Specific Program Plan

Stay Fit,
Stay Healthy,
Stay Strong!
Maria Ambrosini
Florida International University

Table of Contents

S p e c i fi c P r o g r a m P l a n | 2

Introduction..
Implementation Description
Population ..
Program Purpose....
Program Length.
Facilities and equipment.
Staff
Evaluation .
Program Evaluation ..
Client Evaluation ..
The Program Plan
Program Title ..
Standard of Purpose ....
Program Objectives
Terminal Programs Objectives 1(TPO)
Terminal Programs Objectives 2(TPO)...
Terminal Programs Objectives 3(TPO)

4
5
6
6
6
7
7
8
8
9
9
9
10
11
12

Content and process Descriptions

Session 1 ..
14
Session 2
16
Session 3
18
Session 4
20
Session 5
22
Session 6
24
Session 7
26
Session 8
28
Session 9
30
Sequence Sheet
32
References 36
Appendices
25
Appendix A: Post Session Report Form 38
Appendix B: Post- Session Analysis Form ..
41
Appendix C: Performance sheet ..
42
Appendix D: Fitness Assessment Form ..
43
Appendix E:Activities Descriptions
44
Appendix I:....Activity 1
Appendix II: ..Activity 2
Appendix III: .Activity 3
Appendix IV: Activity 4
Appendix V:.. Activity 5
Appendix VI: .Activity 6

S p e c i fi c P r o g r a m P l a n | 3

Appendix VII: Activity 7

Appendix VIII:... Activity 8
Appendix IX: ..Activity 9

S p e c i fi c P r o g r a m P l a n | 4

Introduction

Physical Fitness is a very common and non-invasive method of

treatment used in Therapeutic recreation. It helps patients improve their
flexibility, strength, and range of motion, cognitive skills, coordination and an
overall functional and mobile independence. Patients who have had an
accident, sports injury, or any other physical disability due to other acute
incidents or chronic diseases may benefit from any kind of physical fitness
according to their need. Some disabilities we treat are Spinal Cord Injury
(SCI), Traumatic Brain Injury (TBI), Neurological disabilities and more. Active
exercise therapy involves movements that are done within the patients own
power and ability. This includes leg raises, jumping on a trampoline, walking
on a treadmill or performing lateral arm raises. All these examples are
exercises performed with the patient using their own power to move and
enhance their functional skills. (Therapeutic Health Organization Blog, 2015).
Based on patients disability and needs interventions can include,
cardiovascular training, strength, aerobics, endurance training and interval
training to achieve clients overall independence. Two examples of how
outcomes can be achieved for our clients are through aqua fits and strength
training. The following pages will give more details about the Specific
Program Design for physical fitness.

S p e c i fi c P r o g r a m P l a n | 5

Implementation Description
Population
The intended population ranges from 18 years old to elderly. The main population this
program treats is individuals with neurological impairments which include injuries that originate
in the nervous system. These are known to be injuries such as Spinal Cord Injury (SCI) and
traumatic brain injury (TBI). Spinal cord injuries involve trauma to the spinal cord that creates
disturbance of either motor function or sensation. Spinal cord injuries can be paraplegia or
quadriplegia, also known as tetraplegia. Paraplegia is injury to the sacral, lumbar, or thoracic
areas of the spinal column. Quadriplegia is injuries between the cervical areas of the neck and
beginning and thoracic. Spinal injuries can be classified as complete or incomplete. Traumatic
brain injury (TBI) is a physical insult to the brain that may cause problems with physical,
emotional, and social functioning (Datillo, 2012, p. 448).Another disability we may treat is
Cerebral Vascular Accidents (CVA), which is when the brain does not receive the correct blood
flow and usually causing a stroke to either the right or the left brain. In addition, we also treat
Guillain-Barr Syndrome (GBS), which is a disorder in body's immune system that attacks part
of the peripheral nervous system. Symptoms of this disorder are high degrees of weakness or
tingling sensations in the legs. In GBS, reflexes such as knee jerks are usually lost. To achieve
clients outcomes the activities are based on their needs. For this population their needs are
mostly physical, cognitive and behavioral approach. Clients seek to gain back skills that have
been lost or reduces in order to fit into their everyday life style and accomplish regular tasks.

