92553 Complex Exercise Management
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Subject handbook information prior to 2019 is available in the Archives.
Credit points: 6 cp
Subject level: Undergraduate
Result type: Grade and marksRequisite(s): 92523 Strength and Conditioning OR 27152 Measurement and Development of Physical Capacity
These requisites may not apply to students in certain courses.
There are course requisites for this subject. See access conditions.
Anti-requisite(s): 27308 Exercise Management for Special Populations
Description
This subject examines the aetiology of lifestyle and clinically relevant diseases with a focus on physical activity and exercise. It presents information relating to the physical and cognitive health benefits of physical activity and exercise for health under various physiological and metabolic conditions. Students develop an understanding of the factors that determine, influence and modify the physical activity habits of individuals and whole populations who may present with, or be at risk of, various disease states. This subject reinforces principles and practice of technical skills required of the exercise scientist. Students develop competencies in the assessment of cardiorespiratory health, muscular and orthopaedic performance and clinical exercise testing central to professional practice in the health and fitness setting.
Subject learning objectives (SLOs)
| A. | Critically analyse the factors underpinning the development of chronic diseases |
|---|---|
| B. | Identify appropriate assessments of physical performance for clients at risk of, or with known disease |
| C. | Prioritise the requirement for collaborative partnerships in supporting clients with complex exercise needs |
| D. | Evaluate the barriers to physical activity participation and develop methods to promote exercise in individuals with complex needs |
| E. | Recognise the diversity of Indigenous Australians and integrate this knowledge into health, sport and exercise management |
Course intended learning outcomes (CILOs)
This subject also contributes specifically to the following graduate attributes:
- Lead, manage and inspire within the fields of sport, exercise and health; (1.0)
- Take personal, social and ethical responsibility for their contribution to sport, exercise and health (2.0)
- Engage in research and critical thinking to integrate diverse knowledge and develop creative, effective and evidence-based solutions (4.0)
- Adapt to diverse industry contexts to enable optimal and sustainable sport, exercise and health outcomes (5.0)
- Demonstrate the ability to communicate effectively and sensitively with diverse populations to enable positive change (6.0)
- Demonstrate professional cultural competency which contributes to the health and wellbeing of Indigenous Australians, inclusive of physical, social, emotional and spiritual wellness (7.0)
Teaching and learning strategies
This subject incorporates a range of learning activities to engage students with the content.
Face to face lectures provide students with an array of foundation material in the area of clinical exercise physiology. There are many different chronic conditions that are outlined in this subject, so lecture material is designed to instill an understanding of each condition with a view to expanding on this information in tutorial classes. For each condition that is addressed in this subject, lectures will include a background of the disease, discussion of methods to manage the condition, medications and lifestyle interventions aimed to address the symptoms, assessment of individuals who present with related signs and symptoms, and the exercise prescription for each condition.
The tutorial sessions are practice-oriented laboratory sessions that involve a variety of testing procedures centred around chronic disease. Students gain experience in client relationships and expand their skillset through an introduction to what it means to become a practitioner in the area of clinical exercise physiology. The tutorial sessions also involve brainstorm sessions, facilitated discussions, small-group work problem solving tasks and case studies. Tutorial sessions also involve pre-learning tasks which are designed to introduce the weekly topics and provide background expectations for the content.
A major component of the assessment for the subject is a task that requires a multidimensional approach to client care in the clinical exercise physiology setting, which is directly linked to industry practice.
Feedback will be provided to students throughout session via several mediums. A short quiz assessing knowledge acquired in previous sessions during the course will provide formative feedback and enable students to understand their base level of comprehension. This information will be developed during the session. Each week students will perform pre-learning tasks and peer feedback will be central to the review of this content in the tutorial time. The tutorial coordinator will also provide feedback and discussion about these formative tasks where appropriate and will also lead debriefing discussions at the conclusion of each class. An exam review class will provide feedback about their performance in the mid-session exam, and the exercise management project will be marked using a rubric which will be provided to students, along with written feedback about their work.
Content (topics)
- Safe exercise prescription and management for individuals with cardiopulmonary, musculoskeletal, neurological and metabolic diseases.
- Understanding the specific exercise modality and equipment requirements for individuals with chronic diseases.
- Appropriate knowledge and implementation of safety elements and exercise contraindications when considering exercise for individuals with chronic disease.
- Knowledge of, and assessment of factors that influence exercise adherence with a view to enhancing adherence through behaviour modification.
- Understand the relationship between sedentary behaviour and physical activity in the aetiology, prevention and management of lifestyle-related chronic diseases.
- Describe the aetiology of obesity and explain the metabolic and chronic health consequences of the condition.
