Outline

Overview

The aim of this unit is to investigate the application of exercise science for the promotion and maintenance of health via the prevention of chronic disease and the management of people suffering from chronic disease. Students will explore a range of topics including the pathophysiology of numerous chronic diseases, risk factor assessment, clinical exercise testing, ECG interpretation, and exercise prescription. Emphasis will be placed on the use of scientific evidence to guide exercise prescription for individuals with chronic diseases. The chronic disease conditions covered include obesity, metabolic syndrome, diabetes, cardiovascular, depression, asthma and chronic obstructive pulmonary disease.

Unit details and rules

Unit code	EXSS3024
Academic unit	Movement Sciences
Credit points	6
Prohibitions ?	None
Prerequisites ?	None
Corequisites ?	None
Assumed knowledge ?	EXSS3023 and (EXSS2022 or EXSS2027)
Available to study abroad and exchange students	Yes

Teaching staff

Coordinator	Timothy English, tim.english@sydney.edu.au

Type	Description	Weight	Due	Length
Final exam (Take-home extended release)	Take-home Final Exam Take-home extended release final exam	50%	Formal exam period	48 hours
Outcomes assessed:
In-semester test (Take-home short release)	ECG interpretation Take-home short release	30%	Week 06 Due date: 30 Mar 2022 at 10:00	2 hours
Outcomes assessed:
Skills-based evaluation	ECG placement CC: Practical assessment RE: Assess videos and still photos	5%	Week 06	20 minutes
Outcomes assessed:
Presentation	Online Group presentation Oral presentation	15%	Week 13	10 minutes
Outcomes assessed:
= hurdle task ? = group assignment ? = Type D in-semester exam ? = Type E final exam ?

Assessment summary

ECG placement: The assessment will be slightly different for CC students vs remote (RE) students.

CC: This practical examination requires students to show competency in setting up a patient for 12-lead electrocardiography. This includes communicating the procedure to clients, as well as ECG placement. Students will also be required to be a patient for the examination of other students.

RE: Students will watch and evaluate videos and still photos of ECG set up. The videos and still photos will assess the same skills as the in-person assessment.

This is a barrier task. Students who do not pass will be offered a remediation session and the opportunity to show competency the following week.
ECG interpretation: This exam will require students to interpret single and 12-lead ECG printouts.
Group presentation: In groups of 3-to-4, students will be asked to present on the evidence for the use of exercise in a chronic condition that has not been covered in class.
Final exam: The final exam will be comprehensive, and as such will test your knowledge of material covered in all lectures and tutorials apart from those covered in the ECG exam.

Detailed information for each assessment can be found on Canvas.

Assessment criteria

The University awards common result grades, set out in the Coursework Policy 2014 (Schedule 1).

As a general guide, a high distinction indicates work of an exceptional standard, a distinction a very high standard, a credit a good standard, and a pass an acceptable standard.

Result name	Mark range	Description
High distinction	85 - 100
Distinction	75 - 84
Credit	65 - 74
Pass	50 - 64
Fail	0 - 49	When you don’t meet the learning outcomes of the unit to a satisfactory standard.

For more information see sydney.edu.au/students/guide-to-grades.

For more information see guide to grades.

Late submission

In accordance with University policy, these penalties apply when written work is submitted after 11:59pm on the due date:

Deduction of 5% of the maximum mark for each calendar day after the due date.
After ten calendar days late, a mark of zero will be awarded.

Academic integrity

The Current Student website provides information on academic integrity and the resources available to all students. The University expects students and staff to act ethically and honestly and will treat all allegations of academic integrity breaches seriously.

We use similarity detection software to detect potential instances of plagiarism or other forms of academic integrity breach. If such matches indicate evidence of plagiarism or other forms of academic integrity breaches, your teacher is required to report your work for further investigation.

You may only use artificial intelligence and writing assistance tools in assessment tasks if you are permitted to by your unit coordinator, and if you do use them, you must also acknowledge this in your work, either in a footnote or an acknowledgement section.

Studiosity is permitted for postgraduate units unless otherwise indicated by the unit coordinator. The use of this service must be acknowledged in your submission.

Learning support

Simple extensions

If you encounter a problem submitting your work on time, you may be able to apply for an extension of five calendar days through a simple extension.  The application process will be different depending on the type of assessment and extensions cannot be granted for some assessment types like exams.

