Waiting to Inhale: Exercising to Reduce Shortness of Breath€¦ · Shortness of Breath Paul...
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Waiting to Inhale: Exercising to Reduce Shortness of Breath Paul Ricard, PT, DPT, CCS Clinical Specialist Lead Therapist Pulmonary Thoracic Team Program Coordinator of Cardiovascular and Pulmonary Clinical Residency Department Of Rehabilitation Services, Brigham & Women’s Hospital Clinical Instructor or Adjunct Faculty: Northeastern University, Boston, MA, University Of Massachusetts Lowell, Lowell,MA, Springfield College, Springfield, MA.
Transcript of Waiting to Inhale: Exercising to Reduce Shortness of Breath€¦ · Shortness of Breath Paul...
Waiting to Inhale: Exercising to Reduce Shortness of Breath
Paul Ricard, PT, DPT, CCS
Clinical SpecialistLead Therapist Pulmonary Thoracic Team
Program Coordinator of Cardiovascular and Pulmonary Clinical Residency
Department Of Rehabilitation Services, Brigham & Women’s Hospital
Clinical Instructor or Adjunct Faculty:Northeastern University, Boston, MA,
University Of Massachusetts Lowell, Lowell,MA, Springfield College, Springfield, MA.
Paul Ricard, PT, DPT, CCSBrigham and Women’s Hospital, 2012
IS HE CRAZY?!
Paul Ricard, PT, DPT, CCSBrigham and Women’s Hospital, 2012
Exercise “freak”
Paul Ricard, PT, DPT, CCSBrigham and Women’s Hospital, 2012
But I Can’t Train/Exercise…
It’s boringI’m too short of breathI’m not seeing any improvementI don’t know what I’m doingI don’t have time______________
Fill In The Blank
Paul Ricard, PT, DPT, CCSBrigham and Women’s Hospital, 2012
START TRAINING FOR LIFE!!
Paul Ricard, PT, DPT, CCSBrigham and Women’s Hospital, 2012
Metabolic Equivalence
Paul Ricard, PT, DPT, CCSBrigham and Women’s Hospital, 2012
Remember it is not the years of your life that matter but the life in your years. This is what I train for.
Paul Ricard, PT, DPT, CCSBrigham and Women’s Hospital, 2012
Is It Magic?
Paul Ricard, PT, DPT, CCSBrigham and Women’s Hospital, 2012
Three Forms of Training Your Body
AEROBIC
STRENGTHENING
STRETCHING
Paul Ricard, PT, DPT, CCSBrigham and Women’s Hospital, 2012
Aerobic Training
Regular performance of exercise that involves the large muscle groups on a rhythmic and repetitive basis 20 to 30 minutes a day for three times a week.
Paul Ricard, PT, DPT, CCSBrigham and Women’s Hospital, 2012
What are Aerobic Exercises
WalkingRowingSwimmingJumping RopeDancingJogging
HikingLine DancingBicyclingCross Country SkiingMowing the lawn
Paul Ricard, PT, DPT, CCSBrigham and Women’s Hospital, 2012
What are Not Aerobic Exercises?
Surfing the net.Watching the T.V.Walking to the refrigerator.Riding a golf cart.Heavy lifting. Hitting balls at the driving range.
Paul Ricard, PT, DPT, CCSBrigham and Women’s Hospital, 2012
No Time to Train?
Think in intervalsThose who exercised a total of 30 minutes a day but in 10 or 15 minutes at a time reaped the same benefits as one who exercised 30 minutes all at once.
Paul Ricard, PT, DPT, CCSBrigham and Women’s Hospital, 2012
Self Monitoring Aerobic Training
Paul Ricard, PT, DPT, CCSBrigham and Women’s Hospital, 2012
Strength Training
But I don’t want to get too big…
http://zaiworld.wordpress.com/2011/06/22/Paul Ricard, PT, DPT, CCSBrigham and Women’s Hospital, 2012
But Why Strength Training?
Aerobic training alone has revealed only modest exercise and activity tolerance. Strength training is a useful method for improving oxygen consumption.
Paul Ricard, PT, DPT, CCSBrigham and Women’s Hospital, 2012
Furthermore…
Exercise limitations have been shown to originate from skeletal muscle dysfunction rather than from the cardiopulmonary system.
Paul Ricard, PT, DPT, CCSBrigham and Women’s Hospital, 2012
What Does Strength Training Look Like?
Paul Ricard, PT, DPT, CCSBrigham and Women’s Hospital, 2012
But Stretching Is Beneficial Too You Say?
Paul Ricard, PT, DPT, CCSBrigham and Women’s Hospital, 2012
Stretch to Increase Range of Motion
Paul Ricard, PT, DPT, CCSBrigham and Women’s Hospital, 2012
Stretching Is Not…
http://kodjoworkout.com/2012/01/the-health-benefits-of-yoga/
Paul Ricard, PT, DPT, CCSBrigham and Women’s Hospital, 2012
Stretching Is Also
http://preservebristol.blogspot.com/2011/01/chair-yoga-for-seniors-on-fridays-at.html
Paul Ricard, PT, DPT, CCSBrigham and Women’s Hospital, 2012
Questions?
Paul Ricard, PT, DPT, CCSBrigham and Women’s Hospital, 2012
Breathing Can Be Relaxing Too
Diaphragmatic breathing
http://www.lung.ca/diseases-maladies/copd-mpoc/breathing-respiration/index_e.php
Paul Ricard, PT, DPT, CCSBrigham and Women’s Hospital, 2012
Respiratory MusclesPaul Ricard, PT, DPT, CCSBrigham and Women’s Hospital, 2012
Breathe
Action of the Respiratory Muscles
Stabilize Trunk
Paul Ricard, PT, DPT, CCSBrigham and Women’s Hospital, 2012
Stretch to Increase Range of Motion
Paul Ricard, PT, DPT, CCSBrigham and Women’s Hospital, 2012
Muscles Help You Breathe In
Personal photograph donated by Dr. Sean Collins 2010
Paul Ricard, PT, DPT, CCSBrigham and Women’s Hospital, 2012
And We Can Train Them Too!
http://www.scielo.br/scielo.php?script=sci_arttext&pid=S0102-86502007000200004
http://www.thegearcaster.com/the_gearcaster/2009/10/powerbreathe-kinetic-inspiratory-muscle-training.html
Paul Ricard, PT, DPT, CCSBrigham and Women’s Hospital, 2012
But This Training Thing Is Still Boring
Mix it upVarying the mode of exercise during the week has been shown to improve adherence to exercise programs.
Paul Ricard, PT, DPT, CCSBrigham and Women’s Hospital, 2012
When Can I Stop Having To Train Myself?
Without ongoing exercise training and maintenance, function and quality of life will decline.
Paul Ricard, PT, DPT, CCSBrigham and Women’s Hospital, 2012
Lifelong Friends, Lifelong Practice
Pulmonary rehabilitation should, therefore, be lifelong and be supported and promoted by all members of the health care team.
Paul Ricard, PT, DPT, CCSBrigham and Women’s Hospital, 2012
And for those of you who say it’s an age thing…
French cyclist breaks age group record for The Hour - three months after his 100th birthday
Paul Ricard, PT, DPT, CCSBrigham and Women’s Hospital, 2012
Thank You & Questions
Paul Ricard, PT,DPT,CCS
www.brighamandwomens.org/rehabilitationservices
Paul Ricard, PT, DPT, CCSBrigham and Women’s Hospital, 2012
