Chp 3- ART OF CLINICAL EXERCISE PROGRAMMING

STEP 1 FOR EXERCISE PROGRAMMING

Assess Current Health Status

Hx of disease; S & S; Hx of PA; PA & Cardio restrictions and treatments; Concerns, Barriers

Things to look for when assessing current health status

STEP 2 FOR EXERCISE PROGRAMMING

Assess current level of PA

* How much do you walk a day, do you exercise? 


* How often do you climb stairs?
* What do you for exercise?
* How do they define exercise?
* Frequency & Duration of exercise?

Questions to ask when assessing current level of PA

STEP 3 FOR EXERCISE PROGRAMMING

Identify symptoms that limit PA

Any limitations, how long limiting symptoms last, how to avoid these symptoms

What to look for in step 3

STEP 4 FOR EXERCISE PROGRAMMING

Evaluate physical function and performance

Four basic categories in Step 4

1\. Normal to mildly impaired, 2. Moderately impaired, 3. Severely impaired, 4. Needs Aid

• ACSM guidelines for exercise prescription

• : May still need referral to formal exercise or rehabilitation program

  • Cardiovascular or neuromusculoskeletal issue

  • Enrollment is usually brief and transition to at home based program

Mild to normal

____________ should be referred to exercise specialist to for more in-depth evaluation of physical function.

Moderately impaired, severely impaired and needs aid

• Reaching with arms, tremors, coordination

• Inability to bend and stoop

• festinating gait, waddling, wide-base stance

• Any other sign of neurological impairments

Movement of suspicion