Special consideration

If exceptional circumstances mean you can’t complete an assessment, you need consideration for a longer period of time, or if you have essential commitments which impact your performance in an assessment, you may be eligible for special consideration or special arrangements.

Special consideration applications will not be affected by a simple extension application.

Using AI responsibly

Co-created with students, AI in Education includes lots of helpful examples of how students use generative AI tools to support their learning. It explains how generative AI works, the different tools available and how to use them responsibly and productively.

Weekly schedule

WK	Topic	Learning activity
Week 01	1. Introduction; 2. Pre-screening, history taking and goal setting	Lecture (2 hr)
Week 02	Electrocardiography (ECG)	Lecture (2 hr)
Week 02	12-lead ECG (practical)	Practical (2 hr)
Week 03	ECG	Lecture (2 hr)
Week 03	ECG interpretation	Tutorial (2 hr)
Week 04	ECG	Lecture (2 hr)
Week 04	ECG interpretation	Tutorial (2 hr)
Week 05	Clinical exercise testing	Lecture (2 hr)
Week 05	ECG interpretation	Tutorial (2 hr)
Week 07	Depression	Lecture (2 hr)
Week 08	Obesity (Online)	Lecture (2 hr)
Week 08	Depression and obesity	Tutorial (2 hr)
Week 09	Metabolic syndrome	Lecture (2 hr)
Week 10	Type 2 diabetes	Lecture (2 hr)
Week 10	Metabolic syndrome and type 2 diabetes	Tutorial (2 hr)
Week 11	Cardiovascular disease	Lecture (2 hr)
Week 12	Asthma	Lecture (2 hr)
Week 12	Cardiovascular and pulmonary disease case study	Tutorial (2 hr)
Week 13	COPD	Lecture (2 hr)

Attendance and class requirements

Attendance: Students are expected to attend lectures, tutorials, and practicals unless otherwise advised.

While attendance will not be part of your final grade, lecture attendance will be monitored through the use of interactive quizzes

Study commitment

Typically, there is a minimum expectation of 1.5-2 hours of student effort per week per credit point for units of study offered over a full semester. For a 6 credit point unit, this equates to roughly 120-150 hours of student effort in total.

Required readings

Throughout the unit of study, relevant readings will be posted to Canvas. This will include an online learning module for 12-lead ECG, as well as relevant articles related to the lecture that is delivered that week. While not compulsory, students are encouraged to read these articles. In addition, the following books may be helpful.

Hampton, John R. The ECG Made Easy. 8th ed. London: Elsevier Health Sciences UK, 2013. Print. – Available online at the library (3 concurrent users only)

Vecht, R. J. ECG Diagnosis Made Easy. London: Martin Dunitz, 2001. Print. – Available online at the library (You can download this)

Dunbar, Christopher., and Saul, Barry. ECG Interpretation for the Clinical Exercise Physiologist. Philadelphia: Wolters Kluwer Health/Lippincott Williams & Wilkins, 2009. Print.

Magyari, Peter et al. ACSM’s Resources for the Exercise Physiologist. Second edition. Philadelphia: Wolters Kluwer, 2018. Print.

Learning outcomes

Learning outcomes are what students know, understand and are able to do on completion of a unit of study. They are aligned with the University's graduate qualities and are assessed as part of the curriculum.

At the completion of this unit, you should be able to:

LO1. Know how to take a history and set goals for a patient for individuals with chronic disaese
LO2. understand the pathophysiological bases of several chronic diseases
LO3. understand the effect of various pathologies on the response to exercise
LO4. understand the role of exercise and physical activity in the primary and secondary prevention of chronic disease
LO5. prepare a client for a 12-lead ECG
LO6. recognise normal and abnormal ECG waveforms and rhythms and be able to outline the appropriate action.
LO7. design an effective exercise program for the prevention and improvement of chronic health conditions

Graduate qualities

The graduate qualities are the qualities and skills that all University of Sydney graduates must demonstrate on successful completion of an award course. As a future Sydney graduate, the set of qualities have been designed to equip you for the contemporary world.

