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Exercise Prescription and Programming. Scott Krager and Kyle Leffel. Where do we begin??. Our role: Fitness Trainer Our Clients: Older Adults, 75+ yrs The 6 Steps of Exercise Programming. Step 1. Determine Level of Function

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Exercise prescription and programming

Exercise Prescription and Programming

Scott Krager and Kyle Leffel


Where do we begin
Where do we begin??

  • Our role: Fitness Trainer

  • Our Clients: Older Adults, 75+ yrs

    • The 6 Steps of Exercise Programming


Step 1
Step 1

  • Determine Level of Function

    • Physically Dependent: Cannot execute the Basic Activities of Daily Living(BADL).

    • Physically Frail: Can perform BADL, but not living independently.

    • Physically Independent: Lives independently, but can have chronic disease/health problems.

    • Physically Fit: Benefit from exercising two times a week, with low risk of becoming physically frail.

    • Physically Elite: Daily exercise to compete in sports competitions


Step 2
Step 2

  • Pre-Exercise Screening

    • Paper work and waivers (to avoid malpractice lawsuits)

      • Level of need

      • Background information

      • Medical History and Clearance


Step 3
Step 3

  • Physical Screening

    • Blood Pressure

    • Body Composition

    • RPE

    • Flexibility

    • Talk Test


Step 4
Step 4

  • Post-Assessment Report

    • A report conducted 1-3 days after the physical screening with the client.


Step 5
Step 5

  • Pre-Exercise Interview

    • Questions involve:

      • What do you do in your daily life?

      • Are you still working? If so, what does your job entail?

      • Do you face ladders, stairs, or lifting?

      • How do you spend your time away from work?

      • Do you participate in regular physical activity?

      • Do you experience pain during any movements?


Step 6
Step 6

  • Physical Assessment

    • The physical assessment is a gathering of all the information and test results that help set the stage for the exercise program design.

    • Helps decide the FITT principles that will be used in the clients exercise program.


Program design
Program Design

  • Based on FITT Principle: Frequency, Intensity, Time, and Type

  • Always begin with a Warm-Up activity

    • Blood flow

    • No heavy stretching!

    • Easy range of motion and gentle continuous movement

    • General static/preparatory stretching, comfortable stretching point

    • New movements are taught at this point to prevent future interruption during workout


Program design1
Program Design

  • Always End with a Cool Down Activity

    • Includes light activity to allow the muscles to recover

    • Static stretching to the point of discomfort

    • Stay positive, get excited for the next days workout!


Types of program design
Types of Program Design

  • Leveled Programming

    • Open to any person who is able to exercise without any requirements from physically dependent to physically elite

  • Land-Based Programming

    • Entry Level

    • Level II

    • Level III

  • Water-Based Programming:

    • Entry Level

    • Level II

    • Level III


  • Personal trainer average salary

    Personal Trainer Average Salary

    Lowest 25% of trainers= $36,000

    Middle 50%= $51,000

    Highest 75%= $62,000


    Exercise prescription and programming1

    Exercise Prescription and Programming

    Krager and Leffel

    Have an awesome day!!!!


    Sources
    Sources

    • Chen, Tiffany. (2008). Chi sequence with tiffany chen. Received January 17, 2009. http://www.youtube.com/watch?v=MSn4G1VVS2A&NR=1

    • Douglas, Bill. (2008). Free tai chi lesson 1. Received January 17, 2009. http://www.youtube.com/watch?v=MXbwIfqSq_Q&feature=related

    • Green, Daniel J., & Bryant, Cedric X. (Eds.). (2005). Exercise for older adults. San Diego, CA: American Council on Exercise.

    • Nieman, David C. (2007). Exercise testing and prescription (6th ed.). Dubuque, Iowa: Carlisle Publishing.

    • n.d. Rating of perceived exertion table. Retrieved January 17, 2009. http://www.topendsports.com/testing/rpe.htm

    • n.d. Salary wizard: Salaries of personal trainers. Retrieved January 17, 2009.http://swz.salary.com/salarywizard/layouthtmls/swzl_compresult_national_HC07000416.html.

    • Van Norman, Kay A. (1995). Exercise programming for older adults. Champaign, IL: Human Kinetics.


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