Pulmonary rehabilitation: individualised exercise programming quiz

Pulmonary Rehabilitation Quiz

How to prescribe individualised exercise programmes and activities

1 / 17

What is grade 4 on the MRC Breathlessness Scale?

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

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.

Too breathless to leave the house or when dressing or undressing

2 / 17

Using a scale of perceived exertion, what level should someone in PR performing aerobic exercise aim to be at?

11-13 – light to moderate

9-11 – very light – light

15-16 – hard

13-15 – moderate – somewhat hard

3 / 17

Which of these objective tests can an exercise programme be prescribed from? (tick all that apply)

Timed up and go

Sit to stand test

10 Repetition Maximum (10RM)

Incremental Shuttle Walk Test (ISWT)

6 Minute Walking Test (6MWT)

1 Repetition Maximum (1RM)

4 / 17

What do the letters of the “FITT” principle stand for?

Fast, Intensity, Time and Tension

Frequency, Intensity, Time and Type

Frequency, Intensity, Type and tension

Fraction, Inhale, Tension and Time

5 / 17

What should an exercise programme consist of?

Anaerobic exercise, balance and flexibility

Aerobic exercise, flexibility and breathing exercises

Aerobic exercise, resistance exercises, balance and flexibility exercises

Anaerobic exercise, resistance training and walking

6 / 17

Which forms of aerobic exercise are evidence-based to use within pulmonary rehabilitation?

Both

Interval

Continuous

7 / 17

What is the ideal intensity for prescribing exercise from 6 Minute Walking Test (6MWT) results?

80%

50%

70%

60%

8 / 17

What is the ideal intensity for prescribing exercise from Incremental Shuttle Walk Test (ISWT) results?

55%

65%

85%

75%

9 / 17

What is the minimum intensity that a should a muscle strengthening programme should be prescribed from a 1RM test?

High (>70%)

Light (<50%)

Whatever the patient wants to do

Moderate (50-69%)

10 / 17

If someone has achieved 320m on their 6MWT, what should the prescribed distance be for 10 minutes using the actual distance achieved? working at 80% of their maximum? (to the nearest metre)

430m

425m

435m

420m

11 / 17

If someone achieved 190m on their ISWT, what would their prescribed distance for 10 minutes be? (to the nearest metre)

620m

540m

580m

500m

12 / 17

Using the FITT principle which of the following would lead to a progression in an exercise programme.

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

All of the above

Increasing the frequency that someone performs exercise

Increasing the length of time someone performs an exercise for

13 / 17

The warm up and cool down should be:

As long as the patient can manage

As long as I like

Reflective of the length of the exercise programme

14 / 17

For continuous exercise, what is the minimum length that a bout of exercise should be?

20 minutes

15 minutes

5 minutes

10 minutes

15 / 17

Why might you need to adapt an exercise programme?

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

The exercise programme is too light (RPE <11)

All of the above

The exercises causes someone pain

16 / 17

How many repetitions should you try to achieve when performing resistance training to improve lower limb endurance?

10-15

8-12

15-25

25+

17 / 17

What strategies can you use to manage breathlessness during exercise?

Pursed lipped breathing

Upper limb fixing

Forward lean positioning

Exhale for longer – rectangle breathing

All the above

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