1. GENERAL PRINCIPLES OF EXERCISE PRESCRIPTION Targeted toward C-V Respiratory Fitness, Muscular Strength and Endurance, and Flexibility Includes Overload, Specificity, and Compliance Designed to enhance physical fitness, promote health, and ensure safety during exercise

2. EXERCISE PRESCRIPTION Devised based on HR, BP, RPE, ECG, response to exercise Information garnered from an exercise test

3. ART OF EXERCISE PRESCRIPTION Based on Individual needs, goals, interests, and clinical status This involves behavioral modification and exercise preference Can not be implemented in a Rigid Fashion Modification based on individual response and adaptation Long term compliance is ultimate goal

4. COMPONENTS Mode Intensity Duration Frequency Progression

5. WORK-OUT FORMAT Warm-up- 10 min Endurance Phase Recreational Activities-optional Cool-down- 5 to 10 min

6. CARDIORESPIRATORY FITNESS Mode-Group 1, 2 or 3 type of activities- things to consider include injury risk, obesity, novice exerciser and compliance Intensity- 40-85% of HRR or 55-90% HR max--inversely related to duration using METS = (%) (VO2 max-VO2 rest) + VO2 rest using HR-direct method, % max HR, % of HRR

7. CARDIORESPIRATORY FITNESS Intensity RPE-especially good for low fitness levels, diseased people and those on meds Duration-consider time constraints, fitness level, goals, and total volume of exercise Frequency-based on goals and clinical status- see charts on caloric expenditures Progression-initial, improvement, and maintenance

8. SPECIFICITY Transfer of training effects Training effects come more from peripheral affects than central Must train arms and legs

9. FLEXIBILITY Areas most needed to address Especially important for elderly Static active stretches the best 2-3 days/wk, mild discomfort, 10-30 sec, 3-4 times/stretch

10. MUSCULAR FITNESS Static or Dynamic Exercises Correct breathing and biomechanics Strength and Endurance 8-10 separate exercises per major group 8-12 reps or 10-15 reps per set 2-3 days per week Reduces injury, increase bone mineral and connective tissue strength