Unit rationale, description and aim

Within their scope of practice, accredited exercise physiologists must be able to integrate and apply knowledge of anatomy and pathology to select and interpret clinical assessments that inform the prescription and delivery of safe, effective, person-centred, and evidence-based exercise interventions for individuals with musculoskeletal conditions.

In this unit, students will advance their knowledge of anatomy, pathology and develop practical skills in clinical assessment and exercise selection, prescription, and implementation, based on current scientific knowledge, relevant to musculoskeletal conditions of the lower limb. 

This unit complements the trunk and upper limb unit to ensure students develop a comprehensive clinical skill set, applying critical thinking and clinical reasoning to deliver culturally responsive, person-centred care that addresses the diverse needs and goals of individuals. 

The aim of this unit is to prepare students for clinical placements and professional practice as accredited exercise physiologists. 

2027 10

Campus offering

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  • Term Mode
  • Semester 1Multi-mode
  • Term Mode
  • Semester 1Multi-mode
  • Term Mode
  • Semester 1Multi-mode
  • Term Mode
  • Semester 1Multi-mode

Prerequisites

Nil

Learning outcomes

To successfully complete this unit you will be able to demonstrate you have achieved the learning outcomes (LO) detailed in the below table.

Each outcome is informed by a number of graduate capabilities (GC) to ensure your work in this, and every unit, is part of a larger goal of graduating from ACU with the attributes of insight, empathy, imagination and impact.

Explore the graduate capabilities.

Demonstrate advanced knowledge of anatomy, patholo...

Learning Outcome 01

Demonstrate advanced knowledge of anatomy, pathology, evidence-based clinical assessments and exercise interventions for musculoskeletal conditions of the lower limb
Relevant Graduate Capabilities: GC1, GC2, GC7, GC9

Apply clinical assessments using critical thinking...

Learning Outcome 02

Apply clinical assessments using critical thinking and clinical reasoning to inform evidence-based decision-making for musculoskeletal conditions of the lower limb
Relevant Graduate Capabilities: GC1, GC2, GC3, GC7, GC8, GC9, GC12

Design safe exercise interventions based on eviden...

Learning Outcome 03

Design safe exercise interventions based on evidence, clinical reasoning and individual needs for musculoskeletal conditions of the trunk and lower limb
Relevant Graduate Capabilities: GC1, GC2, GC3, GC7, GC8, GC9, GC10, GC11, GC12

Implement exercise interventions using culturally ...

Learning Outcome 04

Implement exercise interventions using culturally responsive and person-centred practice for individuals with musculoskeletal conditions of the lower limb
Relevant Graduate Capabilities: GC1, GC2, GC3, GC5, GC7, GC8, GC9, GC12

Content

Topics will include: 

  • Advanced anatomy and pathology relevant to musculoskeletal conditions of the foot, ankle, lower leg, knee, thigh, and hip. 
  • Evidence-based clinical assessments relevant to musculoskeletal conditions of the lower limb, including subjective assessments, range of motion and flexibility tests, strength tests, orthopaedic testing, and functional outcome measures. 
  • Evidence-based exercise interventions and key principles of exercise selection, prescription, delivery, monitoring and adaptation, relevant to musculoskeletal conditions of the lower limb. 
  • Special considerations for diverse populations including Aboriginal and Torres Strait Islander peoples. 

Assessment strategy and rationale

Assessment tasks in this unit are designed to replicate authentic clinical practice, using an assessment for learning approach to provide evidence of learning and support its application. Tasks are scaffolded from foundational knowledge to clinical application, aligning with the unit's multi-mode delivery and experiential learning strategy. 

Assessment Task 1 is an exam which assesses foundational knowledge of anatomy, pathology, clinical assessments and exercise interventions. Assessment Task 2 is an exam which assesses integrated knowledge, clinical reasoning, intervention design and implementation planning. Assessment Task 3 is a practical exam which assesses the ability to perform clinical assessments, design and implement exercise interventions for a case study with a musculoskeletal condition of the lower limb, demonstrating culturally responsive, person-centred practice. 

Generative AI must not be used in assessments unless explicitly permitted in the assessment instructions. 

To pass the unit, students must demonstrate achievement of all learning outcomes and obtain a minimum overall mark of 50%.

Overview of assessments

To pass the unit, students must demonstrate achievement of all learning outcomes and obtain a minimum overall mark of 50%.

Assessment Task 1 Mid-Semester Examination Comp...

Assessment Task 1 Mid-Semester Examination

Comprises MCQs, short answer questions, and critical appraisal of exercise programs assessing knowledge, clinical reasoning, intervention design and implementation planning. 

Weighting

20%

Learning Outcomes LO1, LO2, LO3, LO4
Graduate Capabilities GC1, GC2, GC3, GC7, GC8, GC9, GC11

Assessment Task 2 Final Examination   Compr...

Assessment Task 2 Final Examination 

Comprises MCQs, short answer questions, and critical appraisal of exercise programs assessing knowledge, clinical reasoning, intervention design and implementation planning. 

Weighting

30%

Learning Outcomes LO1, LO2, LO3, LO4
Graduate Capabilities GC1, GC2, GC3, GC7, GC8, GC9, GC11

Assessment Task 3 –Practical Examination Enables...

