Background: The number of elderly individuals with chronic obstructive pulmonary disease (COPD) is increasing, resulting in high costs, especially in the Brazilian public health system. Scientific studies show that the physical therapy approach has benefits and assists in pulmonary rehabilitation, however, it is necessary to know the interventions that optimize the clinical and functional improvement of the individual. Objective: To analyze physical therapy interventions and their main outcomes in elderly with COPD. Methods: Five researchers independently searched the PUBMED, LILACS, SCIELO and SCOPUS databases. Publications in English, Portuguese and Spanish were delimited. The quality of the studies was assessed by the Consolidated Standards of Reporting Trials (CONSORT) guidelines. Study conducted according to PRISMA standards. Results: The sample consisted of 9 trials. Of these, 6 obtained a positive outcome from the proposed analysis and 3 of the studies did not obtain significant results. There was no homogeneity in study interventions. Conclusion: The interventions or techniques used in elderly patients with COPD who had significant positive outcomes were: Use of vibration devices to enhance strength exercises, the use of Kinesio Taping associated with other therapeutic interventions, resistance training programs, strength and balance and upper limb exercises with coordinated breathing.Systematic Review Record: CRD42020141337
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