Evaluation of the Diaphragmatic Index Before and After a Pulmonary Rehabilitation Program in Patients With Interstitial Lung Diseases and Its Impact on Quality of Life

"Participants will complete an 8-week structured pulmonary rehabilitation program, delivered in 2-3 supervised sessions per week at the Antiguo Hospital Civil de Guadalajara Fray Antonio Alcalde. Each session will last 60-90 minutes and include the following components:~Aerobic Training: Walking or cycling at 60-80% of maximum workload, progressively adjusted based on tolerance.~Strength Training: Resistance exercises for major muscle groups (upper and lower limbs), 2-3 sets of 10-15 repetitions, individualized according to baseline strength.~Breathing Techniques: Diaphragmatic and pursed-lip breathing, plus thoracic expansion exercises.~Inspiratory Muscle Conditioning: Threshold device training at 30% of maximal inspiratory pressure (MIP), with progressive increments.~Education Sessions: Information on disease self-management, energy conservation, medication adherence, and lifestyle recommendations."