April - June 2018: 
Volume 31, Issue 2

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Pneumon 2018, 31(2):-0. Special Article
British Thoracic Society Guideline on Pulmonary Rehabilitation in Adults
Authors Information

1Nottingham Respiratory Research Unit, University of Nottingham, City Hospital campus, Nottingham, UK

2Department of Pulmonary Rehabilitation, Worcestershire Royal Hospital, Worcester, UK

3Respiratory Medicine, University Hospital Aintree, Liverpool, UK

4Patient representative, Mansfield, UK

5Department of Respiratory Infection and Medicine, Imperial College Healthcare NHS Trust, London, UK

6Pulmonary Rehabilitation Department, Kings College NHS Foundation Trust, London, UK

7Department of Respiratory Medicine, University Hospitals of Leicester, Leicester, UK

8Respiratory Medicine, Royal Victoria Infirmary, Newcastle, UK

9Department of Respiratory Medicine, Royal Brompton Hospital, London, UK

10Department of Respiratory Medicine, NIHR Biomedical Research Unit for Advanced Lung Disease, Harefield, UK

11Respiratory Medicine, University Hospital Llandough, Penarth,
S Wales, UK

12Respiratory Medicine, Whipps Cross Hospital, London, UK

13Department of Cardiac/Pulmonary Rehabilitation, University Hospitals of Leicester NHS Trust, Leicester, UK

14Heart of England NHS Foundation Trust, Birmingham, UK


Pulmonary rehabilitation should be offered to patients with chronic obstructive pulmonary disease (COPD) with a view to improving exercise capacity by a clinically important amount. (Grade A)

Pulmonary rehabilitation should be offered to patients with COPD with a view to improving dyspnoea and health status by a clinically important amount. (Grade A)

Different components within a pulmonary rehabilitation programme, such as resistance training, can influence quadriceps strength and this is addressed in the section ‘Nature of training of these guidelines’. (√)

Pulmonary rehabilitation should be offered to patients with COPD with a view to improving psychological wellbeing. (Grade A)

As a minimum, efficacy of pulmonary rehabilitation programmes needs to be regularly assessed by demonstrating clinically important improvements in exercise capacity, dyspnoea and health status. (Grade B)

As part of regular assessment, patient satisfaction and feedback should be sought. (√)

Pneumon 2018, 31(2):-0.

Full text

British Thoracic Society Pulmonary Rehabilitation Guideline Development Group, on behalf of the British Thoracic Society Standards of Care Committee