Progression 2 (P2)

This exercise program is not medical advice

Talk to your healthcare team about starting an exercise program before you begin.

This website should not be relied upon or serve as a replacement for medical advice from your healthcare team. Do not disregard or delay or discontinue your ongoing medical treatment because of your use of this website. Your continued treatment by your qualified medical practitioners is important to your health. If you have any concerns, address these with your medical team.

Any medical guidelines or recommendations from your medical practitioner regarding exercise in liver disease supersedes any information on this website. The information on the website is provided on an “as is” basis without any representations or warranties.

Sitting or standing with resistance bands for added muscle strengthening.

Aerobic

Include 6 days of aerobic activity each week, for a total time of 150 minutes per week (e.g., 20-30 minutes each session).

If needed, take short 1 minute rests and work toward continuously exercising for the entire session.

The goal is to reach and maintain between 3 to 5 on the Borg Scale – breathing stronger but can still carry on a conversation.

Muscle strengthening

Aim to complete 3 to 4 sessions each week.

Alternate between the different exercises for the upper and lower body. At P2, include 4 to 5 exercises each session.

For each exercise, start with 2 sets of 10 repetitions each. Gradually increase to 3 sets of 15 repetitions.

While completing these exercises, aim to reach and maintain between 3 to 5 on the Borg Scale – breathing moderately but can still talk.

Lateral Arm Raises with hand-held free weights

To start, use LIGHT weights of 1 lb to 3 lbs each. (upper body)

 

Arm Curls with hand-held free weights

(upper body)

 

Overhead Triceps Extension with hand-held free weights

(upper body)

 

Leg Extensions with banding

This exercise targets the quadricep muscles. (lower body)

Standing Leg Curls with banding

(lower body)

 

Standing Calf Raises with banding

(lower body)

 

Squats with hand-held free weights

To start, use LIGHT weights of 1 lb to 3 lbs each. (middle body or torso)

Flexibility

Complete 1 set of 3 repetitions held for 20 to 30 seconds each. Hold the stretch until there is a slight discomfort. Avoid overstretching.

Perform at least two Flexibility sessions each week. These can be part of the cool down after a Muscle Strengthening session, combined with a Balance session, or completed on its own..

Include stretches from the Intro level but do them while standing.

Stretches for P2 are: quadriceps stretch (video), Hurdler’s, wrist, and calf stretches.

Quadriceps Stretch

Continue with stretches learned in the Introductory and P1 levels.

Balance

Complete 1 set of 3 repetitions of 10 steps at least twice a week. As you improve, increase the number of steps.

If confident of your stability and balance, can try this without holding onto a support. Make sure to have it within easy reach though in case of loss of balance!

A Balance session can be used as the cool down following a Muscle Strengthening session, can be combined with a Flexibility session, or completed on its own depending upon your schedule.

Narrow Walk

Walk in a straight line with a narrow gait (small steps).

Example of a Weekly P2 Exercise Program

Aerobic: Over 6 different days, complete 20-30 minutes of aerobic exercise for a weekly total of 150 minutes.

Muscle strengthening: On 3 or 4 days each week, do 2 sets of 10 repetitions of each of the following exercises:

  • Arm curls with handheld free weights
  • Overhead triceps extensions with hand-held free weights
  • Leg extensions with banding,
  • Standing calf raises with banding,
  • Squat with free weights

Flexibility: On 2 different days, perform all stretches 2-3 times lasting 20-30 seconds on each side.

Balance: On 2 different days, perform 3 repetitions of 10 steps each.

Arm Curls with hand-held free weights

Overhead Triceps Extension with hand-held free weights

Leg Extensions with banding

Standing Calf Raises with banding

Squats with hand-held free weights

References:

The information on this page was developed by the Cirrhosis Care Alberta project team (physicians, nurse practitioners, registered nurses, registered dietitians, physiotherapists, pharmacists, and patient advisors).

This information is not intended to replace advice from your healthcare team. They know your medical situation best. Always follow your healthcare team’s advice.

 

Last reviewed March 15, 2021
guest

We would really appreciate your feedback to make this page better. Thanks for taking the time to do this!

How would you best describe yourself?
I found this webpage useful
The content on this page is easy to navigate
I found what I was looking for on the page
0 Comments
Inline Feedbacks
View all comments