Tag Archives: recumbent trikes

Severe COPD and Eccentric Cycling Protocol Study

COPDers, a new study indicating what I have shouted about for years – recumbent cycling (trike) …

“…This study showed that an eccentric cycling protocol based on progressive increases in workload is feasible in severe COPD, with no side effects and high compliance…”

My question wonders if a pedal pendulum on recumbent trikes will allow the COPDer to continue the workout at home and pedaling outdoors in a healthy fun way and continue the benefits outside the study environment.

Thanks to Chris Wrigley for explaining…

I am adding photos of two different pedal pendulums that I had bought to help my left hip problem in pedaling.  One is for the left side only – the other is a set, one on each side.

Photos after the study results.

COPD. 2011 Jul 5. [Epub ahead of print]

Eccentric Cycle Exercise in Severe COPD: Feasibility of Application.

Rocha Vieira DS, Baril J, Richard R, Perrault H, Bourbeau J, Taivassalo T.

Source

Respiratory Epidemiology and Clinical Research Unit (RECRU), Montreal Chest Institute, McGill University Health Centre, Montreal, Quebec, Canada,1.

Abstract

Eccentric cycling may present an interesting alternative to traditional exercise rehabilitation for patients with advanced COPD, because of the low ventilatory cost associated with lengthening muscle actions. However, due to muscle damage and soreness typically associated with eccentric exercise, there has been reluctance in using this modality in clinical populations. This study assessed the feasibility of applying an eccentric cycling protocol, based on progressive muscle overload, in six severe COPD patients with the aim of minimizing side effects and maximizing compliance. Over 5 weeks, eccentric cycling power was progressively increased in all patients from a minimal 10-Watt workload to a target intensity of 60% peak oxygen consumption (attained in a concentric modality). By 5 weeks, patients were able to cycle on average at a 7-fold higher power output relative to baseline, with heart rate being maintained at ∼85% of peak. All patients complied with the protocol and presented tolerable dyspnea and leg fatigue throughout the study; muscle soreness was minimal and did not compromise increases in power; creatine kinase remained within normal range or was slightly elevated; and most patients showed a breathing reserve > 15 L.min(-1). At the target intensity, ventilation and breathing frequency during eccentric cycling were similar to concentric cycling while power was approximately five times higher (p = 0.02). This study showed that an eccentric cycling protocol based on progressive increases in workload is feasible in severe COPD, with no side effects and high compliance, thus warranting further study into its efficacy as a training intervention.”

[PubMed – as supplied by publisher]

http://www.ncbi.nlm.nih.gov/pubmed/21728805

 

COPDers–talk to your doctor.  Ask what they think about the study.  Help our doctors help us get educated to what patients CAN DO….Keep moving…

Thanks for reading… Sharon O’Hara

 

 

The Action is Hot Lungs, Harrison and Exercise – Part 3 of 3

 

The Heart & Vascular Center at Harrison, Cardiopulmonary Rehabilitation is Ready to Go!

Good!  Many of us can use help meeting our goals!  How, when, where?

Mai-Lin Gonzales is Harrison Medical Center’s Interim Manager of Cardiopulmonary Rehabilitation – the first for Harrison.  Mai-Lin is working to establish cardiopulmonary rehabilitation centers throughout Kitsap County…beginning with the established Capri Cardiopulmonary I went through over a decade ago – a great program then.

Following is what patients have to look forward to …because an exercise program can make the difference between existing and quality life living for most of us.  Many studies have  proved a great shining star of preventative medicine is exercise.

1.  Where, when, time, type of equipment

Mai-Lin - We will be remodeling the current suite (Capri) 111 in the Bridgeview building during July.  The equipment will be the same type of treadmills, bikes, nusteps, arm ergometers, etc.  We will be purchasing them from CAPRI and integrating a few new pieces to make a complete set for our needs.

Me - I hope they add the recumbent elliptical stationary bike. The recumbent elliptical stationary bike is expensive but allows those of use with hip problems to exercise.  I could not pedal the regular recumbent bikes but was placed on the recumbent elliptical.  I could use it and over time with Anna Marx; I had magical results on it.  Anna is at Silverdale’s Kitsap Physical Therapy.

