ELEMENTS OF EXERCISE PRESCRIPTION Exercise prescription is the development of a specific exercise program based on a comprehensive evaluation. Whereas, exercise programming is basic exercise advice based on a limited evaluation. Neither exercise programming or exercise prescription can proceed without some kind of prior evaluation. Programming can include advice on physical activity.
Exercise prescriptions are more often given in the clinical setting where more precise guidelines are required for treatment of specific diseases. Whereas, exercise programming is more often utilized in the health and fitness setting where generic programs can be provided for large numbers of apparently healthy adults. On the other hand, many adults with controlled disease are found in the health & fitness industry. In these cases, the Fitness Specialist should comprehend the aspects of disease and the limitations of less comprehensive evaluations.
The elements of a complete exercise prescription are diagramed below.
Each of these elements change depending on the setting and the purpose of the exercise prescription. In addition, the methods to measure each element also changes depending on setting and purpose. The two extremes of spectrum are summarized in the table below
Element | Health & Fitness | Clinical | Contraindications | Health Questionnaire | Physician Physical | Risk Stratification | Health Questionnaire | Measurement of each Risk Factor | Physical Exam | Health Questionnaire | Physician Physical | Health History | Health Questionnaire | Physician Physical | Blood Chemistries | Health Questionnaire | Blood Draw | Blood Pressure | Health Questionnaire | Screening | Body Composition | Health Questionnaire | BMI | Pulmonary Functions | Not applicable | Spirometry | Electrocardiography | Health Questionnaire | Resting 12 lead & Exercise | Exercise Testing | Submax Cycle Ergometer | Stress Test |
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