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Unit of study_

EXSS5114: Exercise and Musculoskeletal Health 2

Semester 2 Early, 2020 [Block mode] - Cumberland, Sydney

The aim of this unit is to investigate the strategic application of exercise prescription principles to target specific prevention and rehabilitation goals. The unit focuses on the role of therapeutic exercise for the treatment and prevention of musculoskeletal conditions of the upper body and cervical spine and the application of exercise rehabilitation within compensable systems.

Unit details and rules

Unit code EXSS5114
Academic unit Movement Sciences
Credit points 6
Prohibitions
? 
None
Prerequisites
? 
EXSS5104 Exercise and Musculoskeletal Health 1
Corequisites
? 
None
Assumed knowledge
? 

None

Available to study abroad and exchange students

No

Teaching staff

Coordinator Alycia Fong Yan, alycia.fongyan@sydney.edu.au
Type Description Weight Due Length
Final exam (Open book) Type C final exam Final exam
written exam with MCQ and SA
50% Formal exam period 2 hours
Outcomes assessed: LO1 LO2 LO3 LO4
Online task hurdle task Anatomy Assumed Knowledge Quiz
Quiz
0% Week 01
Due date: 16 Sep 2020 at 13:00
10 questions
Outcomes assessed: LO1 LO3
Skills-based evaluation hurdle task Practical Skills Assessment
Practical Skills Assessment
25% Week 11 20mins
Outcomes assessed: LO1 LO3 LO4
Skills-based evaluation Case Study Defence
Case Study Defence
25% Week 13 45 minutes concurrent with EXSS5112
Outcomes assessed: LO1 LO2 LO3 LO4
hurdle task = hurdle task ?
Type C final exam = Type C final exam ?

Assessment summary

In-class quiz: Multiple choice questions to guide revision of functional anatomy
Practical Exam: Select relevant assessments, demonstrate joint and movement assessments, demonstrate knowledge.
Case Study Defence: Design exercise managenment plan and defend the solution during an oral examination
Final exam: The exam will cover all material in the unit from both lectures and practical classes. The exam will have a mixture of multiple choice questions
and short answer questions.
Detailed information for each assessment can be found on Canvas

Assessment criteria

Result name

Mark range

Description

High distinction

85 - 100

Exceptional knowledge in musculoskeletal conditions and their management using
individualised exercise testing and programming

Distinction

75 - 84

High level of knowledge in musculoskeletal conditions and their management using
individualised exercise testing and programming

Credit

65 - 74

Good level of knowledge in musculoskeletal conditions and their management using
individualised exercise testing and programming

Pass

50 - 64

Basic level of knowledge in musculoskeletal conditions and their management using
individualised exercise testing and programming

Fail

0 - 49

Learning outcomes of the unit are not met to a satisfactory standard. There is a risk of harm
to patients with the lack of knowledge and skill demonstrated

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.

This unit has an exception to the standard University policy or supplementary information has been provided by the unit coordinator. This information is displayed below:

The Assessment Procedures 2011 provide that any written work submitted after 11:59pm on the due date will be penalised by 5% of the maximum awardable mark for each calendar day after the due date. If the assessment is submitted more than ten calendar days late, a mark of zero will be awarded. However, a unit of study may prohibit late submission or exclude late penalties only if expressly stated below.

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.

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.

WK Topic Learning activity Learning outcomes
Week 07 Introduction and revision of musculoskeletal rehabilitation principles and goals Lecture (2 hr) LO1 LO2 LO4
Shoulder I: Common conditions of the scapula Lecture (2 hr) LO1 LO2 LO4
Revision practical Practical (2 hr) LO3
Scapula Ax + Rx Practical (2 hr) LO3 LO4
Week 08 Shoulder II: Common conditions of the Glenohumeral Joint Lecture (2 hr) LO1 LO2 LO4
Elbow I: Common conditions of the Elbow Lecture (2 hr) LO1 LO3 LO4
GHJ Ax + Rx Practical (2 hr) LO3 LO4
Elbow Ax + Rx Practical (2 hr) LO3 LO4
Week 09 Wrist I: Common conditions of the Wrist Lecture (2 hr) LO1 LO3 LO4
Cervical Spine I: Common conditions of the Cervical Spine Lecture (2 hr) LO1 LO3 LO4
Wrist Ax + Rx Practical (2 hr) LO3 LO4
Cervical Neck Ax + Rx Practical (2 hr) LO3 LO4
Week 10 CLBP Lecture (2 hr) LO1 LO3 LO4
Occupational Rehab and Compensable Systems Lecture (2 hr) LO2 LO3 LO4
Lower Back Pain Assessments Practical (2 hr) LO3
Trunk: Abdominal and Lower Back Practical (2 hr) LO4
Week 11 Occupational Rehab and Compensable Systems Lecture (2 hr) LO2 LO3 LO4
Occupational Rehab and Compensable Systems Tutorial (2 hr) LO2 LO3 LO4
Week 12 Occupational Rehab and Compensable Systems Lecture (2 hr) LO2 LO3 LO4
Occupational Rehab and Compensable Systems Lecture (2 hr) LO2 LO3 LO4
Occupational Rehab and Compensable Systems Tutorial (2 hr) LO2 LO3 LO4
Occupational Rehab and Compensable Systems Tutorial (2 hr) LO2 LO3 LO4