S p e c i fi c P r o g r a m P l a n | 6

Program Purpose
The exercise and fitness program provides a variety of physical activities and workouts to
enhance individuals overall health, specially their physical and functional activities. Patients
will have the ability to achieve and obtain knowledge to overcome regular environmental
barriers that they may struggle with due to their physical or functional limitations. Clients will
learn how to use gym equipment and other materials they may use in their day to day lifestyle.
Clients Benefits include improved physical adeptness, increased strength and flexibility,
improved physical fitness and health, improved athletic prowess, improved coordination. A plan
is created with a variety of activities according to the individuals interest, ability, and current
leisure and fitness awareness.
Program Length
This program is designed to have 8 sessions of each consisting of 30 to 45 minutes of
physical training. Each session will be divided into a warmup, intense or slow activity and a cool
down. Client should participate of these sessions 2 times a week. This time period would help
clients strengthen their muscles, joints, and whole body in general in order to obtain regular
functional skills.
Facilities and Equipment

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For the group intervention, we utilize facilities that will provide a specious, save and
clean environment. Depending of the session three of the facilities used are the gymnasium, the
open basketball courts and the fitness center.
Equipment used:

Resistance balls

Free Weights
Steps
Resistance Bands

Balls
Multi-station

weight machine
Static Bicycles
Equalizer
Upper tone Gym

Treadmills
Rowing Machines
Medicine Balls

Staff

The staffs in charge of conducting these fitness activities are two Certified

Therapeutic Recreational Therapists. He/ She must obtain a National certification. Prior to
the Certification they need to have obtained a Bachelors degree in Therapeutic recreations or
any exercise degree from a 4 year University. (www. Nctrc.org). In addition our staff must
maintain current continuing education units to maintain their certification up to date. There
are opportunities for one volunteer to come and help our CTRS with the physical fitness
activities. Also, interns are welcome to join us and observe the activities and have hands on
experience during their learning to achieve a degree.

Evaluation

The evaluation conducted provides systematic information from which specialists

can improve both the program delivery and the outcomes. Both program and client
evaluations determine if all goals were achieved. The physical fitness program
evaluations involve formative and summative information obtained in the intervention.
The main purpose of both evaluations is to see the outcomes achieved and make our
program better to fit participants needs, make changes and provide quality service.
Patients are observed in the course of the innervations and Therapists are responsible to
obtain information and accurate data in order to obtain a precise evaluation.

Program Evaluation

As a formative program evaluation, APPENDIX A shows the Post- session report

Form. Therapists are responsible to fill each section accurately. In addition, APPENDIX
B shows the summative program evaluation that contains Post session Analysis Form
which helps specialist gather past information from interventions and created a summary
of the data obtained. These forms will help the program find out areas of improvement to
provide the best quality of service. Evaluation forms give key point of each intervention
assessed, it helps staff identify areas that might need improvement with clients or if
activities are adequate for participants needs. Program evaluation will be conducted at the
end of the last session once all sessions have been completed.

Client Evaluation

Client Evaluations are conducted individually after each session. This evaluation
is important due to the fact that specialist can gain knowledge of their clients progress
and outcomes achievements. The clients are required to meet most of the performance
measures of the criteria stated in the enabling objectives for each session. In this client
evaluation the information gathered will include summaries, treatments, any program
plans, notes, goals, goals achieved and discharged/ referral summaries. Also, clients will
be evaluated in their overall physical activity such as cardio, strength, endurance and
flexibility. APPENDIX D is an example of the flexibility assessment performed before
and after each intervention; they will have a pre and post assessment to determine goals
and see what outcomes were accomplished. From this reports if there is any modification
that needs to be done in order for the client to achieve the goal then it will be done. A

performance sheet (APPENDIX C) will be used to determine client criteria with enabling
objectives from each session.

The Program Plan

Title: Stay Fit, Stay Healthy, Stay Strong!

Statement of Purpose: To provide activities in which clients acquire, improve and

utilize physical and cognitive skills that can be used within leisure context and daily
activities through fitness training interventions.

Increased knowledge of benefits of movement and exercise

Increase strength, flexibility and cardiovascular

Develop gross motor and cognitive skills

Positive mood changes

Program Objectives: Each Terminal Program Objectives (TPOs), Enabling Objectives

(EOs) and Performance Measures (PM) are developed and created based on clients goals
and objectives.

TERMINAL PROGRAM OBJECTIVE 1: To demonstrate the knowledge of physical

activity for leisure involvement.

TERMINAL PROGRAM OBJECTIVE 2: To enhance participants health through

muscle strength, flexibility and cardio exercise

TERMINAL PROGRAM OBJECTIVE 3: To enhance the clients motor skills

development

PROGRAM: Stay Fit, Stay Healthy, Stay Strong!

TERMINAL PROGRAM OBJECTIVE 1: To demonstrate the knowledge of physical

activity for leisure involvement.

