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Exercise and Pulmonary Rehabilitation Mary Lester, RRT, RCP Pulmonary Rehabilitation Program Medical University of South Carolina. People with lung conditions are often caught in a vicious circle of deconditioning. Inactivity (avoiding activity). Decreased work
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Exercise and Pulmonary Rehabilitation Mary Lester, RRT, RCP Pulmonary Rehabilitation Program Medical University of South Carolina
People with lung conditions are often caught in a vicious circle of deconditioning. Inactivity (avoiding activity) Decreased work capacity and increased shortness of breath Muscle weakness Increased effort to do work
Physical Activity“Lifestyle Exercise” • 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.
What is Pulmonary Rehabilitation? • Pulmonary Rehabilitation is a program for people with Chronic Lung Diseases such as Emphysema, Chronic Bronchitis, Asthma, Bronchitis and Interstitial Lung Disease. • Motivates people to regain a normal and active lifestyle.
Pulmonary Rehabilitation Objectives • Improve Quality of Life. • Improve ability to cope with their illness and health status. • Restore the patient to their highest possible Functional Capacity. • To Lead and Full and Satisfying Life.
Pulmonary Rehabilitation Components • Medical Management • Education • Breathing Retraining • Anxiety Control • Emotional Support • Exercise
Medical Management • Team approach with the Physician • Medications • Oxygen Requirements and Benefits • Exercise Prescription
Education • Disease Process • Medications • What, Why, How • Stress Management • Relaxation Techniques • Energy Conservation • Benefits of Exercise
Breathing Retraining • Pursed Lip Breathing • Respiratory Rate Control • Improve Oxygen Saturation • Diaphragmatic Breathing • Identification of Stress (symptoms) • Relaxation Techniques
Emotional Support • Grieving the Loss • Recognizing & Accepting your limitations • Adapting life style changes • Relationships • Group Support
Benefits of Exercise • Improve Independence • Reduce Isolation • Consistent exercise reduces sensitivity to breathlessness • Improves efficiency of breathing • Improves confidence
How do I start? • What are your goals? • Talk to your doctor before starting any new exercise program. • Types of Exercise • Aerobic Exercise • Strength Training • Flexibility / Stretching
Aerobic Exercise Facts • Two to three weeks to begin improving your fitness level. • 6 weeks to 3 months to achieve significant improvement. • 2 days of inactivity to begin losing endurance. • Most of the exercise benefits will be lost within 2 weeks of inactivity.
What is Aerobic Exercise? • It is Exercise for the Heart and Lungs. • Work up to at least 30 minutes five or more days a week. • Moderate Intensity • Target Heart Rate • Exertion Scale • Talk Test
Aerobic Exercise Activities • Walking • Biking • Swimming • Water Aerobics • Low Impact Aerobics • Dancing • Hiking
To exercise comfortably you should: Keep your shortness of breath rating between 3 and 4. Keep oxygen level above 90%. Talk Test Able to speak in short phrases during exercise. Scale and Severity 0 - No Breathlessness 1 - Very Slight 2 - Slight Breathlessness 3 - Moderate 4 - Somewhat Severe 5 - Severe Breathlessness 6 7 - Very Severe Breathlessness 8 9 - Very Very Severe 10 - Maximum Scale Borg Scale of Breathlessness
Stretching • Stretching Tips • Stretch to the point of mild tension • Hold 20 to 30 seconds • No bouncing • Breathe • If you feel pain STOP!
Exercise 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.Biking
Other Important Tips • To help with anxiety and breathlessness use pursed lip breathing and diaphragmatic breathing. • Your are encouraged to use a walker, shopping cart or wheel chair if it allows you to be more active.
Staying on Track • Look for ways to increase your activity. • Set short and long term goals. • Think of possible barriers and make a plan. Change your lifestyle and make exercising a top priority!