COPD, Pulmonary fibrosis, Bronchiectasis, Asthma and other lung diseases are increasing at alarming rate. With Exercises, the control over Lung problem can be alleviating. To analyze benefits of exercises & thereby breaking the common myth that lung patient should not exercise to conserve oxygen, read more on Exercise as Medicine: For Lung Patients by our Pulmonary Rehab Physiotherapist, Dr. Mrinmayee Koltharkar.

1. Exercise as Medicine
For Lung Patients
Dr Mrinmayee Koltharkar
Pulmonary Rehab & Research Physiotherapist
M.P.T(Cardiovascular & Pulmonary-KEMH), B.P.T, M.I.A.P
Hinduja Hospital, Mahim, Mumbai
Email - drmrink@yahoo.co.in
http://www.hindujahospital.com/dr-mrinmayee-koltharkar/

3. COPD
LUNG FIBROSIS/ILD
ASTHMA
BRONCHIECTASIS
Lung Diseases

5. Common Myth
Lung patient should NOT exercise
to conserve !

6. Exercise Makes You...

7. Benefits of Exercise

9. Chronic Pulmonary Disease
Physical
Deconditioning
Decreased Exercise
Capacity
Difficulty to do day-to-
day activities
Immobility/Inactivity
Increased
Breathlessness
The Vicious Cycle

10. Exercises
Physical
Reconditioning
Increased Exercise
Capacity
Ability to do day-to-
day activities
Exercises
Decreased
Breathlessness
The Vicious Cycle… Broken

11. Lungs more effective at supplying
body with Oxygen & eliminating CO2
New blood vessels grow
around the alveoli, making
gas exchange more efficient.
The muscles involved in
breathing in and out become
stronger and can work for
longer.
Pulmonary Function increases.
The Effect of Exercise on Lungs…

12. Big Benefits Package
Decreasing Breathlessness
Improving Exercise capacity
Improving Quality of Life
Psychosocial benefit
Decrease hospitalizations
Length of Hospital stay
Reduced number of exacerbations
Can be achieved regardless of
severity of Pulmonary Disease
Individualized programs

13. Exercises – Essential Components
Breathing
Exercises
Aerobic
Training
Flexibility
Exercises
Resistance
/ Weight
Training

14. Safe Exercises
• Oxygen Saturation 88%
• Supplemental Oxygen Therapy
• Pre Inhaler
• Pacing/Interval
• 3-4/10 Grade on Borg scale (Moderate to somewhat
severe)

15. How Long?
6 - 12 weeks

16. Patients Say…
I did 8 weeks of Pulmonary Rehab program under the able
guidance of Dr Mrinmayee. Her motivation and well thought
out sequenced program kept the interest /
enthusiasm going. It made me cope with my breathing
disability with positive mindset and gave me an overall
feeling of well being. - C.L. Gupta
I was unable to perform my day to day activities like
shaving, shower, walking and other minor activities because
of breathlessness. I have successfully completed 24
sessions and there is marked improvement in my day to day
activities. I hope to achieve more by continuing the
exercises taught to me.- Seshan Iyer

17. Patients Say…
Post Exercises sessions I now feel Comfortable & Confident
person. My daughter says Mummy you look very Energetic!
- Jayshree Parikh
Prior exercise course I was barely able to talk for 5 minutes.
Coughing bouts used to disturb me. Post exercises of 3
months course I’m now able to talk for 15 minutes and
walk for 20 minutes continuously. Exercises have improved
my Quality of Life. - Kamla Menon
Post Exercise course, my steroid dosage has reduced and I
can now go for Abroad Trips that too independently! -
Deepika Mankame

19. Next Step

20.  Indications & Benefits
 Side-effects
 Drug Interactions
 Cost
 Dose, Frequency, Duration

22. Appointment Helpline: 022-39818181/67668181/24451515
Online Appointment: http://www.hindujahospital.com/vops/
For any Queries, please write us on: info@hindujahospital.com
Thank You