KIN 513

 Exercise Prescription and Programming

 Fall Quarter 2014


This course is designed to provide information related to the physiology and practical considerations involved in development of exercise prescriptions and implementation of exercise programs. The content is
applicable to a variety of settings, including schools, industry, government, health clubs, hospitals, recreational and/or agency settings.  Specifically, lifelong pursuits related to enhanced metabolic functioning
will be addressed.

Instructor: L.R. Brilla
Office: 26 Carver
Office Hrs: check office bulletin board; and by appointment
Phone: 650-3056


Required Texts: As listed in the WWU Bookstore:

ACSM   (2013). Guidelines for Exercise Testing.ACSM's Guidelines for Exercise Testing and Prescription. 9th edition.  Lippincott Williams & Wilkins

Neiman, D. (2010). Exercise Testing & Prescription. McGraw-Hill Publishing

Dunbar, C. and Saul, B. (2009) ECG Interpretation for the Clinical Exercise Physiologist. Lippincott Williams & Wilkins.

Wasserman, et al. (2011) Principles of Exercise Testing and Interpertation. Lippincott Williams & Wilkins

Epstein, D. (2014) The Sports Gene, Current Trade


Recommended Text:   Dubin.  Rapid Interpretation of EKG.  Cover Publishing


1. Describe the components of physical fitness.

2. Identify factors which would benefit or adversely affect physical well-being.

3. Determine factors which would influence physical fitness by interview, questionnaire, personal health inventory.

4. Determine appropriate fitness appraisal tests and interpret the acquired data.

5. Demonstrate appropriate exercise selection for specifically defined groups and ages.

6. Describe benefits and risks of selected physical activities as adjunct therapy for chronic disease processes, specifically:  cardiovascular diseases, pulmonary diseases, diabetes mellitus, osteoporosis, and weight control.

7. Describe limiting factors related to participation in physical activity.

8. Develop individualized exercise prescription based on physical fitness appraisal with special concern for motivation, safety, and goal-achievement.

9. Demonstrate knowledge in the development of group physical fitness programs.

10. Assimilate and integrate current information and techniques for the most applicable physical fitness assessment and exercise prescription selection and development.

11. Demonstrate awareness for the medico-legal aspects of exercise prescription and exercise program implementation.


1. Non-Examination Evaluation:

The special populationís presentation topic will be assigned by the second week.  The presentation will be distributed (electronic: Word or PowerPoint is fine)

of key points distributed prior to the presentation, according to the schedule set in class. The assignment includes: 1) etiology of the disorder (health-related) or rationale for training programming (performance related with health implications, i.e. low back pain and core strength); 2) literature review and synthesis of the impact of physical activity on the health disorder or the influence of training programs on health and performance; 3) specifics on the development of an exercise prescription which includes FITT with specifics on warm up and cool down, workloads, and other factors pertaining to the benefits and risks of the training program; 4) references. The final draft will be submitted within one week after the presentation.

The case study presentations must be typed and submitted as well as presented.  Supplemental articles and texts should be used to further explain results and proposed mechanisms or functions.  The format for the case study should be 1) information given, 2) interpretation of information, 3) further information desired and rationale, 4) development of an exercise prescription (must include FITT with specifics on warm up and cool down, workloads in %HRR, METs and speed/grade/resistance settings), 5) progression and evaluation of the ExRx, and 6) references. No reports will be accepted after class on the due date unless arrangements are made prior to the due date for an extension. ZERO (0) points will be assessed without an extension granted at the discretion of the lecturer.

For the Sports Gene assignment, choose a section of the book to address regarding nature and nurture. After receiving approval of the topic, using research literature, describe the most suitable anthropometrics and relate them to genetic and epigentic factors that may be carried in certain groups. Then, develop a sport-specific training program, with an overview of one year's training.

Not in Fall 2014: The cooperative analysis assignment will have students work together in small working groups to perform in-depth research and analysis on the effects of therapeutic lifestyle changes (physical activity, diet, other factors) on disease attributes and amelioration as compared to other forms of treatment. The group will provide a synopsis of highlights and the complete bibliography. The bibliography should include 50-100 references. The completed assignment will be distributed on the day of presentation.

2. Examination Evaluation:

Mid-term examinations and one two-hour final will be administered at the times indicated on the Class Schedule.  The examination format will be mostly short answer with some case study applications on the final examination.  A minor portion of the exam may include multiple guess and/or matching questions.

3. Grade Assignment:

Case studies 50 pts. (2 x 25 points each)
Presentation/Paper 100 pts.
Sports Gene 50 pts
Mid-term exams 180 pts. (60 points each)
Final exam 120 pts.
Total 500 pts.

A:  450+
B:  400 - 449  
C:  350 - 399  
D:  300 - 349
F:  less than 300
Plus (+) and minus (-) grades are also given for A, B, and C grades


Class Schedule

Monday Date                          Topic

22 September                    SeDS: Sedentary Death Syndrome

Therapeutic Lifestyle Changes and Epigenetics

Health and Fitness: A. Components B. Influencing factors C. Physical history, health practice inventories, questionnaires, consent D. Legal aspects

Interpretation of  Data : Ancillary tests:  A. Medical-physical examination B. Blood tests C. Nutrition-dietary assessment D. Others as appropriate

Systems limiting performance


29 September                 Cardiorespiratory: Cardiometabolic Disease

          A. Risk factors
          B. Electrophysiology (EKG)
          ECG Learning Center


C. Graded exercise testing

1. Aerobic capacity
2. Ventilatory equivalent, BR
3. HR max, HRR
5. Perceived exertion
6. Sx and signs


D. Drugs


6 October               Cardiorespiratory (continued)

13 October            *MID-TERM EXAM* 15 October 

20 October           Special Populations Presentations

27 October          Special Populations Presentations

*MID-TERM EXAM* 29 October 

3 November          Musculoskeletal

A. Effect of activity on the skeleton
B. Connective tissue (non-osseous) response to activity
C. Dynamic muscular response to stress of activity



10 November               1.    Metabolic Calculations

               †††††††††††††††††††† ††††††††††† Problem Set

              †††††††††††††††††††††  †††††††††† Problem Solutions



*MID-TERM EXAM* 12 November 

17 November          ††† Diabesity






24 November         ††††† 1. Individual Exercise Programming

A. Assessment battery selection
B. Goal setting/motivation
C. Exercise selection-personalized
D. Monitoring
E. Safety
F. Re-evaluation

           †††††††††††† ††††††††††† 2. Group Exercise Programming

A. Organization
  ††††††††† B. Components
  ††††††††† C. Facilities
  ††††††††† D. Medico-legal aspects
  ††††††††† E. Safety-environmental and emergency

           †††††††††††† ††††††††††† 3. Exercise Leadership

*Sport Gene presentations*

1 December†††† Physical Performance Concepts             

Final Exam:  Tuesday, 9 December, 10:30 a.m. -12:30 p.m.

Return to Brilla's Course Syllabi