GQ1	Depth of disciplinary expertise Deep disciplinary expertise is the ability to integrate and rigorously apply knowledge, understanding and skills of a recognised discipline defined by scholarly activity, as well as familiarity with evolving practice of the discipline.
GQ2	Critical thinking and problem solving Critical thinking and problem solving are the questioning of ideas, evidence and assumptions in order to propose and evaluate hypotheses or alternative arguments before formulating a conclusion or a solution to an identified problem.
GQ3	Oral and written communication Effective communication, in both oral and written form, is the clear exchange of meaning in a manner that is appropriate to audience and context.
GQ4	Information and digital literacy Information and digital literacy is the ability to locate, interpret, evaluate, manage, adapt, integrate, create and convey information using appropriate resources, tools and strategies.
GQ5	Inventiveness Generating novel ideas and solutions.
GQ6	Cultural competence Cultural Competence is the ability to actively, ethically, respectfully, and successfully engage across and between cultures. In the Australian context, this includes and celebrates Aboriginal and Torres Strait Islander cultures, knowledge systems, and a mature understanding of contemporary issues.
GQ7	Interdisciplinary effectiveness Interdisciplinary effectiveness is the integration and synthesis of multiple viewpoints and practices, working effectively across disciplinary boundaries.
GQ8	Integrated professional, ethical, and personal identity An integrated professional, ethical and personal identity is understanding the interaction between one’s personal and professional selves in an ethical context.
GQ9	Influence Engaging others in a process, idea or vision.

