| 0 weeks |
COPD GOLD I (2005)
FEV1/FVC = 0.69
FEV1 = 86% of predicted
Dyspnea, MRC = 4/5
Walking ≤ 10 min
Never smoked
Physical activity, 3x/week à not anymore
Diabetes type 2 (1998)
No-proliferative retinopathy, lase eye-surgery in 2004 and 2011
Sensory neuropathy in both feet
Obesity, BMI = 42.3 kg/m2 (2008)
Hypercholesterolemia (2008)
Severe osteoarthritis right knee, Kellgren-Lawrence score = grade 4 (2008)
Multiple falls per year |
Reduce dyspnea, MRC < 4.
Improve mucus clearance.
Improve exercise capacity and physical activity in daily life, walk >30 min. |
COPD exacerbations à prednisolone à weight gain à less eating à hypoglycaemiaà multiple falls.
Combination COPD & DM à instable DM à interruptions in training programme and physical activity in daily life.
Physical activityáà osteoarthritisáà work capacityâ and painá in knee.
Total knee replacement ↔contraindicated by COPD & DMàdepression. |
