COPD and Muscle Weakness: How Physical Therapy Can Help You Breathe and Move Better
- delaney1155
- Oct 20
- 2 min read
Chronic Obstructive Pulmonary Disease (COPD) is often associated with breathing difficulties, coughing, and fatigue. But many people with COPD also experience muscle weakness, especially in the arms, legs, and core. This weakness isn’t just inconvenient—it can make everyday tasks like walking, climbing stairs, or carrying groceries increasingly difficult, and can even worsen shortness of breath.

Why Muscle Weakness Happens in COPD
Muscle weakness in COPD happens for several reasons:
Reduced activity levels: When breathing is difficult, people tend to move less, leading to deconditioning.
Chronic inflammation: COPD-related inflammation can affect muscle strength and endurance.
Nutritional changes: Some individuals with COPD may struggle to maintain adequate nutrition, impacting muscle health.
Medication effects: Long-term use of certain medications, like corticosteroids, can contribute to muscle loss.
This combination of factors means that even routine activities—like standing up from a chair, carrying a shopping bag, or walking short distances—can become exhausting.
How Physical Therapy Helps
Physical therapy is more than just exercise—it’s a targeted approach to improve your strength, endurance, and overall function while considering your breathing limitations. Here’s how:
Strength Training: Physical therapists guide patients through safe resistance exercises to build leg, arm, and core muscles. Stronger muscles reduce fatigue and make daily tasks easier.
Endurance Training: Tailored cardiovascular exercises—like walking or stationary cycling—help improve stamina, making it easier to complete longer tasks without getting short of breath.
Breathing Techniques: Therapists teach strategies such as diaphragmatic and pursed-lip breathing, which can improve oxygen flow and help muscles work more efficiently.
Posture and Movement Training: Good posture and proper movement mechanics reduce the work of breathing and make activities more manageable.
Education and Self-Management: PTs provide guidance on pacing, energy conservation, and safe ways to remain active, empowering patients to take control of their daily function.
The Benefits
With consistent physical therapy, people with COPD often notice:
Increased strength and endurance
Less fatigue during daily activities
Improved balance and mobility
Better breathing efficiency
Greater confidence and independence
Take the Next Step
Muscle weakness doesn’t have to define life with COPD. Physical therapy addresses both the breathing and muscle challenges of the condition, helping you move more freely and maintain your independence. If you’ve been feeling weaker, more tired, or limited in your daily activities, a physical therapist can create a personalized program to restore your strength and improve your quality of life.




