Evidence supports an important role for pulmonary rehabilitation (PR) after acute exacerbations of chronic obstructive pulmonary disease (AECOPD); however, the role of physical exercise during hospitalisation is less clear. This study evaluated Australian physiotherapy practice and clinical perspectives regarding exercise and physical activity for patients with AECOPD. A national survey of 123 Australian public hospitals was conducted from 2016 to 2017 using a purpose-designed survey measuring self-reported physical exercise prescription, objective measure use, referral patterns and factors influencing service delivery. The response rate was 72% (88 hospitals; 176 physiotherapists). Most physiotherapists (92%) prescribed physical exercise frequently for patients with AECOPD and perceived their role to be important (81%). The most commonly prescribed modalities were ground walking (94%), sit-to-stand (89%) and non-equipment-based lower limb strengthening (79%). Only 32% of respondents offered physiotherapy evaluation during post-discharge outpatient clinic appointments at their hospital. While 71% of respondents indicated they frequently referred patients to PR after AECOPD, rates were significantly higher in those with more cardiorespiratory experience (82%) than those with less experience (66%; p = 0.026). Australian physiotherapists frequently prescribe simple physical exercise modalities for patients with AECOPD. PR referral rates appear influenced by clinician experience, which may need consideration in future remedial strategies.

有证据支持慢性阻塞性肺疾病急性加重 (AECOPD) 后肺康复 (PR) 的重要作用；然而，住院期间体育锻炼的作用尚不清楚。本研究评估了澳大利亚物理治疗实践以及 AECOPD 患者运动和体力活动的临床观点。 2016 年至 2017 年，对 123 家澳大利亚公立医院进行了一项专门设计的调查，衡量了自我报告的体育锻炼处方、客观措施的使用、转诊模式和影响服务提供的因素。回应率为 72%（88 家医院；176 名物理治疗师）。大多数物理治疗师 (92%) 经常为 AECOPD 患者规定体育锻炼，并认为体育锻炼的作用很重要 (81%)。最常见的处方方式是地面步行（94%）、坐站起来（89%）和非器械下肢强化（79%）。只有 32% 的受访者在出院后到医院门诊预约期间提供物理治疗评估。虽然 71% 的受访者表示他们经常在 AECOPD 后将患者转诊至 PR，但心肺经验丰富的患者 (82%) 的转诊率明显高于经验较少的患者 (66%； p = 0.026)。澳大利亚物理治疗师经常为 AECOPD 患者开出简单的体育锻炼方式。 PR 转诊率似乎受到临床医生经验的影响，这可能需要在未来的治疗策略中考虑。