Modiwl JXH-3048:
Exercise for Clinical Populations
Exercise for Clinical Populations 2022-23
JXH-3048
2022-23
School Of Human And Behavioural Sciences
Module - Semester 1
10 credits
Module Organiser:
Aamer Sandoo
Overview
The module will consist of interactive seminars and self-study. Students will learn about common chronic diseases including (but not limited to) coronary heart disease, autoimmune diseases (rheumatoid arthritis, lupus and multiple sclerosis), stroke, and chronic kidney disease. A novel aspect of this module is that real patients will be coming in to talk to patients about how their condition affects their day to day life as well as the role exercise plays in alleviating symptoms and improving outcomes.
Learning Outcomes
- Appraise the potential benefit and risk of exercise interventions in common chronic diseases;
- Assess the role lifestyle plays in preventing and treating common chronic diseases
- Construct exercise interventions for implementation in common chronic diseases
- Explain the pathophysiology of common chronic diseases
Assessment method
Case Study
Assessment type
Summative
Description
You will be required to provide an evidence-based overview for a patient with a specific chronic disease (you can choose from one of the case studies presented below). You will be expected to include a clear background about the condition detailing the prevalence, pathophysiology (disease process, symptoms, comorbidities etc.), the impact of disease on physical activity levels, and common barriers to exercise. The case study that is chosen for this assignment should be the same as the one that you will write an exercise prescription for in assignment 2. This ensures that you have good continuity in your reading, understanding and development of ideas. The case study background should be fully referenced according to APA referencing format (consider using a reference manager software such as Mendeley to make organising the list easier). The word limit is 500 words ± 10% (this will be strictly enforced, and any deviations from this will result in a drop in mark by a full categorical grade (For e.g. A+ will become B+)). Your case study background should be written as if you are communicating to a medical professional. Finally, please proof-read your work to ensure there are no spelling or grammatical errors. Case Study 1 – Multiple Sclerosis Mrs Jones is a 45-year-old female whose MS symptoms started at 17. She suffered from depression and brain lesions. She was diagnosed at 30 years old following the results of an MRI scan. The years before diagnosis affected Mrs Jones greatly, and she was not able to form relationships and was worried about being a burden on her family. She is now married and has two young children and still feels she might be a burden. Her MS is under control, but on some days, she experiences severe fatigue, forgetfulness, tingling, heaviness and pain in her arms. She does sometimes have difficulty swallowing, and experiences muscle spasms. She takes steroid medications which have led to weight gain, anti-fatigue tablets, and Lemtrada (an MS-specific drug). She likes walking but feels quite isolated and does not have the support network to help her make the lifestyle change she desires, especially to overcome the self-conscious thoughts about attending an exercise class. Given the above, her neurologist has referred the patient onto your exercise rehabilitation clinic. Case Study 2 - Stroke The client is a 38-year-old male, who suffered a stroke six months ago. He had hypertension for quite a while beforehand but did not take any medication. There is cardiovascular disease and hypertension running in the family; the father died from cardiac infarction. After initial rehabilitation with physiotherapy, he still reveals right hemiparesis. The GP gave clearance to commit to exercise training and the client was seen for physical assessment testing. He was able to walk and was independent in basic activities of daily living; Barthel Index: 20, max = 20; Rivermead Mobility Index: 12, max = 15; Motricity Index: left side = 100, right side = 30, right arm = 35, max = 100. He still must take medication against blood clotting and high blood pressure, including beta blockers. Given the above, his neurologist has referred the patient onto your exercise rehabilitation clinic.
Weighting
20%
Due date
07/11/2022
Assessment method
Case Study
Assessment type
Summative
Description
You will be required to design an evidence-based exercise prescription for a patient with a specific chronic disease (choose the same case study you did for assignment 1 (the case information is presented again below)). Your exercise prescription should include an explanation of any special considerations for the given population. The exercise prescription should be fully referenced according to APA referencing format (consider using a reference manager software such as Mendeley to make organising the list easier). The word limit is 1000 words ± 10% (this will be strictly enforced, and any deviations from this will result in a drop in mark by a full categorical grade (For e.g. A+ will become B+). You can use Tables to present information (i.e., an exercise plan) and these will not count towards the word count. However, please ensure that they are not lengthy, text heavy Tables. The information in Tables should be clear, succinct, and easily readable. Your exercise prescription should be written as if you are communicating to a medical professional. Finally, please proof-read your work to ensure there are no spelling or grammatical errors. Case Study 1 – Multiple Sclerosis Mrs Jones is a 45-year-old female whose MS symptoms started at 17. She suffered from depression and brain lesions. She was diagnosed at 30 years old following the results of an MRI scan. The years before diagnosis affected Mrs Jones greatly, and she was not able to form relationships and was worried about being a burden on her family. She is now married and has two young children and still feels she might be a burden. Her MS is under control, but on some days, she experiences severe fatigue, forgetfulness, tingling, heaviness and pain in her arms. She does sometimes have difficulty swallowing, and experiences muscle spasms. She takes steroid medications which have led to weight gain, anti-fatigue tablets, and Lemtrada (an MS-specific drug). She likes walking but feels quite isolated and does not have the support network to help her make the lifestyle change she desires, especially to overcome the self-conscious thoughts about attending an exercise class. Given the above, her neurologist has referred the patient onto your exercise rehabilitation clinic and has asked for a detailed exercise prescription to help the patient improve her overall prognosis. The prescription should account for her condition, and medical history and contain elements of progression. You should also pay attention to any special considerations that are relevant to the case. Case Study 2 - Stroke The client is a 38-year-old male, who suffered a stroke six months ago. He had hypertension for quite a while beforehand but did not take any medication. There is cardiovascular disease and hypertension running in the family; the father died from cardiac infarction. After initial rehabilitation with physiotherapy, he still reveals right hemiparesis. The GP gave clearance to commit to exercise training and the client was seen for physical assessment testing. He was able to walk and was independent in basic activities of daily living; Barthel Index: 20, max = 20; Rivermead Mobility Index: 12, max = 15; Motricity Index: left side = 100, right side = 30, right arm = 35, max = 100. He still must take medication against blood clotting and high blood pressure, including beta blockers. Given the above, his neurologist has referred the patient onto your exercise rehabilitation clinic. Please design a suitable progressive exercise-training program, which aims to improve general fitness and motoric skills considering his specific disabilities. Discuss various options and add suitable risk and outcome assessments. Support your selection of training by literature and discuss limitations.
Weighting
80%
Due date
12/12/2022