K561
CLINICAL EXERCISE PHYSIOLOGY LABORATORY

Fall 2005

        Explore the application of basic cardiovascular and pulmonary physiology in the practice of clinical exercise physiology with an emphasis on physiological mechanisms and clinical interpretation.  Labs include simple experiences with challenging applications.  Take this opportunity to learn how to teach yourself so that you can continue to grow in your profession.

    Prerequisites for this lab include a capable background in a basic exercise physiology class including a skilled laboratory experience.   In this lab, we will not teach you laboratory skills.   In this lab, we assume you know how to do the laboratory skills and we will go beyond those skills to apply the lab experience to the clinical setting.

     These labs are designed to provide simple data collection experiences.   The challenging aspect of these labs is exploring the literature to find the answers to the questions which apply principles of exercise physiology to the clinical setting.

Electronic Reading Reserves can be found at http://ereserves.indiana.edu/coursepage.asp?cid=574&page=01

Password = aerobics

INTRODUCTION TO THE LABORATORY:  Explore the Clinical Exercise Physiology Lab with a simple scavenger hunt for rooms and equipment.    (10 Points)

ELECTROCARDIOLOGY LAB:  Designed to familiarize you with taking and analyzing resting 12 lead electrocardiograms.  This lab also compares normal resting ECGs to those taken during exercise.    (One Lab Session: 115 Points)

HEART RATE/BLOOD PRESSURE/DOUBLE PRODUCT:  The cardiovascular response to exercise varies with different types of exercise. This lab explores the basic heart rate and blood pressure response to posture, static and dynamic exercise, steady state and progressive exercise, water vs. land, and above vs. below the head exercise.    (Two Lab Sessions: 200 Points)

HEART RATE/VO₂:  The principles of exercise prescription are based on  the relationship between heart rate and work (VO₂).  This lab exposes you to the heart rate/VO₂ relationship for different modes of exercise.    (Two Lab Sessions: 135 Points)

ENDOTHELIAL FUNCTION: Endothelial function may be a more important risk factor for heart disease than cholesterol, hypertension or physical physical inactivity. Explore the measurement and concept of endothelial function in this demonstration lab. (80 Points)

SUPINE/UPRIGHT WORK:  This lab goes beyond the previous labs by introducing cardiac output adjustments to exercise as well as cardiac output adjustments to different postures during exercise.   (One Lab Session: 95 Points)

VENTILATION:  Ventilation, like heart rate and blood pressure, varies with different forms of exercise.   This lab is designed to compare the ventilatory response to arm vs leg work and static vs dynamic work.   (Two Lab Sessions: 100 points)

BODY COMPOSITION:  Both the amount of body fat and the distribution of body fat are associated with modern chronic disease.  This lab is designed to help you understand the techniques of measurement, interpretation, and limitations of selected ways of measuring body composition.    (One Lab Session: 90 Points)

BALANCE AND ELECTROMYOGRAPHY:  Neuromuscular diseases affect nerve conduction velocity as well as sensory and motor nerve function.  As a result, balance and gait can be affected.  This lab introduces you to simple tests of nerve conduction velocity and balance.  Electromyography (EMG), the study of the electrical activity of the muscle, is also affected by nerve function.  This lab will also integrate EMG with sensory and motor nerve conduction velocity.    (One Demonstration Lab Session)

GAIT:  Nerve dysfunction may compromise gait.  This lab introduces normal gait patterns.   (One Lab Session: TBA Points)

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