2.  Will a workout pool be available?

Mai-Lin – The pool at the YMCA will not be part of the maintenance program.  The pool is for Y members only.  It would be difficult to watch participants in the pool and on the upper cardio deck at the same time.   I would be happy to pursue asking the Y to consider creating a time that the pool could be open for a rehab population but it would be separate from the Harrison programs.

3. Will maintenance rehab be available

Mai-Lin – Maintenance will be available in Poulsbo and Port Orchard (through Ultimate Fitness) and Silverdale and Bremerton (through Harrison) and Kitsap Physical Therapy has a program in place in Kingston.  We are encouraging other community facilities to start maintenance classes for the cardiopulmonary population – hoping to find a fit in Belfair and Bainbridge to start with…

4.   Is Harrison is interested in a DASH Diet related Support Group? Even those who have had gastric bypass surgery must be vigilant about regaining the weight lost through the operation.

Mai-Lin: I will pursue this after I get Rehab up and running.

5. Is Harrison interested in and have a use for my excellent like new condition recumbent trikes?

Maui-Lin – We are restricted on space, I will not have an answer for this until we are in the space and have the equipment laid out.

********************************

I have had one goal for six or seven years.

http://www.cleanairadventures.org/big_ride_across_america/route_map.html

This year is the first time I set a set date, 5 June to leave on a self-tour following the same route as the Big Ride.

A long list of mishaps, bone on bone left hip, lymphedema and fat body brought ne to 1 February 2011 when Marilyn Grindrod and I began our first swim coach session.  Over a two or three-month period of remarkable physical improvement, I KNEW I could pedal and ride again.

The day Marilyn and I went out to ride the trikes for the first time – my absolute confidence in being able to pedal due to the increasing physical shape, muscling and range of motion I was getting thanks to the swim sessions was knocked to the ground and stomped flat.  I could not do it.

That was then, now is now and we have begun again – twice a week – and I have a recumbent delta hand cycle that does work for me – no hip pain… more later.

A Florida Trike Shop owned and operated by physically challenged recumbent trike riders told me about the pedal pendulum.  I bought two – one from them and one set from Dave.  They work great on my trikes, but it does not work for me.  I cannot do more than a lower half pedal – too much pain to bring my leg up and over in a full pedal.  I can hear and feel the left hipbones rub when my leg is crested to move up and over.  We will keep working at it.

The hard lessons here sometimes- let go and move on.

**********************

Sitting and early death.

“Too much sitting leads to early death. In a recent study from the Cooper’s Institute.  The cardiovascular mortality outcomes related to sedentary behaviors of men after 21 years of follow-up showed an 82% greater risk of dying among men who reported spending more than 10 hours per week sitting in automobiles compared with men sitting in automobiles less than 4 hours per week (7).”

http://journals.lww.com/acsm-healthfitness/Fulltext/2011/01000/The_Problem_With_Too_Much_Sitting__A_Workplace.14.aspx?WT.mc_id=EMxj00x20110627xL3

Thanks for reading… Sharon O’Hara

 

Lymphedema, Bone on Bone Arthritis, COPD – Prayer, Predisone, Water Workouts Help Heal this Patient

Regular rehab is fabulous.  But?  It doesn’t go far enough – long enough – it hurts and it isn’t challenging enough.

Years ago, before beginning a concentrated physical exercise routine I asked my pulmo how high I should allow my heart rate to go and he sincerely and thoughtfully said I probably shouldn’t let it get over 100 at the beginning.  I laughed and told him it shoots to 100 just getting up from a chair!   I’ve not asked anyone since.

I’ve had a few really outstanding rehab technicians and I’ve learned from them.  They have to follow rules though and I don’t.   I’m a patient and I’m through coddling myself when I feel sick because I have a goal and it has to happen this year.

Except for one day when I was in Harrison and couldn’t make my swim session…we haven’t missed one swim session since we began 1 February 2011.  No matter what, my legs can ooze, my lungs labor and wheeze or burn with a fever – nothing stands in the way of a swim session.

Marilyn Grindrod is my swim coach and a miracle worker.  The only thing she said when we met and she asked if my doctor approved of what we planned to do and I told her I believed they did but I would not ever ask my doctors to give me a written note guaranteeing my fitness to exercise.  They couldn’t.  Nobody could.  Marilyn nodded and said, “get in the water, let’s get started.”

