Pulmonary rehabilitation: individualised exercise programming quiz

Too breathless to leave the house or when dressing or undressing

Not troubled by breathlessness at all

Walks slower than contemporaries on level ground because of breathlessness or has to stop for breath when walking at own pace.

Stops for breath after walking about 100 metres or after a few minutes on level ground

11-13 – light to moderate

15-16 – hard

9-11 – very light – light

13-15 – moderate – somewhat hard

6 Minute Walking Test (6MWT)

1 Repetition Maximum (1RM)

Incremental Shuttle Walk Test (ISWT)

Sit to stand test

10 Repetition Maximum (10RM)

Timed up and go

Frequency, Intensity, Time and Type

Frequency, Intensity, Type and tension

Fraction, Inhale, Tension and Time

Fast, Intensity, Time and Tension

Anaerobic exercise, balance and flexibility

Aerobic exercise, resistance exercises, balance and flexibility exercises

Anaerobic exercise, resistance training and walking

Aerobic exercise, flexibility and breathing exercises

Both

Interval

Continuous

50%

60%

80%

70%

65%

85%

75%

55%

Light (<50%)

Whatever the patient wants to do

Moderate (50-69%)

High (>70%)

420m

435m

425m

430m

500m

580m

540m

620m

Increasing the length of time someone performs an exercise for

All of the above

Increasing the intensity that someone works at – i.e. using BORG or RPE scales.

Increasing the frequency that someone performs exercise

Reflective of the length of the exercise programme

As long as I like

As long as the patient can manage

15 minutes

5 minutes

10 minutes

20 minutes

The exercises make someone too breathless (>6 on the Borg Scale)

The exercises causes someone pain

The exercise programme is too light (RPE <11)

All of the above

25+

8-12

15-25

10-15

Forward lean positioning

Exhale for longer – rectangle breathing

Pursed lipped breathing

Upper limb fixing

All the above