Outcome map

Learning outcomes	Graduate qualities
Learning outcomes

Alignment with Competency standards

Outcomes	Competency standards
	Accredited Exercise Physiologist Professional Standards - 11.4.7. Consider medications, surgical, medical and allied health interventions/treatments, clinical and safety risks, co-morbidities, indications, contraindications, exercise setting, treatment objectives and their implications on clinical status, exercise and functional capacity, and the design and delivery of safe and effective exercise and intervention plans for individual musculoskeletal, rehabilitation and pre-employment clients. 13.4.5. Consider medications, surgical, medical and allied health interventions/treatments, clinical and safety risks, treatment goals and their implications on clinical status, exercise and functional capacity in the design and delivery of safe and effective exercise for individual respiratory/pulmonary clients. 3.3.1. Differentiate contraindications for exercise for all target conditions in the musculoskeletal and cardiovascular domains and a broad range of target conditions across the other AEP pathology domains. 3.3.10. Formulate and demonstrate measurement, evaluation and reporting of functional capacity that includes evaluation plans and considers a variety of settings including clinical/private practice, tertiary care, pre-employment, workplace, recreation and sports settings. 3.3.2. Formulate comprehensive client histories that consider clinical risk and clinical safety factors and reasons for exercise. 3.3.3. Judge clients’ stratified exercise risk including when to refer onwards. 3.3.4. Formulate measurement actions, monitoring actions, and strategies to manage client clinical status and changes in clinical status before, during and after assessment and exercise, for all target conditions in the musculoskeletal and cardiovascular domains and a broad range of AEP target conditions across the other AEP pathology domains. 3.3.5. Choose and apply (before, during and after assessment and exercise) guidelines and measurement tools/techniques to measure and assess clients’ clinical and functional status; and safe and effective exercise ranges and limits, for all target conditions in the musculoskeletal and cardiovascular domains and a broad range of target conditions across the other AEP pathology domains. 3.3.6. Recognise, interpret, revise and demonstrate in client-centred, multi-disciplinary care models, responses to changing risk factors, safety factors and clinical situations before, during and after assessments and exercise (including first-aid response), for all target conditions in the musculoskeletal and cardiovascular domains and a broad range of target conditions across the other AEP pathology domains. 4.3.2. Design safe and effective exercise plans that consider available scientific evidence, client treatment goals, medical history, clinical status, screening and assessments information and other influencing factors. 4.3.3. Design and revise functional capacity assessments and interventions that consider the clients’ needs, capabilities, duties and/or workplace setting/requirements. 5.3.1. Deliver safe and effective exercise plans that consider available scientific evidence, client treatment goals, medical history, clinical status and other influencing factors. 5.3.2. Deliver safe and effective exercise interventions to affect positive changes in exercise and functional capacity; health and wellness behaviours and that consider influencing factors including risk, safety, individual and sociocultural/economic factors. 6.4.2. Consider medications, surgical, medical and allied health interventions/treatments, clinical and safety risks and their implications on clinical status, exercise and functional capacity in the design and delivery of safe and effective exercise for individual clients. 7.4.7. Consider medications, surgical and medical treatments/complications, allied health interventions/treatments, and clinical and safety risks and their implications on clinical status, exercise and functional capacity in the design and delivery of safe and effective exercise for individual cardiovascular clients.
	Accredited Exercise Physiologist Professional Standards - 10.4.1. Explain metabolic condition pathological and pathophysiological bases; and roles of health professionals in delivering multi-disciplinary care to clients with metabolic conditions. 12.4.3. Consider medications, surgical, medical and allied health interventions/treatments, clinical and safety risks and their implications on clinical status, exercise and functional capacity, acute and chronic exercise response in the design and delivery of safe and effective exercise for individual neurological clients. 2.3.1. Differentiate the pathological and pathophysiological bases for all target conditions in the musculoskeletal and cardiovascular domains and a broad range of the AEP target conditions across the other AEP pathology domains. 7.4.1. Examine cardiovascular pathological and pathophysiological bases; arrhythmias and pacemakers; generic cardiac diagnostic and prognostic procedures and indicators; common cardiac medicines and treatments; and cardiovascular indications and contraindications for exercise. 9.4.1. Examine the core principles of the mental health legislative framework; standard diagnostic criteria and major classifications; mental health pathological and pathophysiological bases; co-morbid cardiometabolic presentations; diagnostic, screening and outcome tools; and standard treatments and therapies for mental health and mental health target conditions.
	Accredited Exercise Physiologist Professional Standards - 10.4.2. Practise using point of care testing (POCT) devices to measure lipid profiles and blood glucose levels at rest, during and post exercise. 10.4.3. Consider medications, surgical, medical and allied health interventions/treatments, clinical and safety risks including hypo/hyperglycaemia and their implications on clinical status, exercise and functional capacity, and the design and delivery of safe and effective exercise for individual clients. 10.4.4. Recognise adverse clinical signs and symptoms including hypoglycaemic signs and symptoms; and identify and respond to changes in clinical status, co-morbidities, exercise and functional capacity, inter and intra session. 12.4.4. Recognise adverse clinical signs and symptoms and identify and respond to changes in clinical status, co-morbidities, exercise and functional capacity, intra session and formulate response(s) to changing clinical situations. 13.4.6. Recognise adverse clinical signs and symptoms; and identify and respond to changes in clinical status, co-morbidities, exercise and functional capacity, inter and intra session including initiating first-aid response and/or assisting in administering respiratory reliever medications within professional practice parameters. 3.3.1. Differentiate contraindications for exercise for all target conditions in the musculoskeletal and cardiovascular domains and a broad range of target conditions across the other AEP pathology domains. 4.3.2. Design safe and effective exercise plans that consider available scientific evidence, client treatment goals, medical history, clinical status, screening and assessments information and other influencing factors. 6.4.3. Identify and respond to changes in clinical status, co-morbidities, exercise and functional capacity, between and during exercise sessions. 7.4.6. Identify and respond to changes in clinical status, co-morbidities, exercise and functional capacity inter and intra sessions. 8.4.4. Identify and respond to changes in clinical status, co-morbidities, exercise and functional capacity, during and between exercise sessions. 9.4.6. Identify and respond to changes in clinical status inter and intra session including behaviours non-conducive to exercise participation and/or progression, emergency response triggers including actual or perceived risk of harm to self, to / from others; medication and/or substance misuse; co-morbidities; exercise and functional capacity changes.
	Accredited Exercise Physiologist Professional Standards - 7.4.5. Practise 12-lead ECG and non-ECG methods to identify arrhythmias.
	Accredited Exercise Physiologist Professional Standards - 7.4.1. Examine cardiovascular pathological and pathophysiological bases; arrhythmias and pacemakers; generic cardiac diagnostic and prognostic procedures and indicators; common cardiac medicines and treatments; and cardiovascular indications and contraindications for exercise. 7.4.3. Recognise adverse signs/symptoms including cardiac arrhythmias, myocardial ischaemia, inappropriate high or low blood pressures, and other adverse cardiac signs and symptoms, and formulate appropriate clinical responses that include session modification or termination, first-aid and onward referral. 7.4.5. Practise 12-lead ECG and non-ECG methods to identify arrhythmias.
	Accredited Exercise Physiologist Professional Standards - 10.4.3. Consider medications, surgical, medical and allied health interventions/treatments, clinical and safety risks including hypo/hyperglycaemia and their implications on clinical status, exercise and functional capacity, and the design and delivery of safe and effective exercise for individual clients. 10.4.4. Recognise adverse clinical signs and symptoms including hypoglycaemic signs and symptoms; and identify and respond to changes in clinical status, co-morbidities, exercise and functional capacity, inter and intra session. 13.4.4. Practise methodologies and using technologies to measure respiratory and pulmonary function and capacity and interpret clinical status results and their implications for safe and effective exercise participation for respiratory/pulmonary clientele. 13.4.5. Consider medications, surgical, medical and allied health interventions/treatments, clinical and safety risks, treatment goals and their implications on clinical status, exercise and functional capacity in the design and delivery of safe and effective exercise for individual respiratory/pulmonary clients. 13.4.6. Recognise adverse clinical signs and symptoms; and identify and respond to changes in clinical status, co-morbidities, exercise and functional capacity, inter and intra session including initiating first-aid response and/or assisting in administering respiratory reliever medications within professional practice parameters. 4.3.2. Design safe and effective exercise plans that consider available scientific evidence, client treatment goals, medical history, clinical status, screening and assessments information and other influencing factors. 5.3.1. Deliver safe and effective exercise plans that consider available scientific evidence, client treatment goals, medical history, clinical status and other influencing factors. 5.3.2. Deliver safe and effective exercise interventions to affect positive changes in exercise and functional capacity; health and wellness behaviours and that consider influencing factors including risk, safety, individual and sociocultural/economic factors. 5.3.3. Relay medicines information including purpose and importance of compliance and exercise related side effects; and nutrition information aligned to nationally endorsed guidelines to clients considering clinical status and other influencing factors for client comprehension. 6.4.2. Consider medications, surgical, medical and allied health interventions/treatments, clinical and safety risks and their implications on clinical status, exercise and functional capacity in the design and delivery of safe and effective exercise for individual clients. 6.4.3. Identify and respond to changes in clinical status, co-morbidities, exercise and functional capacity, between and during exercise sessions. 7.4.7. Consider medications, surgical and medical treatments/complications, allied health interventions/treatments, and clinical and safety risks and their implications on clinical status, exercise and functional capacity in the design and delivery of safe and effective exercise for individual cardiovascular clients. 8.4.4. Identify and respond to changes in clinical status, co-morbidities, exercise and functional capacity, during and between exercise sessions. 9.4.3. Consider medications, medical and allied health interventions/treatments, clinical and safety risks and their implications on clinical status, exercise and functional capacity, and the design and delivery of safe and effective exercise for individual clients.

