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EHR509 Clinical Assessment & Exercise Prescription for Chronic Conditions (16)

CSU Discipline Area: Exercise Science (EXSCI)

Duration: One session

Abstract:

As the prescription of exercise in clinical exercise physiology is a major contributor to health and well-being, the syllabus for this subject will develop the student's capacity to administer and interpret tests of exercise capacity and functional status of clients within clinical exercise physiology target pathologies including cardiorespiratory, metabolic, musculoskeletal, and neurological conditions; and design appropriate exercise prescription to meet the goals and underlying pathology of the condition. An authentic problem-based, co-operative learning design will require small-group work tasks, allowing students to evoke deductive reasoning. Students will review and interpret the literature to construct, apply and justify the inclusion of clinical exercise assessment modalities for the target pathologies; categorise clients into acute, subacute, chronic, stable and unstable groupings and stratify clients into risk categories of exercise participation and apply knowledge of the physiological aspects of clinical assessment and exercise prescription in rehabilitation, by demonstrating professional competencies related to the field of clinical exercise physiology. At the completion of this subject, students will be able to interpret tests of fitness and functional capacities; describe modes, intensities and volumes of exercise that are contraindicated for clients with target pathologies; and design, implement, modify and progress exercise programs clients with target pathologies.

+ Subject Availability Modes and Locations

Session 2
Distance *Bathurst

*This subject offering contains a residential school. Please view following information for further details.

Continuing students should consult the SAL for current offering details: EHR509

Where differences exist between the Handbook and the SAL, the SAL should be taken as containing the correct subject offering details.

Enrolment restrictions:

Master of Clinical Exercise Physiology (Rehabilitation) students

Objectives:

Upon successful completion of this subject, students should:

- be able to demonstrate tests of fitness and functional capacities;
- be able to demonstrate routine monitoring of testing protocols;
- be able to describe when to, and how, to modify or terminate a test protocol based on routine monitoring;
- be able to illustrate interpretation of routine fitness and functional capacities test results;
- be able to describe tests of fitness and functional capacities clients with cardiorespiratory, metabolic, musculoskeletal, and neurological/neuromuscular disorders;
- be able to describe safety protocols when testing clients with cardiorespiratory, metabolic, musculoskeletal, and neurological/neuromuscular disorders;
- be able to interpret samples of electrocardiography;
- be able to interpret blood testing results;
- be able to demonstrate categorisation of clients into acute, subacute, chronic, stable and unstable groupings and stratify clients into risk categories of exercise participation;
- be able to demonstrate an understanding of the pathophysiology of AEP target pathologies;
- be able to describe the expected stages of healing/recovery/ rehabilitation from common surgical, medical and allied health treatments on the clinical status of clients with AEP target pathologies;
- be able to describe the effects of common surgical, medical and allied health treatments on the expected acute and chronic exercise responses;
- be able to demonstrate how to elicit a list of medications that the client is currently taking and how to find information on how the medication will affect exercise capacity;
- be able to demonstrate the collection and interpretation of clinical data;
- be able to demonstrate how to account for challenging environmental factors in the delivery of exercise interventions for clients with AEP target pathologies;
- be able to describe modes, intensities and volumes of exercise that are contraindicated for clients with AEP target pathologies;
- be able to demonstrate how to design, implement, evaluate, modify and progress individual exercises or exercise programs for clients with AEP target pathologies taking into account load, lever, speed, range of motion, and stability of the client;
- be able to describe how to create an environment that is safe for a person with neurological pathology to exercise;
- be able to locate and use information on the effects of anti-depressant, benzodiazepines and anti-psychotic medications.

Syllabus:

The subject will cover the following topics:

- Tests of fitness and functional capacities;
- Routine monitoring of testing protocols;
- Deciding to modify or terminate a test protocol based on routine monitoring;
- Interpreting routine test results;
- Assessing fitness and functional capacities clients with cardiorespiratory, metabolic, musculoskeletal, and neurological/ neuromuscular disorders;
- Monitoring testing of clients with cardiorespiratory, metabolic, musculoskeletal, and neurological/neuromuscular disorders to ensure client safety;
- Monitoring and assessment of electrocardiography;
- Interpretation of blood testing results for metabolic disorders;
- Evaluate the safety of a client to participate in fitness testing and training based on a client's clinical test results and medical history (eg. stage of recovery, interviews, medications, etc.);
- Fitness training program principles and variables.

Residential School

This subject contains a compulsory 2.5 day residential school.

Students studying the Master of Exercise Science (Rehabilitation) are to attend compulsory Residential Schools in conjunction with EHR510.  These Residential Schools are 5 days in total, not 5 days per subject.  The Residential Schools will be held on CSU's Bathurst campus.

There will be two (2) COMPULSORY Residential School blocks:

Residential School 1 (to be held in the CSU Residential period at end of Session 1) will be of three (3) days duration, conducted at the end of Session 1; and

Residential School 2 will be of two (2) days duration, conducted at the end of Session 2.

Learning design is based on constructive alignment and authentic assessment with the major themes expanded via integrated workshops and students practical competencies assessment via authentic challenges faced by clinical exercise physiologists. Importantly, students will also be provided with opportunities to discuss assignments and to build networks with other students. It is the responsibility of the student to ensure they are able to attend BOTH compulsory Residential Schools.

The Residential School provides students with the opportunity to:

  1. engage in a community of practice that shares interest in and commitment to clinical exercise physiology;
  2. participate in scholarly discussion that refines understanding of clinical exercise assessment and the application of exercise prescription to minimise the influence of the target pathology;
  3. apply knowledge of the physiological aspects of clinical assessment and exercise prescription in rehabilitation; and
  4. demonstrate professional competencies related to the field of clinical exercise physiology.

Specialised Resources

Students are to have access to the Exercise Physiology & Functional Rehabilitation Clinic (EPFRC)  and other areas of E01 and the Exercise and Sport Science Labaoratories (S21) on the Bathurst Campus during Residential School blocks.

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The information contained in the 2013 CSU Handbook was accurate at the date of publication: 24 April 2013. The University reserves the right to vary the information at any time without notice.