Enabling Objective

EO1.1 To demonstrate the importance

of physical activity to gain
independence

EO1.2 To demonstrate ability to play,

lift, and participate in adapted sports

Performance measurements
Upon completion of the Fitness
Therapy session, the client should be
able to show physical activity
knowledge

A- Understand why they need to

participate in a fitness program
B- Implement common exercise that will
help perform daily tasks. (Ex. Squats
helps them with sitting down)
C- Apply knowledge to their life and
perform exercises to their full range of
motion

As judged by the Therapeutic

Recreation Therapist ( TRS)

Upon completion of the Fitness

Therapy session, the client should be
able to join leisure activities and
adapted sports

A- Participate in adapted basketball

B- Become part of Aquatics program
C- Improve ability to socially join leisure
activities outside the sessions
D- Contribute to partner activity 50% of
the time

EO1.3 To demonstrate awareness of

strength, flexibility, cardiovascular and
balance activities

As judged by the Therapeutic

Recreation Therapist ( TRS)

Upon completion of the Fitness

Therapy session, the client should be
able to

A- Increase physical fitness activities

B- Muscular toning
C- Increase of blood circulation
D- Improve 50% of daily activities tasks
E- Positive mood

As judged by the Therapeutic

Recreation Therapist ( TRS)

PROGRAM: Stay Fit, Stay Healthy, Stay Strong!

TERMINAL PROGRAM OBJECTIVE 2: To enhance participants health through

muscle strength, flexibility and cardio exercise

Enabling Objective

EO2.1 To demonstrate the ability of

lifting appropriate amount of weight

A
B
C-

based on the disability

Performance measurements
Upon completion of the Fitness
Therapy session, the client should be
able to
Improve by 25% the size (lbs.) of small
weights capability with arms
Improve by 25% the size (lbs.) of small
weights capability with legs,
Improve the number of repetitions done
with legs by 20%
Improve number of repetition done
with arms by 20%
Improve 30% of muscle strength
Lift up to 20 pounds

EF
As judged by the Therapeutic

EO2.2 To demonstrate the ability of

performing full range of motion
movements

EO2.3 To demonstrate ability in

improving cardiovascular endurance

Recreation Therapist ( TRS)

Upon completion of the Fitness

Therapy session, the client should be
able to

A- Perform a full leg lift and calf raises

B- Perform a chest press with free weights
C- Perform lunges and squats
D- Stretch to reach toes
E- Perform a side stretch by reaching to
once side with opposite arm, repeating
the exercise to the other side after 8
seconds.
F- Improve 30% of flexibility to perform
movements

As judged by the Therapeutic

Recreation Therapist ( TRS)

Upon completion of the Fitness

Therapy session, the client should be
able to

A- Use a treadmill with cardio intervals

achieving 30% of full completion in 15
minutes.
B- Take a 30 min walk with a 5 minute rest
C- Run for 5 minutes
D- Increase aerobic activity

As judged by the Therapeutic

Recreation Therapist ( TRS)

PROGRAM: Stay Fit, Stay Healthy, Stay Strong!

TERMINAL PROGRAM OBJECTIVE 3: To enhance the clients motor skills

development

Enabling Objective

EO3.1 To enhance individuals ability

hand eye coordination

EO3.2 To demonstrate fine motor skills

EO3.3 To improve overall physical

fitness

Performance measurements
Upon completion of the fitness
Therapy session, the client should be
able to choose 2 exercises to perform at
home by:
A- Identifying what exercise will help them
perform a daily task
B- Ability to catch and throw objects

As judged by the Therapeutic Recreation

Therapist ( TRS)

Upon completion of the fitness

Therapy session, the client should be
able to complete 50% of regular activity

A- Perform a common task such as

grasping, cutting or throwing.
B- Hold small objects used in daily life
C- Manipulate small objects

As judged by the Therapeutic Recreation

Therapist ( TRS)

Upon completion of the fitness

Therapy session, the client should be
able to show physical ability to:

A- Sit down Straight

B- To lift objects
C- To reach objects, bend down and stretch
D- To take 30 min walk/ run with no o very
small rest time

As judged by the Therapeutic Recreation

Therapist ( TRS)

Content and Process

The following tables develop corresponding content and process descriptions for
each of the enabling objectives outlined in the program plan. Sessions are numbered one through
nine for each EO. Appendix E will give activity outline and description for each session. All
activities can be modified to the need of the participant. Special equipment can also be used in
order for participants to be able to perform the exercises and achieve each objective.

Session 1 Why should I do it?

