THE LEARNER WILL BE ABLE TO:

• Learn to risk stratify patients into those who can exercise safely on their own, those who require supervision, and those that exercise would be contraindicated.
• Understand the fundamentals of prescribing exercise for the general population and individuals with cardiovascular disease.
• Understand the fundamentals of prescribing exercise for special populations.

1. American College of Sports Medicine (ACSM) Guidelines for Exercise Testing and Prescription, 8th Ed
   • Chapter 2: Pre-participation Health Screening and Risk Stratification
   • Chapter 3: Pre-Exercise Evaluations
   • Chapter 6: Interpretation of Clinical Exercise Test Data
   • Chapter 7: General Principles of Exercise Prescription
   • Chapter 8: Exercise Prescription for Healthy Populations and Special Considerations
   • Chapter 9: Exercise Prescription for Patients with Cardiac Disease
   • Chapter 10: Exercise Prescription for Other Clinical Populations
2. Canadian Guidelines for Cardiac Rehabilitation and Cardiovascular Disease Prevention  3rd Ed.  Canadian Association of Cardiac Rehabilitation
   • Chapter 10: Doing it Right: Risk stratification, Exercise Prescription, and Program Safety
   • Chapter 14: Special populations
3. Guidelines for Cardiac Rehabilitation and Secondary Prevention Programs, 4th Ed, American Association of Cardiovascular and Pulmonary Rehabilitation
   • Chapter 6: Medical Evaluation and Exercise Testing
   • Chapter 9: Special Consideration
4. ACSM’s Clinical Certification Review 3rd Ed.
   • Chapter 6: Health Appraisal and Fitness Testing
   • Chapter 8: Exercise Programming
5. CWIC Lectures
   • Considerations for Exercise Testing & Prescription: Cardiac Population
   • ELECTROCARDIOGRAMs (ECGs)
   • Other Clinical Conditions Influencing Exercise Prescription
   • Pathophysiology and Risk Factors of Coronary Artery Disease
   • Pharmacology

• ACSM's Certification Review, 3rd Ed
  1. Chapter 11: Metabolic Calculations – this section includes content, case study examples, and practice calculations with answers.

2. The following sites may be useful in your personal practice of prescribing exercise for your patient/clients.
   1. www.theragear.ca - (exercise bank with small equipment piece for each body part) Select “Exercises” at the bottom of the page and then you will be able to select the equipment and body part (right top)
   2. http://prevention.sph.sc.edu/tools/docs/documents_compendium.pdf - Compendium of hundreds of physical activities and their corresponding MET level which is a great tool for assessing the safety of any activity for an individual based on their functional capacity.
3. Case study: Leonard Patrick
   • Case study questions
     
     

     Leonard has now been home for a week and he cannot remember any instructions about how much activity he should attempt.  He has lost his activity guidelines handout and is contacting you for help. He knows that he should start exercising and is ready to start walking. Using the initial history and hospital data, what advice would you give Leonard at this time and how might you follow up his progress and advise him on his exercise program? Check Answer

     
     
     

• ACSM’s Resource Manual for Guidelines for Exercise Testing and Prescription, 6th Ed, ACSM
  • Chapter 10: General Overview of Pre-participation Health Screening and Risk Assessment
  • Chapter 12: Assessment of Physical Activity
  • Chapter 20: Muscular Fitness and Assessment
  • Chapter 21: Clinical Exercise Testing Procedures
  • Chapter 26: Exercise Assessment in Special Populations
  • Chapter 28: Cardiorespiratory Exercise Prescription
  • Chapter 29: Musculoskeletal Exercise Prescription
  • Chapter 30: Adaptations to Cardiorespiratory Exercise Training
  • Chapter 31: Adaptations to Resistance Training
  • Chapter 32: Group Exercise Programming
  • Chapter 34: Exercise Prescription and Medical Considerations
  • Chapter 35: Exercise Prescription in Patients with Cardiovascular Disease
  • Chapter 36: Exercise Prescription in Patients with Pulmonary Disease
  • Chapter 37: Exercise Prescription in Patients with Diabetes
  • Chapter 38: Exercise Prescription in Patients with Comorbidities and Other Chronic Diseases
  • Chapter 39: Exercise Prescription in Patients with Osteoporosis
  • Chapter 40: Exercise Prescription in Patients with Arthritis
  • Chapter 41: Exercise Prescription in Patients in Special Populations: Women, Pregnancy, Children, and the Elderly
  • For those pursuing certification from the ACSM, all chapters should be reviewed as indicated by their weight of content in the examination. (see ACSM Exam preparation module)

2. www.exrx.net - ExRx.net (Exercise Prescription on the Net) is a free resource for the exercise professional, coach, or fitness enthusiast.  ExRx.net is a recommended resource in the ACSM's Resource Manual for Guidelines for Exercise Testing and Prescription

1. ACSM’s Guidelines for Exercise Testing and Prescription, 8th Ed   Lippincott, Williams & Wilkins, Philadelphia 2010.
2. ACSM’s Resource Manual for Guidelines for Exercise Testing and Prescription, 6th Ed. Lippincott, Williams & Wilkins, Philadelphia 2010.
3. ACSM’s Clinical Certification Review 3rd Ed. Lippincott, Williams & Wilkins, Philadelphia 2010.
4. Canadian Guidelines for Cardiac Rehabilitation and Cardiovascular Disease Prevention - Translating Knowledge into Action   2nd Ed.  Canadian Association of Cardiac Rehabilitation 2009, Winnipeg, MB (also in CD-ROM)
5. Guidelines for Cardiac Rehabilitation and Secondary Prevention Programs, 4th Ed, American Association of Cardiovascular and Pulmonary Rehabilitation.  Human Kinetics 2004.