One extrapulmonary characteristic of COPD, physical deconditioning and inactivity, results from skeletal muscle dysfunction (Pitta et al. 2005). This condition leads to the formation of a group of patients who experience varying
levels of disruption of their quality of life and self-care (Kas¸ıkc¸ ı & Alberto 2006, Ulrik et al. 2011). Several studies on patient education or pulmonary rehabilitation in COPD have shown a decrease of dyspnoea, positive evolution in meeting physiological needs, and performing daily activities and improvement in quality of life and disease management (Kara & Astı 2003, Von Leupoldt et al. 2008, Bratas et al. 2010a, 2010b, Janssen 2010, Warwick et al. 2010).