WEBER STATE UNIVERSITY
Department of Health Promotion & Human Performance

COURSE OUTLINE

COURSE:  P.E.P. 4370:  Exercise Management for Special Populations

CREDIT: Two (2) Semester Hours

PREREQUISITES: P.E. 2300 and P.E. 3510

CLASS SCHEDULE: Two One-Hour Sessions Per Week

INSTRUCTOR:

Molly M. Smith, Ph.D.
Professor Exercise Science
Office: SB 125H; Phone: 626-7361
E-mail: mmsmith1@weber.edu

Aim: This course provides practical information on exercise for persons with a wide range of special diseases and disabilities. An overview of each unique physiology, effects of the condition on the exercise response, effects of exercise training on the condition, and recommendations for exercise testing and programming is presented in a selected topics format.

General Course Objectives:

1. Administer and/or interpret results of exercise testing on individuals with specific challenging conditions.
2. Develop competencies in exercise prescription and delivery of exercise programs to special populations.

Course Competencies: This course is designed to assist students in becoming able to:

1. Demonstrate an understanding of the risks and benefits associated with exercise participation.
2. Describe appropriate emergency procedures in a variety of exercise settings.
3. Demonstrate the ability to administer a testing program to individuals with common handicapping conditions which assess fitness characteristics.
4. Explain the use and value of the results of the exercise test and fitness evaluation for various populations.
5. Write an exercise prescription which has been modified appropriately to meet the needs of the individual with common special conditions.
6. Demonstrate knowledge of proper equipment arrangement and facility modifications to accommodate use by individuals with special needs.
7. Demonstrate knowledge and skills in the delivery of unique exercise programs to special populations.

Course Requirements:

1. Attend and participate in all class and laboratory experiences.
2. Successfully complete all weekly quizzes. No make-up quizzes allowed. Students provide own scantron forms.
3. Successfully complete a final examination on Case Studies representing a variety of diseases, disorders, or conditions.
4. Research and deliver a 30-minute presentation on a selected chronic disease or disability.
5. Design and submit an individualized exercise program to meet the needs of a selected condition utilizing the problem-oriented techniques presented in class.
6. Observe a clinical setting for one of the special population topics covered in the course.

Evaluation:

1.  Quizzes

Points

Ten-point multiple choice type quizzes will administered the last ten minutes of class each week. (13)

130

2.  Final Examination

100

Four case studies will be assigned the last day of class to be submitted and evaluated during the scheduled final examination period.

 

3.  Oral Presentation

50

Thirty-minute oral presentation on a selected chronic disease or disability delivered to and evaluated by the class.

 

4.  Individualized Exercise Program (IEP)

200

Develop an individualized exercise program for a patient with a specific disease or disability.

 

5.  Clinical Observation

20

Observe and evaluate an exercise program for a special condition covered in the course.

 

Total Points

500

Grading Criterion: Grades will be based upon percentage of points earned accordingly:

Grade

Percentage

A (Excellent)

90% - 100%

B (Good)

80% - 89%

C (Standard)

70% - 79%

D (Substandard)

60% - 69%

E (Failure)

< 60%

Primary References:
American College of Sports Medicine. (2003)  ACSM=s Exercise Management for Persons with Chronic Diseases and Disabilities, 2nd ed. Champaign, IL: Human Kinetics.

 

Ethical Conduct:  The Weber State University policy regarding all forms of academic dishonesty, including cheating, fabrication, facilitating academic dishonesty, and plagiarism will be strictly enforced.  Penalties for academic dishonesty may include failure from the course.  The policy can be found online at: http://documents.weber.edu/ppm/6-22.htm

TOPICAL OUTLINE

UNIT

TOPIC

SESSION

CHAPTER

1

INTRODUCTION
Orientation and Problem Oriented Management
Framework


1
2


1
2

2

HEALTH APPRAISAL AND EXERCISE TESTING
Health Screening
Fitness Testing
Measurement of Maximum VO2
Clinical Exercise Testing
Basic Electrocardiography


3
4
5
6
7


PE 2300: 3
PE 2300: 5-9
PE 3510

PE 2300: 24

3

SAFETY, INJURIES, AND EMERGENCY PROCEDURES
Safety of Exercise Testing and Participation
Emergency Plans and Procedures for Exercise Facilities


8
9


Guidelines
Resource

4

CHRONIC DISEASES AND DISABILITIES

 

 

 

Cardiovascular and Pulmonary Diseases
Myocardial Infarction
Coronary Artery Bypass Graft and Angioplasty
Hypertension
Chronic Obstructive Pulmonary Disease

Asthma


10
11
12
14
15


4
5
12

15

17

 

Metabolic Diseases
Diabetes Mellitus
Obesity

16
17


21
23

 

Immunological/Hematological Disorders
Cancer
Immune Suppressed (AIDS, Organ Transplant)

Fibromyalgia

18
19

20


25
26, 27

29

 

Orthopedic Disease and Disabilities
Arthritis
Low Back Pain Syndrome
Osteoporosis
(Part 1 Individualized Exercise Program Due)


21
22
23
 


32
33
34

 

Neuromuscular Disorders
Stroke and Brain Injury Spinal Cord Disabilities
Multiple Sclerosis Parkinson's Disease
(Part 2 IEP Due)

24
25

 


36, 37
40, 44

 

 

Cognitive, Emotional, and Sensory Disorders
Mental Illness
Visual Impairment

(Complete IEP Due)


26
27

 


47
49

 

CLINICAL OBSERVATION RELEASE TIME

28

 

5

PREGNANCY

29

 

EXAMINATION: MONDAY, APRIL 27, 2009, 9:30 - 10:30 A.M.