Purpose: The purpose for this session is to help facilitate participants functional
activity by enhancing participants knowledge on the importance of physical activity.

TPO 1: To demonstrate the knowledge of physical activity for leisure involvement.

EO 1.1: To demonstrate the importance of physical activity to gain independence.

Equipment:

8-10 chair placed in a circle

Number 1-11 number cards
Body Parts Flashcards
Importance of Physical Activity for my disability booklet. Appendix E provides a
few pages of the example Booklet used.
Copy of Activity in in Appendix 2

Target Number: Group of at least 8-10 people

Setting: Auditorium

Content

Orientation Activity:
Who are you? Is an ice breaker
activity so each participant has the
chance to learn about each other

Process

Introduction

The purpose of this session is to educate

participants about the importance of
physical activity to increase their leisure
activity.

Introduction

Learning Activity
See Appendix E, I for sample pages of
the booklet we provide to participants.
The purpose for this activity is for them
to gain knowledge about the importance
of physical activities and how they can
become independent to join more leisure
activities.

Ask participant questions about the

session

Being the first session, we introduce the

Fitness program, example activities and
educate participants in the importance of
Physical Fitness for the best of their
disability and their entire health.

Learning Activity
Explain the purpose of physical activity.
Each participant will read part of the
booklet and explain why they think joining
this program is important to their disability
and health. The instructor will use body
parts flash cards to explain which are
common exercises they will perform in the
sessions, what body parts they need to
strengthen and how different body systems
are enhanced when doing physical activity.

Debriefings

Orientation Activity:
To break the ice Who are you? is an
introduction activity where each participant
will be given a number. The instructor will
be the first one to start. He/ she will give a
small introduction about them. (NAME,
AGE, REASON FOR BEING IN THE
PROGRAM AND WHAT IS THEIR
FAVORITE PAST TIME, EXTRA INFO
THEY WOULD LIKE TO SHARE). After,
the person will say a number and whoever
has that number is next.

Debriefings

Ask participant what did they learn in this

session? Allow them to ask question of any
concern they may have. Participants ask
questions about information they would like
to learn. Share goals clients want to achieve.

 Conclusion

After this session participants should

have identified personal barriers related
to this EO, as well as discuss ways to
overcome these barriers

Conclusion

Clients will identify what were/ are barriers

that relate to them not participating in
physical fitness interventions. We will
discuss this concerns and how they will
overcome barriers. Observe and listen for
feedback and record statements about the
session

Session 2 I Can do it Too

Purpose: The purpose for this session is to help facilitate participants functional
activity by demonstrating participants that there are no limitations for them to be able to
participate in a physical fitness activity or join adapted sports.

TPO 1: To demonstrate the knowledge of physical activity for leisure involvement.

EO 1.2: To demonstrate ability to play, lift, and participate in adapted sports

Equipment:

Free Weights
Medicine Balls
Basketballs
Hoops
Soccer ball
A yoga mat
Chairs
Copy of Activity in in Appendix E, II

Target Number: Group of at least 3-5people

Setting: Open space in the outdoors

Content

Orientation Activity
Let me Guess Is an ice breaker
activity so each participant has the
chance to learn about each other
favorite sport or fitness activity.

Process

Introduction

The purpose of this session is that

participant realize the abilities they
have to participate in adapted sports or
fitness activities

Introduction

There will 5 stations The objective of

this session is that participants find they
are capable of joining adapted sports
and use fitness equipment. Participants
will choose one station to start on and
they will be in teams of two. They will
perform specific easy exercises in each
station. The instructor will show
participants how to perform each
exercise and introduce each material
used
Therapist will introduce basic breathing
technics.

Learning Activity

I can do it too See appendix E, II for

the activity. The purpose of this activity
is that participant experience fitness
exercise and small techniques of
adapted sports. Learning they also have
the ability to participate in this kind of
leisure activities

Learning Activity

Debriefings

Ask participant questions about the

Orientation Activity
Let me Guess is an icebreaker
activity for each participant to describe
what is their favorite sport of fitness
activity. Instructor will give a
description of his/ her favorite sport;
participants will try to guess it. Once
one participant guessed it they it will be
their turn to describe theirs and others
will try to guess.

We will use an open space outdoors.

After the specialist has given all
instruction and done all demonstration,
participant will chose what station they
start on. We begin with a small warm
up of 5 minutes and then begin each
exercise that corresponds to each
station.
See Appendix E. II for activity
description

Debriefings
Request participant to give their

session

Conclusion

After this session participants should

have identified personal barriers related
to this EO, as well as discuss ways to
overcome these barriers

opinion of which exercise they enjoyed

the most. Ask questions such as:
Did you find any difficulty in any
exercise?
Which one do you think can help you
perform regular tasks?

