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Unit outline_

EXSS3074: Fundamental Musculoskeletal

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

The aim of this unit is to introduce the core principles and practices required for Accredited Exercise Physiologists in musculoskeletal rehabilitation settings. The unit explores scope of practice and the role of the AEP in multidisciplinary teams, and introduces the basic skills required to work in these contexts. The unit provides a framework for understanding injury and how therapeutic exercise is used in the rehabilitation process. Pathophysiology and appropriate exercise prescription is explored for common conditions of the upper body and neck.

Unit details and rules

Academic unit Movement Sciences
Credit points 6
Prerequisites
? 
BIOS1168 and BIOS1169
Corequisites
? 
None
Prohibitions
? 
None
Assumed knowledge
? 

None

Available to study abroad and exchange students

Yes

Teaching staff

Coordinator Alycia Fong Yan, alycia.fongyan@sydney.edu.au
Type Description Weight Due Length
Final exam (Record+) Type B final exam Final Exam
Online final exam
40% Formal exam period 2 hours
Outcomes assessed: LO1 LO2 LO3 LO4 LO5
Small test Anatomy Assumed Knowledge Quiz
In class on-line quiz
0% Week 01 15 mins
Outcomes assessed: LO1
Skills-based evaluation Practical Exam
Practical Exam
30% Week 07 30 mins
Outcomes assessed: LO1 LO2 LO3 LO5
Skills-based evaluation Exercise Management Plan and Oral Defence
Exercise management plan submission and oral case defence
30% Week 13 30 mins
Outcomes assessed: LO1 LO2 LO3 LO4 LO5
Type B final exam = Type B final exam ?

Assessment summary

  1. An individual, on-line quiz designed to assess assumed knowledge relating to anatomy. 
  2. A number of case studies will be placed online two weeks prior to the assessment. During the assessment, students will randomly select a case study, identify relevant assessments then perform a number of these assessments on a client they supply. They will then be asked a number of questions relating to the selected case study.
  3. Up to 3 case studies will be provided. Students will need to design an exercise management plan for the case studies and will be asked to defend their solution to one of the cases during an oral examination.
  4. A written exam assessing students’ knowledge across each of the learning outcomes.

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.

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.

Use of generative artificial intelligence (AI) and automated writing tools

You may only use generative AI and automated writing tools in assessment tasks if you are permitted to by your unit coordinator. If you do use these tools, you must acknowledge this in your work, either in a footnote or an acknowledgement section. The assessment instructions or unit outline will give guidance of the types of tools that are permitted and how the tools should be used.

Your final submitted work must be your own, original work. You must acknowledge any use of generative AI tools that have been used in the assessment, and any material that forms part of your submission must be appropriately referenced. For guidance on how to acknowledge the use of AI, please refer to the AI in Education Canvas site.

The unapproved use of these tools or unacknowledged use will be considered a breach of the Academic Integrity Policy and penalties may apply.

Studiosity is permitted unless otherwise indicated by the unit coordinator. The use of this service must be acknowledged in your submission as detailed on the Learning Hub’s Canvas page.

Outside assessment tasks, generative AI tools may be used to support your learning. The AI in Education Canvas site contains a number of productive ways that students are using AI to improve their learning.

