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Table 1 Progression and prescription of impact loading exercise

From: Feasibility, tolerance and effects of adding impact loading exercise to pulmonary rehabilitation in people with chronic obstructive pulmonary disease: study protocol for a pilot randomised controlled trial

 

Phase 0

Block 1

Block 2

Block 3

Block 4

Weeks

1–4

5–8

9–16

17–28

29–40

Impact loading exercises

N/A

- Bounding over soft hurdles (13–16 cm); 10 times

- Drop Jumping (10–15 cm); 10 times

- Same as Block 1

- Bounding over soft hurdles (13–16 cm); 10 times

- Drop Jumping (10–15 cm); 10 times

- Hopping on one leg; 10 times

- Bounding over soft hurdles (13–16 cm); 10 times

- Drop Jumping (10–15 cm); 10 times

- Hopping on one leg; 10 times

- Leaping; 10 times

Number of rotation and rest between sets

N/A

- Two rotations and 1–2-min rest between sets

- Three rotations and 1–2-min rest between sets

- Three rotations and 1–2-min rest between sets

- Three rotations and 1–2-min rest between sets

Frequency

N/A

- Weeks 5 and 6 twice weekly (supervised)

- Weeks 7 and 8 twice weekly (supervised) and twice weekly (unsupervised)

- Four times weekly (home-based)

- Four times weekly (home-based)

- Four times weekly (home-based)

Targeted lower-limb resistance exercises (In PR only, twice weekly)

Calf raises, Knee flexion and extensions with multi gym, Seated hamstring curls with theraband if unable to complete knee flexion with multi gym, squats and lunges; 1–3 sets of 8–10 reps

- Same as phase 0

N/A

N/A

N/A

Further Details

Pulmonary rehabilitation only

- The first home-based session of this block will be supervised by a study investigator

- Home-based impact loading exercises will be the same as Block 1

- The first home-based session of this block will be supervised by a study investigator due to the progression of the impact loading exercise progression

- The first home-based session of this block will be supervised by a study investigator due to the progression of the impact loading exercise progression