- Development of appropriate physical activity interventions for at-risk sub-populations.
- Perform appropriate risk assessment, pre-screening and laboratory assessment of clinical issues associated with chronic diseases including blood chemistry, electrocardiogram, functional performance and physical activity monitoring.
- Outline the commonly prescribed medications which may influence physiological systems and the response to exercise in common pathologies.
- Understand the exercise management and health issues for individuals with physical or cognitive disabilities.
- Identify the exercise management and health issues for Indigenous Australians.
- Describe the role of public policy in physical activity promotion and explore population-based methods to overcome sedentary behaviour.
- Integration of knowledge and skills in exercise prescription, human physiology and health with other areas of exercise science and identify the need for collaboration with appropriate health professionals.
- Describe the effects of ageing on the physiological systems of the body.
Assessment
Assessment task 1: Mid-Session Examination
| Intent: | This exam is designed to assess students understanding of the content delivered in the first half of the session. This includes content relating to the development of chronic disease, assessment of chronic disease and the role of exercise in the treatment of chronic disease. |
|---|---|
| Objective(s): | This assessment task addresses subject learning objective(s): A, B and D This assessment task contributes to the development of graduate attribute(s): 2.0 and 4.0 |
| Type: | Examination |
| Groupwork: | Individual |
| Weight: | 30% |
Assessment task 2: Exercise Management Project
| Intent: | This assessment task is designed to assess student understanding of the range of issues that encompass chronic disease. They are required to compile a detailed appraisal of one chronic disease and demonstrate how exercise can be integrated into a healthcare plan. |
|---|---|
| Objective(s): | This assessment task addresses subject learning objective(s): A, B, C and D This assessment task contributes to the development of graduate attribute(s): 1.0, 2.0, 5.0 and 6.0 |
| Type: | Project |
| Groupwork: | Group, group assessed |
| Weight: | 30% |
Assessment task 3: Final Examination
| Intent: | This exam is designed to assess students understanding of the content delivered across the entire session. This includes content relating to the development of chronic disease, assessment of chronic disease and the role of exercise in the treatment of chronic disease. Students will be required to respond to a range of physiological issues associated with cases of chronic disease. |
|---|---|
| Objective(s): | This assessment task addresses subject learning objective(s): A, B, C, D and E This assessment task contributes to the development of graduate attribute(s): 1.0, 4.0, 5.0 and 7.0 |
| Type: | Examination |
| Groupwork: | Individual |
| Weight: | 40% |
Required texts
Ehrman, J. K. Gordon, P. M. Visich, P. S. & Keteyian, S. J. 2019, Clinical Exercise Physiology, 4th edn, Human Kinetics, Champaign, IL, USA.
Students are advised to acquire their own copies of this text.
Copies of these texts are available at the UTS library on closed reserve.
All additional readings, other than text books, will be available via links from within UTSOnline. The required weekly readings for this subject will be advised on UTSOnline prior to the lectures and tutorials. Please bring the readings to the tutorial class in the week required.
NB: It is essential that students complete all required readings. The required readings will be considered assumed knowledge for tutorial classes and the examination.
References
Books
American College of Sports Medicine 2017, Guidelines for Exercise Testing and Prescription, 10th edn, Lippincott, Williams & Wilkins, Philadelphia, USA.
American College of Sports Medicine 2013, ACSM's Resource Manual for Guidelines for Exercise Testing and Prescription, 7th edn, Lippincott, Williams & Wilkins, Philadelphia, USA.
Clarke, J. 2006, A Clinical Guide to Inherited Metabolic Diseases, Cambridge University Press, London, UK.
Coombes, J. & Skinner, T. 2014, ESSA’s Student Manual for Health, Exercise & Sport Assessment, Elsevier, Sydney, Australia.
Durstine, J.L., Moore, G.E., Painter, P.L. & Roberts, S.O. 2016, ACSM's Exercise Management for Persons with Chronic Diseases and Disabilities, 4th edn, Lippincott, Williams & Wilkins, Philadelphia, USA.
Hertling, D. & Kessler, R. 2005, Management of Common Musculoskeletal Disorders: Physical Therapy Principles and Methods, 4th edn, Lippincott, Williams & Wilkins, Philadelphia, USA.
LeMura, L. & von Duvillard, S. 2006, Clinical Exercise Physiology: Application and Physiological Principles, Lippincott, Williams & Wilkins, Philadelphia, USA.
McArdle, W.D., Katch, F.I. & Katch, V.L. 2014, Exercise Physiology: Energy, Nutrition and Human Performance, 8th edn, Lippincott, Williams & Wilkins, Philadelphia, USA.
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