Attendance and class requirements

This unit is designed with a strong emphasis on tutorial and practical based learning in a collegial environment. It is expected that students attend and engage with the instructor and each other. Therefore, attendance at practical and tutorial classes is compulsory, with failure to attend all practical and tutorial classes without approved special consideration resulting in an Absent Fail grade being awarded. Attendance at lectures is not compulsory, however is strongly advised.

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.

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 structure, function, behaviour and the pathophysiological bases for a broad range of musculoskeletal conditions, to allow safe and effective engagement in physical activity in healthy and clinical populations.
  • LO2. Demonstrate an understanding of the role of exercise and physical activity in the management of musculoskeletal injuries within the AEP scope of practice
  • LO3. Conduct and interpret a variety of musculoskeletal assessments, integrating anatomical and biomechanical knowledge to formulate measurement tool selection, monitoring actions, and strategies for case management
  • LO4. Design, revise and deliver client-centred exercise plans that consider scientific evidence, client goals, medical history, clinical status and other influencing factors for a broad range of musculoskeletal conditions across the Accredited Exercise Physiology (AEP) pathology domains using behaviour change strategies, interpretation of information, critical analysis, synthesis of evidence, reflection and creativity.

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
GQ1 GQ2 GQ3 GQ4 GQ5 GQ6 GQ7 GQ8 GQ9