Case Studies Submitted and Evaluated During Scheduled Exam Period.

PEP 4370: Chronic Disease or Disability

Oral Presentation

Students will select a topic for presentation through a lottery conducted the first day of class. The possible topics are identified in the topical outline of the course syllabus. Each disease or disability is briefly described in a chapter of the textbook. The textbook "does not provide detailed instruction on exercise physiology or disease, so the reader must do supplementary reading as needed in order to fully understand exercise management. For detailed information on diseases and disabilities, the reader should refer to standard physiology, medical, and adapted physical activity texts."

The special condition will be presented the first 30 minutes of the day scheduled in the syllabus.  The student will research the topic from a minimum of five sources (textbook excluded), including journal articles, book chapters, and internet sites which may be listed at the end of the particular chapter.

The report will describe and the presentation will follow this outline:

1. Definition of the Chronic Disease or Disability.

2. Epidemiology: Incidence or Prevalence

3. Clinical Aspects

a. Symptoms
b. Laboratory Diagnosis
c. Tests and Evaluation
d. Complications

4. Treatment: Medical or Surgical

5. Effects of Exercise

a. Effects of Disease or Disability on Ability to Exercise
b. Effects of Medications on Exercise
c. Effects of a Bout of Exercise on Patient with Disease or Disability
d. Effects of Training on Patient with Disease or Disability

6.  Exercise Testing

7.  Exercise Prescription

8.  Summary and Conclusion

9. References

The presenter will conduct an exercise test for the selected disease or disability as outlined in the textbook on a classmate during the class period.  Students will need to review exercise physiology textbooks and laboratory manuals and prepare the human performance laboratory to conduct the suggested test.  Practice operating all apparatuses you will use (treadmill, ergometer, sphygmomanometer, stethoscope, electrocardiogram, goniometer, spirometer, etc.) prior to performing the test in class.  Each student presenter will serve as a subject for the following student presenting a topic.

Students are encouraged to use multi-media presentation methods and involve class members in activity or demonstration. Each presenter will provide other class members with a handout of the presentation and references used. Class members will evaluate the presentation and be accountable for all information presented and all information in the textbook chapter. Knowledge of the topic, including textbook information, will be assessed via a weekly quiz.

PEP 4370: INDIVIDUALIZED EXERCISE PRESCRIPTION (IEP)

FORMAT

200 POINTS TOTAL

All material should be typed and placed in manila folder, print your name on the top left corner.

Cover Sheet - Name of client, primary chronic disease or disability, exercise specialist, date.

I. Patient Profile and Assessment. Due: Wednesday, April 1- no joke

Part A. Subjective

The patient's profile: health history; physical activity patterns, status, preferences; eating practices, alcohol, drugs, and smoking behaviors; stress and coping status; social health; safety practices; medical care practice; and health view including readiness and confidence to change.

Part B. Objective

The raw data: an easy to read outline of the pre-assessment tests and results including height, weight, waist and hip girth, body composition, desired weight, resting pulse, resting blood pressure, cholesterol profile (total, HDL, LDL), triglycerides, glucose, graded exercise test results, muscle strength/endurance test results, flexibility test results.

Part C. Assessment

Analyze and interpret the data. Display and compare the client's test results to normative data. Create graphs to display the individual's physical fitness profile, so that you can easily pinpoint strengths and components in need of improvement. Compare test results to age-gender norms. Percentile rankings may be used to classify your client's performance.

Part D. Plan

The client's report. A one page summary including the purpose of the prescription, a description of the pre-assessment results, a general description of the enclosed prescription, a description of the goals (general: e.g., waist size, energy level, general feeling, etc.) and objectives (measurable: e.g., 5 mm reduction in resting systolic blood pressure, 5 beats per minute reduction in heart rate response to 1 mile walk at a given speed, 2 more bench presses at 50% of body weight, etc.).  The plan includes a general outline of MFIT.

The physician's report. This plan is written to the patient’s physician.  It is similar to the client's report but now you address the prescriptive parameters, e.g., MET levels, heart rate intensities, areas of concern, intended results, etc.

II. Detailed Workouts. Due: Wednesday, April 8

Part E. Training Schedule.

Three months calendar of training. Coding workouts may be an advantage if the workout will be used on more than one occasion.

Part F. The Workouts.

Ten detailed workouts, one workout per page. Include phase 1 (warm-up), phase 2 (aerobic and strength stimulus), and phase 3 (cool down) with target heart rate ranges for each phase. Detailed workouts include the rest component of interval activity and safety considerations for the patient and the activity.

III. Finishing Touches. Due: Wednesday, April 15

Part G. The Log Book.

Create a format for the client to record all physiological and psychological responses to exercise workouts for at least the first mesocycle of the training program.

Part H. Appendices.

This may include 10 second heart rate conversions, stretching exercises, resistance exercises, nutrition concepts, safety considerations (do's and don'ts), any reference (reading) that may be important to the client, i.e., a book on relaxation, a web site for medications, signs of a good warm up and cool down.  Be resourceful.

Part I. Bibliography.

All references used must be cited in the IEP and referenced in the bibliography according to APA style.  Be sure to use and cite the American College of Sports Medicine guidelines.