Outline

Overview

The unit will develop knowledge, clinical decision making and practical skills for the assessment, design and delivery of physical activity for clientele with frailty and disability and target conditions in the neurological AEP pathology domains. Clinical scenarios will be used to develop understanding of the pathological and pathophysiolgical bases for neurological disease and disability diagnostic procedures, medical and allied health management, including medications. This will require the student to integrate prior knowledge, skills and experiences with new learning in the context of neurological condition management. Students will develop the capacity for appropriate assessment, monitoring, prescription and implementation of physical activity for neurologial clientele and those with frailty and disability, to ultimately design and deliver safe and effective physical activity management plans that are individualised and evidence-based.

Unit details and rules

Unit code	EXSS5113
Academic unit	Movement Sciences
Credit points	6
Prohibitions ?	None
Prerequisites ?	None
Corequisites ?	None
Assumed knowledge ?	None
Available to study abroad and exchange students	No

Teaching staff

Coordinator	Glen Davis, glen.davis@sydney.edu.au
Lecturer(s)	Glen Davis, glen.davis@sydney.edu.au
	Maria Fiatarone Singh, maria.fiataronesingh@sydney.edu.au
	Che Fornusek, che.fornusek@sydney.edu.au
Tutor(s)	Bonnie Tran, bonnie.tran@sydney.edu.au

Type	Description	Weight	Due	Length
Presentation	Presentation and demonstration of skill training strategies Demonstrations skills and content based evaluation	20%	Week 07	20 minutes
Outcomes assessed:
Skills-based evaluation	Written Case Studies and Oral Defence Written Case Studies and Oral Defence	35%	Week 11	30 minutes
Outcomes assessed:
Final exam (Take-home short release)	End-Semester Exam Exam – End semester exam	45%	Week 12 Due date: 02 Nov 2021 at 10:00	2 hours
Outcomes assessed:
= hurdle task ? = group assignment ? = Type D final exam ?

