The Effects of Different Vibration Exercises on COPD Patients

Inclusion Criteria: 1. Age ≥ 40. 2. Diagnosis of chronic obstructive pulmonary disease (COPD) based on the criteria established by the Global Initiative for Chronic Obstructive Lung Disease (GOLD). 3. Disease Severity: FEV1 \< 50% or COPD patients who have used systemic corticosteroids due to an acute exacerbation of COPD within the past year and are currently in a stable condition. 4. Willingness to participate in vibration exercise intervention and ability to comply with the study activities, including signing the informed consent form. 5. Clear consciousness, normal cognitive function, and ability to communicate in Mandarin or Taiwanese for understanding experimental procedures and relevant instructions. Exclusion Criteria: 1. Engages in regular physical activity, exercising at least 3 times a week for over 30 minutes, with a Borg Scale rating of 3 for breathlessness after exercise. 2. The interval since the last pulmonary rehabilitation is less than three months. 3. Contraindications to vibration therapy: pregnancy, cardiovascular diseases (with a pacemaker or stent), intervertebral disc diseases, tendinitis, arthritis, hernia, presence of tumors, orthopedic or trauma-related conditions, epilepsy, history of deep vein thrombosis, patients with internal implants. 4. Inability to undergo training or walk due to physical factors, such as being bedridden for an extended period, relying on a ventilator for an extended period, prone to dizziness, central nervous system disorders, etc. 5. Underwent lower limb-related surgery within the past year or is in the recovery period post-surgery. 6. Currently diagnosed with cancer or undergoing cancer treatment. 7. Participation in other research studies.