Northern Arizona University
College of Health Professions
Physical Therapy Program
P.T. 730 - Intervention In Cardiopulmonary Therapeutics
Fall, 2000


I. GENERAL INFORMATION

Professor of Record : David Arnall, P.T., Ph.D., F.A.C.S.M., E.S.

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II. COURSE DESCRIPTION :

Interventions In Cardiopulmonary Therapeutics is designed as a course that familiarizes the clinican with the principles of safe exercise prescription for a variety of special populations.

We will discuss the principles of exercise prescription and be able to organize a meaningful exercise program for a variety of patient populations. Patient populations of interest to Physical Therapists would include : patients with arthritis, ankylosing spondylitis, the healthy elderly, the very old & frail elderly, type I and type II diabetes mellitus, stroke, chronic obstructive pulmonary disease (asthma and emphysema), chronic fatigue syndrome, pregnancy, cystic fibrosis, hypertension, osteoporosis, obesity, exercise-induced asthma, peripheral vascular disease, organ transplantation, renal disease, hyperlipidemia, cancer, sympathethic reflex dystrophy, fibromyalgia and many others.


III. COURSE OBJECTIVES :

By the end of the web course, the students will be expected to :

  1. understand the principles of exercise prescription for healthy individuals.
  2. be able to apply the principles of exercise prescription to special populations - patients with special physical needs - and write medically sound prescriptions for exercise.
  3. understand the pathologies of the patient groups discussed in this course.
  4. understand the symptomatologies within each pathology that would compel the clinician to stop exercise for the safety of the patient.
  5. understand the EKG dysrhythmias that a patient might develop that would necessitate the termination of exercise.


IV. TEXTBOOKS :

There is only one required text for this course. It can be purchased over the WEB through Amazon.com or Barnes and Noble On-Line. It is a spiral-bound or paper back book entitled : ACSM's Guidelines For Exercise Testing and Prescription, 6th edition, The American College of Sports Medicine, Williams and Wilkins Publishers, 2000.

While you may have a former addition of the Guidelines, the new edition, the 6th edition, is the "Gold Standard" for exercise testing and prescription. Old editions are exactly that - old and outdated information. In a courtroom experience, your expertise will be questioned and tested on the basis of the most current information - not the standards that were practiced years ago.


V. COURSE READINGS

A. Readings from ACSM's Guidelines For Exercise Testing and Prescription :

  1. Chapter 1 : Benefits and Risks Associated With Exercise
  2. Chapter 2 : Health Screening and Risk Stratification
  3. Chapter 3 : Pretest Clinical Evaluation
  4. Chapter 4 : Physical Fitness Testing and Interpretation
  5. Chapter 5 : Clinical Exercise Testing
  6. Chapter 6 : Interpretation Of Clinical Test Data
  7. Chapter 7 : General Principles Of Exercise Prescription
  8. Chapter 10 : Other Clinical Conditions Influencing Exercise Prescription - HTN, PVD, DM, Obesity
  9. Chapter 11 : Exercise Testing and Prescription For Children, The Elderly and Pregnant Women

B. Notes & PowerPoint Slides on Electrocardiography Important For Knowing When To Stop Exercise.

  1. EKG Notes : Basic Principles Of EKG Interpretation # 1 & Power Point Slides
  2. EKG Notes : Basic Principles Of EKG Interpretation # 2 & Power Point Slides
  3. EKG Notes : Cardiac Dysrhythmias

    A. Power Point Slides - Dysrhythmias Of Atrial Origin

    B. Power Point Slides - Dysrhythmias Of Ventricular Origin

C. Full-Text Electronic Reserve Readings

There are a number of exercise-related articles on electronic reserve which you may click on and read in full text. These articles will be background information to enrich your readings in the ACSM's Guidelines For Exercise Testing And Prescription - 6th edition. You will find selected readings assigned from the electronic reserve accompanying the chapter assignments in the Guidelines that are scheduled in the first three weeks of class.

Attention !!! In order to read the articles in the course Electronic Reserve, you really need to download the free Adobe Acobat Reader 4.0 plug-in. Please see the activated link immediately below if you need to download this plug-in which will help you to read pdf files.

Click To Obtain Your Free Adobe Acrobat Reader 4.0

Now that you have the Adobe Acrobat Reader, you can click on the active link for direct access to the Electronic Reserve Reading List

HELP THAT YOU CAN GET FROM THE DISTRIBUTED LEARNING LIBRARY SERVICES:

Distributed Learning Library Services has a toll free number (1-800-247-3380) that you can call and receive help with questions about the Cline Library and its services.

Days of Operation
Hours of Operation
Monday - Thursday
8:00 AM - 8:00 PM
Friday
8:00 AM - 6:00 PM
Saturday
10:30 AM - 6:00 PM
Sunday
CLOSED


VI. CHATROOM

The chatroom will be the place we can gather several times during the course and answer questions and talk about issues related to the course. We could come together in the chatrrom PRN. However, I will propose the following schedule as starters unless there are major conflicts. The chatroom meetings will be as follows :

Date
Chatroom Times
Wednesday - 18 October
7:30 PM - 8:30 PM
Wednesday - 1 November
7:30 PM - 8:30 PM
Wednesday - 15 November
7:30 PM - 8:30 PM
Wednesday - 29 November
7:30 PM - 8:30 PM
Wednesday - 6 December
7:30 PM - 8:30 PM
Wednesday - 13 December
7:30 PM - 8:30 PM

Enter The Chat Room


Where Do I Begin In This Course ?