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 01 Unit overview; scope of AEP roles and practice; Rehab contexts within the health framework; multi-disciplinary care and roles of other health professionals in MSK management; principles of case management and clinical reporting; Decision making algorithms: Control inflammation/pain What is injury? Risk Factors; Pain; Psych Responses to Injury; Phases of healing; acute, sub-acute and chronic condition Lecture (2 hr) LO1 LO2 LO5
Week 02 Pharmacology for musculoskeletal health: NSAIDs; opioids; mechanism of action, side-effects and implications for clinical status, exercise interactions and ensuring exercise safety. Decision making algorithms: Mobility/Range of Motion Lecture (2 hr) LO1 LO2 LO5
Practical: Intro to ROM Assessment Normative Data; Goniometry, Inclinometry and Visual inspection; Active vs Passive ROM and End-Feels Practical (2 hr) LO1 LO2 LO3 LO5
Week 03 Decision making algorithms: Muscle Performance, Neuromuscular Control and functional capacity; ‘return to play’ for sporting, occupational and ADL environments; assessment and revision of functional capacity Lecture (2 hr) LO1 LO2 LO5
Practical: Intro to Muscle Performance and Functional Capacity Assessment Normative Data MMT, HHD, Functional Tests Practical (2 hr) LO1 LO2 LO3 LO5
Week 04 Screening tools Postural analysis, functional body mechanics and movement screens The kinetic chain OKC vs CKC; movement quality and pathomechanics: principles of body mechanics Lecture (2 hr) LO1 LO2 LO5
Practical: Rehab Tools for the EP: Movement Analysis and Pathomechanics FMS; Postural Analysis Practical (2 hr) LO1 LO2 LO3 LO5
Week 05 AEP rehab tools and their evidence base: Improving Mobility Stretching, massage, triggers, dry needles Lecture (2 hr) LO1 LO2 LO4 LO5
1. GJH ROM and Strength Ax 2. Rehab Tools for the AEP: Improving Mobility Stretching, massage, myofascial release Practical (2 hr) LO1 LO2 LO3 LO5
Week 06 AEP rehab tools and their evidence base: Improving Muscle Performance and Functional Capacity Strength training: contraction types, equipment, progressions/regressions, home-based mods Lecture (2 hr) LO1 LO2 LO4 LO5
1. Elbow and Wrist ROM and Strength Ax 2. Rehab Tools for the AEP: Improving Muscle Performance Strength training for musculoskeletal conditions PRT hierarchy, Progressions/regressions Practical (2 hr) LO1 LO2 LO3 LO5
Week 08 Exercise rehabilitation programming: components, principles, documentation; behaviour change and sociocultural factors in rehab settings; goal setting; evidence-based practice in MSK rehab; progressions; msk signs and symptoms; regressions Lecture (2 hr) LO1 LO2 LO4 LO5
Tutorial: Designing an exercise management plan Sample exercise management plans Case-based management plan design Tutorial (2 hr) LO1 LO2 LO3 LO4 LO5
Week 09 Shoulder I: Common conditions of the scapula Pathology/pathophysiology; diagnostic procedures and their limitations, medical, surgical and other interventions, and common medications; Exercise management plans: evidence base for FITT and progression, contraindications and safety considerations, goal setting, assessment and monitoring of clinical status, responding to changes in risk factors and clinical status (inc first aid response). Lecture (2 hr) LO1 LO2 LO4 LO5
Scapula Ax + Rx Assessment: Flexibility/ROM, Strength, Stability/Balance/NMC, Functional Movement Measurement tools and techniques to assess clinical and functional status Training/ Programming: Exercises, Progressions/Regressions Practical (2 hr) LO1 LO2 LO3 LO4 LO5
Week 10 Shoulder II: Common conditions of the Glenohumeral Joint Pathology/pathophysiology; diagnostic procedures and their limitations, medical, surgical and other interventions, and common medications; Exercise management plans: evidence base for FITT and progression, contraindications and safety considerations, goal setting, assessment and monitoring of clinical status, responding to changes in risk factors and clinical status (inc first aid response). Lecture (2 hr) LO1 LO2 LO4 LO5
GHJ Ax + Rx Assessment: Flexibility/ROM, Strength, Stability/Balance/NMC, Functional Movement Measurement tools and techniques to assess clinical and functional status Training/ Programming: Exercises, Progressions/Regressions Practical (2 hr) LO1 LO2 LO3 LO4 LO5
Week 11 Upper Limb: Common conditions of the Elbow and Wrist Pathology/pathophysiology; diagnostic procedures and their limitations, medical, surgical and other interventions, and common medications; Exercise management plans: evidence base for FITT and progression, contraindications and safety considerations, goal setting, assessment and monitoring of clinical status, responding to changes in risk factors and clinical status (inc first aid response). Lecture (2 hr) LO1 LO2 LO4 LO5
Elbow and Wrist Ax + Rx Assessment: Flexibility/ROM, Strength, Stability/Balance/NMC, Functional Movement Training/ Programming: Exercises, Progressions/Regressions Practical (2 hr) LO1 LO2 LO3 LO4 LO5
Week 12 Cervical Spine: Common conditions of the Cervical Spine Pathology/pathophysiology; diagnostic procedures and their limitations, medical, surgical and other interventions, and common medications; Exercise management plans: evidence base for FITT and progression, contraindications and safety considerations, goal setting, assessment and monitoring of clinical status, responding to changes in risk factors and clinical status (inc first aid response) Lecture (2 hr) LO1 LO2 LO4 LO5
Cervical Neck Ax + Rx Assessment: Flexibility/ROM, Strength, Stability/Balance/NMC, Functional Movement Training/ Programming: Exercises, Progressions/Regressions Practical (2 hr) LO1 LO2 LO3 LO4 LO5

