Case Study 2
Read through the following case study. You should reflect on your learning and your own research within this unit.
Prepare a response that responds to each of the issues presented therein. Your responses must reflect your knowledge, skills, and application for this unit.
Task
- Write five programs with AHP guidance.
- Write five programs with no guidance/modify.
This means that you will be writing ten programs in total for this task.
In undertaking this task, ensure that the following criteria are met:
- Incorporate guidance/advice from medical or allied health professionals into the provision of fitness advice/or planning of instruction.
- Develop and document program plans that incorporate key instructional information to target components of fitness, including guidance from medical or allied health professionals if required.
- Develop customised training sessions that include a variety of exercises and equipment to meet client needs.
In designing the ten (10) programs for the clients below, you must include resistance exercises from the list that follows.
- Mario Mendes – guidance
- Mario Mendes modify
- Alison Nosila – no guidance
- John Ode – guidance
- John Ode – modify
- Kate Keats – guidance
- Kinu Honda – modify
- Anastasios Raptis – guidance
- Anastasios Raptis – guidance
- Janet Tena – modify
Warm-up:
- Include dynamic exercises specific to the movements programmed in the conditioning phase
- Outline how many repetitions or time of each of the dynamic stretches
Conditioning phase:
- Program must cover the full body, with no split programs, e.g. upper or lower.
- Program must include a specific repetition number, not a range.
- Program must include a specific %1RM, not a range.
- Program must include a specific recovery time, not a range.
- Program must include a minimum of four resistance exercises (resistance programs only).
- Program must include a minimum of three resistance exercises (combination resistance and cardio programs).
- Program must include two (2) resistance machine-based exercises:
- squat
- static lunge
- push-up
- triceps dips
- prone back extension
- shoulder press
- abdominal crunches
- bent over row
- lateral raise
- modified dead lift
- prone hover
Cool-down:
- Outline a minimum of three (3) major muscle/muscle group PNF stretches.
Task 1a
The student is to develop a forty-five (45)minute resistance exercise program for Mario Mendes. The student will need to review the pre-exercise screening tools and the guidance from the AHP in order to develop a balanced program.
The dietitian sends a reply to your original referral letter and outlines that Mario is experiencing dizziness while exercising due to a lack of blood. The dietitian has confirmed that Mario indeed has type 2 diabetes and makes a recommendation that the exercise sessions in the initial stages be low volume and low intensity and have longer recovery time than normal. All exercises are satisfactory to perform; however, be mindful that Mario has consumed some food prior to exercise to reduce any dizziness.
Mario Mendes – Guidance
| Goal: | Increase strength | Duration: | 45 min | Injuries: | None |
Warm-up | ||||||
| arm swings, leg swings, trunk rotations 1 set each exercise – 20 repetitions each exercise each side | ||||||
| Conditioning | ||||||
| Exercise | Intensity | Sets | Reps | Recovery | Tempo | Notes |
| Squats | 30%RM | 5 | 10 | 3.5mins | 2-0-2 | |
| Hip hinge | 30%RM | 5 | 10 | 3.5mins | 2-0-2 | |
| Vertical pull | 50%RM | 5 | 10 | 3.5mins | 2-0-2 | |
| Vertical push | 50%RM | 5 | 10 | 3.5mins | 2-0-2 | |
| Spinal stability | 30%RM | 7 | 5 | 1 min | 2-0-2 | |
| Biceps curl | body | 4 | 5 | 3 min | x-0-x | |
| Cool-down | ||||||
| adductor stretch, standing chest stretch, lat stretch, quadriceps stretch – PNF hold for 3 seconds and repeat for 3 times each stretch. |
Task 1b
The student is to modify the exercise program developed for Mario Mendes in Task 1a. The program duration is still forty-five (45) minutes. This program will be a combination of cardiovascular and resistance exercises. It is the second program, which is a follow-up four weeks after the initial program (Task 1a). Mario has adapted to the initial program positively and wants now to introduce some cardiovascular exercises along with resistance exercises.