Assessment summary

Assessment criteria

HD	85
DI	75
CR	65
PS	50

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 04	1. Strategies for Rehabilitation or Maintenance of Sensorimotor Function 2. Strategies for Rehabilitation or Maintenance of Aerobic Fitness and Muscle Strength Over-arching: Tools (modes) for AEP application with neurological conditions (i.e., applying cardiorespiratory fitness, functional training, resistance training, motor re-learning) Strategies for rehabilitation & maintenance of function indicated for different neurological conditions and associated movement... (refer UoS at Canvas site)	Online class (2 hr)
Week 04	Employing various tools/techniques to measure client clinical status and interpreting clinical status results and their implications for safe and effective exercise participation for elderly, frail and neurological clients	Tutorial (2 hr)
Week 05	Frailty and Disability 1 (including sarcopenia and osteoporosis): Epidemiology, prevalence and definitions, diagnostic criteria and measurement tools of sarcopenia and osteopenia/osteoporosis, mobility limitations, frailty and disability; personal and societal burden, common co-morbidities and future consequences or complications, contraindications to exercise, clinical signs and symptoms, and medical management including medication, surgery and other allied health ... (refer UoS at Canvas site)	Online class (2 hr)
Week 05	Frailty and Disability 2 (including sarcopenia and osteoporosis): Evaluate & apply the evidence-base for physical activity, exercise, exercise testing and prescription and implementation including: choosing and applying guidelines and evidence to achieve safe and effective physical activity prescription with consideration of mode, intensity, frequency and clinical status; How & when to modify exercise in response to progress, adverse events or changes in clinical ... (refer UoS at Canvas site)	Online class (2 hr)
Week 06	Cognitive Impairment and Dementia: Identification/diagnosis; pathophysiology and consequences; medical and multidisciplinary care; assessment/measurement tools for assessing clinical and functional status. Evidence-base for physical activity/exercise therapy, ExRx and implementation including: choosing and applying guidelines and evidence, stratification and management of exercise risk, medication interactions, monitoring, management of clinical status and changes... (refer UoS at Canvas site)	Online class (2 hr)
	Stroke 1: Pathophysiology, diagnostic criteria and classification, medico-surgical and assistive technology interventions, medications, exercise capacity, adverse signs and symptoms including fatigue recognition and planning... (refer UoS at Canvas site)	Online class (2 hr)
	Stroke 2: Behaviour change for physical activity promotion, exercise prescription for fitness, wellness and health, motor performance for functional outcomes, nutritional status and issues, reporting to key stakeholders, psychosocial issues linked to stroke in the aged. Retraining of motor function strategies to restore the function of ADLs Case studies in persons who have had a stroke. ... (refer UoS at Canvas site)	Online class (2 hr)
	Parkinson’s Disease and Lewy Body: Aetiology prevalence & burden; Signs and symptoms; identification/diagnosis; pathophysiology & consequences; medical & multidisciplinary care; assessment/measurement tools. Evidence-base for physical activity/exercise therapy, ExRx and implementation. Stratification and management of exercise risk, medication interactions, monitoring, management of clinical status and changes, evaluation and reporting, and special considerations... (refer UoS at Canvas site)	Online class (2 hr)
Week 07	Assessment 1: Presentation and demonstration of skill training strategies	Presentation (2 hr)
	Assessment 1: Presentation and demonstration of skill training strategies	Presentation (2 hr)
	Assessment 1: Presentation and demonstration of skill training strategies	Presentation (2 hr)
	Tutorial – Stroke, Cognitive Impairment and Dementia: Discuss setting up an appropriate exercise environment that accommodates the accessibility and mobilisation needs of the stroke client & manual handling techniques to assist with client transfers within the parameters of professional practice. Practise assessing & monitoring fatigue levels before, during & after exercise. Practise employing tools/techniques to measure stroke client clinical status & interpreting... (refer UoS at Canvas site)	Tutorial (2 hr)
Week 08	Spinal Cord Injury 1: Pathophysiology, diagnostic criteria and classification, medico-surgical and assistive technology interventions, medications, exercise capacity, adverse signs and symptoms including medical sequelae of SCI, fatigue recognition and planning in the population.	Online class (2 hr)
	Spinal Cord Injury 2: Behaviour change for physical activity promotion, exercise prescription for fitness, wellness and health, motor performance for functional outcomes, nutritional status and issues, reporting to key stakeholders, psychosocial issues linked to spinal cord injury.	Online class (2 hr)
	Tutorial/Practical – Frailty (including osteoporosis and sarcopenia): Design & implement safe & effective exercise using case studies with sarcopenia/osteoporosis, frailty, and disability. Consider current clinical status & appropriate goals, need to maintain functional status & prevention of injurious falls both acutely & in the community. Discuss issues surrounding current medical management, nutritional status & potential consequences of advanced disease... (refer UoS at Canvas site)	Practical (2 hr)
Week 09	Multiple Sclerosis: Aetiology; identification/diagnosis; pathophysiology and consequences; Signs and symptoms medical and multidisciplinary care; description of its effects and progress; fatigue management; assessment/measurement tools for assessing clinical and functional status and appropriate therapeutic targets for AEPs... (refer UoS at Canvas site)	Online class (2 hr)
Week 09	Tutorial/Practical - Neurological conditions: Interact with clients with MS and SCI. Setup an appropriate exercise environment for participants with MS and SCI, monitor client fatigue pre and post exercise. Assess client clinical status a health using relevant tools and techniques. Implement aerobic, resistance and core strength exercise tests. Interpret client results and clinical status.	Practical (2 hr)
Week 10	Pre-OCSD and Final Exam Revision and UoS Evaluation	Online class (2 hr)
Week 11	Written Case Studies and Oral Defence	Performance (0.5 hr)
Week 12	Written Final Exam	Performance (2 hr)

Attendance and class requirements

Weeks 4 to 9 are online Lectures

Week 4, 7, 8, and 9: Attendance compulsory for Tutorials/Practicals. Non-attendance will be a 5% deduction from the final grade

Week 7: Attendance compulsory for Group presentations. Non-attendance will be a 5% deduction from the final grade

Week 11: Attendance compulsory for Assessment 2: Case Study Oral Defense. Non-attendance will result in a mark of 0/35 for assessment, and since Assessment 2 is a Hurdle Task (student must demonstrate competency to pass Unit)), this will result in a FA grade.

