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Complementary therapies improve exercise capacity and psychological outcomes in patients with COPDComplementary therapies improve breathing and mood for COPD patients

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Key Takeaway
Consider complementary therapies as adjunctive strategies to improve exercise capacity and psychological outcomes in COPD.

This meta-analysis evaluated the impact of complementary therapies (CTs), such as yoga, tai chi, qigong, music therapy, cognitive behavioral therapy, relaxation techniques, and water-based exercise on patients with chronic obstructive pulmonary disease (COPD). The analysis included a total of 3148 patients to compare these interventions against usual care and pulmonary rehabilitation (PR).

Key findings indicate that CTs significantly improved exercise capacity (MD = 58.73 m) and pulmonary function (MD = 4.65) compared to usual care. Additionally, patients receiving CTs showed improvements in dyspnea scores (modified Borg scale MD = -0.79; CRQ dyspnea MD = 1.03) and a reduction in symptom burden (MD = -3.36). Psychological outcomes also improved, with reductions in anxiety (MD = -1.70) and depression (MD = -1.02) compared to usual care. When compared specifically to pulmonary rehabilitation, CTs showed a greater improvement in 6-minute walk distance (MD = 8.17) and depression (MD = -0.74).

The authors note that evidence regarding the specific effects of individual complementary therapies is currently limited. While these therapies may serve as effective adjunctive strategies to conventional pulmonary rehabilitation to improve physiological and psychological outcomes, patient-specific responses and the efficacy of specific modalities are not yet identified.

How this fits prior evidence

This meta-analysis addresses a gap in management strategies for COPD by evaluating non-pharmacological interventions. While bacterial lysates are known to reduce exacerbation risk and hospitalization in patients with chronic obstructive pulmonary disease, this study suggests that complementary therapies like yoga and tai chi can improve exercise capacity and psychological outcomes. These findings provide a complementary approach to managing the multi-faceted symptoms of COPD.

Living with chronic obstructive pulmonary disease (COPD) can make every breath feel like a struggle. It often brings not just physical limitations, but also heavy feelings of anxiety and depression. New data suggests that adding complementary therapies, like yoga, tai chi, and music therapy, can help manage these challenges better than standard care alone.

Researchers looked at data from over 3,000 patients to see how these extra activities performed. They found that patients who used these therapies saw better walking distances, improved lung function, and a lower burden of symptoms compared to those receiving only standard care. These patients also reported lower levels of anxiety and depression.

While these findings are encouraging, the evidence is still limited when it comes to specific types of therapy. We do not yet know which specific activity works best for which person. However, these methods may serve as helpful additions to traditional pulmonary rehabilitation to improve both physical and mental well-being.

What this means for you:
Complementary therapies like yoga and tai chi can improve lung function and mental health in COPD patients.

Common questions

What types of complementary therapies help with COPD?

Several types of complementary therapies were included in the study, such as yoga, tai chi, qigong, music therapy, cognitive behavioral therapy, relaxation techniques, and water-based exercise. These activities were found to improve walking distance, lung function, and overall quality of life compared to standard care.

Can these therapies help with the mental health side of lung disease?

Yes. The data showed that patients using these complementary therapies experienced a reduction in anxiety and depression compared to those receiving only standard care. These methods may help manage the emotional toll that comes with chronic obstructive pulmonary disease.

Are these therapies better than standard pulmonary rehabilitation?

The study found that patients using complementary therapies showed greater improvement in walking distance and lower levels of depression compared to those who only received pulmonary rehabilitation. However, evidence is still limited regarding the specific effects of individual therapies.

Study Details

Study typeMeta analysis
Sample sizen = 3,148
EvidenceLevel 1
PublishedNov 2026
View Original Abstract ↓
BACKGROUND: Pulmonary rehabilitation (PR) is the cornerstone intervention for improving respiratory function and symptoms in patients with chronic obstructive pulmonary disease (COPD). However, evidence on the effects of complementary therapies (CTs), such as yoga, tai chi/qigong, music therapy, cognitive behavioral therapy (CBT), relaxation techniques, and water-based exercise, remains limited. METHODS: Randomized controlled trials (RCTs) involving patients with COPD were systematically searched in Embase, Scopus, PubMed, and MEDLINE (Ovid). Study selection followed PRISMA guidelines. Continuous outcomes were pooled as mean differences (MDs) using random-effects models. RESULTS: Thirty-six RCTs involving 3148 participants were included. Compared with usual care, effects on exercise capacity varied across different CTs, with improvements observed primarily in exercise-based approaches (6-min walk distance [6MWD]; MD = 58.73 m), pulmonary function (FEV% predicted; MD = 4.65), dyspnea (modified Borg scale; MD = -0.79; CRQ dyspnea; MD = 1.03), symptom burden (COPD Assessment Test; MD = -3.36), and health-related quality of life (SGRQ total score; MD = -8.40). Anxiety and depression (HADS-A and HADS-D) were also reduced (MD = -1.70 and -1.02, respectively). Compared with PR, CTs showed greater improvements in 6MWD (MD = 8.17) and HADS-D (MD = -0.74). CONCLUSION: Complementary therapies may improve both physiological and psychological outcomes in patients with COPD and may serve as adjunctive strategies to conventional pulmonary rehabilitation. Further research is needed to identify optimal modalities and patient-specific responses.
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