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. The clinical skills taught in practical classes are assessed in the practical exam. Therefore, attendance at practical and tutorial classes is strongly advised. 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.

Required readings

Hoogenboom BJ, Voight ML, Prentice WE. eds. Musculoskeletal Interventions: Techniques for Therapeutic Exercise, Third Edition New York, NY: McGraw-Hill; 2013.

Fox, John., and Richard. Day. A Physiotherapist’s Guide to Clinical Measurement. Edinburgh: Churchill/Livingstone, 2009. Print.

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. Integrate knowledge from the basic, applied and social sciences with specialist technical skills relating to musculoskeletal assessment to implement exercise management plans with an evidence-based practice approach.
  • LO3. Demonstrate professional conduct and practice in case management and clinical reporting of musculoskeletal conditions within the scope of practice of the profession and healthcare system framework, including the ability to work autonomously and collaboratively in a multidisciplinary care environment using ethical, culturally sensitive and professional behaviour.
  • 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 inventiveness.
  • LO5. 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
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.
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.
2.3.3. 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.
3.3.4. 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.
3.3.6. 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.
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.
Accredited Exercise Scientist Professional Standards (2022) - ESSA
1.2.2. Support clients to meet their goals through the integration and application of the exercise science sub-discipline standards.
1.2.6. Identify risks and apply appropriate risk management strategies to the professional practice of exercise science.
2.2.1.1. Describe biomechanical principles and how they relate specifically to the analysis of various forms of human movement to demonstrate an understanding of movement analysis knowledge and skills
2.2.1.3. Describe biomechanical principles and how they relate specifically to the analysis of various forms of human movement to demonstrate an understanding of the physical effects of human interaction with equipment and the environment.
2.2.6. Identify specific aspects of movement patterns important for performance improvement and injury prevention.
4.2.7. Identify, interpret, report and take appropriate action regarding adverse signs and symptoms that may arise during exercise, sport and recovery.
4.2.8. Evaluate and monitor exercise-based interventions to ensure client safety.
5.2.1. Explain individual joint complexes and their independent and composite functions in posture and movement analysis in exercise.
5.2.2. Explain the relationship of structure (including micro and macro) with function, force and movement.
5.2.3. Identify the components of the neuro-musculoskeletal system of the body, and describe the role of the bony segments, joint-related connective tissue structures, muscles and forces applied to these structures.
5.2.5. Describe the adaptations that can occur within the neuro-musculoskeletal system as a result of deconditioning, ageing and injury, and the role of physical activity and exercise for preventing functional decline.
5.2.6. Analyse and evaluate results from static and dynamic assessments and provide recommendations for exercise prescription.
5.2.7. Analyse movement identifying which muscles are active in producing and controlling a movement of a joint.
6.2.3. Identify exercises that are contraindicated for particular stages of growth, maturation and development across the lifespan, and have knowledge of the injuries or conditions that commonly present during certain stages of growth and development.
7.2.1. Select and apply appropriate assessment procedures, including screening of appropriate social determinants of health, goal setting, obtaining informed consent and a relevant medical history, and performing a pre-exercise risk assessment and understand when onward referrals are warranted.
8.2.3. Apply anatomical terms to describe position, movement, body direction, regions, body planes or sections.
LO2
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.
11.4.3. 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.
11.4.6. 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.
2.3.3. 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.
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.
Accredited Exercise Scientist Professional Standards (2022) - ESSA
1.2.2. Support clients to meet their goals through the integration and application of the exercise science sub-discipline standards.
1.2.3. Choose and apply a variety of verbal and non-verbal communication methods appropriate to the client and/or population, carers and other health and exercise professionals.
2.2.1.1. Describe biomechanical principles and how they relate specifically to the analysis of various forms of human movement to demonstrate an understanding of movement analysis knowledge and skills
2.2.2. Apply the principles of the biomechanical analysis of human movement to activities of daily living across a broad range of populations.
2.2.6. Identify specific aspects of movement patterns important for performance improvement and injury prevention.
4.2.1. Select and apply a range of evidence-based tools and methods to prescribe monitor and evaluate exercise load and progress based on the needs of individuals.
