Adaptive Home Based Pulmonary Tele-exercise

80% work rate test

The goal of this pilot study is to determine if a home based bicycle exercise program can
 significantly improve the exercise tolerance and well being of pulmonary outpatients. The
 investigators will use a computer based monitoring system to allow us to speak with
 participants, view participants, and track patient bicycle activity (speed, duration of
 exercise, rate of work) during exercise sessions. The investigators plan to have participants
 perform three telemonitored exercise sessions per week for 12 weeks as part of this program.
 The investigators will assess exercise performance on the bicycle, called a work rate test,
 at the beginning of the program and then again at 6 weeks and 12 weeks into the program to
 determine if the program can produce a clinically significant improvement in work rate test
 performance (i.e. a greater than 1.15 minute increase in exercise duration at an 80% work
 rate). The investigators will also assess participant CRQ, SPPB scores and SF36 scores
 (indices of patient well being) at baseline, at 6 weeks, and at 12 weeks, to determine if the
 exercise program elicits an increase in these indices.