  • First, read the chapter assignments in the Guidelines.
  • Next, read the electronic notes and view the Power Point slides
  • Finally, read the electronic reserve articles that are suggested.
  • Everyone is different in their study behaviors. However, taking notes and summarizing chapter and article readings is always a good idea and will help you to retain what you have read.

  • READING AND ASSIGNMENT SCHEDULE

    1. Week One Ending 14 October, 2000 - Chapters 1 - 3 Completed In the Guidelines.

      Overview of Chapter 1 of the ACSM Guidelines - Power Point Slides

      Specific Article Readings To Accompany Chapter 1 Of The Guidelines :

      • Read : Pate RR, Pratt M, Blair, SN. Physical Activity and Public Health : A Recommendation From The Centers For Disease Control And Prevention And The American College Of Sports Medicine. JAMA 273:402-407, 1995.
      • Read : Pollock ML, Gaesser GA, Butcher JD. The Recommended Quantity And Quality Of Exercise For Developing And Maintaining Cardiorespiratory And Muscular Fitness And Flexibility In Healthy Adults. Medicine And Science In Sports And Exercise 30:975-991, 1998.
      • Read : Caspersen CJ, Powell KE, Christenson GM. Physical Activity, Exercise And Physical Fitness. Public Health Reports 100:125-131, 1985.

      Overview of Chapter 2 of the ACSM Guidelines - Power Point Slides

      Specific Article Readings To Accompany Chapter 2 Of The Guidelines :

      • Read : Balady GJ, Chaitman B, Driscoll D, et al. American College Of Sports Medicine And American Heart Association Joint Position Statement : Recommendations For Cardiovascular Screening, Staffing, And Emergency Policies At Health/Fitness Facilities. Medicine and Science In Sports And Exercise 30:1009-1018, 1998.
      • Read : American Diabetes Association Report Of The Expert Committee On The Diagnosis And Classification Of Diabetes Mellitus. Diabetes Care 21(Supplement 1):S5 - S19, 1998.

      • Read : Eckel RH, Krauss RM. American Heart Association Call To Action : Obesity As A Major Risk Factor For Coronary Heart Disease. Circulation 97:2099-2100, 1998.
      • Read : Pouliot MC, Despres JP, Lemieux S, et al. Waist Circumference And Abdominal Saggital Diameter : Best Simple Anthropometric Indexes Of Abdominal Visceral Adipose Tissue Accumulation And Related Cardiovascular Risk In Men And Women. American Journal Of Cardiology 273:460-468, 1995.
      • Read : Roitman JL, LaFontaine T, Drimmer AM. A New Model For Risk Stratification And Delivery Of Cardiovascular Rehabilitation Services In The Long-Term Clinical Management Of Patients With Coronary Artery Disease. Journal Of Cardiopulmonary Rehabilitation 18:113-123, 1998.

      Overview of Chapter 3 of the ACSM Guidelines - Power Point Slides

      Specific Article Readings To Accompany Chapter 3 Of The Guidelines :

      • Read : Sixth Report of The Joint Committee On Prevention, Detection, Evaluation, And Treatment Of High Blood Pressure. Public Health Service, National Institutes Of Health, National Heart, Lung And Blood Institute, NIH. Publication No. 98-4080, November, 1997.
      • Read : Expert Panel On Detection, Evaluation And Treatment Of High Blood Cholesterol In Adults. Summary Of The Second Report Of The National Cholesterol Education Program (NCEP)Expert Panel On Detection, Evaluation And Treatment Of High Blood Cholesterol In Adults (Adult Treatment Panel II). JAMA 269:3015-3023, 1993.
      • Read : American Heart Association Science Advisory Guide To Primary Prevention Of Cardiovacular Diseases. A Statement For Healthcare Professionals From The Taskforce On Risk Reduction. Circulation 95:2329-2331, 1997.
      • Read : NIH Consensus Development Panel On Triglyceride, High-Density Lipoprotein, And Coronary Heart Disease. JAMA 269:505-510, 1993.

