Society for Disability Studies

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DEPARTMENT OF DISABILITY AND HUMAN DEVELOPMENT
COLLEGE OF APPLIED HEALTH SCIENCES
PHYSICAL ACTIVITY AND DISABILITY
DHD 520
Instructor: Jennifer L. Rowland, Ph.D., P.T., M.P.H., Assistant Professor
Technology Contact:Mohan Thirumalai, M.S. (contact: mthirul@uic.edu, 5-0119)
Office: DHS Rm. 715
Email: jenrow@uic.edu
Phone: (312) 714-0830
Office Hours: Tuesdays 1:30-3:30 p.m. or by appointment
Required Reading Materials: Course Outline & Optional Text: Online at www.ncpad.org http://www.ncpad.org/dhd 520 2008/index.html
American College of Sports Medicine. (2003). ACSM's Exercise Management for Persons with Chronic Diseases and Disabilities. Champaign, IL: Human Kinetics.

Catalog Description
Examination of the foundations of physical activity programming for persons with disabilities. Includes medical, physiological and behavioral aspects of physical, cognitive and sensory disabilities. Emphasis on community-based exercise programming and the interaction of the person and environment.
Course Objectives
Understand the conceptual framework between rehabilitation, physical medicine and exercise
science.
Understand the secondary conditions that affect specific disabilities.
Understand the medical etiologies for each disabling and secondary condition.
Understand exercise testing modifications using various types of equipment for persons with
physical and intellectual disabilities.
Describe exercise prescription guidelines and modifications for persons with physical
disabilities.
Demonstrate knowledge of current research on exercise and physical activity for persons with
physical and cognitive disabilities.
Understand Universal Design and accessibility-related issues applicable to fitness centers.
Understand adaptive exercise equipment and assistive devices for persons with disabilities.
Week DATE Lecture Schedule and Readings
1 1/15 Review Course Objectives and Course Requirements: Course Outline Assignment of Readings/Video Clips Writing Abstracts Final Project General Overview of Disability: Definitions of Disability Americans with Disabilities Act (ADA) Magnitude of Disability in the United States

Readings:
"Use of the International Classification of Functioning, Disability and Health to Identify Factors That Impact Participation in Physical Activity Among People with Disabilities" James H Rimmer http://www.ncpad.org/get/misc/dhd 520/Lecture1.pdf
"Use of the International Classification of Functioning, Disability and Health (ICF) to Prepare Individualized Exercise Prescriptions for People with Disabilities" Amy Rauworth http://www.ncpad.org/fitt/fact sheet.php?sheet=459
"The role of Environment in the International Classification of Functioning, Disability and Health" Marguerite Schneider http://www.ncpad.org/dhd 520_2008/weekl.pdf
2 1/22 Overview of Physical Activity and Disability Models of Disability International Classification of Disability, Functioning, and Health (ICF) Barriers to Physical Activity Terminology in Exercise Physiology and Physical Activity Readings:
"Research on Physical Activity and : An Emerging National Priority" http://vvww.ncpad.org/research/fact sheet.php?sheet=189
"Health promotion for people with disabilities: The emerging paradigm shift from disability prevention to prevention of secondary conditions" James H Rimmer http://www.ncpad.org/dhd_520_2008/week2.pdf

3 1/29 Long-Term Disabilities and Physical Activity Programming Demographics Barriers to Physical Activity General Overview and Pathology of Long-Term Disabilities Importance of Physical Activity in the Prevention of Secondary Conditions Readings:
"Impact of Exercise on Targeted Secondary Conditions" James H Rimmer http://www.ncpad.org/dhd 520 2006/IOM.pdf
"Focus on Secondary Condition Prevention: Defining Secondary Conditions for People with Disabilities" Jennifer Rowland http://www.ncpad.org/yourwrites/fact sheet.php?sheet=412
4 2/05 Stroke, Spinal Cord Injury Incidence and Etiology Pathophysiology Impact of Secondary Conditions on Physical Activity Programming Measurement and Evaluation Instruments Readings:
Stroke
http://www.ncpad.org/disability/fact sheet.php?sheet=132&view=all

