{"id":5802,"date":"2024-01-24T13:00:23","date_gmt":"2024-01-24T12:00:23","guid":{"rendered":"https:\/\/alpha1-deutschland.org\/?p=5802"},"modified":"2024-01-24T17:35:38","modified_gmt":"2024-01-24T16:35:38","slug":"lungensport-rueckblick","status":"publish","type":"post","link":"https:\/\/alpha1-deutschland.org\/en\/lungensport-rueckblick","title":{"rendered":"Pulmonary exercise \u2013 review (basics and the last two years) and outlook (further development)"},"content":{"rendered":"
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Author<\/h4><\/span><\/span>\n<\/div>\n
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Michaela Frisch, Advisor for Pulmonary Sports, Training, Activity, Mobility, Deputy Chairwoman of the Pulmonary Sports Working Group.
\nThus appeared in Alpha1 Journal 1\/2022<\/a>.<\/strong><\/p>\n<\/div>\n\n\n\n

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Looking back<\/span><\/h2>\n

Pulmonary exercise is one of the most important non-drug therapy options for patients with lung disease, in this case: Alpha1 antitrypsin deficiency with reduced exercise capacity, diagnosed COPD, shortness of breath, etc.<\/p>\n

The specially tailored and dosed training (muscle building, endurance and everyday life training) which is specifically designed to address different levels of resilience and comorbidities (such as metabolic syndrome, diabetes, osteoporosis, mental illnesses, depression, heart disease, pulmonary hypertension, etc.) provides guidance for lifelong therapy and increasing activity in lung patients.<\/p>\n

The program takes into account any assistive devices used, such as oxygen equipment, walkers, trolleys, etc., and each participant is individually assessed, considering their specific medical condition. Appropriately trained instructors meet all participants at their individual fitness levels to prevent both under-stimulation and resulting lack of motivation, as well as over-stimulation\/overexertion (even leading to shortness of breath) and the resulting fear of exertion.<\/p>\n

The program takes into account any assistive devices used, such as oxygen equipment, walkers, trolleys, etc., and each participant is individually assessed, considering their specific medical condition. Appropriately trained instructors meet all participants at their individual fitness levels to prevent both under-stimulation and resulting lack of motivation, as well as over-stimulation\/overexertion (even leading to shortness of breath) and the resulting fear of exertion.<\/p>\n<\/div>\n\n\n\n\n\t\t\t<\/div> \n\t\t<\/div>\n\t<\/div> \n<\/div><\/div>\n\t\t

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\u201e"The goal is to be able to manage the illness independently."\u201c<\/h4>\n<\/div>\n\t\t\t<\/div> \n\t\t<\/div>\n\t<\/div> \n<\/div><\/div>\n\t\t
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The goal is for all different patient groups to benefit from participating in pulmonary rehabilitation, both in terms of their physical performance and their ability to cope with the demands of daily life, thus enabling them to manage their condition independently. This promotes independence in daily life, the patient's self-esteem, and mobility. However, it is important to note that pulmonary rehabilitation is not competitive sport, but rather a specialized, dosed, and tailored training program for patients with lung problems, ranging from mild to severe lung disease.<\/p>\n

Pulmonary exercise can still be prescribed by both the patient's general practitioner and a pulmonologist in private practice. It can also be prescribed by the German Federal or State Pension Insurance (Deutsche Rentenversicherung Bund or Landesversicherung) during rehabilitation at a specialized rehabilitation clinic \u2013 in this case, for a period of six months.<\/p>\n

Pulmonary exercise may only be conducted by appropriately trained instructors who have completed the required advanced training and mandatory license renewal courses (every two or four years, depending on the federal state). The sports club providing the service must be a member of the disability sports association of the respective federal state.<\/p>\n

Membership in a sports club can be beneficial for the long-term success of the therapy (continuing treatment even without a doctor's prescription or approval from the health insurance company), but it is not required for participation in pulmonary exercise programs \u2013 not even for insurance reasons. Participation in pulmonary exercise programs is covered by the doctor's prescription using form 56 or G 850. The situation is different if you are already a member of the club or wish to take advantage of other club offerings. In these cases, there should be no obstacle to membership.<\/p>\n

A typical pulmonary exercise session lasts between 60 and 90 minutes and takes place once a week. Depending on the prescription and the number of groups or training sessions, participation several times a week is also possible \u2013 subject to prior agreement with the health insurance company, the doctor's prescription, and the institution providing the program.<\/p>\n

Pulmonary exercise is definitely much more than the southern German 'schnaufen' and the standard German 'atmen'; it includes so much more:<\/span><\/h2>\n<\/div>\n\n\n\n\n\t\t\t<\/div> \n\t\t<\/div>\n\t<\/div> \n<\/div><\/div>\n\t\t
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Respiratory area<\/h3>\n