Mario Mendes – Modify
| Goal: | Improve aerobic status and strength | Duration: | 45 min | Injuries: | None |
Warm-up | ||||||
| arm swings, leg swings, trunk rotations 1 set each exercise – 20 repetitions each exercise each side | ||||||
| Conditioning | ||||||
| Exercise | Intensity | Sets | Reps | Recovery | Tempo | Notes |
| Standing squat | 30%RM | 3 | 12 | 2.5minutes | 2/1/2 | |
| Hamstring curl | 50%RM | 3 | 12 | 2.5 minutes | 2/1/2 | Trick movement |
| Step up 5inches | Light | 3 | 12 | 2.5 minutes | 2/1/2 | |
| 10 minute walk | Light to moderate | |||||
| 10 minute swimming | 50%RM | |||||
| Cable single arm pull | Body weight | 4 | 7 | x-0-x | ||
| Cool-down | ||||||
| adductor stretch, standing chest stretch, lat stretch, quadriceps stretch – PNF hold for 3 seconds and repeat for 3 times each stretch. |
Task 2
The student is to develop a forty-five (45) minute resistance exercise program for Alison Nosila. The student will need to review the pre-exercise screening tools to develop a balanced program.
Alison Nosila
| Goal: | Developing balance | Duration: | 45 min | Injuries: | None |
Warm-up | ||||||
| arm swings, leg swings, trunk rotations 1 set each exercise – 20 repetitions each exercise each side | ||||||
| Conditioning | ||||||
| Exercise | Intensity | Sets | Reps | Recovery | Tempo | Notes |
| Balance stabilization | Low | 3 | 18 | 3minutes | Slow | |
| Balance strength | Low | 3 | 10 | 3minutes | medium | |
| Balance power | Moderate | 3 | 12 | 3minutes | controlled | |
| Cool-down | ||||||
| adductor stretch, standing chest stretch, lat stretch, quadriceps stretch – PNF hold for 3 seconds and repeat for 3 times each stretch. |
Task 3a
The student is to develop a forty-five (45) minute resistance exercise program for John Ode. The student will need to review the pre-exercise screening tools and the guidance from the AHP in order to develop a balanced program.
The general practitioner has sent a letter thanking you for referring John to them. The GP has confirmed the dizziness that John feels during exercise, is caused by prolonged periods without eating and has suggested to John that he eats more frequently. He has also asked that you confirm that John has eaten within two hours prior to his training sessions. The GP has suggested that, in the initial stages of the program, the volume be kept low, the intensity be between low and moderate, and recovery times be in the normal range. The GP also mentioned that John had low muscle mass in his glutes and potentially the lack of padding is effecting his nerves around the hip. Introducing resistance training will increase the density of the muscle and decrease the nerve pain. The GP has requested that you keep them updated on John’s progress with the exercise and nerve pain.
John Ode
| Goal: | Increased strength | Duration: | 45 min | Injuries: | None |
Warm-up | ||||||
| arm swings, leg swings, trunk rotations 1 set each exercise – 20 repetitions each exercise each side | ||||||
| Conditioning | ||||||
| Exercise | Intensity | Sets | Reps | Recovery | Tempo | Notes |
| Squats | 30%RM | 5 | 5 | 4mins | 2-0-2 | |
| Hip hinge | 50%RM | 5 | 5 | 4mins | 2-0-2 | |
| Vertical pull | 50%RM | 5 | 10 | 4mins | 2-0-2 | |
| Vertical push | 50%RM | 5 | 10 | 4mins | 2-0-2 | Trick movement |
| Spinal stability | 30%RM | 5 | 7 | 4 minutes | 2-0-2 | |
| Triceps curl | 30%RM | 5 | 8 | 3.5 mins | x-0-x | |
| Cool-down | ||||||
| adductor stretch, standing chest stretch, lat stretch, quadriceps stretch – PNF hold for 3 seconds and repeat for 3 times each stretch. |
Tasks 3b
The student is to modify the exercise program developed for John Ode in Task 3a. The program duration is still forty-five (45) minutes. It will be a combination of cardiovascular and resistance exercises, and it is the second program, which is a follow-up four weeks after the initial program (Task 3a). John has adapted to the initial program positively, and his lower back pain has reduced. He now wants to introduce some cardiovascular exercises along with resistance exercises.
John Ode
| Goal: | Increased strength | Duration: | 45 min | Injuries: | None |
Warm-up | ||||||
| arm swings, leg swings, trunk rotations 1 set each exercise – 20 repetitions each exercise each side | ||||||
| Conditioning | ||||||
| Exercise | Intensity | Sets | Reps | Recovery | Tempo | Notes |
| Standing squat | 50%RM | 3 | 12 | 3minutes | 2-0-2 | Keep knees lateral to feet |
| Hamstring curl | 30%RM | 3 | 12 | 3minutes | 2-0-2 | |
| Step up 5 inches | Light | 3 | 12 | 3minutes | 2-0-2 | |
| 10minutes walk | Light to moderate | |||||
| 10 minutes swimming | 30%RM | Fatigue | ||||
| Biceps curl | Body weight | 5 | 8 | x-0-x | ||
| Cool-down | ||||||
| adductor stretch, standing chest stretch, lat stretch, quadriceps stretch – PNF hold for 3 seconds and repeat for 3 times each stretch. |
Task 4
The student is to develop a forty-five (45)minute resistance exercise program for Kate Keats. The student will need to review the pre-exercise screening tools to develop a balanced program.
