who is having trouble breathing and is oxygen deprived. However, exer- cise is crucial for individuals with pulmonary dysfunction. It can help correct physical deconditioning, aid in desensitization to dyspnea-related fear, improve coordination, balance, and retain efficiency for the activ- ities of daily living (ADLs). Exercise can aid in maintaining the function of the cardiovascular and respiratory systems that will promote oxygen delivery. Your Role as an Instructor For individuals with pulmonary dys- function, exercise should include aer- obic and endurance programming. Many physiological and psychological benefits have been reported in COPD patients after participation in random- ized controlled trials of prescribed exercise involving upper and lower body aerobic and resistance train- ing. Major benefits include increased physical capacity, decreased anxiety about breathlessness, greater inde- pendence in daily activities, reduced fatigue, and improved quality of life. These positive outcomes from exer- cise occur even though impaired lung function continues to persist. Regular exercise thus enables COPD patients to do more recreational and vocational activities despite their lung disease (ACSM’s Current Comment. Dressendorfer 2012). The exercise prescription should be flexible, considering fluctuations in the individual’s clinical status. If there is a change in the client’s medical condition, goals must be reassessed and the risk of the exercise program should be reconsidered. The mode of exercise selected should be one that the person finds enjoyable, helping to maintain exercise interest so that improvements can be attained. It is also important to work within your scope of practice. Rehabilita- tion for pulmonary dysfunction should include a team of professionals such as a respiratory therapist, the individ- ual’s personal physician, and an occu- pational therapist. Considerations for Special Exercises Breathing exercises are an excellent way to start a participant with chronic respiratory conditions to increase oxy- gen delivery and flow. • Exercises with emphasis on using the diaphragm, abdomen, inter- costals and pectorals can be used to improve ventilation patterns of breathing. • These techniques help increase tidal volume (the volume of air moved during the inspiratory or expiratory phase of each breath). In addition, this type of exercise slows the breathing rate, making it easier for a participant to improve gas exchange. • These exercises may be performed sitting down or standing at first, then applied to standing in the pool during the aquatics class. We Want You on Crew! IAFC 2018 • May 14-19 Innisbrook Resort Palm Harbor, Florida • Enjoy discounted registration and IAFC delegate benefits. • Learn and earn from industry experts during your crew contributions. • Volunteer 2 days and enjoy all other days on your own. • Helping IAFC delegates and AEA is a great way to network and make new friends. • Be a part of the strongest conference staff in the world! Deadline to apply is January 19, 2018. Email [email protected] for more details. December 2017 / January 2018 | Akwa | 43
