Clinical Exercise Prescription

Module title	Clinical Exercise Prescription
Module code	ESS3804
Academic year	2023/4
Credits	30
Module staff	Dr Bert Bond (Convenor) Dr Richard Winsley (Convenor)

Duration: Term	1	2	3
Duration: Weeks	12	12	0

Number students taking module (anticipated)	80

Description - summary of the module content

Module description

The use of exercise as a treatment strategy is becomingly increasingly advocated for a range of clinical conditions. This module will equip you with the ability to prescribe a safe, realistic and effective programme for an individual with a particular clinical condition by giving you an understanding of the aetiology of the condition and its effect on the exercise response. The module covers prescribing exercise for cardiac and pulmonary rehabilitation patients, alongside other conditions such as arthritis, obesity, pregnancy and cancer. You will also receive a foundation in the practicalities of delivering a safe and effective exercise prescription. Exercise Physiology (ESS2001) is a pre-requisite and it is suitable for non-specialist students who have also studied this module.

Module aims - intentions of the module

This module will equip you with the ability to prescribe a safe, realistic and effective programme for an individual with a particular clinical condition by giving you an understanding of the aetiology of the condition and its effect on the exercise response. You will also receive a foundation in the practicalities of delivering a safe and effective exercise prescription.

The following graduate attributes will be developed:

Team work in the task given for the assessments and laboratory sessions
Applied thinking and problem solving – applying the knowledge you have gained to prescribe safe and suitable exercise to a person with a chronic health problem
People skills in communicating with peers and module teaching team
Clinical skills – basic clinical skills in risk stratifying patients and performing a Graded Exercise Test

Intended Learning Outcomes (ILOs)

ILO: Module-specific skills

On successfully completing the module you will be able to...

1. Construct appropriately safe, realistic and effective exercise training programmes for individuals with specific health conditions

ILO: Discipline-specific skills

On successfully completing the module you will be able to...

2. Demonstrate skills of analysis and critical evaluation to support your conclusions / recommendations

ILO: Personal and key skills

On successfully completing the module you will be able to...

3. Work productively in a co-operative context
4. Present information / ideas competently

Syllabus plan

The following topics may be covered in the module

Cardiac anatomy and physiology, CAD aetiology
ECG and common arrhythmias
Cardiac rehab – altered exercise response; testing; training and prescription
Risk stratification
Stroke
COPD
Clinical exercise testing skills
Arthritis
Pregnancy
Diabetes
Hypertension
Prediction/submaximal and maximal exercise testing
Obesity
Legalities and waivers
Conducting exercise referral consultations
Cancer

Learning and teaching

Learning activities and teaching methods (given in hours of study time)

Scheduled Learning and Teaching Activities	Guided independent study	Placement / study abroad
48	252	0

Details of learning activities and teaching methods

Category	Hours of study time	Description
Scheduled Learning and Teaching	3	Lectures
Scheduled Learning and Teaching	45	Seminars and practical classes
Guided Independent Study	252	Completion of set readings from journals, textbooks and / or web based resources. Practice of practical exercise testing skills.

Assessment

Formative assessment

Form of assessment	Size of the assessment (eg length / duration)	ILOs assessed	Feedback method
Interview / exercise testing practice (depending on restrictions)	45 minutes	1-4	Peer assessed and feedback

Summative assessment (% of credit)

Coursework	Written exams	Practical exams
50	0	50

Details of summative assessment

Form of assessment	% of credit	Size of the assessment (eg length / duration)	ILOs assessed	Feedback method
Graded exercise test on a mock patient	50	45 minutes exercise test	1-4	Written and oral
Clinical testing report	50	1000 words	1-4	Written and oral
Suggested alternative assessment for students with an ILP which explicitly state an alternative is recommended
Interview with patient about exercise test results	50	15 minutes interview	2-4	Written and oral
Clinical testing report	50	1500 words	1-4	Written and oral
	0
	0

Re-assessment

Details of re-assessment (where required by referral or deferral)

Original form of assessment	Form of re-assessment	ILOs re-assessed	Timescale for re-assessment
Graded exercise test on a mock patient (50%)	Interview with patient about exercise test results (15 Minute Interview) (50%)	2-4	Ref/Def Exam Period
Clinical testing report (50%)	Clinical testing report 1500 words (50%)	1-4	Ref/Def Exam Period

Re-assessment notes

Deferral – if you miss an assessment for certificated reasons judged acceptable by the Mitigation Committee, you will normally be either deferred in the assessment or an extension may be granted. The mark given for a re-assessment taken as a result of deferral will not be capped and will be treated as it would be if it were your first attempt at the assessment.

Referral – if you have failed the module overall (i.e. a final overall module mark of less than 40%) you will be required to sit a further examination. If you are successful on referral, your overall module mark will be capped at 40%.

Resources

Indicative learning resources - Basic reading

Clinical Exercise Physiology (4^th Ed). Ehrman, Gordon, Visich and Keteyian (Eds). Human Kinetics; Illinois. 2019
ACSM’s Guidelines for Exercise Testing and Prescription (11^th Ed). Lippincott; London. 2021

Indicative learning resources - Web based and electronic resources

Module ELE page: https://vle.exeter.ac.uk/course/view.php?id=10317 (Key readings will be provided each week through the ELE site)

Module has an active ELE page

Key words search

Exercise, clinical, rehabilitation, exercise testing, exercise prescription

Credit value	30
Module ECTS	15
Module pre-requisites	ESS2001 Exercise Physiology
Module co-requisites	None
NQF level (module)	6
Available as distance learning?	No
Origin date	01/09/2011
Last revision date	03/03/2023