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Proposed Protocol for Developing a Rehabilitation Program for Chronic Obstructive Pulmonary Disease Patients in Saudi Arabia


  • Ghanam Faleh Alshammri General Administration of Medical Rehabilitation and Long-Term Care, Ministry of Health, Riyadh, Saudi Arabia
  • Bader Nasser Almutairi General Administration of Medical Rehabilitation and Long-Term Care, Ministry of Health, Riyadh, Saudi Arabia
  • Mahal Alhumaidi Almutairi 2. Immam Abdulrahman Alfaisal Hospital, Ministry of Health, Riyadh, Saudi Arabia


Pulmonary rehabilitation (PR) has a vital role in the treatment of symptomatic patients with chronic obstruction pulmonary disease (COPD) therefore activating PR should be considered in medical care systems. In Saudi Arabia (KSA) prevalence of COPD is more than 2.4 % and factors cause COPD are numerous. The purpose of this paper is to provide a rationale for establishing PR program for COPD in KSA by be achieved by an assessment of available resources and using theory, evidence, and clinical guidelines to allow for supporting the creation of PR program for COPD.  The review will also include a description of the program and a comparison with literature-based citations and accounts of local resources that are available. In addition, the proposal will also include the objective, location and equipment, patient assessments, exercise training and educational programs. In addition, models of delivering PR and program evaluation will be provided for PR program of COPD population.


Aldhahir, A. M., Alghamdi, S. M., Alqahtani, J. S., Alqahtani, K. A., Al Rajah, A. M., Alkhathlan, B. S., ... & Hurst, J. R. (2021). Pulmonary rehabilitation for COPD: A narrative review and call for further implementation in Saudi Arabia. Annals of thoracic medicine, 16(4), 299-305.‏

Al-Moamary, M. S. (2008). Experience with pulmonary rehabilitation program in a tertiary care center in Saudi Arabia. Saudi medical journal, 29(2), 271-276.

Alqahtani, J. S. (2022). Prevalence, incidence, morbidity, and mortality rates of COPD in Saudi Arabia: Trends in burden of COPD from 1990 to 2019. PLoS One, 17(5), e0268772.‏

American Thoracic Society (2002). Guidelines for the Six-minute Walk Test. retrieved from https://setrust.hscni.net/wp-content/uploads/2022/10/6-Minutes-Walking-Test.pdf

Bourbeau, J., & Bartlett, S. J. (2008). Patient adherence in COPD. Thorax, 63(9), 831-838.

Beauchamp, M. K., Nonoyama, M., Goldstein, R. S., Hill, K., Dolmage, T. E., Mathur, S., & Brooks, D. (2010). Interval versus continuous training in individuals with chronic obstructive pulmonary disease-a systematic review. Thorax, 65(2), 157-164.

Casaburi, R. (2005). Factors determining constant work rate exercise tolerance in COPD and their role in dictating the minimal clinically important difference in response to interventions. COPD: Journal of Chronic Obstructive Pulmonary Disease, 2(1), 131-136.

Corhay, J. L., Dang, D. N., Van Cauwenberge, H., & Louis, R. (2014). Pulmonary rehabilitation and COPD: providing patients a good environment for optimizing therapy. International journal of chronic obstructive pulmonary disease, 9, 27.

COPD Foundation.(2015). Educational Materials. Retrived from http://www.copdfoundation.org/Learn-More/Educational-Materials/Downloads-Library.aspx

Exercise is Medicine Australia.(2014). Chronic Obstructive Pulmonary Disease (COPD) and exercise. Retrieved from http://exerciseismedicine.org.au/wp-content/uploads/2014/05/2014-COPD-FULL.pdf.

Garvey, C., Bayles, M. P., Hamm, L. F., Hill, K., Holland, A., Limberg, T. M., & Spruit, M. A. (2016). Pulmonary rehabilitation exercise prescription in chronic obstructive pulmonary disease: review of selected guidelines: an official statement from the American association of cardiovascular and pulmonary rehabilitation. Journal of cardiopulmonary rehabilitation and prevention, 36(2), 75-83.‏

General Authority for Statistics.( 2023). Health Determinants Statistics Publication. Retrieved from https://www.stats.gov.sa/sites/default/files/Health-Determinants-Statistics-Publication-2023-EN_0.pdf

Gloeckl, R., Marinov, B., & Pitta, F. (2013). Practical recommendations for exercise training in patients with COPD. European Respiratory Review, 22(128), 178-186.