4.2.2. Interpret data obtained during a client assessment to prescribe, deliver and monitor physical activity and exercise-based interventions.
4.2.3. Analyse a broad range of exercise modalities and select appropriate exercises and equipment to suit the needs and abilities of clients including consideration of social determinants of health.
4.2.4. Apply the principles of motor control and learning, functional anatomy and biomechanics to assess movement and to recognise dysfunctional movement patterns and unsafe exercise technique.
4.2.5. Select and apply learning cues and movement progressions for teaching and correcting movement and exercise technique.
4.2.7. Identify, interpret, report and take appropriate action regarding adverse signs and symptoms that may arise during exercise, sport and recovery.
4.2.8. Evaluate and monitor exercise-based interventions to ensure client safety.
5.2.1. Explain individual joint complexes and their independent and composite functions in posture and movement analysis in exercise.
5.2.2. Explain the relationship of structure (including micro and macro) with function, force and movement.
5.2.3. Identify the components of the neuro-musculoskeletal system of the body, and describe the role of the bony segments, joint-related connective tissue structures, muscles and forces applied to these structures.
5.2.5. Describe the adaptations that can occur within the neuro-musculoskeletal system as a result of deconditioning, ageing and injury, and the role of physical activity and exercise for preventing functional decline.
5.2.6. Analyse and evaluate results from static and dynamic assessments and provide recommendations for exercise prescription.
5.2.7. Analyse movement identifying which muscles are active in producing and controlling a movement of a joint.
6.2.3. Identify exercises that are contraindicated for particular stages of growth, maturation and development across the lifespan, and have knowledge of the injuries or conditions that commonly present during certain stages of growth and development.
7.2.1. Select and apply appropriate assessment procedures, including screening of appropriate social determinants of health, goal setting, obtaining informed consent and a relevant medical history, and performing a pre-exercise risk assessment and understand when onward referrals are warranted.
7.2.2. Identify and use the common processes and equipment required to conduct accurate and safe health, physical activity and exercise assessments.
7.2.3. Identify and describe the limitations, contraindications or considerations that may require the modification of assessments and make appropriate adjustments for diverse individuals.
7.2.4. Explain the scientific rationale, reliability, validity, assumptions and limitations of common assessments.
7.2.6. Select, develop and conduct appropriate protocols for safe, effective and culturally sensitive assessments including risk management and risk assessment concepts associated with the health and assessment of exercise science.
7.2.7. Identify the need for guidance or further information from an appropriate health professional and recognise when medical supervision is required before or during an assessment and when to cease a test.
7.2.8. Analyse, interpret, communicate and record information and results from assessments including the accuracy and limitations of the assessment with the client, and families, carers and other health and exercise professionals where appropriate.
8.2.3. Apply anatomical terms to describe position, movement, body direction, regions, body planes or sections.
8.2.5. Utilise relevant anatomical or lay terms in communication with clients, and families, carers and other health or exercise professionals where appropriate.
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.
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.
11.4.6. 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.
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.
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.
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.
3.3.7. Formulate and demonstrate measurement, evaluation and reporting of exercise capacity including verbal and written communication with clients, referrer and other relevant stakeholders.
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.
4.3.3. Design and revise functional capacity assessments and interventions that consider the clients’ needs, capabilities, duties and/or workplace setting/requirements.
Accredited Exercise Scientist Professional Standards (2022) - ESSA
1.2.5. Distinguish roles of exercise professionals and health professionals within exercise science settings and judge when to refer.
1.2.6. Identify risks and apply appropriate risk management strategies to the professional practice of exercise science.
7.2.1. Select and apply appropriate assessment procedures, including screening of appropriate social determinants of health, goal setting, obtaining informed consent and a relevant medical history, and performing a pre-exercise risk assessment and understand when onward referrals are warranted.
7.2.6. Select, develop and conduct appropriate protocols for safe, effective and culturally sensitive assessments including risk management and risk assessment concepts associated with the health and assessment of exercise science.
7.2.7. Identify the need for guidance or further information from an appropriate health professional and recognise when medical supervision is required before or during an assessment and when to cease a test.
