Original Investigation

Minimal vs Specialized Exercise Equipment for Pulmonary Rehabilitation

JAMA Network Open 10.1001/jamanetworkopen.2025.26616

August 12, 2025 at 11:00 AM EDT

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Is outpatient pulmonary rehabilitation delivered using minimal equipment noninferior to pulmonary rehabilitation delivered using specialist gym exercise equipment?In this randomized clinical trial of 436 individuals, participants gained significant improvements in exercise capacity, breathlessness, and health-related quality of life with pulmonary rehabilitation delivered using minimal equipment that was noninferior to pulmonary rehabilitation delivered using specialist gym exercise equipment.The results of this study suggest that pulmonary rehabilitation using minimal equipment produces similar benefits to pulmonary rehabilitation using specialist gym exercise equipment, which may expand the number of settings where pulmonary rehabilitation can be provided, potentially improving patient accessibility.

Corresponding Author: William D. C. Man, PhD, Respiratory Medicine, Harefield Hospital, Hill End Road, Harefield, Middlesex, UB9 6JH, UK (w.man@rbht.nhs.uk).

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