Kate Keats
| Goal: | To improve balance | Duration: | 45 min | Injuries: | None |
Warm-up | ||||||
| arm swings, leg swings, trunk rotations 1 set each exercise – 20 repetitions each exercise each side | ||||||
| Conditioning | ||||||
| Exercise | Intensity | Sets | Reps | Recovery | Tempo | Notes |
| Balance stabilization | 30%RM | 3 | 15 | 3.5mintes | Slow | |
| Balance strength | 50%RM | 3 | 10 | 3.5minutes | Medium | |
| Balance power | 30%RM | 3 | 10 | 3.5minutes | Controlled | |
| Cool-down | ||||||
| adductor stretch, standing chest stretch, lat stretch, quadriceps stretch – PNF hold for 3 seconds and repeat for 3 times each stretch. |
Task 5
Using feedback from Kinu Honda, the student is to modify the program developed below. The program was initially a forty-five (45)minute resistance exercise program for Kinu. The student will need to review the pre-exercise screening tools to develop a balanced program and the feedback form Kinu to develop a modified program.
Kinu has mentioned that, from your advice about the leg exercise, she still feels some lack of control through the lunge and that she would like to try a more stable bi-lateral leg exercise. She also mentions that her time at the gym is now unfortunately reduced and has duly requested that you develop a thirty-minute resistance program for her.
Kinu Honda
| Goal: | increased strength | Duration: | 45 mins | Injuries: | Knocked knees |
| Warm-up | ||||||
| arm swings, leg swings, trunk rotations 1 set each exercise – 20 repetitions each exercise each side | ||||||
| Conditioning | ||||||
| Exercise | Intensity | Sets | Reps | Recovery | Tempo | Notes |
| Walking lunge | Body weight | 3 | 12 | 1 minute | 303 | Keep knees lateral to foot |
| Leg curls | 30%RM | 2 | 12 | 1 minute | 303 | Keep feet inline |
| Seated chest press | 50%RM | 3 | 15 | 1 minute | 303 | |
| Seated cable row | 50%RM | 3 | 15 | 1 minute | 303 | Neutral grip |
| Prone hover | Body weight | 2 | 20 seconds | 30 seconds | Isometric hold | |
| Cool-down | ||||||
| adductor stretch, standing chest stretch, lat stretch, quadriceps stretch – PNF hold for 3 seconds and repeat for 3 times each stretch. |
Kinu Honda – Modified program:
| Goal: | increased strength | Duration: | 30 mins | Injuries: | Knocked knees |
Warm-up | ||||||
| arm swings, leg swings, trunk rotations 1 set each exercise – 20 repetitions each exercise each side | ||||||
| Conditioning | ||||||
| Exercise | Intensity | Sets | Reps | Recovery | Tempo | Notes |
| Walking lunge | Body weight | 3 | 8 | 3 minutes | 2-0-2 | Keep knees lateral to feet |
| Leg curls | 30 percent RM | 2 | 8 | 3minutes | 2-0-2 | |
| Seated chest press | 50 percent RM | 3 | 10 | 3 minutes | 2-0-2 | |
| Squat | 50 percent RM | 3 | 10 | 3 minutes | 2-0-2 | |
| Biceps curl | Body weight | 2 | 7 | 2.5mintes | 2-1-2 | |
| Cool-down | ||||||
| adductor stretch, standing chest stretch, lat stretch, quadriceps stretch – PNF hold for 3 seconds and repeat for 3 times each stretch. |
Task 6a
The student is to develop a forty-five (45)minute cardiovascular exercise program for Anastasios Raptis. The student will need to review the pre-exercise screening tools and the guidance from the AHP in order to develop a balanced program.
Anastasios came to the fitness facility where you are employed as a referral from his GP. The letter reads that the GP has also referred Anstasios to an accredited practising dietitian for a healthy eating plan and support. The GP advises you not to offer Anastasios this service but rather to write a separate resistance and cardiovascular program for each session. The GP’s advice is to focus on low-intensity, low-volume training with longer recovery time between sets/efforts. The GP also mentioned that Anastasios becomes breathless after 10 minutes of continuous activity.
