Exercise Training
Exercise training is probably the most important component of pulmonary rehabilitation. It reduces the effects of inactivity and deconditioning, resulting in less shortness of breath and an increased ability to exercise. However, physical limitations may restrict the types of exercise training that can be used. In some people who are dependent on ventilators, exercise training may help them to be weaned off the use of ventilators.
Exercise of the lower extremities is the cornerstone of training. Because walking is necessary for most activities of daily living, many rehabilitation programs use walking as the preferred mode of training. Some people may prefer exercising on a stationary bicycle. Choosing an exercise that is comfortable and satisfying for the person enhances long-term compliance.
Exercise training of the arms is also beneficial for people with chronic respiratory diseases who complain of symptoms during their normal activities of daily living, such as washing the hair and shaving. Such training is needed because some of the shoulder muscles are used in breathing as well as in moving the arms; arm work can quickly overexert these muscles.
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