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University of Nebraska Medical Center

Let's Get Moving

Exercise Basics

Learn more about how you can safely exercise and enjoy the benefits of increased physical activity.

Normal Responses to Exercise

The Work Effort Scale describes the target range for how you should feel with exercise and activity.

WORK EFFORT SCALE
6 Rest

 

 

 

How you feel when lying in bed or sitting in a chair relaxed. Little or no effort.

7 Very, Very Light
8  
9 Very Light
10  
11 Fairly Light
12  

 

 

 

 

 

Target Range: How you should feel with exercise or activity.

13 Somewhat Hard
14  
15 Hard
16  
17 Very Hard

 

 

 

How you felt with the hardest work you have ever done. Don't work this hard!

18  
19 Very, Very Hard
20

Make Sure to Stay in the Green Zone

Work Effort During Exercise Immediately After Exercise The Day After Exercise

Zone 12-14
Somewhat
Hard
• Breathing harder
• Slight sweat
• Can feel muscles working
• Heart beating faster
• Short recovery (4-7 minutes)
• Feel comfortable
• Comfortable
• No aches or pains
• Could exercise again

Zone 15-16
Hard
• Breathless but not speechless
• Sweating
• Muscles working hard
• Heart beating strongly
• Short recovery (5-10 minutes)
• Comfortable
• Feel that muscles have worked
• Alert and feeling recharged
• Not more tired than usual
• Feeling of well-being


Zone 17-20

You are doing too much!

• Feeling very breathless & speechless
• Chest-tightness
• Pain
• Dizziness
• Nauseous
• Long recovery time (greater than 10 minutes)
• Muscles still tense
• Heart racing, pounding, fluttering
• Nauseous
• Dizziness
• Feeling of no energy or exhausted (more than usual)
• Unable to complete your day-to-day activities
• Pain

Four Types of Exercises

Research has shown that it's important to get all four types of exercises: cardio (endurance), strength, balance and flexibility (stretching). Doing one kind also can improve your ability to do the others. Always remember to warm up before and cool down after you exercise.

Cardiovascular Activity

Cardiovascular (aerobic) activities increase your heart rate and breathing for an extended period of time. This is important to perform everyday activities such as climbing stairs, grocery shopping, and doing housework without undue fatigue and exhaustion. You can build up your endurance gradually, starting with as little as five minutes of activity at a time. Then eventually build up to 30 minutes of activity at least three days per week, eventually
increasing up to five days per week. Examples of cardiovascular activities include: walking, raking leaves, sweeping and dancing.

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Strength Exercises - Level 1

Recommendations for cancer patients are to include strengthening exercises two times per week for all major muscle groups in the upper body (shoulders, upper arms, back, chest) and in the lower body (hips, thighs, knees, and lower legs).

Level 1 is for the core and legs to maintain your ability to do bed mobility and transfers. Exercises include: bed-based straight leg raise and bed-based bridge.

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Strength Exercises - Level 2

Level 2 is done while sitting and allows you to start on a stable surface. Pay attention to your core muscles to promote a stable base for your arm and leg muscles to work from. Exercises include: chair stand, arm curl, lateral arm raise, seated knee extension and front arm extension.

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Strength Exercises - Level 3

Level 3 is done while standing with either body weight or resistance bands. Exercises include: wall push-ups, triceps extension, side leg lifts and calf raises.

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Strength Exercises - Level 4

Level 4 is a little more advanced. Done while standing, it improves standing tolerance and relates to daily activities. Exercises include: shoulder press, squats, step-ups and three-way leg raise.

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Flexibility

Stretching or flexibility exercises are an important part of your physical activity program. Stretching your lower body is important to ensure tasks such as putting your shoes on and picking up items from the floor remain easy and pain free. Stretching your upper body is important to ensure tasks such as brushing your hair and retrieving items from a high shelf (getting food or putting away groceries) remain easy and pain free.

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Balance

Stretching or flexibility exercises are an important part of your physical activity program. Stretching your lower body is important to ensure tasks such as putting your shoes on and picking up items from the floor remain easy and pain free. Stretching your upper body is important to ensure tasks such as brushing your hair and retrieving items from a high shelf (getting food or putting away groceries) remain easy and pain free.

View more information and exercise instructions

A member of Engage Wellness participating in physical activity on a recumbent bike.

Weekly Exercise and Physical Activity Plan

If you plan your activities ahead of time, and then keep track of what you have done each week, you may see more success with the incorporation of physical activity into your routine. Click above for a handout to plan and track your activity.