Conclusion

Clients will identify personal barriers

that relate to them not participating in
physical fitness and adapted sports
interventions. We will discuss any
concerns and how they will overcome
barriers. Observe and listen for
feedback and record statements about
the session

Session 3I can do it too Part II

Purpose: The purpose for this session is to help facilitate participants functional
activity by demonstrating participants that there are no limitations for them to be able to
participate in a fitness class and be part of a gym to enhance their skills and increase
leisure activities.

TPO 1: To demonstrate the knowledge of physical activity for leisure involvement.

EO 1.3: To demonstrate awareness of strength, flexibility, cardiovascular and balance

activities

Equipment:

Treadmills
Stability balls
Yoga Mat
Beach Ball
Copy of Activity in in Appendix E, III

Target Number: Group of at least 3-5people


Setting: Fitness Facility

Content
Orientation Activity
Beach Ball toss Is an ice breaker
activity so each participant has the
chance to learn about each other.

Process

Introduction
The purpose of this session is that

Introduction

participants build conformability and

security to understand they are capable
of participating in a fitness class in a
fitness facility or any club that provides
physical activities.

Learning Activity
I can do it too Part 2 See
appendix E, III for the activity. The
purpose of this activity build
confidence and security to understand
they are capable of participating in a
fitness class in a fitness facility or any
club that that provides group classes
such as, Aqua fit, strength, spinning,
ect.

Orientation Activity
Beach Ball Toss is another icebreaker
activity is pre-divided into questions.
Group tosses ball around circle,
introducing name and answering
question the specialist has created . One
participant begins by throwing the ball
to another participant and he/ she will
say their name, choose a number and
answer the question corresponding the
number they chose. This is an activity
that enhances team communication and
its a fun activity with funny questions
to answer.

Participant will be taken to the fitness

facility. They will explore each
machine and materials provided. The
instructor will ask some question to test
participants knowledge on this type of
facilities. The specialist will show the
exercises for this session and explain
any modifications, rules and concerns.
Discuss Safety rules to avoid injuries

Learning Activity
After the specialist has given all
instruction and done all demonstration,
participants will start at the tread mill
as a warm up activity they will do some
intervals to bring hear rate up.
They will use a stability ball to
perform exercises to strengthen their
back
As final segment they will do some
yoga stretches
See Appendix E. III for activity

description

Debriefings

Ask participant questions about the

session

Debriefings

Conclusion
After this session participants should
have identified personal barriers related
to this EO, as well as discuss ways to
overcome these barriers

Request participant to give their

opinion. Ask questions such as:
Did you find any difficulty in any
exercise?
Which one do you think can help you
perform regular tasks?
What have you realize so far about
exercises you can perform?
How do you feel so far about doing this
fitness program?

Conclusion

Clients will identify personal barriers

that relate to them not participating in
physical fitness and adapted sports
interventions. We will discuss any
concerns and how they will overcome
barriers. Observe and listen for
feedback and record statements about
the session

Session 4 Super Muscle

Purpose: The purpose of this session is to help facilitate participants functional ability
to participation in any leisure activity by enhancing their strength and coordination.

TPO 2: To enhance participants health through muscle strength, flexibility and cardio
exercise

EO 2.1: To demonstrate the ability of lifting appropriate amount of weight

Equipment:

Free weights
Kettlebells
Ankle weights
Chairs
Copy of Activity in in Appendix E, IV

 Target Number: Group of at least 3-5people

Setting: Gymnasium

Content

Orientation Activity
Super Hero Is an ice breaker activity
so each participant has the chance to
learn about each other.

Process

Super Hero is another icebreaker

activity where participant will be in a
circle and the therapist will start by
saying his name and saying his favorite
super hero and why that super hero is
his favorite. After the person to his
right will go next. It continues until
everyone has gone.

Introduction
The purpose of this session is to help

Introduction

facilitate participants functional ability

to participation in any leisure activity
by enhancing their strength and
coordination.

Learning Activity
Becoming Super Heroes The purpose
of this activity is to teach participant
the importance of building muscular
strength and how it can help them in
performing daily tasks.

