Exercise and Pulmonary Rehabilitation
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Exercise and Pulmonary Rehabilitation
Lynn Sieben RPFT
Pulmonary Rehabilitation Program
University of Minnesota
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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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