Post on 05-Jan-2016
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Exercise and Pulmonary Rehabilitation
Lynn Sieben RPFT
Pulmonary Rehabilitation Program
University of Minnesota
Muscle weakness
Inactivity(avoiding activity)
Increased effort to do work
Decreased work capacity and
increased shortness of breath
People with lung conditions are often caught in a vicious circle of deconditioning
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Physical Activity“Lifestyle Exercise”
Any activity that requires bodily movement. Some activity is better than none, more is
better than some. The surgeon general’s report recommends
that we accumulate a minimum of 30 minutes of moderate intensity activity on most if not all days of the week.
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Be Active and Stay Active Go for a walk Take the stairs
instead of the elevator
Follow a small child or toddler
Park the car further from the door
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Be Active and Stay Active Do yard work or
gardening
Walk the dog
Clean out storage areas or the basement
Go golfing, shopping, or dancing
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How Many Steps Should I be Taking?
2,000 –4,000 steps/day indicate sedentary lifestyle.
4,000 – 7,000 steps/day indicate moderate activity level.
7,000 – 10,000 steps/day indicate active lifestyle.
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Aerobic Exercise is… Continuous, rhythmic, repetitive
exercise that uses large muscles of the body.
Some examples are biking, walking, swimming, dancing, rowing or cross country skiing.
Recommended 3 to 6 days per week for the rest of your life.
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Aerobic Exercise…. How long and how hard?
It is recommended to reach a goal of 20-60 minutes. Initially this may need to be done in shorter bouts several times per day.
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Aerobic Exercise…. How long and how hard?
To exercise comfortably you should:• Keep your “shortness of breath” rating no
higher than a 4.
• Keep RPE scale between 3 and 4.
• Keep your oxygen level > 88%.
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Other Important Tips
If you use a fast acting inhaler be sure to take it before exercise.
You may need to use oxygen during exercise. Oxygen will help your muscles work more efficiently.
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Other Important Tips
To help with anxiety and breathlessness use pursed lip breathing and diaphragmatic breathing.
You are encouraged to use a walker, shopping cart or wheel chair if it allows you to be more active.
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It is important to: Warm-up
• Prepares the body for exercise Cool-down
• Prevents muscle soreness and stiffness
• Less chance of lightheadedness and irregular heart beats
• Reduces bronchospasm
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Also important…. Stretching
Muscle Conditioning
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Indications of Exercise Intolerance
Extreme fatigue Lightheadedness/Dizziness Severe muscle cramping Chest pain or pressure Severe joint pain Coughing Excessive or sudden onset of sweating or
nausea
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Aerobic Exercise Facts It takes 2 to 3 weeks to begin improving your
fitness level. It takes 6 weeks to 3 months to achieve
significant improvement. It takes 3 to 6 months to achieve maximum
fitness. In only 2 days of inactivity, you start losing
endurance. Much of the exercise benefit will be lost within
2 weeks of inactivity.
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Staying on Track Look for ways to increase activity and
exercise. Set specific and measurable short and
long term goals. Think of possible barriers and make a
plan. Seek help from others. Be creative and have fun!
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