TEXT:

Nieman, David C. (2007) Exercise Testing and Prescription. 6th Edition. Mountain View, CA: Mayfield Publishing Co.

GENERAL DESCRIPTION:

This course examines the techniques used to test and evaluate all components of fitness; including cardiorespiratory fitness, muscular fitness, body composition, and muscular flexibility. In addition, stress management techniques are introduced. Guidelines to prescribe exercise based on fitness evaluations and practical use of relevant equipment are discussed.

PROBLEM SOLVING EMPHASIS:

The students will learn how to use relevant fitness testing equipment and prescribe appropriate exercise programs based on fitness evaluations. Students will learn the guidelines and protocols for safe and effective exercise testing for normal and special populations.

SPECIFIC COMPETENCIES:

Students will be expected to:

1. Interview and screen individuals to detect the presence of disease and to assess the initial disease risk classification of the client.
2. Conduct evaluative tests for cardiorespiratory fitness, muscular fitness, body composition, and muscular flexibility.
3. Prescribe exercise programs based on test results and client desires.
4. Evaluate risks involved in exercise testing for normal and special populations.

ASSIGNMENTS:

1. Client Case Study: This will be a project that will take the entire semester to do. You are to get a volunteer client from the PE 185 classes. This client will work with you during the entire semester. Things that we learn to do in this course, you will be able to apply to your client. Things such as medical history, screening for CV risk factors, submaximal testing, body composition testing, etc. You will keep a journal record of every meeting with the client, and the results of your testing, and other survey instruments. You will work with the client as a professional counselor would in order to evaluate the individual's physical fitness status, and prescribe and exercise and weight control program. You will meet with the client periodically to instruct the client on what exercises to perform, to assess what the client's progress and test the subject when appropriate, to modify the exercise and weight control program, etc. You will review your procedures, prescription, outcomes, etc. with Dr. Bergemann periodically throughout the course.
2. Laboratory testing and reports: There will be six lab sessions in which the student will test another subject and write up the results of the testing. A handout will be given for the lab test and the student will complete the requested information.
3. Problems: Metabolic problems will be given for the student to work. The problems will be due at a date assigned in class.
4. Practicum: A practical examination will be done during the course. A submaximal treadmill and cycle ergometer test will be done using your client or some other person, which could include a classmate. The conducting of the test, recording of accurate HR and BP, and the computation of predicted VO2max will be evaluated. Interpretation of results will be included.

EVALUATION:

GRADING:

• A = 90 - 100%
• B = 80 - 89%
• C = 70 - 79%
• D = 60 - 69% Unacceptable for a major student
• F = < 60% Unacceptable for a major student

Critical Note: Late papers and tests will be graded down by one letter grade per weekday. Missed tests must be cleared before the test date and made up within two weekdays of the scheduled test date.

TOPICAL OUTLINE:

(Topic/Chapter)

*Nieman, **Griffin

1. Introduction; Health and Fitness Trends----N-1
2. Promotion of Lifelong Physical Activity----N-2
3. Screening and Testing:----N-3
4. Cardiorespiratory Fitness----N-4
   • Heart Rate and Blood Pressure
   • Field Tests
   • Submaximal Lab Tests
   • Maximal Lab Tests
   • ECG Interpretation
   • Metabolic Equations and Problems
5. Body Composition----N-5
6. Musculoskeletal Fitness----N-6
7. Acute and Chronic Effects of Exercise----N - 7
8. Exercise Prescription----N - 8
   • Cardiorespiratory----N-8 (237-256)
   • Equipment and Methods
   • Musculoskeletal----N-8 (256-269)
9. Obesity----N-13
10. Heart Disease----N-10
11. Cancer----N-11
12. Diabetes----N-12
13. Psychological Health----N-14
14. Aging, Osteoporosis, and Arthritis----N-15
15. Exercise Risks----N-16
    • Heat and Heat Illnesses----N-16 (672-674)
    • Overuse Injuries----N-16 (662-669)
    • Women----N-16 (669-672)
    • Exercise-induced Asthma----N-16 (680-685)

ATTENDANCE:

According to the catalogue, "No student will receive credit for any course in which he/she fails to attend at least 85% of the classes held....the 15% absences allowed are designed for, but not limited to, personal and family emergencies, inclement weather conditions, bona fide medical needs, and officially approved representation of the University, such as athletic teams, student congresses, and assessment testing. Students whose absences fall in these categories will be allowed to make up work; it is incumbent upon the student to notify the professor in advance when possible." Therefore, there are 42-50 minute classes in this course. If the student is absent 15% of the classes (6.3), this would be 7 absences, the student automatically fails.

STUDY SUGGESTIONS:

There are normally 10-20 pages covered in each lecture. You will be held responsible for this information, as well as extra information that is presented in lecture. The purpose of the lectures is to clarify, delineate, or expand on the information in the textbook. To gain the most from the lectures, you should have carefully read the textbook assignments prior to coming to class. Your responsiveness to the questions and discussion in class, or you lack of responsiveness, gives the instructor some clues as to your understanding of the material and possible problem areas that may need further assistance. Every day you should go over your notes and the readings to make sure you understand the information. This repetitive, but in depth review will reduce your stress and anxiety levels when studying for and taking the examinations. In addition to this daily review, please come in an ask for assistance if you are struggling with this course. I would be very pleased if everyone receives an A, because then I would be a great instructor and we would have worked well as a team. But if any of you fail then we have failed to work as a team. A team does not mean that one person does all the work and the other does nothing. We both have to work together. I will be putting study questions on my website. These will be ones that I gave in the past examinations. Review these questions and find the answers. If you cannot find the answer, please ask the instructor. I will notify you in class when I post the study questions. Study Questions

BIBLIOGRAPHY:

• American College of Sports Medicine. (1993). ACSM's Resource Manual for Guidelines for Exercise Testing and Prescription (2nd ed.). Durstine, J.L. et al. (eds.). Philadelphia: Lea and Febiger.
• American College of Sports Medicine. (1992). ACSM Fitness Book. Champaign, IL: Human Kinetics.
• Bouchard, C., et al. (eds). (1990). International Conference on Exercise, Fitness, and Health. Champaign, IL: Human Kinetics.
• Decker, J.I. (1989). Y's Way to Fitness Walking. Champaign, IL: Human Kinetics
• Dubin, D.M. (1989). Rapid Interpretation of EKG's. (4th ed.). Tampa, FL: cover Publishing Co.
• Fleck, S.J., & Kraemer, W.J. (1987) Designing Resistance Training Programs. Champaign, IL: Human Kinetics.
• Howley, E.T. & Franks, B.D. (1997). Health Fitness Instructor's Handbook. (3rd ed.). Champaign, IL: Human Kinetics
• McArdle, W.D., Katch, F.I., & Katch, V.L. (1986). Exercise physiology : energy, nutrition, and human performance. Philadelphia : Lea & Febiger.
• Nieman, D.C. (1995). Fitness and Sports Medicine. (3rd ed.). Palo Alto, CA: Bull Publishing, Co.
• Pollock, M.L., Wilmore, H., & Fox, S.M.III. (1984). Exercise in health and disease : evaluation and prescription for prevention and rehabilitation . Philadelphia : W.B. Saunders.
• Skinner, J.S. (1987). Exercise Testing and Exercise Prescription for Special Cases. Philadelphia: Lea and Febiger.