Orientation Activity

The therapist will explain the

importance of strength exercise. He
will give insights of how strength
exercise can help their physical health
and what are the benefits for lifting
weight.
The therapist will show a short video
for participants to gain knowledge.
See Appendix E, IV for Video.
Discuss Safety rules to avoid injuries
A brief introduction of the different
weights will be done by the therapist

Learning Activity

After the specialist has given all

instruction and done all demonstration

the participants will start with a 10
Min. warm up.
They will have 4 stations

See Appendix E. IV for activity

description

Debriefings

Ask participant questions about the

session

Debriefings

Request participant to give their

opinion. Ask questions such as:
Did you find any difficulty in any

Conclusion
After this session participants should

exercise?
What have you realize so far about
exercises you can perform?
How did the weight feel?
Have you enjoyed the activities so far?

Conclusion

have identified personal barriers related

to this EO, as well as discuss ways to
overcome these barriers

Clients will identify personal barriers

that relate to them not participating in
physical fitness and adapted sports
interventions. We will discuss any
concerns and how they will overcome
barriers. Observe and listen for
feedback and record statements about
the session

Session 5 Super Fit

Purpose: The purpose of this session is to help facilitate participants functional ability
to participation in any leisure activity by learning and performing full range of motion
moves using machines in a fitness facility to strengthen their muscles.

TPO 2: To enhance participants health through muscle strength, flexibility and cardio
exercise

EO 2.2: To demonstrate the ability of performing full range of motion movements

Equipment:

Static Bikes
Multi Station Machine
Copy of Activity in in Appendix E, V

Target Number: Group of at least 3-5people

Setting: Fitness Facility

Content

Process

Orientation Activity

Show me Is an ice breaker activity

so each participant has the chance to

learn about muscles and their location.

Introduction

The purpose of this session is

participants understand the importance
of performing full range of motion
exercises to obtain better results.

Introduction

Learning Activity
Tone in, Tone up See appendix E,
V for the activity. The purpose of this
activity in for participant to perform
range of motion movement and start
toning and strengthening their bodies.

Debriefings
Ask participant questions about the
session

Orientation Activity
Show me is an icebreaker activity
where therapist will ask show me you
bicep, show me you triceps, and so
forth for different muscles. Participants
will point at the muscle mentioned.
After, the therapist will give options for
participants to show an exercise that
works the muscle mentioned.
The Therapist will show a learning
video that teaches how the multi station
machine is used and what are some
exercises that can be performed with
this machine, which also will be some
of the exercises for this session.
He/ She will introduce the importance
of performing full range of motion
moves and how this can enhance their
fitness activity overall and performing
daily tasks.

Learning Activity

After the specialist has given all

instruction and done all demonstration
the participants will start with a 10
Min. warm up on the static bikes.
See Appendix E. IV for activity
description
Request participant to give their
opinion. Ask questions such as:
Did you find any difficulty in any
exercise?
What have you realize so far about

Conclusion
After this session participants should
have identified personal barriers related
to this EO, as well as discuss ways to
overcome these barriers

exercises you can perform?

How did the weight feel?

Have you enjoyed the activities so far?

Conclusion

Clients will identify personal barriers

that relate to them not participating in
physical fitness and adapted sports
interventions. We will discuss any
concerns and how they will overcome
barriers. Observe and listen for
feedback and record statements about
the session

Session 6 Run, and Imagine

Purpose: The purpose for this session is to help facilitate participants functional
activity by enhancing participants cardiovascular system and gain knowledge of the
importance of cardio exercise.

TPO 2: To enhance participants health through muscle strength, flexibility and cardio
exercise

EO 2.3: To demonstrate ability in improving cardiovascular endurance


Equipment:

None
Copy of Activity in in Appendix E, VI

Target Number: Group of at least 3-5people

Setting: Outdoor Open Space

Content

Process

Orientation Activity

Desert Island Is an ice breaker

activity to prepare participants to use
their mind and imagination

Introduction

The purpose of this activity is for

participants to understand the
importance of walking, jogging ad
doing cardio activities

Learning Activity
Imaginary Jog See appendix E,
VI for the activity. The purpose of this
activity in for participant to enhance
their cardiovascular system and
imagination through walking, jogging
and running.

Orientation Activity

Desert Island is an ice breaker

activity. The Therapist will Announce,
'they have been exiled to a deserted
island
for a year. In addition to the
essentials, you may take one piece of
music, one book (which is not the
Bible) and
one luxury item you can carry with you
i.e. not a boat to leave the island! What
Would you take and why?'
Each participant will answer and think
why they choose that.

Introduction

There will be a small introduction on

the circulatory system and why it is
important for individuals to do cardio
activities for the benefit of leisure
activity participation. Participant also
will give the introduction the days
activity.

