygen exchange and reduce breathlessness over time.
Remember to start slow, listen to your body, and consult with your healthcare provider before beginning any new exercise routine. With consistency and the right approach, you can take control of your respiratory health and enjoy a more active, fulfilling life.
Written by:
John Landry is a registered respiratory therapist from Memphis, TN, and has a bachelor's degree in kinesiology. He enjoys using evidence-based research to help others breathe easier and live a healthier life.
References
- Hamasaki H. Effects of Diaphragmatic Breathing on Health: A Narrative Review. Medicines (Basel). 2020.
- Nguyen JD, Duong H. Pursed-lip Breathing. [Updated 2023 Jul 25]. In: StatPearls [Internet]. Treasure Island (FL): StatPearls Publishing; 2025.
- Kikuchi N, Ohta T, Hashimoto Y, Mochizuki Y, Saito M, Kozuma A, Deguchi M, Inoguchi T, Shinogi M, Homma H, Ogawa M, Nakazato K, Okamoto T. Effect of Online Home-Based Resistance Exercise Training on Physical Fitness, Depression, Stress, and Well-Being in Middle-Aged Persons: A Pilot Study. Int J Environ Res Public Health. 2023.
- Nakamura K, Kodama T, Mukaino Y. Effects of active individual muscle stretching on muscle function. J Phys Ther Sci. 2014.