How do I exercise for COPD?
Exercises for COPD are simple to do and take little time. They
generally consist of aerobic exercises, which increase oxygen flow to your
muscles, and upper and lower body exercises, which strengthen muscles.
Always consult with your health professional before starting any
exercise program. People with COPD may have heart problems, such as CAD or high
blood pressure, that limit exercise options. You may need medical supervision
when you start your program.
If you become breathless while doing any of the exercises, rest in
a position with your shoulders supported (such as in a chair) and wait until
you can breathe easily again.
To get started with an exercise program:
- Talk to your health professional. He or she may
ask that you do specific exercises and will help you determine how often and
how long to do them and your long-term goals. Although it may take weeks before
you are able to reach your goals, how long it takes is not as important as
doing the exercises consistently.
- Start slowly and gradually. For
each exercise, either time how long you can do it or count the number of times
you can do it before you are mildly out of breath. Then rest and move on to the
next exercise. Each week, increase the amount of time you do them or how many
you do.
- Pick activities that you enjoy.
- Always have a
warm-up and cool-down. This is a good time for
stretches
. - Pay attention to your
breathing. Try to breathe slowly to save your breath. Breathe in through your
nose, keeping your mouth closed. This warms and moisturizes the air you
breathe. Breathe out through pursed lips.
The following examples are general exercises for people with COPD.
Aerobic exercises
Aerobic exercises increase the amount of oxygen that is delivered
to your muscles, which allows them to work longer. This helps you do more
activities for longer periods of time.
Any exercise that raises your heart rate and keeps it up for an
extended period of time will improve your aerobic fitness. These exercises
include walking, using a treadmill, cycling or using a stationary bicycle,
swimming, and water aerobics.
Daily activities can also be aerobic: walking to work or to run
errands, sweeping (perhaps to fast-paced music), playing actively with
children, and walking your dog.
There is an easy way to determine whether your heart rate is at
the right level during aerobic exercises:
- If you can't talk and exercise at the same
time, you are exercising too hard.
- If you can talk while you
exercise, you are doing fine.
- If you can sing while you exercise,
you may not be exercising hard enough.
Talk to your health professional before starting aerobic
exercise. He or she will help you determine how often and how long to exercise
and your long-term goals.
Lower body exercises
Knee extensions, leg lifts, and step-ups develop lower body
muscles and will help you move around more easily for longer periods of time.
Talk to your health professional before starting these exercises.
He or she will help you determine how often and how long to do them and your
long-term goals.
- Knee
extensions
. Sit in a chair with your feet slightly apart. Breathe
out as you straighten your knee and raise your lower leg. Breathe in as you
bend your knee and return your foot to the floor. - Leg lifts
. Sit in a chair with your feet slightly
apart. Breathe out as you lift one leg straight up so that the knee rises
toward your shoulder. Breathe in as you return your foot to the
floor. - Step-ups
. Start on a flight of
stairs with a banister to hold. Breathe out as you take one step up. Breathe in
as you step back down.
Upper body exercises
Upper body exercises increase strength in arm and shoulder
muscles, which provide support to the rib cage and can help improve breathing.
They help in everyday tasks such as carrying groceries and doing housework.
Talk to your health professional before starting these exercises.
He or she will help you determine how often and how long to do them and your
long-term goals.
- Arm
extensions
. Start with your arms by your side. Breathe out as you
raise one arm to shoulder height, keeping the arm straight and pointing to the
side. Breathe in as you return the arm to your side. - Elbow circles
. Sit or stand with your feet slightly
apart. Place your hands on your shoulders with your elbows at shoulder level
and pointing out. Slowly make a circle with your elbows. Breathe out as you
start the circle and breathe in as you complete the circle. - Elbow breathing
. Sit with your feet slightly apart.
Lift your elbows to shoulder level and touch your fingertips in front of your
chest. Breathe in as you pull your elbows back so that your fingertips
separate. Breathe out as you return your elbows and fingertips to the original
position.
Test Your Knowledge
You should talk to your health professional before
starting any exercise program for COPD.
- True
- False
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Where to go from here
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Exercises for chronic obstructive pulmonary disease (COPD)