1. EXERCISE PRESCRIPTION FOR MY CLIENT.
Advanced Exercise Prescription
Dr. Keating
By: James E Cappola

2. Client Information SEX: Male AGE: 68 WEIGHT: 268lbs HEIGHT: 6ft 2 in
HR MAX: 152 bpm
MEDICATIONS:
QUINAPRIL- BLOOD PRESSURE
NEXIUM- HEART BURN
BYSTOLIC- BLOOD PRESSURE
LASIX- TAKING WATER OUT OF SYSTEM
BABY ASPRIN EVERY DAY- REDUCE RISK OF HEART ATTACK
LIPITOR- REDUCE CHOLESTEROL

3. Client Goals TIME FRAME: 16 WEEKS Goals: IMPROVE BODY COMPOSITION
REDUCE BLOOD PRESSURE
IMPROVE CARDIOVASCULAR ENDURANCE
IMPROVED QUALITY OF LIFE

4. Positive Risk Factors
After filling out the parQ and assessing my client. I have come to the following conclusions.
Age: over 45
68 years old
Obesity- BMI of 30 or more
BMI=34
Body fat=28%
192lbs of lean bd
Blood Pressure and Cholesterol Medications

5. ACSM RISK STRATIFICAITON Moderate Risk

6. Risk Strata Explanation
Being that Jim qualifies to be in the Moderate risk category, it is my job to go through the necessary precautions before we being an exercise program.
Discuss exercise/Lifestyle program Recommendations for the client
May participate in moderate(40%-60% Vo2R) intesity exercise without further medical clearance or testing
If he wants vigorious intesity- medical clearance and a supervised exercise test is recommended
OTHER INJURIES/PRECAUTIONS: none

7. KASCH PULSE RECOVERY TEST
EXERCISE TESTING
KASCH PULSE RECOVERY TEST
Submaximal test
*Medical approval recommended
RHR-88 BPM
3 min /24 times a min without break
Exactly one minute after step test-
HR- 128BPM (moderate to poor result)
FLEXIBILTY TESTING USING GONIOMETER

8. EXERCISE MODALITY Duration- TREADMILL (low impact) Frequency
3-5 days/week
RPE
11 to eventually 17
Duration-
Starting at 10 min/finish at 35 min
Depending on progress- Speed will be adjusted from .2 to .5 weekly.

9. EXERCISE RX
WEEK
VO2
METs
Karvonen %
Kcal/mi n
RPE
Walking Speed
Duration/mi n 1
11.5
3.3
40-50%-
bpm 7 11
3.0
10-15 (10) 2
12.9
3.7
40-50%
7.9 12
3.5
15-20 (16) 3
45%-55%-
bpm
15-20 (20)
4-5
17.1
4.9
50-60%-
bpm
10.4 13
4.0
20-25(20)
6-8
19.5
5.6
55-65%
bpm
11.92
4.3
20-25(25)
9-11
21.4
6.1
60-70%-
bpm
13.03 14
4.5
25-30(30)
12-14
65-75%
bpm 15
25-30(33)
15&16
70-80%
bpm
14.0 16
30-35(35)

10. Strength Training

11. AFTER 2ND WEEK START STRENGTH TRAINING
Frequency
2-3x a week
Keep the exercises functional
Abductors
Adductors
Push/Pull
ADL
NO Max Lifts
Keep reps around 10-12
50-60% of 1rm or pain limited

12. FLEXIBILITY TRAINING Frequency- 3-5x per week
Dynamic Stretching before cardio
Static stretching after cardio
Foam roller for lower back, hip flexors, and IT bands