Pulmonary Rehab

Question 1

Define pulmonary disease

Answer 1

It is a disease/condition which affects the structures (airways, vasculature, parenchyma) of the lungs

Question 2

What are the signs and symptoms of pulmonary disease?

Answer 2

dyspnea; wheezing; productive cough; chest pain/discomfort; barrel chest; elderly; reduced exercise capacity and QOL

Question 3

List the conditions under obstructive, restrictive, and other

Answer 3

Obstructive disease: COPD, asthma, cystic fibrosis, bronchiectasis

Restrictive disease: interstitial fibrosis, occupational lung disease, sarcoidosis, multiple sclerosis, parkinsons

Other: pulm hypertension, lung cancer, lung surgery

Question 4

Briefly describe the definitions of some Obstructive conditions

Answer 4

Chronic bronchitis: inflammation of bronchi that leads to airway narrowing Emphysema: inflammation/enlargement of alveoli Asthma: episodic bronchoconstriction Cystic fibrosis: genetic disorder of overproduction of mucus within lungs COPD: progressive lung disease characterized by persistent cough

Question 5

What is the general pathophysiology of pulmonary disorders?

Answer 5

Foreign particles enter within the lungs causing inflammation. However pulm patients have chronic inflammation which eventually leads to structural changes and symptoms

Question 6

In terms of demographics, what % of people are affected w/COPD and asthma?

Answer 6

COPD: worldwide 9.2%; NZ 9.3%; 3rd leading caause of death worldwide Asthma: NZ 25% of adults have symptoms; 11% diagnosed; major cause of absence from work

Question 7

What are the main goals of Pulmonary Rehab?

Answer 7

Reduce symptoms; optimize functional status; increase participation

Question 8

What are the recommendations for patients w/Pulm disoders

Answer 8

Aerobic: F= >3-5 d/wk; I=30-80% peak work rates; T=>30min/session; T=both lower and upperbody exercise Resistance: F= 2-3d/wk; I= >1 set, 10-15 reps 60-70% 1RM; T= 8-10 exercises; T= concentrate on unsupported upper body exercise