Unit rationale, description and aim

Cardiopulmonary conditions are among the most prevalent conditions encountered by accredited exercise physiologists. Within their scope of practice, accredited exercise physiologists must be able to design and prescribe safe, evidence-based exercise interventions for individuals with or at risk of cardiopulmonary disorders. 

This unit presents an advanced body of knowledge related to cardiopulmonary disease. An examination of aetiology, epidemiology and pathophysiology of the disease processes, as well as the physiological adaptations that underpin disease management, is a major focus of the unit.  

Current evidence and guidelines for exercise testing and exercise prescription related to cardiopulmonary disorders will be discussed in detail. Students will learn methodological approaches of clinical assessment and apply principles of evidence-based exercise prescription alongside other conventional management approaches.  

This unit complements concurrent units within the degree by linking cardiopulmonary rehabilitation science with broader clinical assessment and exercise prescription skills, supporting integrated professional practice. 

The aim of this unit is to develop students’ knowledge and skills, so they become proficient in the prescription of exercise as a prevention and management strategy for a range of cardiopulmonary conditions.  

2027 10

Campus offering

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  • Semester 1Multi-mode
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  • Semester 1Multi-mode
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  • 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, coherent knowledge of anatom...

Learning Outcome 01

Demonstrate advanced, coherent knowledge of anatomy, physiology, pathology, assessment and exercise interventions relevant to cardiopulmonary conditions.
Relevant Graduate Capabilities: GC1, GC2, GC7, GC8, GC9, GC11

Appraise contemporary evidence and clinical guidel...

Learning Outcome 02

Appraise contemporary evidence and clinical guidelines for cardiopulmonary exercise testing, prescription and holistic management within scope of practice.
Relevant Graduate Capabilities: GC1, GC2, GC3, GC7, GC8, GC9, GC10, GC11, GC12

Evaluate clinical assessment and exercise testing ...

Learning Outcome 03

Evaluate clinical assessment and exercise testing findings for risk stratification and clinical decision-making in individuals with, or at risk of, cardiopulmonary conditions.
Relevant Graduate Capabilities: GC1, GC2, GC3, GC7, GC8, GC9, GC10, GC11, GC12

Design safe, effective, person-centred exercise in...

Learning Outcome 04

Design safe, effective, person-centred exercise interventions for cardiopulmonary conditions, including delivery, monitoring, and adaptation, with evidence-based justification and reflection, for diverse populations.
Relevant Graduate Capabilities: GC1, GC2, GC3, GC7, GC8, GC9, GC10, GC11, GC12

Content

Topics will include: 

  • Anatomy and physiology of the cardiovascular and respiratory systems (cardiopulmonary system). 
  • The aetiology, epidemiology and pathophysiology of key disorders and diseases of the cardiopulmonary system. 
  • Diagnostic tests for cardiopulmonary pathology and their interpretation, including exercise testing, ECGs (normal and abnormal patterns), spirometry, ventilatory variables (at rest and during exercise), and other relevant investigations. 
  • Exercise interventions for managing cardiopulmonary conditions. 
  • Special considerations and contraindications in the physical assessment and exercise prescription of an individual with a cardiopulmonary condition. 
  • Monitoring a client’s signs and symptoms prior to, during and after exercise. 

Assessment strategy and rationale

Assessment tasks replicate authentic clinical practice and use an assessment for learning approach to reinforce application. Tasks support self-direction and provide timely judgement of readiness for practice.  

Assessment Task 1 is two theory exams, of 12.5% weighting, assessing advanced knowledge of cardiopulmonary anatomy, physiology, pathology, assessment and exercise interventions.  

Assessment Task 2 is a case presentation in which students explain pathophysiology, appraise contemporary evidence, interpret assessment data for risk stratification and clinical decision-making, and design a safe, person-centred intervention. This task requires students to respond to instructor questions.

Assessment Task 3 is a practical exam where students answer questions on pathology, test selection and safety, then conduct an exercise test with pre-, peri- and post-exercise monitoring. This task reflects the essential clinical competencies necessary for safe and effective professional practice as an exercise physiologist.  

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 an minimum overall mark of at least 50%.

Overview of assessments

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

Assessment Task 1 Theory Examinations Enables st...

Assessment Task 1 Theory Examinations

Enables students to demonstrate advanced knowledge of anatomy, physiology, pathology, assessment, and exercise interventions related to cardiopulmonary conditions.

Weighting

25%

(12.5% each)

Learning Outcomes LO1
Graduate Capabilities GC1, GC2, GC7, GC8, GC9, GC11

Assessment Task 2 – Case presentation Enables st...

Assessment Task 2 – Case presentation

Enables students to demonstrate and justify the application of course content to a cardiopulmonary case study, including the development of an exercise program, and respond to instructor questions. 