Alignment with Competency standards

Outcomes Competency standards
LO1
Accredited Exercise Physiologist Professional Standards - ESSA
11.4.1. Examine in depth, the pathological and pathophysiological bases of all target musculoskeletal conditions; and the interactions between exercise and acute, sub- acute and chronic conditions; musculoskeletal signs, symptoms and medications; and sport, rehabilitation and activity of daily living (ADL) environments.
11.4.2. Appraise the mode, intensity, duration frequency, volume and progression on clinical outcomes for musculoskeletal clients.
11.4.3. Evaluate functional body mechanics and the interrelationship to the rehabilitation setting and needs.
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.
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.
3.3.8. Explain the principles of body mechanics.
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.
LO2
Accredited Exercise Physiologist Professional Standards - ESSA
1.3.1. Illustrate the scope of practice of Accredited Exercise Physiologist (AEP) and the scope of roles available for AEP practice.
1.3.2. Employ core principles of case management and appropriate clinical reporting in the delivery of clinical, health and wellness, work conditioning and rehabilitation services within the boundaries of the ESSA AEP scope of practice and the healthcare system framework.
1.3.3. Practise professional conduct that incorporates the principles, legislation, regulations, rights and responsibilities that underpin: the ESSA Code of Professional Conduct and Ethical Practice; therapeutic and collegial relationships; and professional practice in a client centred, multi-disciplinary care environment.
11.4.1. Examine in depth, the pathological and pathophysiological bases of all target musculoskeletal conditions; and the interactions between exercise and acute, sub- acute and chronic conditions; musculoskeletal signs, symptoms and medications; and sport, rehabilitation and activity of daily living (ADL) environments.
11.4.11. Compose, deliver and revise safe and effective functional exercise and workplace rehabilitation programs that consider client clinical status and needs, treatment objectives/progress, influencing parameters and protocol/guidelines including age appropriate exercise guidelines and final phase rehabilitation/functional conditions/return to play guidelines.
11.4.2. Appraise the mode, intensity, duration frequency, volume and progression on clinical outcomes for musculoskeletal clients.
11.4.3. Evaluate functional body mechanics and the interrelationship to the rehabilitation setting and needs.
11.4.5. Compare the roles of Accredited Exercise Physiologist (AEP) and other health professionals in delivering care to musculoskeletal clientele in multi-disciplinary care and rehabilitation environments.
2.3.3. Evaluate evidence base for mode, intensity, duration, frequency, volume and progression of exercise interventions for the target conditions in the musculoskeletal and cardiovascular domains and for a broad range of target conditions across all of the other AEP pathology domains.
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.
3.3.5. 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.
3.3.8. Explain the principles of body mechanics.
3.3.9. Discuss core principles of functional capacity as it relates to regulations, scientific evidence, safe practice, client need and a multi-disciplinary care environment.
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.
LO3
Accredited Exercise Physiologist Professional Standards - ESSA
1.3.1. Illustrate the scope of practice of Accredited Exercise Physiologist (AEP) and the scope of roles available for AEP practice.
1.3.2. Employ core principles of case management and appropriate clinical reporting in the delivery of clinical, health and wellness, work conditioning and rehabilitation services within the boundaries of the ESSA AEP scope of practice and the healthcare system framework.
1.3.3. Practise professional conduct that incorporates the principles, legislation, regulations, rights and responsibilities that underpin: the ESSA Code of Professional Conduct and Ethical Practice; therapeutic and collegial relationships; and professional practice in a client centred, multi-disciplinary care environment.
1.3.4. Employ evidence-based practice and professional clinical practice principles in the practice of the profession of an AEP.
11.4.1. Examine in depth, the pathological and pathophysiological bases of all target musculoskeletal conditions; and the interactions between exercise and acute, sub- acute and chronic conditions; musculoskeletal signs, symptoms and medications; and sport, rehabilitation and activity of daily living (ADL) environments.
11.4.10. Practise employing pre-screening tools; exercise and functional capacity techniques; and active, passive and resistive assessment tests within the boundaries of the ESSA AEP Scope of practice.
11.4.3. Evaluate functional body mechanics and the interrelationship to the rehabilitation setting and needs.
11.4.4. Examine: the scope of exercise physiology practice in rehabilitation and return to optimised function environments; and the use and limitations in use of common diagnostic tests to inform exercise prescription.
11.4.5. Compare the roles of Accredited Exercise Physiologist (AEP) and other health professionals in delivering care to musculoskeletal clientele in multi-disciplinary care and rehabilitation environments.
11.4.6. Select and employ pre-employment and other screening tools/techniques within the AEP scope of practice to establish client baseline exercise and functional capacity; inform exercise prescription and monitor client progression.
11.4.8. Recognise clinical signs and symptoms of adverse musculoskeletal response and identify and respond to changes in clinical status, co-morbidities, exercise and functional capacity, inter and intra session.
11.4.9. Practise musculoskeletal assessments before exercise on musculoskeletal cohort 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.
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.
3.3.5. 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.
LO4
Accredited Exercise Physiologist Professional Standards - ESSA
1.3.1. Illustrate the scope of practice of Accredited Exercise Physiologist (AEP) and the scope of roles available for AEP practice.
1.3.2. Employ core principles of case management and appropriate clinical reporting in the delivery of clinical, health and wellness, work conditioning and rehabilitation services within the boundaries of the ESSA AEP scope of practice and the healthcare system framework.
1.3.3. Practise professional conduct that incorporates the principles, legislation, regulations, rights and responsibilities that underpin: the ESSA Code of Professional Conduct and Ethical Practice; therapeutic and collegial relationships; and professional practice in a client centred, multi-disciplinary care environment.
11.4.1. Examine in depth, the pathological and pathophysiological bases of all target musculoskeletal conditions; and the interactions between exercise and acute, sub- acute and chronic conditions; musculoskeletal signs, symptoms and medications; and sport, rehabilitation and activity of daily living (ADL) environments.
11.4.11. Compose, deliver and revise safe and effective functional exercise and workplace rehabilitation programs that consider client clinical status and needs, treatment objectives/progress, influencing parameters and protocol/guidelines including age appropriate exercise guidelines and final phase rehabilitation/functional conditions/return to play guidelines.
11.4.12. Employ behavioural change strategies and revise communication to facilitate mitigation of cognitive, behavioural and other influencing factors on treatment progression for individual musculoskeletal and rehabilitation clients.
11.4.13. 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.
11.4.2. Appraise the mode, intensity, duration frequency, volume and progression on clinical outcomes for musculoskeletal clients.
11.4.3. Evaluate functional body mechanics and the interrelationship to the rehabilitation setting and needs.
11.4.4. Examine: the scope of exercise physiology practice in rehabilitation and return to optimised function environments; and the use and limitations in use of common diagnostic tests to inform exercise prescription.
11.4.5. Compare the roles of Accredited Exercise Physiologist (AEP) and other health professionals in delivering care to musculoskeletal clientele in multi-disciplinary care and rehabilitation environments.
11.4.6. Select and employ pre-employment and other screening tools/techniques within the AEP scope of practice to establish client baseline exercise and functional capacity; inform exercise prescription and monitor client progression.
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.
11.4.8. Recognise clinical signs and symptoms of adverse musculoskeletal response and identify and respond to changes in clinical status, co-morbidities, exercise and functional capacity, inter and intra session.
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.
2.3.2. Distinguish common diagnostic procedures, medical, surgical and other interventions, and commonly prescribed medications for a broad range of target conditions across all AEP pathology domains.
2.3.3. Evaluate evidence base for mode, intensity, duration, frequency, volume and progression of exercise interventions for the target conditions in the musculoskeletal and cardiovascular domains and for a broad range of target conditions across all of the other AEP pathology domains.
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.
3.3.4. 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.
3.3.8. Explain the principles of body mechanics.
3.3.9. Discuss core principles of functional capacity as it relates to regulations, scientific evidence, safe practice, client need and a multi-disciplinary care environment.
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.

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

This is the first time this unit has been offered

Work, health and safety

WHS Induction checklist must be completed in the first class

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