Anastasios Raptis
| Goal: | Cardiovascular fitness | Duration: | 45 mins | Injuries: | none |
Warm-up | ||||||
| arm swings, leg swings, trunk rotations 1 set each exercise – 20 repetitions each exercise each side | ||||||
| Conditioning | ||||||
| Exercise | Intensity | Sets | Reps | Recovery | Tempo | Notes |
| walk | Light | |||||
| Brisk walk | Light- moderate | |||||
| walk | Light | |||||
| Brisk walk | moderate | |||||
| Walk | Light | |||||
| Brisk walk | Light moderate | |||||
| Cool-down | ||||||
| adductor stretch, standing chest stretch, lat stretch, quadriceps stretch – PNF hold for 3 seconds and repeat for 3 times each stretch. |
Task 6b
The student is to develop a forty-five (45) minute resistance exercise program for Anastasios Raptis. The student will need to review the pre-exercise screening tools and the guidance from the AHP in order to develop a balanced program.
Anastasios Raptis
| Goal: | Increased strength | Duration: | 45 mins | Injuries: | none |
Warm-up | ||||||
| arm swings, leg swings, trunk rotations 1 set each exercise – 20 repetitions each exercise each side | ||||||
| Conditioning | ||||||
| Exercise | Intensity | Sets | Reps | Recovery | Tempo | Notes |
| Standing squat | Body weight | 3 | 12 | 3mins | 2-1-2 | |
| Hamstring curl | 50%RM | 3 | 12 | 3mins | 2-1-2 | |
| Step up 5 inches | 30%RM | 3 | 12 | 3mins | 2-1-2 | |
| Lateral shoulder raise | 50%RM | 3 | 12 | 3mins | 2-1-2 | |
| Triceps pull down | 30%RM | 3 | 12 | 3mins | 2-1-2 | |
| Triceps curl | Body weight | 4 | 7 | 2.5mins | 2-1-2 | |
| Cool-down | ||||||
| adductor stretch, standing chest stretch, lat stretch, quadriceps stretch – PNF hold for 3 seconds and repeat for 3 times each stretch. |
Task 7
The student is to modify the program below, which was developed for Janet. The program was initially a forty-five (45)minute resistance exercise program for Janet. The student will need to review the pre-exercise screening tools to develop a balanced program and the feedback form Janet to develop a modified program.
Janet found some of the upper body exercises a challenge, especially the lat pulldown and shoulder press. She has asked that you review the program and maybe regress the two (2) exercises mentioned. Everything else in the program has been positive, but maybe you could increase the intensity a little.
Janet Tena
| Goal: | Increased strength | Duration: | 45 mins | Injuries: | none |
| Warm-up | ||||||
| arm swings, leg swings, trunk rotations 1 set each exercise – 20 repetitions each exercise each side | ||||||
| Conditioning | ||||||
| Exercise | Intensity | Sets | Reps | Recovery | Tempo | Notes |
| Shoulder press | 50%RM | 2 | 15 | 1 min | 303 | |
| Lat pull down wide grip | 50%RM | 2 | 15 | 1 min | 303 | |
| 45* leg press | 50%RM | 2 | 15 | 1 min | 303 | |
| Leg curl | 50%RM | 2 | 15 | 1 min | 303 | |
| Prone hover | Body weight | 2 | 30 sec | 30 sec | Isometric hold | |
| Cool-down | ||||||
| adductor stretch, standing chest stretch, lat stretch, quadriceps stretch – PNF hold for 3 seconds and repeat for 3 times each stretch. |
Janet Tena – Modified program:
| Goal: | Increased strength | Duration: | 45 mins | Injuries: | none |
Warm-up | ||||||
| arm swings, leg swings, trunk rotations 1 set each exercise – 20 repetitions each exercise each side | ||||||
| Conditioning | ||||||
| Exercise | Intensity | Sets | Reps | Recovery | Tempo | Notes |
| Shoulder press | 30%RM | 2 | 15 | 3mins | 2-0-2 | |
| Lat pull down wide grip | 30%RM | 2 | 15 | 3.5mins | 2-0-2 | |
| 45* leg press | 60%RM | 2 | 15 | 3mins | 2-0-2 | |
| Leg curl | 60%RM | 2 | 15 | 3.5mins | 2-0-2 | |
| Triceps crl | Body weight | 4 | 7 | 2.5min | 2-1-2 | |
| Cool-down | ||||||
| adductor stretch, standing chest stretch, lat stretch, quadriceps stretch – PNF hold for 3 seconds and repeat for 3 times each stretch. |
