1、Dyspneaand exercise intoleranceArm fatigue:Muscle strengthDyspnea Overhead arm activity FRC hyperinflationWorsens respiratory muscle mechanics burden on diaphragm worsening its force-generating capacity sensation of dyspneaDuring unsupported arm activity unable to use accessory musclesJanaudis-Ferre
2、ira et al.2009CHEST PRESSPectoralis major,deltoids medial,tricepsPEC-DEC BUTTERFLYPectoralis major,middle deltoidsSEATED ROWRhomboids,Latissumus,biceps,trapezius,deltoidsLAT PULL DOWNLatissimus dorsi,deltoids,rhomboids,biceps,erector spinaeARM CURL BicepsTRICEPS PRESS DOWNTricepsFront arm raisesAnte
3、rior deltoidsShoulder PressMiddle deltoidslLarger muscles before smaller muscleslInitial loads 10-12 repetition lStart with 1x12 for 4 sessions then 2x12 for the rest lLoads were increased if they could manage more than 12 repetitions for both sets on two consecutive sessions lRest 1-3 minutes between setslPatients rate dyspnea and arm fatigue(BORG),before and afterZhan et al.2006Takahashi et al.2003UULEX6PBRTMicrofet 2decrease in dyspneal Evidence for the measurement properties of the arm exercise tests