7.2.8. Analyse, interpret, communicate and record information and results from assessments including the accuracy and limitations of the assessment with the client, and families, carers and other health and exercise professionals where appropriate.
8.2.5. Utilise relevant anatomical or lay terms in communication with clients, and families, carers and other health or exercise professionals where appropriate.
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.
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.
11.4.4. 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.
11.4.7. 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.
2.3.3. 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.
3.3.4. 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.
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.
LO5
Accredited Exercise Physiologist Professional Standards - ESSA
1. Standard 1: Professional Practice
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.
Accredited Exercise Scientist Professional Standards (2022) - ESSA
1.2.5. Distinguish roles of exercise professionals and health professionals within exercise science settings and judge when to refer.
1.2.6. Identify risks and apply appropriate risk management strategies to the professional practice of exercise science.
4.2.1. Select and apply a range of evidence-based tools and methods to prescribe monitor and evaluate exercise load and progress based on the needs of individuals.
4.2.2. Interpret data obtained during a client assessment to prescribe, deliver and monitor physical activity and exercise-based interventions.
4.2.3. Analyse a broad range of exercise modalities and select appropriate exercises and equipment to suit the needs and abilities of clients including consideration of social determinants of health.
4.2.5. Select and apply learning cues and movement progressions for teaching and correcting movement and exercise technique.
4.2.6. Identify and explain the common contraindications for participation in exercise and the associated risks.
4.2.7. Identify, interpret, report and take appropriate action regarding adverse signs and symptoms that may arise during exercise, sport and recovery.
4.2.8. Evaluate and monitor exercise-based interventions to ensure client safety.
5.2.5. Describe the adaptations that can occur within the neuro-musculoskeletal system as a result of deconditioning, ageing and injury, and the role of physical activity and exercise for preventing functional decline.
7.2.1. Select and apply appropriate assessment procedures, including screening of appropriate social determinants of health, goal setting, obtaining informed consent and a relevant medical history, and performing a pre-exercise risk assessment and understand when onward referrals are warranted.
7.2.7. Identify the need for guidance or further information from an appropriate health professional and recognise when medical supervision is required before or during an assessment and when to cease a test.
Accredited Exercise Physiologist Professional Standards -
Competency code Taught, Practiced or Assessed Competency standard
1.3.1 A Illustrate the scope of practice of Accredited Exercise Physiologist (AEP) and the scope of roles available for AEP practice.
1.3.2 A 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 A 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 A Employ evidence-based practice and professional clinical practice principles in the practice of the profession of an AEP.
11.4.1 A 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 A 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.
11.4.11 A 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 A Appraise the mode, intensity, duration frequency, volume and progression on clinical outcomes for musculoskeletal clients.
11.4.3 A Evaluate functional body mechanics and the interrelationship to the rehabilitation setting and needs.
11.4.4 A 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 A 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 A 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 A 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 A 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 A Practise musculoskeletal assessments before exercise on musculoskeletal cohort clients.
2.3.1 A 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 A 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 A 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 A 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.
3.3.4 A 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 A 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 A 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.
3.3.7 A Formulate and demonstrate measurement, evaluation and reporting of exercise capacity including verbal and written communication with clients, referrer and other relevant stakeholders.
3.3.8 A Explain the principles of body mechanics.
4.3.2 A 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 A Design and revise functional capacity assessments and interventions that consider the clients’ needs, capabilities, duties and/or workplace setting/requirements.
5.3.1 A 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 A 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 A 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.
Accredited Exercise Scientist Professional Standards (2022) -
Competency code Taught, Practiced or Assessed Competency standard
1.2.2 A Support clients to meet their goals through the integration and application of the exercise science sub-discipline standards.
