In this study; will examine the effects of downhill walking (eccentric exercise training) on exercise capacity, quality of life, and blood lactate levels in individuals with IPF. After the initial assessment, patients will be randomized into two groups: downhill walking PR group and Standard PR Group.
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Eligibility Criteria
Inclusion Criteria:
* Having a diagnosis of IPF according to the clinical diagnostic criteria of the American Thoracic Society and/or the European Respiratory Society (ATS-ERS).
* Being between the ages of 18 and 75.
* Being able to walk on a treadmill.
* Having the ability to cooperate.
* No chang…
Inclusion Criteria:
* Having a diagnosis of IPF according to the clinical diagnostic criteria of the American Thoracic Society and/or the European Respiratory Society (ATS-ERS).
* Being between the ages of 18 and 75.
* Being able to walk on a treadmill.
* Having the ability to cooperate.
* No change in current medication in the last month.
* Not participating in a structured activity program for at least six months.
* Accepting the purpose and method of this study voluntarily and give informed consent for the study.
Exclusion Criteria:
* Presence of physical or mental impairment that prevents informed consent or compliance with the protocol.
* Inability to attend more than 20% of pulmonary rehabilitation sessions.
* Presence of major cardiovascular disease (coronary artery disease, uncontrolled hypertension, arrhythmias, or heart failure).
* Presence of existing orthopedic and neuromuscular exercise limitations.
* Acute exacerbation
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