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

Required supplementary readings

Tweedy SM, Beckman EM, Geraghty TJ, Theisen D. Perret C, Harvey LA and Vanlandewijck. (2017). Exercise and sports science Australia (ESSA) position statement on exercise and spinal cord injury. JSMS 20:108-115.

de Oliveira CQ, Refshauge K, Middleton JW, de Jong L and Davis GM. (2017). Effects of Activity-based therapy interventions on mobility, independence and quality of life for people with spinal cord injuries: A systematic review and meta-analysis. J Neurotrauma. 34(9):1726-1743.

Saunders DH, Sanderson M, Hayes S, Kilrane M, Greig CA, Brazzelli M and Mead GE. (2016). Physical fitness training for stroke patients (Review). Cochrane Database of Systematic Reviews (John Wiley & Sons Online, Publishers). DOI: 10.1002/14651858.CD003316.pub6.

Indicative Additional Readings (Journal articles, incl. Thematic Reviews, Systematic Reviews)

Nightingale TE, Metcalf RS, Vollaard NB amd Bilzon JL. (2017). Exercise Guidelines to promote cardiometabolic health in spinal cord injured humans: Time to raise the intensity? Arch Phys Med Rehabil. 98:1693-704

Lederman O, Suetani S, Stanton R, Chapman J, Rosenbaum S, Ward PB and Siskind D. (2017) Embedding exercise intercise interventions as routine mental health care: implementation strategies in residential, inpatient and community settings. Australas Psychiatry. 25:451-455

ESSA Position Statements

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. Demonstrate advanced knowledge and understanding of human structural, functional, and behavioural aetiology for a range of neurological pathologies affecting coordination, performance of activities of daily living and exercise.
LO2. Design, revise and deliver client-centred exercise plans that consider scientific evidence, client goals, medical history including cognitive capacity, clinical status and other influencing factors for a range of neurological pathologies. These plans include behaviour change strategies, techniques to maintain motivation, adherence, and progression with specific treatment, careful interpretation of information, critical analysis, synthesis of evidence, reflection and inventiveness to health outcomes and functional attributes in activities of daily living for clientele with neurological conditions.
LO3. Interact effectively with key stakeholders including clientele and health professionals in the health care framework to participate in delivering multi-disciplinary care to individuals with neurological health issues.
LO4. Appropriately monitor, evaluate and modify physical activity interventions for clientele in the AEP neurological domain. This includes recognising and responding appropriately to changes in clinical status, functional capacity and adverse signs and symptoms at rest, during and post exercise.
LO5. Use effective and specific tools and techniques to safely assess client clinical status and, with evidence-based rationale, adapt/innovate elements of PA-based therapy to suit individual clients with neurological deficits related to specific diseases and/or aging for the maintenance and improvement of function.
LO6. Demonstrate ethical and professional conduct and behaviour, understand the scope of practice of AEPs and comply with the ESSA code of professional conduct and ethical practice.

