Male

65 y/o
510
220lbs
BMI 31.6 kg/m (obese)
Hypertension

Medical history:
Right shoulder surgery for removal of bone spurs 15 yrs ago
Arthritic knees
Melanoma with successful radiation (in remission)
Patient falls in the moderate risk classification for CVD.
Pre-exercise screening: medical exam (only if wishing to participate in vigorous
program). NO exercise testing required.

Patient wants to have a weight loss program

aerobic exercise program that encompasses isometrics for his arthritic knees and his
previous shoulder injury

Define aerobic and isometric and provide examples in your prescription.

RUBRIC II

Water aerobics: 2 days/week for 30 minutes, moderate intensity

Walk on treadmill: 3 days/week for 5-10 min at low intensity
Cycling: 3 days/week for 20-25 min at moderate intensity
Matches ACSM recommendations 30 min. a day, 5 days a week for healthy 18-65 year
olds

Band resistance 2-3 days/week, 3 sets of eight at low intensity

-Quads, Hamstrings, Glutes
-Shoulders, Lats, Chest, Arms
Matches ACSM recommendations of minimum of 2 days a week of strength training

Isometrics (quad and hamstring sets): 5 days/week, 3 sets of 8

Shoulder Isometrics: 5 days/week 3 sets of 8

Rationale: Our program consists of low/moderate intensity aerobic exercise

because our patient is at moderate risk for CVD, and has not gone through
exercise testing yet. If he wishes to move onto a program of vigorous
intensity he must go through an exercise test in the presence of a doctor.
Starting at a lower intensity for the beginning of our clients program will
allow him to become acclimated to exercise without inducing
muscular/skeletal injuries. Resistance training and isometrics will improve
our clients strength as it tends to deteriorate as one ages.

Rationale: Includes low to moderate intensity until cleared by MD for vigorous intensity
as patient is at moderate risk for CVD. Also, we chose to start at low-moderate intensity
to encourage initiation and continuation in the program and to lower the chance of
musculoskeletal injury