The course will aim to analyse the role of exercise as a therapeutic intervention, to improve the individual's health and well-being and to potentiate the rehabilitation of patients in stationary conditions.  It will consider the benefits of proper exercise for health and its use as a therapeutic tool for specific chronic diseases. The principles of exercise physiology and adaptations will be considered.

1. Principles of Clinical Physiology of Exercise   (2 CFU)

1.1 Sedentary behaviour and clinical subject in stationary conditions

1.2 Exercise as a therapeutic tool

1.3 Muscular adaptation to training and pathological conditions (sarcopenia, cachexia). Cardiovascular response to exercise and cardiorespiratory adaptations to training. Clinical exercise testing and interpretation (ECG and graded exercise test, spirometry)

1.4 Energy balance. Energy expenditure at rest and during physical activity

1.5 Environmental considerations for exercise (high-altitude, cold and hot environments)

2. Exercise prescription for healthy populations with special considerations     (1CFU)

pediatric age groups, ageing and pregnancy

3. The therapeutic exercise in the following conditions:              (3CFU)

2.1 Obesity, diabetes 1 and 2, dyslipidemia, metabolic syndrome, atherosclerosis, hypertension;

2.2 osteoporosis, osteoarthritis, rheumatoid arthritis, neuro-muscular injury;

2.3 cerebral ischemia, heart attack;

2.5 respiratory problems.

2.6 cancers, AIDS, fibromyalgia, multiple sclerosis

For each of these conditions, we will specifically take into consideration the:

- hints about the pathophysiology,

- interactions between exercise and treatment to which undergoes the subject (pharmacological, dietary, etc ..)

-  ACSM’s guidelines for exercise prescription

- physiological adaptations and mechanisms of action activated by exercise, assessment of the contraindications to exercise.

NO

According to the Descriptors of Dublin, at the end of the course, students are expected to fulfil the following requirements: 1. to possess good knowledge and comprehension of the various themes of Clinical Physiology of the Exercise, to be able to discuss theoretical aspects of the discipline logically and completely; 2. to be able to discuss applicative problems; 3. to be able to critically and autonomously evaluate different opinions related to the various aspects of the course; 4. to have reached a good level of learning capacity, not only in terms of the ability to memorize/retrieve the information studied but also in terms of the ability to elaborate original thoughts about the diverse issues presented during the course.

The teaching material prepared by the lecturer in addition to recommended textbooks (such as for instance slides, lecture notes, exercises, bibliography) and communications from the lecturer specific to the course can be found inside the Moodle platform › blended.uniurb.it

NO

Teaching

Lessons, lectures and seminars

Innovative teaching methods

Problem-based learning

Attendance

NO but highly recommended

Course books

Concerning points 1 and 2 of the program (basic exercise physiology), the use of one of the following books is recommended:

-  Exercise Physiology:  theory and application to fitness and performance. S.K. Powers, E. T. Howley. McGraw-Hill Education

-  Physiology of Sport and Exercise. J.H. Wilmore & D.L. Costill. Ed. Human Kinetics.

-  Fisiologìa del Ejercicio. J. Lòpez Chicharro, A. Fernàndez Vaquero. Editorial Medica Panamericana.

For point 3 of the program (exercise prescriptions for chronic diseases), it is recommended the text:

-  ACSM’s Guidelines for exercise testing and prescription. 11th edition. Wolters Kluwer

 In-depth scientific articles and lecture slides are available on the Moodle platform.

Assessment

Oral examination (in Italian or English).

The exam consists of at least three questions. According to Dublin descriptors, the candidate must demonstrate knowledge of the topics, link between different subjects, and communicate using correct scientific language.

Disability and Specific Learning Disorders (SLD)

Students who have registered their disability certification or SLD certification with the Inclusion and Right to Study Office can request to use conceptual maps (for keywords) during exams.

To this end, it is necessary to send the maps, two weeks before the exam date, to the course instructor, who will verify their compliance with the university guidelines and may request modifications.

Teaching

Please see the attendant box

Attendance

NO

Course books

Concerning points 1 and 2 of the program (basic exercise physiology), the use of one of the following books is recommended:

-  Exercise Physiology:  theory and application to fitness and performance. S.K. Powers, E. T. Howley. McGraw-Hill Education

-  Physiology of Sport and Exercise. J.H. Wilmore & D.L. Costill. Ed. Human Kinetics.

-  Fisiologìa del Ejercicio. J. Lòpez Chicharro, A. Fernàndez Vaquero. Editorial Medica Panamericana.

For point 3 of the program (exercise prescriptions for chronic diseases), it is recommended the text:

-  ACSM’s Guidelines for exercise testing and prescription. 11th edition. Wolters Kluwer

 In-depth scientific articles and lecture slides are available on the Moodle platform.

Assessment

Oral examination (in Italian or English).

The exam consists of at least three questions. According to Dublin descriptors, the candidate must demonstrate knowledge of the topics, link between different subjects, and communicate using correct scientific language.

Disability and Specific Learning Disorders (SLD)

Students who have registered their disability certification or SLD certification with the Inclusion and Right to Study Office can request to use conceptual maps (for keywords) during exams.

To this end, it is necessary to send the maps, two weeks before the exam date, to the course instructor, who will verify their compliance with the university guidelines and may request modifications.