Khan, J. H., Lababidi, H. M., Al-Moamary, M. S., Zeitouni, M. O., AL-Jahdali, H. H., Al-Amoudi, O. S., ... & Al-Hajjaj, M. S. (2014). The Saudi guidelines for the diagnosis and management of COPD. Annals of thoracic medicine, 9(2), 55.

Kuzma, A. M., Meli, Y., Meldrum, C., Jellen, P., Butler-Lebair, M., Koczen-Doyle, D., ... & Brogan, F. (2008). Multidisciplinary care of the patient with chronic obstructive pulmonary disease. Proceedings of the American Thoracic Society, 5(4), 567-571.

Lamberton, C. E., & Mosher, C. L. (2024). Review of the Evidence for Pulmonary Rehabilitation in COPD: Clinical Benefits and Cost-Effectiveness. Respiratory Care.‏

Nici, L., Donner, C., Wouters, E., Zuwallack, R., Ambrosino, N., Bourbeau, J., ... & Troosters, T. (2006). American thoracic society/European respiratory society statement on pulmonary rehabilitation. American journal of respiratory and critical care medicine, 173(12), 1390-1413.

Prescott, E., & Vestbo, J. (1999). Socioeconomic status and chronic obstructive pulmonary disease. Thorax, 54(8), 737-741.

Rai, D. K., & Pandey, S. K. (2020). Pulmonary Rehabilitation in Chronic Obstructive Pulmonary. Indian Journal of Physical Medicine & Rehabilitation, 31(1), 15.‏

Saudi Presidency of Meteorology and Environment.(2014).Airpollution.retrived from http://www.pme.gov.sa/en/commingsoon.asp#

Sin, D. D., & Man, S. F. P. (2006). Skeletal muscle weakness, reduced exercise tolerance, and COPD: is systemic inflammation the missing link?. Thorax, 61(1), 1-3.

Spruit, M. A., Singh, S. J., Garvey, C., ZuWallack, R., Nici, L., Rochester, C., ... & Wouters, E. F. (2013). An official American Thoracic Society/European Respiratory Society statement: key concepts and advances in pulmonary rehabilitation. American journal of respiratory and critical care medicine, 188(8), e13-e64.

The Australian lung Foundation (2024).Pulmonary rehabilitation toolkit. Retrieved from https://pulmonaryrehab.com.au/

Translation Research Evidance and Knowledge (2010). Bridging the gap related to the principles of exercise prescription in clinical practice. Retrieved from https://exercise.trekeducation.org/

Vivodtzev, I., Debigaré, R., Gagnon, P., Mainguy, V., Saey, D., Dubé, A., ... & Maltais, F. (2012). Functional and muscular effects of neuromuscular electrical stimulation in patients with severe COPD: a randomized clinical trial. CHEST Journal, 141(3), 716-725.

Vogiatzis, I., Athanasopoulos, D., Stratakos, G., Garagouni, C., Koutsoukou, A., Boushel, R., .. & Zakynthinos, S. (2009). Exercise‐induced skeletal muscle deoxygenation in O2‐supplemented COPD patients. Scandinavian journal of medicine & science in sports, 19(3), 364-372.

Wali, S. O., Idrees, M. M., Alamoudi, O. S., Abulfarag, A. M., Salem, A. D., Aljohaney, A. A., ... & Abdelaziz, M. M. (2014). Prevalence of chronic obstructive pulmonary disease in Saudi Arabia. Saudi medical journal, 35(7), 684-690.

World Health Organization.(2015). Causes of COPD.retrived from http://www.whoint/ respiratory/copd/causes/en/

Zainuldin, R., Mackey, M. G., & Alison, J. A. (2011). Optimal intensity and type of leg exercise training for people with chronic obstructive pulmonary disease. The Cochrane Library.




How to Cite

Alshammri, G. F., Almutairi, B. N. ., & Almutairi, M. A. . (2024). Proposed Protocol for Developing a Rehabilitation Program for Chronic Obstructive Pulmonary Disease Patients in Saudi Arabia. International Journal of Physical Therapy Research &Amp; Practice, 3(5), 228–236. Retrieved from https://inkwellinfinite.com/index.php/ijprp/article/view/33