Nearly 8% of Americans suffer from asthma, a chronic condition that, while manageable, currently has no cure. For many, medications like inhalers and pills effectively control symptoms, but for those with severe or poorly managed asthma, pulmonary rehabilitation offers an important treatment option.
Pulmonary rehab is a comprehensive, supervised program aimed at improving the quality of life for individuals with chronic respiratory conditions, including asthma. While it often involves physical exercises to strengthen the lungs, the program encompasses much more. It also includes education on respiratory diseases, stress management, psychological counseling, and nutritional coaching, delivered by a multidisciplinary team.
Dr. Seyedmohammad Pourshahid, Medical Director of Pulmonary Rehabilitation at Temple University Hospital, explained that pulmonary rehab is often conducted in a group setting, two to three times a week, over the course of 8 to 12 weeks. It is personalized to address the specific needs of each patient, with asthma sufferers receiving different care compared to those with other respiratory conditions like Chronic Obstructive Pulmonary Disease (COPD).
The process begins with an in-depth health assessment, where a nurse will evaluate the patient’s medical history, medications, and exercise habits. Throughout the program, vital signs such as heart rate, blood pressure, and oxygen levels are closely monitored to track progress. A key part of the rehab includes a six-minute walking test to measure lung and heart response to exertion. The goal is to improve endurance, with patients expected to walk further by the end of the program, with minimal spikes in heart rate.
Research supports the effectiveness of pulmonary rehab for asthma patients. A 2021 review found that it improves quality of life, exercise capacity, and reduces breathing problems. However, a 2023 review emphasized the need for more asthma-specific studies, particularly regarding asthma symptoms, exacerbations, and oxygen uptake.
For those with exercise-induced asthma, pulmonary rehab provides a supportive environment to monitor symptoms during physical activity. Respiratory therapists and other healthcare professionals are on hand to ensure patients can safely exercise without triggering an asthma attack.
Pulmonary rehab can be particularly beneficial for asthma patients with additional respiratory conditions, such as COPD or Long COVID. These individuals may experience worsening symptoms, and the program can help restore lung function, improve fitness, and break the cycle of muscle loss caused by steroid medications.
In addition to physical benefits, pulmonary rehab also addresses mental health. Chronic asthma can contribute to anxiety and depression, which in turn can worsen symptoms. The program teaches stress-reduction techniques and mindfulness, helping patients manage both physical and emotional challenges. The community aspect of rehab fosters social connections, further combating isolation and anxiety.
While pulmonary rehab requires a time commitment, it equips patients with vital tools and techniques to manage their condition more effectively. Dr. Pourshahid emphasized that pulmonary rehab is not just a series of gym sessions—it’s an educational experience designed to empower patients and improve their long-term health.