Exercise and Pulmonary Rehabilitation - PowerPoint by bdi24174

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									Exercise and Pulmonary
     Rehabilitation
      Lynn Sieben RPFT
Pulmonary Rehabilitation Program
    University of Minnesota
       People with lung conditions are often caught in a
               vicious circle of deconditioning

                            Inactivity
                        (avoiding activity)




  Decreased work
   capacity and                                 Muscle weakness
increased shortness
     of breath




                      Increased effort to
                           do work




             University of Minnesota
     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.

      University of Minnesota
Be Active and Stay Active
 Go for a walk      Follow a small child
 Take the stairs     or toddler
  instead of the     Park the car further
  elevator            from the door




      University of Minnesota
Be Active and Stay Active
 Do yard work or    Clean out storage
  gardening           areas or the
                      basement
 Walk the dog       Go golfing,
                      shopping, or
                      dancing




      University of Minnesota
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.


      University of Minnesota
  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.

     University of Minnesota
  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.




      University of Minnesota
  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%.



     University of Minnesota
    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.




       University of Minnesota
    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.




       University of Minnesota
      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



     University of Minnesota
     Also important….
Stretching



Muscle Conditioning




     University of Minnesota
  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

      University of Minnesota
   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.

       University of Minnesota
       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!
     University of Minnesota

								
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