pulmonary rehab Flashcards
goal of pulmonary rehab
improve quality of life and physical function using exercise education and behaviour therapy
benefits of pulmonary rehab in COPD
training benefits
(aoerbic, endurnace, resistance)
quality of life
reduced dyspnea symptoms
training benefits in COPD
aerobic:
v02 peak imporved
6min walk proved
why aerobe benefits in COPD
improved mm function increase in fat free mass decrease in mm fatigue desensitization to dyspnea motivation technique
training benefits in pulmonary fibrosis
improved 6MW test
training benefits in asthma
not well researched
training benefits cystic fibrosis
recommend training, but research not really done
indicators to be referred to PT
dyspnea that interferes with life
types of exercise testing in pulmonary rehab
max exercise test sub max test strength test balance test physical performance test
example exercise test maximal
cardiopulmonary test
stress test
incremental walking test
sub max test example
6 minute walk
strength test examples in pulmonary rehab
peripheral mm testing
respiratory mm test
physical performance test examples pulmonary rehab
gait veloicty
30 s sit to stand
data collected on cardiopulmonary exercise test
HR RR BP sp02 ECG vo2 max vo2 peak max Watters
cardiopulmonary test usually done on what
bike
maximal stress test done on
treadmill
data from max stress test
HR, intensity, BP ECG
whats a field test
no modialiteis
minimal equipment
inexpensive
T/F incremental shuttle walk correlated with v02
true
T/f 6 minute walk is good predictor of v02
no
components of subjective assessment pulmonary rehab
diagnosis exacerbations PMH meds social historay education needs (smoking cessation)
whats exacerbation
how many times in hospital in last 12 months
how many ER visits
why ask meds on pulmonary rehab subjective
fall risk and if they have inhaler if you need etc.. what your options rare
objective assessment pulmonary rehab
health related quality of life dyspnea resting measurments IPPA exrcise testing
quesstionare you can use
Dyspnea scale
Clincal COPD
Modified Borg
RPE
objective measurements
HR BP RR 02 saturation / supplental 02 height/wieght pulmonary function tests
6MWT absolute contraindications
unstable angine
MI within last 30 days
6 mwt relative contraindications
resting HR > 120
systolic BP >180 mmHG
Diastoal BP >100mmHg
how to prescirbe aerobic exercise to pulmonary patients
50-80% of cardio test
50-80 of 6MWT helps determine speed
Symtoms driven
FITT for aerobic training pulmonary patients
F - 3-5/week I- depends on symptoms T- 30-40 min contious intervall 5-10 min , 2-5 rest T: large mm groups , lower extremities
FITT for strength in pulmonary
F: 3/week
I: 8-12 reps
T: varies
T: free weights, resistance bands, body weight
how to progress exercise
5-10% on treadmill / bike and in resistance
absolute lists for exercise in Pulmonary rehab
Sp02 below 88%
BORG +5
Abnormal cardiac response
pain, nauseas, dizzy, headache
where can pulmonary rehab happen
home exericse
community programming
maintenance classes
Pulmonary Rehab / Lung Tranplant goals
improve physical function improve resp mechanics facility secretion clearnace prevent commorbities educate
post transplant exercise limits
Spo02 <92%
abnormal cardiac response
pain, naseau, dizzzy, headache
T/F post lung transplant dyspnea reliable for measuring exercise tolerance
no
considerations of exercise in post transplant
higher HR
weak resp mm’s
delayed healing
meds w side effects