She doesn’t say I can’t do something. She leads the way and I follow as best I can.  Gradually I’m improving to a physical fitness I haven’t had in years and is proving out what Anna Marx, PT, DPT at Kitsap Physical Therapy in Silverdale proved to me:  the right machine/exercise WILL help my left hip get better and manageable.

Marilyn also, by changing my work-outs and her focus on breathing, must be getting oxygen to areas that have suffered without the oxygen they’ve needed…such as the Lymphedema in my lower legs.

Melissa will be surprised when I have to go in to be measured for another set of support stockings.  Lower leg muscle will meet her measuring tape, not the flab of yesterday.

My legs (left leg mostly) occasionally still need and get the Old Guy’s expert spiral and padded wrapping when the skin  gets too painful and I know if we don’t catch it, the skin will crack and lymphatic fluid  will again ooze  out.  This is the longest stretch I’ve not needed to see a doc or Melissa at NW Orthopedic and Lymphoma rehab in Port Orchard for another outbreak!  Melissa’s patient education works.

My ideal week is four, one hour or longer sessions in the warm pool water.  The work-outs are nonstop, smooth and I can feel my locked body become more flexible, more agile and I’m beginning to feel muscle again.

A couple weeks ago working out close to the diving board I impulsively reached up and grabbed the end of the board and began doing ‘chin ups’-  shooting myself up out of the water and above the board to my chest, lowered myself and repeated 15 times.  That was a lot of weight I pulled up – the point is I did it easily – the first twelve anyway.

So, you can’t live a life in the water can you?  No.  What I can now do on land is lift my left leg about a foot and flex my left ankle.  They’ve been – sort of – frozen.  When something hurts we have a tendency to back off and it becomes a spiral into a body that doesn’t work and eventually gets dumped into a wheelchair.

My patient opinion is that physical rehab works best, is most effective in the water.  The warm pool water resistance gets us further faster with less pain.

I believe in miracles.

In a Pulmonary Function Test two months ago, 16 February 2011 my FEV 1 (Gold Standard for COPD) sats had dropped across the board:    35% – 31% – 29%.

Last week 6 April 2011 across the board they were:                                                                            56% – 50% – 48%

Christopher Goss, MD  at the University of Washington Medical Center was amazed and doesn’t need to see me again for five or six months.

What made the difference?  The longer non-burst of Predisone he extended? A miracle?  Prayers?  Serious water work-out by a professional swim coach?

My sister lives in a small town in Kentucky and goes to a Revival church.  She and her companion each stood up and asked the minister and congregation to “pray for Karen’s sister, Sharon in Washington” and Karen says they do!

Kristin Okinaka, a reporter at the weekly CK Reporter AND a runner recently came out and wrote an article and took a photo that shows some of my recumbent trikeshttp://www.pnwlocalnews.com/kitsap/ckr/news/119501909.html

The following article is what prompted this post today:   If Great Brittan can do it – we can too!

“Exercise pilot is successful for rheumatoid arthritis

People with rheumatoid arthritis (RA) in Portsmouth reaped the benefits from an exercise pilot, which was the first of its kind in the UK.

Volunteers took part in a 10-week programme to get exercising in the local area. They had tried various activities, including yoga, tai chi, walking and circuit-based exercises.

‘Appropriate, regular exercise is very important for people with rheumatoid arthritis, even when they are experiencing a flare of their symptoms,’ said Colin Beevor, matron and service manager of musculoskeletal outpatient department services at Queen Alexandra Hospital, where the pilot was launched. ‘Being more active helps to control joint swelling and ultimately can reduce the pain, stiffness and fatigue a patient may experience.’

Rather than hospital-based exercise, local facilities were used to encourage participants to become accustomed to working out in a familiar environment. By learning the basics of a variety of activities, participants were also able to discover which forms of exercise they enjoyed the most, with a view to continuing with the exercise after the pilot ended.

Around 700,000 people in the UK have RA, and while many recognise the importance and benefit of exercise for their condition, obstacles such as the prohibitive cost of classes or feeling stigmatised or embarrassed in group classes can stop people with RA regularly exercising.

Local firms such as private gyms and sports centres are now being encouraged to offer discounts to people with RA to enable the participants of the pilot to continue their exercise programme….”

