HLTH08026 2019 Clinical Exercise Prescription

General Details

Full Title
Clinical Exercise Prescription
Transcript Title
Clinical Exercise Prescription
Code
HLTH08026
Attendance
75 %
Subject Area
HLTH - Health Studies
Department
HEAL - Health & Nutritional Sciences
Level
08 - NFQ Level 8
Credit
05 - 05 Credits
Duration
Semester
Fee
Start Term
2019 - Full Academic Year 2019-20
End Term
9999 - The End of Time
Author(s)
Azura Youell, Edwenia OMalley
Programme Membership
SG_SHEAL_H08 201900 Bachelor of Science (Honours) in Health Science and Physical Activity
Description

This module examines the basic roles and responsibilities of the exercise and physical activity specialist in prescription of exercise for clinical populations. It is designed to equip students to plan, deliver and monitor safe and effective exercise programmes. 

Students will also develop the analytical skills required to assess individual needs, set goals and prepare and evaluate long-term exercise plans with reference to diverse range of clients.

The module will emphasise evidence-based practice and the dose-response relationship between exercise and health outcomes.  Mechanisms under-pinning the protective effect of exercise against specific conditions will be highlighted.

Learning Outcomes

On completion of this module the learner will/should be able to;

1.

Identify and discuss the prevalence, aetiology, basic pathology, typical pharmacology and risk factors associated with selected chronic conditions. 

2.

Propose the role of exercise as a solution for the prevention and treatment of chronic conditions, using evidence based research; with consideration of possible pharmacological interactions with physiological exercise responses. 

3.

Conduct a client-centred exercise consultation using motivational interviewing techniques.

4.

Plan safe and effective exercise programmes for the prevention and treatment of chronic conditions using the FITTA model.

5.

Monitor, progress and critically evaluate programmes for a diverse range of clients.

Teaching and Learning Strategies

The module will adopt multiple strategies including a problem based, practical student centred approach. This approach will provide opportunity for interviewing, planning, evaluating and reflecting in a real life learning environment. Such experiences will provide an interactive learning environment for enriching the student's understanding and experience. This approach will informally develop students soft skills in terms of interacting with people. Principles and theories will be presented and explained in lectures and explored further in workshops. Students will be encouraged to actively participate in workshops through the use of case studies of practical working examples and through discussion. Students will work independently in presenting a case study, and an evidence based exercise plan.  

Module Assessment Strategies

This module is 100% Continuous Assessment. 

 

Repeat Assessments

A student may repeat all or part of the continuous assessment, where they have met the 75% minimum attendance at workshops.

If a student fails to meet the 75% minimum attendance, they will be recommended to repeat-attend the practicals.

Indicative Syllabus

  • Clinical conditions
    • Prevalence, Aetiology, Pathophysiology, Public Health Considerations
    • Conditions include (but not limited to): Musculoskeletal & Rheumatological, Respiratory, Cancer conditions, Mental Health and Multi-morbidity
  • Principles of exercise for health and fitness within a clinical population
    • The art/science of exercise prescription for a potentially referred client
    • Recognising appropriate exercise referrals, screening and contra-indications
    • Pharmacological considerations. 
  • Exercise Consultations
    • Client-centred, using motivational interviewing techniques
    • Conducting a needs analysis and goal-setting with clients
    • Identifying motivations and barriers to compliance
    • Optimising exercise adherence, behavioural change and managing expectations.
  • Planning safe and effective exercise programmes for the prevention and treatment of chronic conditions using the FITTA model
    • Developing programmes to accommodate cardiovascular, respiratory, metabolic and neuromuscular impairment
    • Follow evidence based best practice or if none available, how best to communicate with health professional or medical doctor to agree appropriate variables. 
    • Safety and supervision considerations
    • The role and limitations of the clinical exercise instructor
  • Explore how to monitor, progress and critically evaluate programmes with reference to a wide variety of client conditions
    • Monitoring and progressing or modifying exercise
    • Critical evaluation of programme performance
    • Maintaining communication with the health or medical professional who may have referred

Coursework & Assessment Breakdown

Coursework & Continuous Assessment
100 %

Coursework Assessment

Title Type Form Percent Week Learning Outcomes Assessed
1 Evidence Based Case Presentation Continuous Assessment Individual Project 20 % OnGoing 1,2,4
2 Programme Planning & Evaluation Continuous Assessment Assignment 60 % OnGoing 3,4,5
3 Multiple Choice Quiz: Theory Continuous Assessment Multiple Choice 20 % OnGoing 1,2

Full Time Mode Workload


Type Location Description Hours Frequency Avg Workload
Lecture Lecture Theatre Lecture 2 Weekly 2.00
Group Learning Flat Classroom Practical 3 Weekly 3.00
Independent Learning Not Specified Self-Directed 2 Weekly 2.00
Total Full Time Average Weekly Learner Contact Time 5.00 Hours

Required & Recommended Book List

Recommended Reading
10/05/2016 ACSM's Exercise Management for Persons With Chronic Diseases and Disabilities 4th Edition Human Kinetics

Recommended Reading
20/12/2018 Motivational Interviewing in Health Care: Helping Patients Change Behavior Guilford Press

Recommended Reading
2013-02-01 ACSM's Guidelines for Exercise Testing and Prescription Lippincott Williams and Wilkins
ISBN 1609136055 ISBN-13 9781609136055

Title: ACSM's Guidelines for Exercise Testing and Prescription <>Binding: Spiral <>Author: ACSM <>Publisher: Lww

Recommended Reading
2014 The Behaviour Change Wheel (Behavior Change Wheel) - A Guide To Designing Interventions
ISBN 1291846050 ISBN-13 9781291846058

Module Resources

Journal Resources

Pedersen, B.K. and Saltin, B., 2015. Exercise as medicine–evidence for prescribing exercise as therapy in 26 different chronic diseases. Scandinavian journal of medicine & science in sports25(S3), pp.1-72.

URL Resources

http://www.exerciseismedicine.org/

http://www.getirelandactive.ie/

http://www.getirelandactive.ie/Professionals/Health/Research/Children/BHF-Sedentary-Briefing.pdf

https://www.gov.uk/government/publications/uk-physical-activity-guidelines

https://www.gov.uk/government/publications/start-active-stay-active-a-report-on-physical-activity-from-the-four-home-countries-chief-medical-officers

https://www.fsem.ac.uk/standards-publications/publications/exercise-prescription-booklet/