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Safe and effective aerobic training guidelines include frequency, intensity and time (FIT):
Frequency: Exercise at least three times a week.
Intensity: Exercise hard enough to reach your targe t heart rate. (Take your pulse immediately when you stop exercising, count the beats for 15 seconds and multiply the number by four.)
Time: Include at least 20 minutes of aerobic exercise in each session.

Reconditioning through low-impact aerobic exercise is very useful for both rehabilitation and maintenance of the lower back. Patients who regularly undergo aerobic exercise will have fewer episodes of low back pain, and will experience less pain when an episode occurs. Well-conditioned patients are also more likely to stay functional (e.g. continue working and carry on with recreational activities ), whereas those patients with chronic low back pain who choose not to work on low-impact aerobic exercise should expect to experience the gradual loss of functional capabilities.

How often should I train? How hard? For how long?
-Most experts believe that 3-5 times per week for a duration of 20-60 minutes at 60-90% of age specific maximal heart rate or 50-85% of VO2max (h eart rate reserve).

Types of Aerobic Exercise
-Aerobic Dance
-Bicycling
-Cross Country Skiing
-In-line Skating
-Fitness Walking
-Jumping Rope
-Running
-Stair Climbing
-Swimming

There are several types of aerobic exercise that are gentle on the back and, when done on a regular basis, highly effective in providing conditioning.
-Walking for exercise. In general, walking for exercise is very gentle on the back, and walking two to three miles three times per week is very helpful for patients.
-Stationary bicycling for exercise. If walking is painful, stationary bicycli ng is also effective and may be less stressful on the back.
-Water therapy for exercise. Doing exercise in the water provides for effective conditioning while minimizing stress on the back

Benefits of Aerobic Exercise
-Increased maximal oxygen consumption (VO2max)
-Improvement in cardivascular/cardiorespiratory function (heart and lungs)
-Increased maximal cardiac output (amo unt of blood pumped every minute)
-Increased maximal stroke volume (amount of blood pumped with each beat)
-Increased blood volume and ability to carry oxygen
-Reduced workload on the hear t (myocardial oxygen consumption) for any given submaximal exercise intensity
-Increased blood supply to muscles and ability to use oxygen
-Lower heart rate and blood pressure at any level of submaximal exercise


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