The pilot, run by Portsmouth Hospitals NHS Trust, Solent Healthcare and UCB Pharma Ltd, received positive feedback from participants. http://www.arthritiscare.org.uk/NewsRoom/Latestnewsstories/Exercisepilotissuccessfulforrheumatoidarthritis

More later…thanks for listening… Sharon O’Hara

Lymphedema -oops

Greeting – I was in such a hurry to get Part 2 of 4 Lymphedema  posted today I lost  my whole post.

Please accept some photos of a COPD recumbent bike race in Wasco, Oregon. The race was for a great cause…all I had to do is finish the one and only bike race I’ve ever entered.  The cause was  COPD (we had one race just for COPDers and all I had to do to win was finish)

Wasco, Oregon is a fantastic, scenic beautiful area for a bike ride, race or anything else.  See for yourself…the cycling racers flat moved out!

My recumbent trike…the fellows had off loaded it a distance from the finish so I could ride into and through the ‘Finish’ line.  (No, I did not ‘Finish’)

A friendly car and Seattle cycler offered to pull me up a long – long – hill and I learned firsthand what a great straight tracking trike I had when I rode and steered with one hand.

There is my recumbent trike getting a fancy scenic ride on top of the car I sat in … I asked for the ride.  The finish line of the race I didn’t finish but rode across!  … One of life-s great memories and a road full of friendly, splendid cyclers…  Wasco, Oregon 2006 … thank you all!

More later…. Sharon O’Hara

Bremerton and Navy Success and the West Sound Cycling Club Booth Photos

The new downtown Bremerton IS beautiful… but right now she is similar to a pretty girl all dressed up and no place to go.

We need more Health and Safety Fairs and next time run Kitsap Transit buses to bring people in to the event. We also need passenger boats and Kitsap Transit to bring people in from the outlying districts.

The new Bremerton is a dream place for the possibilities of ultimate luxury healthy living…if a person can imagine walking and cycling pathways throughout Bremerton downtown and meandering through the neighborhoods.

See what Steven Gardner wrote about the folks in the Union Hill neighborhood transforming itself.

http://pugetsoundblogs.com/peninsular-thinking/2010/08/24/union-hill-bremerton-neighborhoods-place-branding/

Imagine the new lovely downtown expanding itself outward block by block with neighborhood walking and cycling pathways providing walking and cycling transportation and healthier citizens….just imagine the tax payer dollar savings in future medical costs through healthier people due to the energetic outdoor living lifestyle.

The walking and cycling pathways would cross the new Manette Bridge into the homey and interesting Manette neighborhood and shops to browse.

When Port Orchard/South Kitsap gets their walking cycling pathways, they will be a splendid place to cycle and visitors can cross by the little ferry or around through Gorst.

The following photographs were taken by Chuck O’Hara (he is the nice guy who helps me out) at the recent Health and Safety Fair when he took two recumbent trikes down to the West Sound Cycling Club booth for a few hours to show n tells.

West Sound Cycling at the Bremerton Navy Health and Safety Fair.

More later… Sharon O’Hara

A Chance to Vote for Poulsbo

As a person with lung disease forced to ride in traffic spewing poisonous toxins and inhaling it, I care about clean air and safe places to ride my recumbent trike.

In my opinion, if we don’t provide safe, useful cycling, walking paths for our people, our people will gradually spiral into a people not moving far from the TV or computer and aging with multiple ailments costing us far more in health care than the original cost of the needed trails.

To those who don’t think vehicle exhaust is dangerous to health, would you stand next to the exhaust of a running car in a closed area?

Thanks to Linda Berry-Maraist, an alert city council woman in Poulsbo, it’s not too late for us to weigh in on the survey. www.cityofpoulsbo.com