Accredited Exercise Physiologist Professional Standards -

Competency code	Taught, Practiced or Assessed	Competency standard
7.4.5		Practise 12-lead ECG and non-ECG methods to identify arrhythmias.

Responding to student feedback

This section outlines changes made to this unit following staff and student reviews.

Lectures on chronic diseases will have a more case based approach than previous years, in line with student feedback. This will be reinforced during tutorials.

Additional information

Student Administration Manual on the Faculty of Health Sciences

Disclaimer

The University reserves the right to amend units of study or no longer offer certain units, including where there are low enrolment numbers.

To help you understand common terms that we use at the University, we offer an online glossary.

Current students

Overview

Overview

Unit details and rules

Teaching staff

Assessment

Assessment

Assessment summary

Assessment criteria

Late submission

Academic integrity

Learning support

Learning support

Simple extensions

Special consideration

Using AI responsibly

Weekly schedule

Weekly schedule

Attendance and class requirements

Study commitment

Required readings

Learning outcomes

Learning outcomes

Graduate qualities

Outcome map

Alignment with Competency standards

Responding to student feedback

Responding to student feedback

Additional information

Additional information

Disclaimer

On this page

Useful links

Media

Student links

About us

Connect

Current students

EXSS3024: Exercise, Health and Disease

Semester 1, 2022 [Normal day] - Camperdown/Darlington, Sydney

Overview

Overview

Unit details and rules

Teaching staff

Assessment

Assessment

Assessment summary

Assessment criteria

Late submission

Academic integrity

Learning support

Learning support

Simple extensions

Special consideration

Using AI responsibly

Weekly schedule

Weekly schedule

Attendance and class requirements

Study commitment

Required readings

Learning outcomes

Learning outcomes

Graduate qualities

Outcome map

Alignment with Competency standards

Responding to student feedback

Responding to student feedback

Additional information

Additional information

Disclaimer

On this page

Useful links

Media

Student links

About us

Connect