Podcast
Questions and Answers
What is the initial focus when beginning graded exercise therapy for walking?
What is the initial focus when beginning graded exercise therapy for walking?
- Using interval training from the start
- Walking at a fast pace to increase heart rate
- Walking for an extended amount of time each day
- Walking at a slow, steady pace without stopping (correct)
What should a person do if they become unwell during the walking regimen?
What should a person do if they become unwell during the walking regimen?
- Stop walking completely and restart with less time afterwards (correct)
- Increase the walking intensity to build endurance
- Seek immediate medical attention only
- Continue walking at the same intensity
When can an individual increase their walking time by up to 25%?
When can an individual increase their walking time by up to 25%?
- After completing the walk for 3-7 days without symptom flare-up (correct)
- Immediately after each walking session
- After experiencing a decrease in energy levels
- Once they can walk for 60 minutes consistently
How should an individual increase the intensity of their walking routine?
How should an individual increase the intensity of their walking routine?
What is a normal response after increasing the amount of exercise done?
What is a normal response after increasing the amount of exercise done?
Once able to walk at a fast pace for 30 minutes every day, what is the next step?
Once able to walk at a fast pace for 30 minutes every day, what is the next step?
What is the purpose of the stretches taught in the clinic?
What is the purpose of the stretches taught in the clinic?
What should one do if aching persists after increasing the walking duration?
What should one do if aching persists after increasing the walking duration?
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Study Notes
Graded Exercise Therapy - Walking
- This leaflet should be used with advice from your CFS/ME Clinician
- Begin with a slow, steady pace, not increasing heart rate or causing shortness of breath, for a set time determined during your review
- Increase walk time by up to 25% every 3-7 days if you can complete the daily walk without symptom triggers
- Check for symptom increases or daily activity fluctuations before increasing walk time
- Once walking 30 minutes daily, start interval training: 4 minutes slow walk, 1 minute faster walk, at a slightly increased heart rate, repeat for 30 minutes
- Increase faster walking time every 3-7 days, until you can maintain it for 30 minutes daily
- Reduce faster walking to 5 days a week after achieving 30 minutes daily
- If unwell, reduce or stop walking until recovered, then restart at a reduced time
- Some aching is normal after increasing exercise, should last less than 2 days, stretching can help, if it persists, reduce walk time
- Contact the Physio team at 01225 821340 for any questions
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