Copyright ©The Author(s) 2016.
World J Transplant. Sep 24, 2016; 6(3): 517-531
Published online Sep 24, 2016. doi: 10.5500/wjt.v6.i3.517
Table 2 Guidelines for pre-transplant exercise prescription in stable outpatients
Frequency2-5 d/wk2-3 d/wk3-5 d/wk
Intensity50%-80% HR reserve Dyspnea > leg fatigue: Moderate to hard (3-5 on modified Borg scale)[48] SpO2 > 85%-90% Continuous or intermittent training1: 60%-80% 6MWT speed for walking[41,49] 60% peak workload for cycling[39,43] or just above anaerobic threshold[40] Interval training2: 100%: 0% peak work rate (cycle)[39]30%-80% 1-RM or use 8-15-RM[125]
TypeWalking (treadmill, corridor, Nordic poles)[42] Cycling (leg and/or arm ergometer)Major muscle groups of upper and lower body (quadriceps, hamstrings, plantar flexors, gluteals, biceps, triceps, pectorals, latissimus dorsi) Training modalities: Free weights/dumbbells Elastic bands Pulleys Gym equipment Body weight (stairs, squats, heel raises, wall push-ups)Major muscle groups of upper and lower body Thoracic cage and chest wall mobility
Time/ Training VolumeContinuous: 15-30 min Intermittent: 5-10 min × 2-3 bouts Interval2: 30 s exercise: 30 s rest (12-36 min)[39]1-2 sets × 8-15 repsHold up to 10-30 s each, repeat 2-4 times
ProgressionProgress time up to 20-30 min continuous Perform regular 6MWTs and adjust speed accordingly for treadmill training; and increase Watts on cycle Higher level patients may tolerate a treadmill incline of 1%-4%Increase weights based on tolerance; (approximately 0.5 kg or 1 lb. per week, as tolerated)[41] Body weight exercises: Can add hand or ankle weightsHold stretches to point of tightness/slight discomfort