Approved by Faculty Senate
Winona State University
College of Nursing & Health Sciences
Department of Health & Human Performance
Course Syllabus - HHP 445
Medical Aspects of Exercise (3 S.H.)
Edition. Lea & Febiger:
Professor: Dr. Phil Appicelli
Office: Memorial Hall 130
Email: pappicelli @winona.edu
Office hours: TR, 9:30-1& 12:30 - 2pm; MWF, 9-10 (or by
Web page: httn://coursel .winona.rnsus.edu/napnicelli
McArdle, W.D., Katch, F.I., and Katch, V.L. (1996).
Exercise Physiology: Energy Nutrition and Human
Performance, 4th Edition. Williams & Wilkins:
Philadelphia., or other exs phys text.
Skinner, J.S. (1993). Exercise Testing and Exercise
Prescription for Special Cases,
Selected topics regarding the science and medicine of sports and
exercise participation. Areas to be covered include pharmacologic
aspects, overtraining and overreaching, the effect of exercise on
reproductive function, and exercise for special populations
University Studies Writing Rag:
This class satisfies the University Studies requirements for a
writing flag. The purpose of the writing flag is to reinforce the
outcomes specified for the basic skills area of writing. Therefore, this
course is intended to provide contexts, opportunities, and feedback for
students writing with discipline-specific texts, tools, and strategies.
This course includes requirements and learning activities that
promote students' abilities to:
a. Promotes the students' ability to practice the processes 3and
procedures for creating and completing successful writing in their
b. Promote the students' ability to understand the main features and
uses of writing in their fields.
c. Promote the students' ability to adapt their writing to the
general expectations of readers in their fields.
d. Promote the students' ability to make use of the technologies
commonly used for research and writing in their fields
e. Promote the students' ability to learn the conventions of
evidence, format, usage, and documentation in their field.
These requirements are met primarily through your term project and
are specifically identified on the syllabus with the appropriate letter
reference where the specific objectives are met.
1. Describe the endocrine response and adaptation to exercise and
2. Following lecture and textbook readings, students will value physical
activity as preventive medicine for obesity, diabetes, and aging effects.
3. Demonstrate an understanding of physiological responses/adaptations
and exercise prescription for low back pain patients.
4. Identify ergogenic aids to physical performance, and their efficacy.
5. Demonstrate an understanding of the environmental effects on exercise
6. Demonstrate an understanding of physiological responses/adaptations
and exercise prescription for the asthmatic patient.
7 Describe age-related changes in physiologic systems to exercise and
8 Understand the relationship between physical activity, and longevity,
obesity, and coronary artery disease.
9 Discuss clinical exercise physiology principles used in the
rehabilitation of the pulmonary, rheumatoid arthritis, low back pain,
asthmatic, renal failure, diabetic, cystic fibrotic, and child patient.
10. Demonstrate an understanding of the exercise guidelines used for
11. Discuss Selye's stress adaptation model, and relate the model to
overtraining in athletes.
12. 1C3 - Intrinsic risk factors associated with normal physical and
psychological growth and development patterns of the pre-adolescent, adolescent,
and adult male and female athlete.
13. 1C4 - Risk factors associated with congenital or acquired postural
abnormalities, physical disabilities, and diseases (i.e. epilepsy, diabetes,
asthma, congenital heart disease, absence of paired organs, visual impairments,
14. 1C6 - Sports specific environmental risk factors associated with climatic
conditions, facilities and equipment, sanitation, etc, and associated risk
management procedures/safety guidelines.
15 IC18-~Principles of an effective heat illness prevention program including
those pertaining to acclimatization and conditioning, fluid and electrolyte
replacement, selection of clothing, monitoring of weight loss, and scheduling
and organization of practice sessions.
16. 1C19 -.Normal thermoregulatory mechanisms of the human body including
methods of heat dissipation and the associated effects of exposure to high
environmental heat and humidity.
17 1C23 -· Comparative qualities of various types
of protective sports equipment, clothing, and commercial padding materials with
regard to their affect on body heat dissipation.
18. 11C3 - Anatomical and physiological growth and development
characteristics as related to the pre-adolescent, adolescent, and adult male and
19 VIC1 - Role of coaches and athletes in reducing injury/illness risks
including those related to physical conditioning, acclimatization, fluid and
electrolyte replacement, care and maintenance of protective equipment,
organization of practice sessions, coaching methods, etc.
20. VIC2 - Physiological effects of physical activity on menstruation (oligomenorrhea,
amenorrhea, dysmenorrhea) and associated psychological considerations.
21. VICS - Symptoms and clinical signs of common eating disorders (anorexia,
22. VIC6 Principles of weight control including methods of determining body
fat percentage and caloric requirements and the effect of exercise and fluid
23 VIC7 - Physiological processed and time factors involved in the digestion,
absorption, and assimilation of various foodstuffs as related to the design and
planning of pre-game/event tension and anxiety.
