[Annual progress in pulmonary rehabilitation in 2025].

This review provides a comprehensive summary of major advances in pulmonary rehabilitation (PR) research from October 2024 to September 2025. It focuses on four key domains: implementation status, expansion of disease spectrum, conceptual innovation, and technological development. Globally, PR coverage remains suboptimal, with pronounced socioeconomic disparities, poor program quality and low adherence. Evidence suggests that simplified equipment and shorter rehabilitation courses can maintain therapeutic efficacy while substantially improving accessibility. In terms of disease spectrum, PR is no longer confined to single chronic respiratory diseases but has expanded to include respiratory comorbidities. Its application timeline has advanced from post-treatment rehabilitation to early prevention. While the rapid growth of tele-rehabilitation has enhanced service reach, yet its limitations and the unique advantages of traditional center-based programs must be acknowledged. Technologically, emerging training modalities, psychological interventions, and digital intelligent systems have continually enriched rehabilitation strategies. Overall, PR is advancing towards a more precise, continuous, and universally accessible model of integrated respiratory care.