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 - 12.4.1. Examine: brain and neural pathway physiology and pathophysiological bases; the core principles of the health care system framework including informed consent and cognitive deficits and the roles of health professionals in delivering care to neurological clientele in multi-disciplinary care and rehabilitation environments. 12.4.2. Examine the diagnostic criteria and procedures; comorbid secondary complications and their implications on clinical and safety risks for exercise participation and potential to change clinical status for neurological clientele. 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. 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.
	Accredited Exercise Physiologist Professional Standards - 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. 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. 12.4.5. Practise setting up an appropriate exercise environment that accommodates the accessibility and mobilisation needs of the neurological client and manual handling techniques to assist with client transfers within the parameters of professional practice. 12.4.6. Practise assessing and monitoring fatigue levels before, during and after exercise. 12.4.7. Practise employing tools/techniques to measure client clinical status and interpreting clinical status results and their implications for safe and effective exercise participation for neurological clientele.
	Accredited Exercise Physiologist Professional Standards - 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. 12.4.7. Practise employing tools/techniques to measure client clinical status and interpreting clinical status results and their implications for safe and effective exercise participation for neurological clientele. 12.4.8. Employ behavioural change strategies and revise communication to accommodate decreased executive function in neurological clients; accommodate changes in neurological client clinical status inter and intra session; and facilitate mitigation of cognitive, behavioural and other influencing factors on treatment progression for individual neurological and rehabilitation clients. 12.4.9. Relay and report initial and changed status/progress to key stakeholders including client and referrer, considering good reporting principles and legislative and compensable scheme requirements.
	Accredited Exercise Physiologist Professional Standards - 12.4.2. Examine the diagnostic criteria and procedures; comorbid secondary complications and their implications on clinical and safety risks for exercise participation and potential to change clinical status for neurological clientele. 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. 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. 12.4.6. Practise assessing and monitoring fatigue levels before, during and after exercise. 12.4.7. Practise employing tools/techniques to measure client clinical status and interpreting clinical status results and their implications for safe and effective exercise participation for neurological clientele.
	Accredited Exercise Physiologist Professional Standards - 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. 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. 12.4.7. Practise employing tools/techniques to measure client clinical status and interpreting clinical status results and their implications for safe and effective exercise participation for neurological clientele. 12.4.8. Employ behavioural change strategies and revise communication to accommodate decreased executive function in neurological clients; accommodate changes in neurological client clinical status inter and intra session; and facilitate mitigation of cognitive, behavioural and other influencing factors on treatment progression for individual neurological and rehabilitation clients.
	Accredited Exercise Physiologist Professional Standards - 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. 12.4.7. Practise employing tools/techniques to measure client clinical status and interpreting clinical status results and their implications for safe and effective exercise participation for neurological clientele. 12.4.9. Relay and report initial and changed status/progress to key stakeholders including client and referrer, considering good reporting principles and legislative and compensable scheme requirements.

Accredited Exercise Physiologist Professional Standards -

Competency code	Taught, Practiced or Assessed	Competency standard
12.4.1		Examine: brain and neural pathway physiology and pathophysiological bases; the core principles of the health care system framework including informed consent and cognitive deficits and the roles of health professionals in delivering care to neurological clientele in multi-disciplinary care and rehabilitation environments.
12.4.2		Examine the diagnostic criteria and procedures; comorbid secondary complications and their implications on clinical and safety risks for exercise participation and potential to change clinical status for neurological clientele.
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.
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.
12.4.5		Practise setting up an appropriate exercise environment that accommodates the accessibility and mobilisation needs of the neurological client and manual handling techniques to assist with client transfers within the parameters of professional practice.
12.4.6		Practise assessing and monitoring fatigue levels before, during and after exercise.
12.4.7		Practise employing tools/techniques to measure client clinical status and interpreting clinical status results and their implications for safe and effective exercise participation for neurological clientele.
12.4.8		Employ behavioural change strategies and revise communication to accommodate decreased executive function in neurological clients; accommodate changes in neurological client clinical status inter and intra session; and facilitate mitigation of cognitive, behavioural and other influencing factors on treatment progression for individual neurological and rehabilitation clients.
12.4.9		Relay and report initial and changed status/progress to key stakeholders including client and referrer, considering good reporting principles and legislative and compensable scheme requirements.

Responding to student feedback

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

Changes have been made to scheduliing based on COVID-mandated Sydney Lockdown. Changes were made to some content delivery based on suggestions from Program Director

Additional information

Work, health and safety

Tutorials & Practicals will be converted to online Tutorials if Sydney is in COVID lockdown

Practical classes will deploy PPE to students and the community. Students and staff will comply with all Faculty requirements for hygiene and infection risk management including monitoring/reporting, PPE, hand hygiene protocols, etc.

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

Work, health and safety

Disclaimer

On this page

Useful links

Media

Student links

About us

Connect

Current students

EXSS5113: Exercise, Ageing and Neurological Health

Semester 2b, 2021 [Block mode] - 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

Work, health and safety

Disclaimer

On this page

Useful links

Media

Student links

About us

Connect