24 VICS - The physiological effects, comparative benefits, and
contraindications to the use of ergogenic aids (drugs, foodstuffs, physical
25. 1C9 - The effects of commonly abused drugs and other substances on the
athlete's physical and psychological health and athletic performance (alcohol,
tobacco, stimulants, steroids, narcotics, etc.)
26. VIC2O - Basic principles of learning and motivation and methods of
classroom instruction including instructional techniques, use of audiovisual
aids, test construction, and evaluation of student competencies (including tasks
within the six d6mains of the NATA Role Delineation Study).
Class attendance is required, unexcused absences will result in a 2
Anyone caught cheating, collaborating with others (when
· not instructed to do so), plagiarizing
work, presenting work previously presented to another class, or any other
inappropriate conduct will be charged with academic misconduct and could
receive and F in the course and/or be expelled from the University.
Students taking this class are expected to have passed
Exercise Physiology (HHP 340), Pathophysiology (NURS
366) and therefore also Anatomy and Physiology (Rio 211
You will complete three written examinations on the dates listed. No
makeup examinations will be given! Each examination will be worth 100
points. The format of examinations will be multiple-choice, true/false
and short answer, drawn from the reading and lecture materials. The
research paper assignment is worth 100 points. The in class presentation
based on the students research topic is worth 50 points
Exam I 100
Exam II 100
Final Exam 100 (not comprehensive)
Research Paper 100
Class Presentation 50
Late work will not be accepted unless extreme circumstance (with
documentation) and notification is given in advance
Topics to be covered:
Endocrine system and response to exercise 20
Ergogenic aids 23 M
Environmental stress 24-25 M, 6 5
Aging and exercise 30M, 5S
Obesity 29M, 11S
Rheumatoid Arthritis 7S
Low Back Pain 9S
Diabetes 10 S
Asthma 12 S
Children 4 S
Cystic Fibrosis 14 S
Pregnancy 21 S
Female and the athletic triad
End-stage disease 20 S
Stress and overtraining
M = McArdle, Katch, and Katch, 1996; S = Skinner, 1993
Dates you need to know!!
Choice of Research topic with topic statement and questions, due Feb 5 a,d
Exam I Feb 12
Outline of research paper with revised topic statement, due
Exam ll Mar23
Research paper due April 13 a,b,c,d,e
Student presentations Begin April 16?
Final (Exam Ill) May 3 @ 8 am
Rationale for HHP 445 as a University Studies Writing Flag
This course requires a writing intensive term project where
students complete an in-depth review of a sports medicine topic of their choice.
This project is accomplished in several steps. First, students are shown how to
locate scientific research articles using the Internet and content specific
indexes. Based on their interest and the preliminary information they find,
students are required to hand in a topic statement and list of questions that
they plan to address in their term paper. These assignments are evaluated for
content and scope and returned to the students. Next, students refine their
topic statement and list of questions and proceed to develop an outline that
will serve as the framework for their final paper. After the revised topic
statement and outline are evaluated, the student completes a draft that will be
blindly evaluated by a fellow student. The student then completes their final
draft of the paper with appropriate scientific format and APA referencing style.
This writing project accounts for approximately 22% of their final grade in the
The Writing Flag Criteria are met as follows:
a. Promotes the Students' ability to practice the processes and procedures
for creating and completing successful writing in their fields. Sports
Medicine professionals are required to stay current in the many discipline
areas. This requires an ability to find current research, synthesize and
integrate the information, and often present a report in written format to
other professionals The work the students do in this class helps them develop
the skills to become more proficient at this entire process.
b. Promote the students' ability to understand the main features and uses
of writing in their fields. Students gain an understanding of appropriate
writing from reading and reviewing the scientific articles they locate and
from the specific assignment instructions. Students then have the opportunity
to apply their understanding of appropriate writing by completing their paper.
c. Promote the students' ability to adapt their writing to the general
expectations of readers in their fields. Making use of original scientific
research to prepare a report with appropriate documentation and referencing is
the common format expected by exercise scientists. Therefore this class
project requires them to learn and become more proficient at this process.
d. Promote the students' ability to make use of the technologies commonly
used for research and writing in t heir fields During the process of
completing this class, students are introduced to the Internet and computer
databases for locating scientific research articles. Students also 'take use
of word processing software, PowerPoint, and potentially graphic software.
e. Promote the students' ability to learn the conventions of evidence,
format, usage, and documentation in their field. The students' final draft
of their review paper requires them to support their: statements with data
from peer reviewed scientific journals. The paper is also required t6 be
completed with appropriate APA format and referencing.