The Effect of a Technology-Mediated Integrated Walking and Tai Chi Intervention on Physical Function in Veterans With COPD and Chronic Musculoskeletal Pain

This study is testing whether combining a walking program with Tai Chi — delivered through technology like video calls and wearable step trackers — can improve physical function in military veterans who have both COPD (a chronic lung disease) and ongoing musculoskeletal pain. **You may be eligible if...** - You are 40 years of age or older - You are a veteran with a diagnosis of COPD (including a history of smoking 10+ pack-years) - You have had pain rated above 3 out of 10 for more than 3 months - You can walk at least one block and shift weight between legs - You have a smartphone or computer with internet and video call capability - You are able to give informed consent **You may NOT be eligible if...** - You had a COPD flare-up in the past month - You have unstable heart disease (e.g., uncontrolled heart failure or uncontrolled atrial fibrillation) - Your blood oxygen drops very low during walking - You are at high fall risk or cannot walk - You have active substance abuse Talk to your doctor to see if this trial is right for you.