Thanks also to our alert and fast moving West Sound Bike club members…

More later… Sharon O’Hara

> From: Linda Berry-Maraist
>
> Subject: Survey closing Wed: Fjord Drive Trail
>
> Hi Trail committee,
> I just returned from vacation and discovered that there has been a
survey on the City website, asking whether we should keep Fjord.
drive one way (from 6th to Hostmark) and make the other lane a bike
trail/path or restore Fjord as it was. The City Council is scheduled
to vote on this tomorrow (Wed) and I believe the decision will be
largely based on the responses to this survey.Currently slightly more
people favor returning Fjord to 2-way, which would preclude the
potential bike/ped. trail.
>
> I hope you will consider taking the survey www.cityofpoulsbo.com ,
coming to the Council meeting at 7:30 or sending an email (link on
website). I am very concerned that the timing of this decision,
before the trail plan is even presented, will make the potential
extension of the Liberty Bay trail bike route south from downtown,
far less likely.
>
> The good news I heard today is that it looks like the City’s grant
proposal to do the engineering for the waterfront trail extension to
Fish Park, has cleared the big hurdle, received a high score in the
grant process and is likely to be approved for funding in September!
> Linda
>
> Linda Berry-Maraist, City Council Position 1, City of Poulsbo
lberrymaraist@cityofpoulsbo.com

Recumbent Trikes and Good Health Hand in Hand

The recumbent trike is God’s gift to the physically challenged.

The 3-day Trek Tri Island bike trip with the American Lung Association of Washington a few years ago was the first time I had left the house overnight in 7 years. Not since COPD and then Other Stuff began to hit.  Pedaling around the bay from the Port Townsend/Keystone ferry toward Oak Harbor was the first time in 7 years I felt normal again. The recumbent trike set me free.

The Mason county couple in the “What is COPD” tee, ride for good health,  fun and exercise. 

Hey, Trikes are Fun!


He doesn’t let Hip Dysplasia in both hips stop him from moving but at a much slower pace than his wife. His wife is a fast walker challenging herself to move even faster.

Until he began riding the recumbent trike delta, (two wheels in back), she had to move slowly, at her husband’s pace or he quickly was left behind.

I was told the recumbent trike gives him the edges to not only keep up with her; he challenges her to move those hips even faster. The recumbent trike lets them exercise together for good health in fun and harmony.

I took a video of them…unedited…so you can see how they ride.

A family affair… the gentleman on the delta is only 92.

Following are more photos. My mother’s first time on a bike in about 75 years when she learned to ride the delta at 88 years old.

Ask your doctor about riding the recumbent trike for exercise and fun adding to living a quality life and follow her/his recommendations. Check with the local bike shops and bike clubs for further information or ask here on COPD and Other Stuff.

For COPDers – muscle utilizes oxygen better than flab and the legs are the largest muscles in the body. The bike is a great form of exercise and the recumbent trike can be a kinder, gentler form of cycling…the comfort mode…or not.

The West Sound Bike Club may have two recumbent trikes to show on the 18th. One trike is a delta with an electric assist. The other is a tadpole. Swing by the booth and check them out.

WEST SOUND CYCLING CLUB AUG, 2010
BOARD OF DIRECTORS
PRESIDENT Lee Derror 360 271-4838
lderror2@yahoo.com
VICE PRESIDENT Don Czeczok 360 405-1834
dczeczok@wavecable.com
TREASURER Laurie Clayton
SECRETARY Roberta Berry 360 638-1685
beeryra@centurytel.net
RIDE COORDINATOR Tim Baker 360 340-5944
rides@westsoundcycling.com
bakertj@hotmail.com
Freewheeler: Frank Lane 253 857-6044
editor@westsoundcycling.com

Tour de Kitsap: tdk@westsoundcycling.com
WSCC website: www.westsoundcycling.com

Wed. 8/18 11:00am – 6:00pm – Thurs. 8/19/2010 0800 – 2:00pm

West Sound Safety and Health Expo 2010 Free!

Kitsap Conference Center & Bremerton Boardwalk
100 Washington Avenue
Bremerton, WA 98337
Contact: Linda Fulton 360.473.5918

LOCAL BIKE SHOPS

More than one of the following bike shops may sell and service trikes.

BI Cycle Shop 206-842-6413
Classic Cycle 206-842-9191
Kitsap Key and Bike Shop 360-373-6133
Olympic Bike and Skate 360-895-2127
One Way Down Biking 360-633-6649
Rainier Cycle Sports 253-756-2117
Silverdale Cyclery 360-692-5508 (Sells and services trikes)

Gregg’s Greenlake Cycle
The free clinic will start at 6:30pm and go until around 7:30pm. There will be light refreshments provided.
info@greggscycles.com or call (206) 523-1822 ext. 119

The following URL contains the most cycling URL information of any blog I’ve seen.

http://www.recumbentblog.com/ Scroll down on the right until you find Dealers.

