According to ACCP/AACVPR guidelines, which of the following is NOT included in evidence-based recommendations for pulmonary rehabilitation?

The inclusion of supplemental oxygen during high-intensity exercise is an important consideration in pulmonary rehabilitation. However, the ACCP/AACVPR guidelines emphasize that while supplemental oxygen can be beneficial for patients with specific conditions, it is not mandatory for all individuals during high-intensity exercise sessions. This reflects a nuanced approach to rehabilitation, recognizing that not every patient will require supplemental oxygen for optimal performance and safety.

The recommendations instead encourage practices that are universally applicable and supported by a broad range of evidence, such as endurance training, which enhances overall cardiovascular health and muscle function regardless of oxygen supplementation. The focus on longer programs and endurance training for upper extremities aligns with the goal of maximizing training benefits and functional independence, which are key objectives in pulmonary rehabilitation. Thus, the emphasis on mandatory exercise training of ambulation muscles further supports the principle of enhancing mobility and functional capacity in these patients.