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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People with lung conditions are often caught in a
vicious circle of deconditioning
 
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Physical ActivityLifestyle Exercise

• Any activity that requires bodily movement.
• Some activity is better than none, more is better
  than some.
• The surgeon generals 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 gt 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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