Learning Activity

After the specialist has given all

instruction specified rules and done all
demonstration the participants will start
begin with the activity
See appendix E, VI for the activity

 Debriefings
Ask participant questions about the
session

Debriefings

Conclusion
After this session participants should
have identified personal barriers related
to this EO, as well as discuss ways to
overcome these barriers

Request participant to give their

opinion. Ask questions such as:
What have you realize so far about
exercises you can perform?
How did you feel walking, running, or
jogging?
Have you enjoyed the activities so far?

Conclusion
Clients will identify personal barriers
that relate to them not participating in
physical fitness and adapted sports
interventions. We will discuss any
concerns and how they will overcome
barriers. Observe and listen for
feedback and record statements about
the session

Session 7 Kick the ball

Purpose: The purpose for this session is to help facilitate participants functional
activity by enhancing participants coordination and motor skills.

TPO 3: To enhance the clients motor skills development

EO 3.1: To enhance individuals ability hand eye coordination


Equipment:

Soccer Ball or dodge ball

Copy of Activity in in Appendix E, VII

Target Number: Group of at least 3-5people

Setting: Gymnasium

Content

Orientation Activity
Once Upon a time Is an ice breaker
activity to open up a fun enjoyable
session.

Process

Introduction

The purpose of this session is to

facilitate participants in enhancing their
motor skills and hand eye coordination.

Introduction

Learning Activity

Kick Ball The purpose for this

Orientation Activity
Once Upon a time Is an ice breaker
activity to open up a fun enjoyable
session. The leader starts a story with a
sentence that ends in SUDDENLY. The
next person then has to add to the story
with his own sentence that ends in
SUDDENLY. Continue the story until
everyone has contributed. The story
becomes crazier as each young person
adds their sentence. Tape it and play it
back.
Introduce Activity, Rules and
regulations.
Partner up participant
Rules
1. No overhead passes
2. Throw ball to the other
participant so they can kick it.
3. Kicks should be soft but hard
enough to reach back to the
thrower.
4. 5 kicks each participant
5. Once 10 reps have been done
right participants will move to
their right and start repetition
again.

Learning Activity

After the specialist has given all

activity is to enhance eye hand

coordination and at the same time
working on the cardiovascular.

Debriefings
Ask participant questions about the
session

Conclusion
After this session participants should
have identified personal barriers related
to this EO, as well as discuss ways to
overcome these barriers

instruction specified rules and done all

demonstration the participants will start
begin with the activity
See appendix E, VII for the activity

Debriefings
Request participant to give their
opinion. Ask questions such as:
What have you realize so far about
exercises you can perform?
Dis you enjoy todays session?

Have you enjoyed the activities so far

Conclusion
Clients will identify personal barriers
that relate to them not participating in
physical fitness and adapted sports
interventions. We will discuss any
concerns and how they will overcome
barriers. Observe and listen for
feedback and record statements about
the session

Session 8 Fine Hit

Purpose: The purpose of this session is to facilitate participant functional abilities to

participation in leisure activities by increasing fine motor skills through fitness activity

TPO 3: To enhance the clients motor skills development

 EO 3.2: To demonstrate fine motor skills

Equipment:

Tennis Racket

Tennis Balls

Target Number: Group of at least 3-5people

Copy of Activity in in Appendix E, VII

Setting: Gymnasium

Content

Orientation Activity
One minute please is an icebreaker
activity to learn about each other and
create confidence with participants.

Process

Introduction

The purpose of this session is to

enhance participants fine motor skills
and coordination.

Orientation Activity
One minute please is an icebreaker
activity to learn about each other and
create confidence with participants. The
aim of the game is to talk for one
minute on a given subject. Therapist
will announce a random topic and
choose a member of the group
randomly to speak for one minute.
Therapist will choose
subjects to stimulate the imagination of
participant and which may be amusing.
Put a stopwatch on each person to see
how long they last before drying up!
Subjects might include,
my earliest memories, my favorite
computer game, why beans are good
for you, 10
things you can do with potatoes. Any
fun topic to create a fun and enjoyable
environment

Introduction

Begin session by explaining the

importance of developing fine motor
skills and coordination and why these
skills are needed the most to perform
daily tasks and participate in leisure
activities.

