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Exercising with Chronic Lung Disease: Increasing Endurance

Endurance exercises help condition your muscles. This helps increase what you are able to do. These are aerobic exercises, meaning they help your body use oxygen better. Over time, they’ll help you have more energy and less shortness of breath.

Wand work

Roller coaster wave

Wand work

Here are suggestions: 

  1. Hold a wand or rolled towel on your lap. Keep your back straight and your shoulders relaxed. Inhale.

  2. While gently exhaling through pursed lips, lift both arms up to shoulder level. When you’re finished exhaling, inhale and return to starting position.

  3. As you master this exercise, try to lift your arms a little higher each time. The goal is to lift them as high as you can toward the ceiling. Remember to exhale as you lift.

Note: You can also try using a stretchy elastic band instead of a wand. This helps build strength. 

Special instructions: _____________________________________________________

Roller coaster wave

Here are suggestions:

  1. Inhale. Then while exhaling, lift both arms over your head.

  2. Wave your arms from one side to the other until you’re done exhaling. Don’t twist.

  3. Inhale while returning to starting position. Exhale as you repeat the wave.

Note: If lifting your arms above your head is too hard, try holding them in front of you at shoulder level instead.

Special instructions: _____________________________________________________

Riding a stationary bicycle

Here are suggestions:

  1. Adjust the seat so your knees are only slightly bent when the pedals are at their lowest points.

  2. Begin to pedal at a comfortable pace. Do pursed-lip breathing as you pedal.

  3. In time, your healthcare provider or pulmonary rehabilitation team may suggest adding resistance to make your muscles work harder.

Use the bike for _______ minutes

Special instructions: _____________________________________________________

Using a treadmill

Here are suggestions:

  1. Know how the treadmill works before you use it.

  2. Start walking at a comfortable pace. Do pursed-lip breathing as you walk.

  3. As you get stronger, your healthcare provider or pulmonary rehabilitation team may suggest increasing speed or adding elevation.

Note: Regular walking is just as good as using a treadmill. Walk on a level surface. You may want to use a walker with wheels. If you use oxygen, you can put the oxygen unit in the basket of the walker.

Walk for _______ minutes.

Special instructions: _____________________________________________________


Inhaling through the nose and exhaling through pursed lips makes breathing easier during exercise. To do pursed-lip breathing:

  1. Relax your neck and shoulder muscles. Inhale slowly through your nose for at least counts.

  2. Pucker your lips as if to blow out a candle. Exhale slowly and gently through your pursed lips for at least twice as long as you inhaled.

Online Medical Reviewer: Alan J Blaivas DO
Online Medical Reviewer: Daphne Pierce-Smith RN MSN CCRC
Online Medical Reviewer: Wanda Taylor RN PhD
Date Last Reviewed: 9/1/2018
© 2000-2020 The StayWell Company, LLC. 800 Township Line Road, Yardley, PA 19067. All rights reserved. This information is not intended as a substitute for professional medical care. Always follow your healthcare professional's instructions.