Weighting

25%

Learning Outcomes LO1, LO2, LO3, LO4
Graduate Capabilities GC1, GC2, GC3, GC7, GC8, GC9, GC10, GC11, GC12

Assessment 3 - Practical Examination Enables stu...

Assessment 3 - Practical Examination

Enables students to develop the ability to prepare, perform and justify a clinical assessment of a case study involving a cardiopulmonary condition.   

Weighting

50%

Learning Outcomes LO1, LO2, LO3, LO4
Graduate Capabilities GC1, GC2, GC3, GC7, GC8, GC9, GC10, GC12

Learning and teaching strategy and rationale

This unit uses a multi-mode learning strategy combining self-paced online resources in Canvas with weekly in-person practicals and tutorials to support students to acquire, synthesise and apply advanced knowledge and skills in cardiopulmonary assessment and exercise prescription. 

The approach complements concurrent units within the course and supports integration of clinical reasoning, assessment, and intervention planning required for exercise physiology practice. It is designed to meet course learning outcomes and accreditation expectations for Exercise and Sport Science Australia (ESSA).  

Online learning enables flexible engagement with core concepts and evidence, while practicals and tutorials use experiential, case-based and problem-based learning to apply knowledge in clinically relevant contexts.  

Students practise assessment and monitoring procedures (including blood pressure, ECG, spirometry, exercise testing, and risk stratification), interpret findings, and develop person-centred exercise interventions.  

The learning journey is scaffolded from program design fundamentals to cardiac and respiratory conditions of increasing complexity, culminating in integrated case application and practical assessment. This strategy links consistent online preparation with supervised, feedback-rich skill development and clinical decision-making in face-to-face sessions and encourages responsibility for learning aligned with ACU’s mission and values. 

Representative texts and references

Representative texts and references

American Association of Cardiovascular and Pulmonary Rehabilitation. (2021). Guidelines for cardiac rehabilitation programs (6th Edition.). Human Kinetics.

Bishop, D. J., Beck, B., Biddle, S. J. H., Denay, K. L., Ferri, A., Gibala, M. J., Headley, S., Jones, A. M., Jung, M., Lee, M. J.-C., Moholdt, T., Newton, R. U., Nimphius, S., Pescatello, L. S., Saner, N. J., & Tzarimas, C. (2025). Physical activity and exercise intensity terminology: A joint American College of Sports Medicine (ACSM) expert statement and Exercise and Sport Science Australia (ESSA) consensus statement. Journal of Science and Medicine in Sport, 28(12), 980–991. https://doi.org/10.1016/j.jsams.2024.11.004. 

Brown, T. M., Pack, Q. R., Aberegg, E., Brewer, L. C., Ford, Y. R., Forman, D. E., Gathright, E. C., Khadanga, S., Ozemek, C., & Thomas, R. J. (2024). Core components of cardiac rehabilitation programs: 2024 update: A scientific statement from the American Heart Association and the American Association of Cardiovascular and Pulmonary Rehabilitation. Circulation, 150(18), e328–e347. https://doi.org/10.1161/CIR.0000000000001289.

Coombes, J. S., Burton, N. W., & Beckman, E. M. (2019). ESSA’s student manual for exercise prescription, delivery and adherence . Elsevier.

Ehrman, J. K., Gordon, P. M., Visich, P. S., & Keteyian, S. J. (Eds.). (2023). Clinical exercise physiology: Exercise management for chronic diseases and special populations (5th Edition).  Human Kinetics.

Exercise & Sports Science Australia. (2024). Best practice guide: Communication.

Knowles, M. (2015). New perspectives on andragogy. In E. Holton & R. Swanson (Eds.), The adult learner: The definitive classic in adult education and human resource development (8th Edition), pp. 169–187). Routledge.https://doi.org/10.4324/9781315816951.

Morris, N. R., Hill, K., Walsh, J., & Sabapathy, S. (2021). Exercise & Sports Science Australia (ESSA) position statement on exercise and chronic obstructive pulmonary disease. Journal of Science and Medicine in Sport, 24(1), 52–59.https://doi.org/10.1016/j.jsams.2020.08.007.

Ozemek, C., Bonikowske, A., Christle, J., & Gallo, P. (2025). ACSM's guidelines for exercise testing and prescription. Lippincott Williams & Wilkins.

Verdicchio, C., Freene, N., Hollings, M., Maiorana, A., Briffa, T., Gallagher, R., Hendriks, J. M., Abell, B., Brown, A., & Colquhoun, D. (2023). A clinical guide for assessment and prescription of exercise and physical activity in cardiac rehabilitation: A CSANZ position statement. Heart, Lung and Circulation, 32(9), 1035–1048.

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