1.2.3 A Choose and apply a variety of verbal and non-verbal communication methods appropriate to the client and/or population, carers and other health and exercise professionals.
1.2.5 A Distinguish roles of exercise professionals and health professionals within exercise science settings and judge when to refer.
2.2.1.1 A Describe biomechanical principles and how they relate specifically to the analysis of various forms of human movement to demonstrate an understanding of movement analysis knowledge and skills
2.2.1.2 A Describe biomechanical principles and how they relate specifically to the analysis of various forms of human movement to demonstrate an understanding of scientific approaches to ascertaining the aetiology of injury and acute, chronic and complex conditions as they relate to movement.
2.2.1.3 A Describe biomechanical principles and how they relate specifically to the analysis of various forms of human movement to demonstrate an understanding of the physical effects of human interaction with equipment and the environment.
2.2.2 A Apply the principles of the biomechanical analysis of human movement to activities of daily living across a broad range of populations.
2.2.6 A Identify specific aspects of movement patterns important for performance improvement and injury prevention.
4.2.1 A Select and apply a range of evidence-based tools and methods to prescribe monitor and evaluate exercise load and progress based on the needs of individuals.
4.2.10 A Design and deliver evidence-based, exercise-based interventions and apply behavioural strategies that meet the needs and preferences of clients.
4.2.2 A Interpret data obtained during a client assessment to prescribe, deliver and monitor physical activity and exercise-based interventions.
4.2.3 A Analyse a broad range of exercise modalities and select appropriate exercises and equipment to suit the needs and abilities of clients including consideration of social determinants of health.
4.2.4 A Apply the principles of motor control and learning, functional anatomy and biomechanics to assess movement and to recognise dysfunctional movement patterns and unsafe exercise technique.
4.2.5 A Select and apply learning cues and movement progressions for teaching and correcting movement and exercise technique.
4.2.6 A Identify and explain the common contraindications for participation in exercise and the associated risks.
4.2.7 A Identify, interpret, report and take appropriate action regarding adverse signs and symptoms that may arise during exercise, sport and recovery.
4.2.8 A Evaluate and monitor exercise-based interventions to ensure client safety.
5.2.1 A Explain individual joint complexes and their independent and composite functions in posture and movement analysis in exercise.
5.2.2 A Explain the relationship of structure (including micro and macro) with function, force and movement.
5.2.3 A Identify the components of the neuro-musculoskeletal system of the body, and describe the role of the bony segments, joint-related connective tissue structures, muscles and forces applied to these structures.
5.2.5 A Describe the adaptations that can occur within the neuro-musculoskeletal system as a result of deconditioning, ageing and injury, and the role of physical activity and exercise for preventing functional decline.
5.2.6 A Analyse and evaluate results from static and dynamic assessments and provide recommendations for exercise prescription.
5.2.7 A Analyse movement identifying which muscles are active in producing and controlling a movement of a joint.
6.2.3 A Identify exercises that are contraindicated for particular stages of growth, maturation and development across the lifespan, and have knowledge of the injuries or conditions that commonly present during certain stages of growth and development.
7.2.1 A Select and apply appropriate assessment procedures, including screening of appropriate social determinants of health, goal setting, obtaining informed consent and a relevant medical history, and performing a pre-exercise risk assessment and understand when onward referrals are warranted.
7.2.2 A Identify and use the common processes and equipment required to conduct accurate and safe health, physical activity and exercise assessments.
7.2.3 A Identify and describe the limitations, contraindications or considerations that may require the modification of assessments and make appropriate adjustments for diverse individuals.
7.2.4 A Explain the scientific rationale, reliability, validity, assumptions and limitations of common assessments.
7.2.6 A Select, develop and conduct appropriate protocols for safe, effective and culturally sensitive assessments including risk management and risk assessment concepts associated with the health and assessment of exercise science.
7.2.7 A Identify the need for guidance or further information from an appropriate health professional and recognise when medical supervision is required before or during an assessment and when to cease a test.
7.2.8 A Analyse, interpret, communicate and record information and results from assessments including the accuracy and limitations of the assessment with the client, and families, carers and other health and exercise professionals where appropriate.
8.2.3 A Apply anatomical terms to describe position, movement, body direction, regions, body planes or sections.
8.2.5 A Utilise relevant anatomical or lay terms in communication with clients, and families, carers and other health or exercise professionals where appropriate.

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