Physical Activity Level of Patients With COPD During Pulmonary Rehabilitation

The aim of the project was to assess the acceptability of the device as well as adherence to the study. The objective of study was to assess physical activity in patients with COPD during in-hospital pulmonary rehabilitation program. The number of steps, average energy expenditure expressed in MET and kcal, and physical activity time during the consecutive 5 days of the rehabilitation stay were analyzed. Physical activity level was continuously monitored to assess intensity during in-hospital procedures as well as during leisure time.

Patients participated in pulmonary rehabilitation program consisted of:

• specific respiratory exercises for 30 minutes - relaxation exercises for breathing muscles, strengthening exercises the diaphragm with resistance, exercises to increase costal or chest breathing, prolonged exhalation exercise, chest percussion, once a day for 30 min,
• training on a cycle ergometer, twice a day for 20-30 min.- until the Heart Rate reaches 70% of the HRmax (220-age),
• fitness exercises - coordination and balance exercises, stretching exercises using elastic bands, balls rehabilitation, sensory pillows. Performed in a standing position, kneeling, sitting, lying on side, abdomen and back, once a day for 30 min
• Schultz autogenic training, once a day 20 min.

Inclusion criteria

• Diagnosed COPD;
• Agreement to participate in the study

Exclusion criteria

• Pneumonia, tuberculosis and other respiratory inflammatory disease in all stages and forms
• Condition after a heart attack
• Diabetes
• State after thoracic and cardiac surgery
• Heart failure (stage III, IV ° NYHA)
• Advanced hypertension
• Diseases and injuries that can impair the function of the musculoskeletal system of transportation
• Disturbances of consciousness, psychotic symptoms or other serious psychiatric disorders;