The American College of Sports Medicine (ACSM) recommends the following regarding exercise and physical activity:

• When an individual is just beginning exercise sequences or a form of physical activity, activities should start with shorter sessions, e.g. 10 minutes, slowly building up to 20 minutes or more. Individuals should engage in activity four to six days per week.
• Individuals should perform moderate-to-low resistance training three days per week.
  • Three sets of ten or more repetitions on muscle groups
  • Wait 48 hours between workouts of the same muscle group

Important Considerations before Exercising

• Individuals should get a complete medical evaluation and physician consent before beginning an exercise program.
• Individuals should work with their primary care physician and cardiologist to determine cardiovascular complications, such as cardiac arrhythmias, congestive heart failure, and right and left ventricular dilation, which may limit the ability to exercise or limit the intensity at which one exercises.
• Individuals should obtain a specialized prescription for spinal deformities, such as scoliosis, kyphoscoliosis and lordosis.

Considerations for Respiratory complications

• Individuals should be aware of possible complications associated with weakness in the respiratory muscles. For example, if you experience exercise-related cramps or fatigue, rest and decrease intensity
• Individuals should log their daily activities to support identifying the appropriate intensity for an exercise program.
• Nutritional counseling coupled with the exercise program will help prevent weight gain.