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Exercise Training Program

Exercise Training Program in Delhi

Exercise Training is an integral component of Pulmonary Rehabilitation Program.

An Evidence - based Scientific - proven Prescriptive Individualized program for the patients with lung disorders.

Components of Exercise Training in Pulmonary Rehabilitation.

  • 1. Aerobic Training
  • 2. Strength Training
  • 3. Flexibility / Stretching Exercises
  • 4. Balance Training
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Components of Exercise Training in Pulmonary Rehabilitation.

  • 1. Aerobic Training
  • 2. Strength Training
  • 3. Flexibility / Stretching Exercisesli
  • 4. Balance Training

Each exercise session should include:

  • 1. Warm-up
  • 2. Conditioning phase
  • 3. Cool down.

1. The Warm-up helps your body adjust slowly from rest to exercise. It decreases the stress on your heart and muscles, slowly increases your breathing, heart rate and body temperature and improves flexibility and reduces muscle soreness.

Warm up includes:

Stretching / Range of Motion activities / Beginning of the activity at a low intensity.

2. Conditioning phase follows the warm-up. During this phase, the benefits of exercise are gained and calories are burnt.

This phase includes:

A. Cardiovascular or Aerobic Exercises: Steady, Continuous, Repetitive physical activity using large muscle groups of the body. Aerobic exercises strengthen the heart and lungs, and improves the body's ability to use oxygen.

Aerobic exercises include:

Walking / Bicycle Riding (Static or Moving), Jogging / Jumping Rope / Skating / Rowing / Low-impact Aerobics etc.

B. Strength Training or Resistance Training: Physical activity involving weights or resistance to build strength, anaerobic endurance and size of skeletal muscles. Resistance can be provided in the form of weights, Therabands, use of gravity, bodyweight exercises and isometrics.

3. The Cool-Down is the last phase of exercise training session. It allows your body to gradually recover from the conditioning phase. Your heart rate, blood pressure, respiratory rate, body temperature will return to near resting values. Do not immediately sit, stand still, or lie down after the exercise. It might cause dizziness or light-headed.

Cool-down includes: Stretching / Decreased intensity of the activity.

  • Stretching: Slow lengthening of the muscles. Stretching the arms and legs before and after exercising helps prepare the muscles for activity and helps prevent injury and muscle strain. Regular stretching also increases your range of motion and flexibility.
  • Balance Exercises: The exercises that strengthen the muscles that help to keep you upright, including your lower limb and core muscles. The exercises help to improve stability and prevent falls.

Exercise Training include:

Lower limb endurance training

Lower limb strength training


Upper limb endurance training

Upper limb strength training


Flexibility and stretching exercises


Balance exercises


Home based exercise program



Exercise Training is completely INDIVIDUALIZED (after the thorough assessment by Pulmonary Rehabilitation specialist); in terms of:

  • Type (interval or continuous Intensity)
  • Mode (walking, cycling))
  • Duration
  • Frequency
  • Progression

The prescription of each patient depends on the results from tests of exercise capacity and strength.


Benefits of Exercise Training

Regular Exercises provides plethora of benefits; a few are listed below. The Guided Exercises help to:

  • To improve pulmonary symptoms.
  • To build energy levels, the same activities can be performed with least perception of breathlessness.
  • To improve oxygenation.
  • To improve muscle tone and strength; improve balance and joint flexibility.
  • To reduce stress, Anxiety and Depression.
  • To reduce body fat and help you reach a healthy weight.
  • To improve sleep.
  • To boost self-image, self-esteem and self-confidence; make you look fit and feel healthy.

General Guidelines of the Exercise Training

  • Start Gradually and increase your activity level, especially if you are not doing exercises before.
  • Make your exercises fun and not a chore. Enjoy the activities that you do to stay longer.
  • Have a gap of at least 1½ hours after a meal.
  • Wear comfortable clothes and shoes when exercising.
  • Always start and finish your exercises with 5 -10 mins of warm up and cool down before an aerobic/ strength training.
  • Exercise at a steady pace. Maintain a pace that allows you to still talk during the activity.
  • Maintain a regular exercise schedule. Exercise with an exercise "buddy" will also help you stay motivated.

Maintaining Breathing during Rehab

  • Always breathe slowly during exercise to save your breath.
  • Breathe in through the nose as it warms, moisturizes and filters the air you breathe in.
  • Breathe out slowly and gently through pursed lips. This allows more complete lung action when the oxygen inhaled is exchanged for the carbon dioxide exhaled.

Stop Exercising if you feel any of the following symptoms:

  • Nausea or feeling sickness
  • Dizziness or light headedness
  • Severe shortness of breath
  • Clamminess or sweating
  • Chest tightness
  • Increased pain

Home Based Exercise Program (Online) at comfort of your home

Patients with Respiratory disorders who have difficulty in commuting regularly can avail supervised live program of pulmonary rehabilitation and encouraged to perform the same exercises concurrently or you may prefer to have hybrid sessions as per your convenience.

Maintenance program

After the supervised pulmonary rehabilitation program is completed, patients should be encouraged to follow exercise program at home as guided by your pulmonary rehab specialist.


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