Assessment Task 3 –Practical Examination

Enables students to perform clinical assessments, design and implement exercise interventions for a case study with a musculoskeletal condition of the lower limb, demonstrating culturally responsive, person-centred practice. 

Weighting

50%

Learning Outcomes LO1, LO2, LO3, LO4
Graduate Capabilities GC1, GC2, GC3, GC5, GC6, GC7, GC8, GC9, GC12

Learning and teaching strategy and rationale

This unit is delivered in a multimode format and supports learner centred, inquiry based activities. Teaching and learning strategies draw on constructivist, social constructivist, and experiential approaches, emphasising active participation and the development of a community of inquiry.

Content and learning activities have been designed to encourage critical thinking, clinical decision-making, application of knowledge and skills, evidence for practice, collaborative peer learning, and critical self-reflection.

Students participate in individual and small group activities based on analysis of current practice, to assimilate application of acquired knowledge and facilitate translation of learning into practice. Engagement in extended dialogue is encouraged to guide change to a more interprofessional, person-centred practice. 

Unit activities include guided readings, synchronous online tutorials, web-based activities and practical workshops, which include skill development, case-study simulations, work-based activities with reflection to enhance practice. 

Representative texts and references

Representative texts and references

Bennell, K. L., Dobson, F., & Hinman, R. S. (2014). Exercise in osteoarthritis: moving from prescription to adherence. Best practice & research. Clinical rheumatology, 28(1), 93–117. https://doi.org/10.1016/j.berh.2014.01.009.

Brukner, P., & Khan, K. (2017). Brukner & Khan's clinical sports medicine: Volume 1, Injuries (5th ed.). McGraw-Hill Education.

Coombes, J. S., & Skinner, T. L. (2022). ESSA student manual for health, exercise and sport assessment (2nd ed.). Elsevier Australia.

Delahunt, E., Bleakley, C. M., Bossard, D. S., Caulfield, B. M., Docherty, C. L., Doherty, C., Fourchet, F., Fong, D. T., Hertel, J., Hiller, C. E., Kaminski, T. W., McKeon, P. O., Refshauge, K. M., Remus, A., Verhagen, E., Vicenzino, B. T., Wikstrom, E. A., & Gribble, P. A. (2018). Clinical assessment of acute lateral ankle sprain injuries (ROAST): 2019 consensus statement and recommendations of the International Ankle Consortium. British Journal of Sports Medicine, 52(20), 1304–1310. https://doi.org/10.1136/bjsports-2017-098885.

Dobson, F., Hinman, R. S., Roos, E. M., Abbott, J. H., Stratford, P., Davis, A. M., Buchbinder, R., Snyder-Mackler, L., Henrotin, Y., Thumboo, J., Hansen, P., & Bennell, K. L. (2013). OARSI recommended performance-based tests to assess physical function in people diagnosed with hip or knee osteoarthritis. Osteoarthritis and Cartilage, 21(8), 1042–1052. https://doi.org/10.1016/j.joca.2013.05.002.

Hickey, J. T., Timmins, R. G., Maniar, N., Rio, E., Hickey, P. F., Pitcher, C. A., Williams, M. D., & Opar, D. A. (2020). Pain-Free Versus Pain-Threshold Rehabilitation Following Acute Hamstring Strain Injury: A Randomized Controlled Trial. The Journal of Orthopaedic and Sports Physical Therapy, 50(2), 91–103. https://doi.org/10.2519/jospt.2020.8895.

Kotsifaki, R., Korakakis, V., King, E., Barbosa, O., Maree, D., Pantouveris, M., Bjerregaard, A., Luomajoki, J., Wilhelmsen, J., & Whiteley, R. (2023). Aspetar clinical practice guideline on rehabilitation after anterior cruciate ligament reconstruction. British Journal of Sports Medicine, 57(9), 500–514. https://doi.org/10.1136/bjsports-2022-106158.

Neumann, D. A. (2017). Kinesiology of the musculoskeletal system: Foundations for rehabilitation (3rd ed.). Elsevier.

Pollock, N., James, S. L. J., Lee, J. C., & Chakraverty, R. (2014). British athletics muscle injury classification: a new grading system. British Journal of Sports Medicine, 48(18), 1347–1351. https://doi.org/10.1136/bjsports-2013-093302

Silbernagel, K. G., Hanlon, S., & Sprague, A. (2020). Current Clinical Concepts: Conservative Management of Achilles Tendinopathy. Journal of Athletic Training, 55(5), 438–447. https://doi.org/10.4085/1062-6050-356-19.

Thorborg, K., Petersen, J., Magnusson, S. P., & Hölmich, P. (2010). Clinical assessment of hip strength using a hand-held dynamometer is reliable. Scandinavian Journal of Medicine & Science in Sports, 20(3), 493–501. https://doi.org/10.1111/j.1600-0838.2009.00958.x.

Thorborg, K., Reiman, M. P., Weir, A., Kemp, J. L., Serner, A., Mosler, A. B., & HÖlmich, P. (2018). Clinical Examination, Diagnostic Imaging, and Testing of Athletes With Groin Pain: An Evidence-Based Approach to Effective Management. The Journal of Orthopaedic and Sports Physical Therapy, 48(4), 239–249. https://doi.org/10.2519/jospt.2018.7850.

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