Background. Chronic obstructive pulmonary disease (COPD) is a progressive disease, which means it gets worse over time. Over the last two decades, growing evidence of systemic manifestations in COPD patients and their negative effects on them has accelerated the use of pulmonary rehabilitation. 

Aims and objectives: To evaluate the impact of pulmonary rehabilitation programs on the quality of life of COPD GOLD groups B, D.

Materials and methods: We examined 60 patients with COPD, who received COPD maintenance therapy and performed an individual set of physical exercises for 6 months. Data on quality of life and severity of symptoms were obtained by the St. George's Hospital for the Assessment of Respiratory Problems (SGRQ) and the mMRC questionnairies. A complete general clinical examination and questionnaires according to the SGRQ and mMRC questionnaires were conducted for 60 patients. Patients are divided into 2 groups: Group I ? 30 patients GOLD group B; Group II ? 30 patients GOLD group D. Individual rehabilitation program included morning hygienic gymnastics, therapeutic gymnastics procedures and dosed therapeutic walking.

Results: Among the patients of group I, improvement in quality of life indicators was observed in 18 patients (60%), in group II improvement in quality of life was achieved in 7 patients (23.3%).

Conclusions: The complex of rehabilitation programs should be started in the early stages of the disease, because in the later stages of the course of the disease, the effectiveness of rehabilitation programs significantly reduces.