To offer these severely ill patients rehabilitation is a regional task. However, the patients with severe COPD often decline training, as the transport to and from hospital is too exhausting for them. The result is no training for this group. The same dilemma exists in other countries (Burkow et al., 2013). Inactivity can mean stagnation in daily life, which affects functioning (Williams et al., 2011) for both patients and their families (Wong et al., 2005) Patients with COPD, who cannot take part in the usual rehabilitation program due to the degree of their illness, are now recommended to take part in strength training as a replacement. The recommendation is based solely on consensus of good clinical practice. Research is lacking (National Board of Health, 2014).