More later…. Sharon O’Hara

New NIA Senior Walk Study

The National Institute on Aging wondered ‘What Can Prevent Walking Disability in Older People’ and awarded $29.5 million to the University of Florida’s Institute on Aging to find out.

To be a part of such a study is the greatest opportunity for us…person, patient or senior to be a part of something important for future generations, meet the most amazing people and have fun at the same time…such as the University of Washington’s Shortness of Breath Study https://www.managesob.org/RS/StudyII/

Unfortunately, our own close-by University of Washington in Seattle isn’t one of the eight sites for the study but for those seniors close enough to one of the sites of the new “Lifestyle” – get your feet wet and get involved. I’ve been lucky enough to have been part of two COPD studies and can’t recommend them highly enough.

This six year “Interventions and Independence of Elders “(LIFE) study involves about 200 people, from 70 to 89 years at each of the eight sites around the nation.

I hope those of us who get involved will keep us posted when you can… the results of the study will help millions of future seniors maintain a quality of life and save future taxpayer dollars in health care.

“There is a lot of evidence indicating that exercise can help in preventing diseases, such as diabetes, among older people. But we do not know whether and how a specific regimen might prevent walking disability in older people who are at risk of losing mobility,” said NIA Director Richard J. Hodes, M.D.

“This research is critically important at a time when the population is aging and new interventions should be sought to keep people healthy and functioning in the community longer.””

“At eight sites around the country, LIFE will involve 1,600 people aged 70 to 89, who at the start of the study meet its criteria for risk of walking disability, defined as the inability to walk a quarter of a mile or four blocks.

About 200 participants will be enrolled at each of the study sites, which include the University of Florida; the University of Pittsburgh; Northwestern University School of Medicine in Chicago; Stanford University in Palo Alto, Calif.; Pennington Biomedical Research Center in Baton Rouge, La.; Yale University in New Haven, Conn.; Tufts University in Boston and Wake Forest University School of Medicine in Winston-Salem, N.C. Wake Forest will also coordinate the data management and analysis.”

“Limitations in walking ability compromise independence and contribute to the need for assistive care,” said Evan C. Hadley, M.D., director of NIA’s Division of Geriatrics and Clinical Gerontology, whose program is overseeing the trial. “Older people with impaired walking are less likely to remain in the community, have higher rates of certain diseases and death, and experience a poorer quality of life. A successful intervention might help prevent these bad outcomes.”

“We know that many older people have chronic health problems that affect their ability to walk,” said Jack Guralnik, M.D., Ph.D., chief of the NIA’s Laboratory of Epidemiology, Demography and Biometry and co-principal investigator of the study. “Arthritis, muscle weakness and poor balance can all affect how well and how far a person can walk. And, some older people have all of these problems. We will test the LIFE intervention in this population to see how it works in a real-world setting.”

Study participants will be randomly assigned to one of two groups. One group will follow a structured intervention consisting of walking at moderate intensity, stretching, balance and lower extremity strength training; the control group will participate in a health education program. The participants will be followed for about three years.

Researchers will evaluate whether, compared to health education, the physical activity intervention reduces the risk of major walking disability, serious fall injuries and disability in activities of daily living, and whether it improves cognitive function. They will also assess the cost-effectiveness of the intervention.

“This will be the largest randomized controlled trial to prevent major mobility disability ever conducted in older persons who are at high risk of losing their physical independence,” said Marco Pahor, M.D., director of the University of Florida’s Institute on Aging and study principal investigator. “Typically, this population is excluded from large trials, and from this perspective the LIFE study is unique.”

The NIA leads the federal effort supporting and conducting research on aging and the medical, social and behavioral issues of older people.

For more information on research and aging, go to www.nia.nih.gov.

The NIH — the nation’s medical research agency — includes 27 institutes and centers and is a component of the U. S. Department of Health and Human Services. It is the primary federal agency for conducting and supporting basic, clinical and translational medical research, and it investigates the causes, treatments, and cures for both common and rare diseases.

For more information about NIH and its programs, visit www.nih.gov.”

More later…Sharon O’Hara