HLTH08026 2019 Clinical Exercise Prescription
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.
On completion of this module the learner will/should be able to;
Identify and discuss the prevalence, aetiology, basic pathology, typical pharmacology and risk factors associated with selected chronic conditions.
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.
Conduct a client-centred exercise consultation using motivational interviewing techniques.
Plan safe and effective exercise programmes for the prevention and treatment of chronic conditions using the FITTA model.
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.
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.
- 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
|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
|Group Learning||Flat Classroom||Practical||3||Weekly||3.00|
|Independent Learning||Not Specified||Self-Directed||2||Weekly||2.00|
Required & Recommended Book List
10/05/2016 ACSM's Exercise Management for Persons With Chronic Diseases and Disabilities 4th Edition Human Kinetics
20/12/2018 Motivational Interviewing in Health Care: Helping Patients Change Behavior Guilford Press
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
2014 The Behaviour Change Wheel (Behavior Change Wheel) - A Guide To Designing Interventions
ISBN 1291846050 ISBN-13 9781291846058
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 sports, 25(S3), pp.1-72.