Spinal Cord Injury
"Introduction to Spinal Cord Injury" http://www.ncpad.org/disability/fact sheet.php?sheet=62&view=all
"Spinal Cord Injury and Exercise" http://www.ncpad.org/disability/fact sheet.php?sheet=130&view=all
"No More Sores: Preventing Pressure Sores for People with SCI" Cindy Less http://www.ncpad.org/disability/fact sheet.php?sheet=118&view=all
Video Clips:
Exercise Program for Individuals with Spinal Cord Injuries: Paraplegia - Video & Quick Series Booklet - http://www.ncpad.org/videos/fact sheet.php?sheet=271&view=all
5 2/12 Spinal Cord Injury (con't), Spina Bifida, and Traumatic Brain Injury Incidence and Etiology Pathophysiology Impact of Secondary Conditions on Physical Activity Programming Measurement and Evaluation Instruments Readings:
Spina Bifida
"Spina Bifida - Physical Activity Guidelines" http://www.ncpad.org/disability/fact sheet.php?sheet=256&view=all
"Exercises for Individuals with Spina Bifida" http://www.ncpad.org/disability/fact sheet.php?sheet=273&view=all
Traumatic Brain Injury
"Introduction to Supporting Individuals with Acquired Brain Injury in Developing a Fitness Program" Christopher Gaudet http://www.ncpad.org/disability/fact sheet.php?sheet=111&view=all
Video Clips: shown in class
6 2/19 Cerebral Palsy, Multiple Sclerosis, Poliomyelitis, Amputation Incidence and Etiology Pathophysiology Impact of Secondary Conditions on Physical Activity Programming Effects of exercise training on Multiple Sclerosis Readings:
Cerebral Palsy
"Introduction to Cerebral Palsy and Exercise" James H. Rimmer http://www.ncpad.org/disability/fact sheet.php?sheet=119&view=all
Multiple Sclerosis
"Multiple Sclerosis" http://www.ncpad.org/disability/fact sheet.php?sheet=79&view=all
"Multiple Sclerosis and Exercise" http://www.ncpad.org/disability/fact sheet.php?sheet=186&view=all
"Multiple Sclerosis: Designing an Exercise Program" http://www.ncpad.org/disability/fact sheet.php?sheet=187&view=all

Poliomyelitis
"Post Poliomyelitis" http://www.ncpad.org/disability/fact sheet.php?sheet=63&view=all
"To Reap the Rewards of Post-Polio Exercise" http://www.ncpad.org/disability/fact_sheet.php?sheet=136&view=all
Amputation
"Epidemiology and Pathophysiology of Amputation" Ken Pitetti http://www.ncpad.org/disability/fact sheet.php?sheet=58&view=all
Video Clips:
Exercise for People with Multiple Sclerosis - Series I - http://www.ncpad.org/videos/fact sheet.php?sheet=260&view=
Exercise for People with Multiple Sclerosis - Series II - http://www.ncpad.org/videos/fact sheet.php?sheet=293&view=all
7 2/26 Parkinson's Disease, Alzheimer's Disease, Sensory (Visual & Auditory Conditions), Intellectual Disabilities Incidence and Etiology Pathophysiology Impact of Secondary Conditions on Physical Activity Programming Measurement and Evaluation Instruments Readings:
Parkinson's Disease
"Parkinson's Disease" http://www.ncpad.org/disability/fact sheet.php?sheet=194&view=all
"Parkinson's Disease and Exercise" http://www.ncpad.org/disability/fact sheet.php?sheet=59&view=all
Alzheimer's Disease
"Introduction to Alzheimer's Disease and Exercise" Sharon Arkin http://www.ncpad.org/disability/fact sheet.php?sheet=138&view=all
Sensory Visual & Auditory Conditions
"Fitness for Individuals who are Visually Impaired, Blind, and Deaf' Lauren J. Lieberman http://www.ncpad.org/disability/fact sheet.php?sheet=124&view=all
Intellectual Disabilities
"Introduction to Mental Retardation and Fitness" http://www.ncpad.org/disability/fact sheet.php?sheet=143&view=all
Video Clips:
Strength Training Video for People with Intellectual Disabilities: Upper Body Exercises - http://www.ncpad.org/videos/fact sheet.php?sheet=300&view=all
Strength Training Video for People with Intellectual Disabilities: Warm-Up Stretching - http://www.ncpad.org/videos/fact sheet.php?sheet=284&view=all

8 3/04 Midterm Exam
9 3/11 Individualized Exercise Program Development Assessment, Planning, Implementation, Evaluation Instruments: o PADS o B-PADS o AIMFREE Discussion of Framework for Class Project Readings:
"Barriers to Exercise in African American Women With Physical Disabilities" James H. Rimmer http://www.nc ad.oipp.clhcb. df
"Physical Activity Participation Among Persons with Disabilities" James H Rimmer htt ://www.nc ad.or pp_hcgil.52020pc9a. df

10 3/18 Adaptive Exercise Equipment and Considerations for Wheelchair Users Wheelchair User Guidelines Safety-Related Issues Equipment Considerations Assistive Devices Canes Walkers Adaptive Exercise Equipment Readings
RecTech Adaptive Exercise Equipment Database http://rectech.ncpad.org/equipments/
Virtual Tour of RIC Health & Fitness Center - http://www.ncpad.org/get/VirtualTour/Welcome.html
Before and After Fitness Center Makeover - http://www.ncpad.org/get/fitnessCenter/index.html
ADA guidelines "The Public Health Campaign to Increase Physical Activity in the U. S. Population: Let's Not Leave People with Disabilities Behind" James H. Rimmer - http://www.ncpad.org/get/misc/dhd 520/Lecture2.pdf