    2. Week Two Ending 21 October, 2000 - Chapters 4 - 7 Completed In The Guidelines.

      Overview of Chapter 4 of the ACSM Guidelines - Power Point Slides

      Specific Article Readings To Accompany Chapter 4 Of The Guidelines :

      • Read : Blair SN, Kohl HW III, Paffenbarger RS Jr., et al. Physical Fitness And All-Cause Mortality : A Prospective Study Of Healthy Men And Women. JAMA 262:2395-2401, 1989.
      • Read : Blair SN, Kohl HW III, Barlow CE, Et al. Changes In Physical Fitness And All-Cause Mortality. A Prospective Study Of Healthy And Unhealthy Men. JAMA 273:1093-1098, 1995.
      • Read : Paffenbarger RS Jr., Hyde RT, Wing AL, et al. The Association Of Changes In Physical-Activity Level And Other Lifestyle Characteristics With Mortality Among Men. New England Journal Of Medicine 328:538-545, 1993.
      • Refer Back To This Article For Review (Readings From Chapter 1) Pollock ML, Gaesser GA, Butcher JD. The Recommended Quantity And Quality Of Exercise For Developing And Maintaining Cardiorespiratory And Muscular Fitness And Flexibility In Healthy Adults. Medicine and Science in Sports and Exercise 30:975-991, 1998.

      Review These Notes : Principles Of Exercise Prescription & Review These Power Point Slides

    3. Week Three Ending 28 October, 2000 - Chapters 10 & 11 Completed In The Guidelines.

      Exercise Prescription For Special Populations & Power Point Slides

    4. Week Four Ending 4 November, 2000 - Assignment Due - A comprehensive exercise prescription for patients with Chronic Fatigue Syndrome. E-Mail copies to all students and the Professor of Record.
      • Read : Clapp, Lisa L., Mark T. Richardson, Joe F. Smith, Minqi Wang, Anthony J. Clapp and Robert E. Pieroni. Acute Effects Of Thirty Minutes Of Light-Intensity, Intermittent Exercise On Patients With Chronic Fatigue Syndrome. Physical Therapy 79(8):749-756, 1999.
      • Read : Fulcher, Kathy Y. and Peter D. White. Randomised Controlled Trial Of Graded Exercise In Patients With The Chronic Fatigue Syndrome British Medical Journal (BMJ) 314:1647-1652, 1997.
      • Read : Jain, Sudesh Sheela and Joel A. DeLisa. Chronic Fatigue Syndrome : A Literature Review From A Physiatric Perspective American Journal Of Physical Medicine And Rehabilitation 77:160-167, 1998.

    5. Week Five Ending 11 November, 2000 - Assignment Due - A comprehensive exercise prescription for patients with Fibromyalgia. E-Mail copies to all students and the Professor of Record.
      • Read : Buckelew, SP, COnway R, Parker J, Deuser WE. Biofeedback/Relaxation Training And Exercise Interventions For Fibromyalgia: A Prospective Trial. Arthritis Care & Research Vol 11(3): 196-209, 1998.
      • Read : Gowans SE, deHueck A, Voss A, Richardson MA. Randomized Controlled Trial Of Exercise And Education For Individuals With Fibromyalgia. Arthritis Care and Research Vol. 12(2):120-128, 1999.
      • Read : Krsnich-Shriwise, Susan. Fibromyalgia Syndrome: An Overview. Physical Therapy 77:68-75, 1997.
      • Read : Natvig B, Bruusgaard D, & Eriksen W. Physical League Activity Level And Physical Fitness Among Women With Fibromyalgia. Scandanavian Journal of Rheumatology Vol 27(5): 337-341, 1998.
      • Read : Ramsey C, Moreland J, Ho M, Joyce S. An Observer-Blinded Comparison Of Supervised And Unsupervised Aerobic Exercise Regimens In Fibromyalgia. Rheumatology Vol 39(5): 501-505, 2000.
      • Read : Rossy LA, Buckelew SP, Dorr N., etc. A Meta-Analysis Of Fibromyalgia Treatment Interventions Annals Of Behavioral Medicine Vol 21(2): 180-189, 1999.
      • Read : Sandstrom MJ, Keefe FJ. Self-Management of Fibromyalgia: The Role Of Formal Coping Skills Training And Physical Exercise Training Programs Arthritis Care And Research Vol 11(6): 432-447, 1998.

    6. Week Six Ending 18 November, 2000 - Assignment Due - A comprehensive exercise prescription for patients with Diabetes Mellitus. E-Mail copies to all students and the Professor of Record.
      • Read : American Diabetes Association Report Of The Expert Committee On The Diagnosis And Classification Of Diabetes Mellitus. Diabetes Care 21(supplement 1):S5 - S19, 1998.

    7. Week Seven Ending 25 November, 2000 - Assignment Due - A comprehensive exercise prescription for patients with Reflex Sympathetic Dystrophy. E-Mail copies to all students and the Professor of Record.
    8. Week Eight Ending 2 December, 2000 - Assignment Due - A comprehensive exercise prescription for patients with Osteoporosis. E-Mail copies to all students and the Professor of Record.
    9. Week Nine Ending 9 December, 2000 - Assignment Due - A comprehensive exercise prescription for patients with Post-Polio Syndrome. E-Mail copies to all students and the Professor of Record.
    10. Week Ten Ending 16 December, 2000 - Assignment Due - A comprehensive exercise prescription for women who are Pregnant. E-Mail copies to all students and the Professor of Record.
      • Read : Wolfe LA, Hall P, Webb KA, et al. Prescription Of Aerobic Exercise During Pregnancy. Sports Medicine 8:273-301, 1989.


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    Last Updated : 11 October, 2000