Walk
Just about everyone with COPD can exercise. Walking is a
great choice, especially if you’re just getting started. Do it anywhere
-- outside, in a mall, on a treadmill. If it seems daunting, add 30
seconds or 10 yards each day. Even a slow pace will do you good. If you
haven't been active lately, check with your doctor before starting an
exercise program.
Bike
A stationary bike can work well for people with COPD.
You can pedal away in the privacy of your home. In a gym or rehab
setting, you can find supervision and meet people. Ask the instructor
before jumping into a group cycling class, to be sure it matches your
ability. As you improve, try a spin outside on a traditional bike and
soak up the scenery. If any exercise makes you short of breath, stop and
sit down for a few minutes.
Arm Curls
Lifting light weights can help you reach a high
shelf or lug a gallon of milk. Choose hand weights, stretchy bands, or
water bottles to try arm curls. Hold the weights at your sides, palms
forward. Breathe in. Now lift toward your chest, keeping elbows down,
and exhaling slowly. Slowly lower your arms back down as you breathe in.
Build up to two sets of 10-15 repetitions.
Forward Arm Raises
Hold weights down at your sides, palms
facing in. Inhale, then exhale slowly as you raise both arms straight
out front to shoulder height. Inhale as you slowly lower your arms. This
strengthens your upper arms and shoulders. Build up to two sets of
10-15 repetitions. Start with light weights and go a little heavier
every two to three weeks to challenge your muscles.
Calf Raises
Add
leg work to your routine and you'll be able to walk easier and farther.
For the calf raise, stand 6-12 inches behind a sturdy chair with your
feet hip-width apart. Hold on for balance. Inhale. Now, lift up high on
your toes, exhaling slowly. Hold the raised position briefly. Lower your
heels back to the ground, inhaling slowly. As you get stronger, do one
leg at a time. Work up to two sets of 10-15 reps.
Leg Extensions
For
stronger thighs, sit in a chair that supports your back. Inhale. Now
exhale slowly as you stretch one leg as straight as you can, without
locking your knee. Breathe in as you slowly lower your foot back to the
floor. Do one set with your right leg, then one set with your left.
Getting too easy? Add ankle weights. Work up to two sets of 10-15 reps.
Exercise Your Diaphragm
This
move strengthens a key breathing muscle, the diaphragm. Lie down with
your knees bent or sit in an easy chair -- one hand on your chest, one
below your rib cage. Slowly inhale through your nose so that your
stomach raises one hand. Exhale with pursed lips and tighten your
stomach. The hand on your chest should not move. Do this for 5 to 10
minutes, three or four times a day. Breathing this way will become easy
and automatic.
Chair Dance
If
you love to dance, try this armchair version in a class or with a DVD
at home. Different programs can get your heart pumping, or pump up your
muscles, or both -- to all kinds of music, from big band to hip hop.
Beginners might start with a class to learn the safest ways to swing and
bend. Adding hand weights can increase the challenge -- and your
fitness level.
Do Tai Chi
Tai
Chi -- an ancient Chinese practice of gentle, flowing movements -- is a
winner for people with COPD. It's a mild workout for your heart and
lungs and helps tone your muscles. It also eases stress and helps you
relax, a special benefit if your COPD makes you anxious or edgy. Look
for a class or video to learn the moves.
Breathe Right for Better Results
Breathe
slowly during exercise. Inhale through your nose with your mouth
closed. This warms and filters the air. Exhale through your mouth for
twice as long as your inhale. Don't pant. That keeps your lungs from
getting all the air out.
If your breath gets fast or shallow, stop
and rest. Relax your body. Do pursed lip breathing: in through the nose
and out slowly through pursed lips.
Schedule a Stretch
Stretch
gently before and after a workout. One stretch to try: Put your hands
flat on a wall at arm's length and shoulder height. Step forward and
bend your right knee. Bend your left knee until you feel a slight
stretch in your calf. It shouldn’t hurt. Hold for 10 to 30 seconds and
repeat with left leg. Continue switching legs for three to five reps on
each leg.
Try a New Way to Move
Jogging,
skating, or rowing can be good exercises for people with mild COPD --
and fun ways to avoid workout boredom. Some activities do double duty,
like water aerobics, which is good for COPD and arthritis. For
beginners, a pulmonary rehab program is a good, safe place to start.
Some people may need to avoid push-ups, sit-ups, or heavy lifting. Ask
your doctor what's right for you.
Exercising on Oxygen
If
you use oxygen, you may worry that the equipment will be a hazard or a
hassle. But if your doctor says to use oxygen during exercise, do it.
Extra long tubing can help at home. Small, light-weight "travel" tanks keep you mobile. You can do most exercises with oxygen.
When Not to Exercise
Give
yourself a day off if your COPD symptoms are acting up: you're
wheezing, coughing up more fluids than usual, or are unusually short of
breath. You may want to talk to your doctor. Call for help right away
for shortness of breath that doesn't improve, fast or irregular
heartbeat, and feeling dizzy or lightheaded.
Make Exercise a Habit
The
goal for most people is to exercise for 20 to 30 minutes, at least
three times a week. Include cardio and strength training. If you're out
of shape, start a level that's comfortable -- even if it's just one
minute. Ways to stay motivated include:
- Find an exercise buddy.
- Plan exercise in your daily routine.
- Keep an exercise journal -- and make notes as you feel better in your daily activities.
THIS IS ONLY FOR INFORMATION, ALWAYS CONSULT YOU PHYSICIAN BEFORE
HAVING ANY PARTICULAR FOOD/ MEDICATION/EXERCISE/OTHER REMEDIES.
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