Spring Break
11 4/01 Resistance Training and Flexibility Conditioning for Persons with Physical Disabilities - Physical - Sensory - Cognitive Exercise Testing Exercise Prescription Safety - Related Issues •

Readings:
"Resistance Training for Persons with Disabilities" Rimmer, J. H. Resistance training for persons with disabilities Monograph - http://www.ncpad.org/exercise/fact sheet.php?sheet=107&view=all
"First Steps to Active Health: Balance and Flexibility Exercises for Older Adults" Michael E. Rogers http://www.ncpad.org/exercise/fact sheet.php?sheet=144&view=all&print=ves
Video Clips:
Seated Strengthening Exercises - http://www.ncpad.org/videos/fact sheet.php?sheet= 1 &view=all

12 4/08 Aerobic Training Guidelines for Persons with Disabilities - Physical - Sensory - Cognitive Exercise Testing Exercise Prescription Safety - Related Issues Readings:
NCPAD fact sheet on "Exercise guidelines for people with disabilities" http://www.ncpad.org/exercise/fact sheet.php?sheet=15&view=all&print=yes
NCPAD fact sheet on "Down Syndrome and Exercise" http://www.ncpad.org/disability/fact sheet.php?sheet=139&view=all&print=yes
NCPAD fact sheet on "Ergometers and Exercise Cycles" http://www.ncpad.com/exercise/fact sheet.php?sheet=5&view=all&print=yes
NCPAD fact sheet on "What is a Pedometer and How can I benefit from one"? http://www.ncpad.org/exercise/fact sheet.php?sheet=420&view=all&print=yes
Video Clips: Shown in Class
13 4/15 Health Conditions Diabetes Heart Disease and Heart Failure COPD Cancer Readings:
"Asthma and Other Chronic Obstructive Pulmonary Diseases" Fitness and Rehabilitation Programs for Special Populations, Chapter 6 page 179-203 pdf. James H. Rimmer NCPAD fact sheet on "Cancer and Exercise" http://www.ncpad.org/disability/fact sheet.php?sheet=195&view=all&print=yes
NCPAD fact sheet on "Diabetes" http://www.ncpad.org/disability/fact sheet.php?sheet=100&view=all&print=yes

NCPAD fact sheet on "HIV/AIDS" http://www.ncpad.org/disability/fact sheet.php?sheet=190&view=all&print=yes
NCPAD fact sheet on "Congestive Heart Failure" htt ://www.nc acp__..1.m-cngiee01&vie all& rint- evv= s

14 4/22 Individual Project Presentations
15 4/29 Individual Project Presentations: Final Project Due
16 5/6 Final Exam

Note:
All readings are assigned from the ncpad.org website:
http://www.ncpad.org/dhd 520 2008/index.html
n Some readings also may be distributed in class or new materials added to the website. The power point slides will be handed out in class. Copies of the readings are available through the links provided for each course period.
Course Requirements
Abstracts (50 points) - Due dates listed below:
Abstract 1: Due February 5
Abstract 2: Due February 19
Abstract 3: Due March 11
Abstract 4: Due April 1
Abstract 5: Due April 15
Five abstracts (10 points each) on topics related to physical activity, exercise physiology and disability will be completed during the semester. The articles should be current (no earlier than 2004) and can be data-based or a review topic on a specific disability related to physical activity. Complete a one page single-spaced abstract (12-pt) and attach a copy of the article with a paperclip. The abstract should be written in your own words (do not use the abstract that is in the article) and should contain the following information (for data-based articles only): 1. purpose of the study; 2. hypotheses (if stated); 3. methodology (i.e., instrumentation, assessment tools, statistical procedures); 4. results (report what was significant and what wasn't significant stating the p values and statistical data); 5. conclusion (what was the significance of the study); 6. SO WHAT - this is a summary of how important or unimportant the article was based on your own opinion and in your own words.
For articles that are not data-based (i.e., review paper): Provide a summary report of the article.
Final Project (100 pts) - Due: April 29, 2008
Develop a Personalized Exercise Module for an individual with a specific disability. The exercise module would include aerobic, strength, flexibility and balance (if necessary) and would be "customized" to allow people with disabilities or personal trainers/fitness professionals to implement this program. The Module should be designed for either a home-based fitness program or a community-based fitness program. Students will present their final projects to the class using power point presentations. Specific details will be discussed in class.
Final Exam (100 pts) - May 6th

Evaluation Criteria
Abstracts 50 pts
Midterm Exam 100 pts
Final Project 100 pts
Final Exam 100 pts
Total 350 pts

Grading Scale Grade
Range
315-350 A
280-314 B
245-279 C