Topic 18 (Pulmonary Conditions)

Question 1

Respiratory (Breathing) Diseases
- Restrictive vs. Obstructive: lungs cannot fully ______ vs. blockage/obstruction to the airway, resulting in reduced blood volume
- Asthma (constriction of the airways) & COPD (group of lung diseases that describes obstruction to airflow) are examples of ___________ conditions.
- Interstitial lung disease: chronic lung disorders (tissue damaged and air sacs scarred)
Exercise Induced Asthma (EIA)
- not entirely understood; airway lining is ______ and dried during exercise, increasingly the likelihood of asthmatic response (pollutants and pollen also escalate the likelihood)
- Generally occurs _____ exercise

Answer 1

expand
obstructive
cooled
after

Question 2

Exercise Induced Asthma (EIA) Modifications
- ensure adequate ____-__ and ____ ____
- avoid allergens (ex. chlorine)
- better with ______ bouts of exercise
- moderate intensity
- breathe through the ____, not the mouth
- scarf or mask might be helpful in colder weather
- caution with using __ to set intensity with this population

Answer 2

warm-up and cool down
longer
nose
HR

Question 3

Pulmonary (lungs) Rehab
- In addition to exercise training, we need to _______ to help control symptoms and improve day-to-day function.
- Main focus: improve exercise capacity
- Large variability in rehab length: typically - weeks followed by long term program
- Decreased rating of dyspnea (ability to breath)
- Mode: _____ muscle mass activity, walking, biking
- Be aware of environmental triggers
- CPAP may be useful (forcing air into the lungs)
- Upper body resistance training: focus on _________ (____ reps, proper breathing); breathing or ventilatory muscle training may be useful

Answer 3

educate
6-8
large
endurance, high

Question 4

Exercise for Pulmonary Patients Continued
- 3-5 days/wk of _______ exercise
- at least 2 days/wk of __________ exercise with 1-2 sets, 15-20 reps
- Duration: may need to begin with intermittent exercise, goal of longer bouts over time (20+ of continuous exercise if able); limited by dyspnea, leg discomfort, and other symptoms
- Intensity: avoid over estimating, based on exercise ___ (sub-max), use heart rate monitor, use rating of dyspnea (3 = moderate, 5= severe, 7 = very severe)
Special Considerations
- pursed-lipped breathing (in through the ____, out through the _____); possible individual is on supplemental O2 (oxygen saturation should not fall below 88%)

Answer 4

aerobic
resistance
test
nose, mouth

Question 4

Ventilatory muscle training
- important for patients with decreased respiratory muscle ________
- emphasis on ____, controlled breath

Answer 4

strength
slow

Question 5

When using an incentive spirometer: encourage a full/____ inhalation, sit up tall with a good _______, aim to hover the piston in the better/____ area.

Answer 5

deep, posture, best

Question 6

True or False: Intermittent, intense exercise bouts are helpful for those with exercise induced asthma.

Answer 6

False

Question 7

True or False: Upper body resistance training in pulmonary rehabilitation should be focused on strength rather than endurance.

Answer 7

False