 Learning Activity

Tennis time, The purpose of this

activity is to help participant enhance
their focusing, fine motor and
coordination skills

Learning Activity

After the specialist has given all

instruction specified rules and done all
demonstration the participants will start
begin with the activity
This activity will be divided in two
sessions
1) Participants will work individually
2) Participants will work together

Debriefings
Ask participant questions about the
session

See appendix E, VIII for the activity

Debriefings

Conclusion
After this session participants should
have identified personal barriers related
to this EO, as well as discuss ways to
overcome these barriers

Session 9 Never Forget

Request participant to give their

opinion. Ask questions such as:
What have you realize so far about
exercises you can perform?
Have you enjoyed the activities so far

Conclusion

Clients will identify personal barriers

that relate to them not participating in
physical fitness and adapted sports
interventions. We will discuss any
concerns and how they will overcome
barriers. Observe and listen for
feedback and record statements about
the session

Purpose: The purpose of this session is to facilitate participant functional abilities to

participation in independent leisure activities obtaining overall good physical fitness.

TPO 3: To enhance the clients motor skills development

EO 3.3: To improve overall physical fitness

Equipment:
Any Available equipment participant will want to use.

Copy of Activity in in Appendix E, IX

Target Number: Group of at least 3-5people

Setting: Fitness Facility

Content

Orientation Activity

Mixed up is a fun ice breaker to test

Process

participants knowledge of what they

have learned about the past sessions.

Introduction

The purpose for this session is to give

participant the opportunity to choose
what they feel will enhance their
overall physical fitness

Orientation Activity Bicep

Mixed up is an ice breaker game to
start this session by testing participants
knowledge. The therapist will use a dry
erase board with muscle names, body
parts, exercises, ect all letters are
scrambled. Ex CIEBP = Bicep. Once a
participant has identifies the word he
will show location and say an exercise
for that muscle. Same concept for other
topics. In case of an exercise,
participant will name a muscle that s
work when doing that exercise.

Introduction

Begin session by introducing the

importance of maintaining a good and
healthy physical fitness lifestyle.
Explain the overall benefit of physical
fitness and how different skills can be
developed.
Introduce the activity and have

participant choose 5 machines and

materials they will like to work on and
with for the activity.

Learning Activity

You Choose The purpose of this

activity is participant choose 3-5
machines that will enhance their overall
physical activity ( Cardio, strength,
balance, coordination, motor skills)

Debriefings
Ask participant questions about the
session

Learning Activity

After the specialist has given all

instruction specified rules and done all
demonstration the participants will start
begin with the activity
The activity will begin with a dynamic
warmup.
See appendix E, IX for the activity

Debriefings
Request participant to give their
opinion. Ask questions such as:
What have you realize so far about
exercises you can perform?
Have you enjoyed the activities so far?

How is this program benefiting you in

your leisure activities?

Conclusion
After this session participants should
have identified personal barriers related
to this EO, as well as discuss ways to
overcome these barriers

Conclusion
Clients will identify personal barriers
that relate to them not participating in
physical fitness and adapted sports
interventions. We will discuss any
concerns and how they will overcome
barriers. Observe and listen for
feedback and record statements about
the session

 Sequence Sheet

The sequence sheet is a session by session description of how the total program is
to be implemented. It included information such as the Terminal Program Objectives, the
Enabling objective, number of session, and the estimated time each part of the session takes.
(Stumbo and Peterson, 2009, p. 164). In addition is gives a small and brief description of each
section if the session.

E
O

1
.
1

Orientation Activity- Let me Guess

Introduce which is their favorite sport and
fitness activity
1. Introduction:
Introduce materials
Explain purpose of the materials, exercise
and sports
Explain exercises

1.

4.

1
.
2

SE
SSI
ON
NU
MB
ER

3.

Orientation Activity- Who are you?

Introduce each other
Introduction:
Introduce the program
Introduce the importance of Fitness
Learning Activity:
Demonstrate & Explain
Perform Activity
Debriefings:
Comment and Questions
Conclusion :
Discuss effectiveness
Questions

2.

DESCRIPTION

T
I
M
E
(
M
I
N
)

1
0
5
5
1
5
1
5
5
1
0
5
5
5

3
5
5

1
.
3

2
.
1

2.

3.

4.

1.

2.

3.

4.

Learning Activity: I can do it too

Demonstrate & Give Instructions

Perform Activity
Debriefings:
Comment and Questions
Conclusion :
Discuss effectiveness
Orientation Activity- Beach Ball Toss
Introduction:
Introduce the fitness facility and
materials

1
0

Learning Activity: I can do it too Part 2

Demonstrate & Give Instructions
Perform Activity

Debriefings:
Comment and Questions
Conclusion :
Discuss effectiveness
Orientation Activity- Super Hero
Introduce their favorite super hero

1. Introduction:
Introduction video The Benefits of
Strength Training
Introduction to stations

2. Learning Activity: Becoming Super

Heroes

Demonstrate & Give Instructions

Perform Activity

3. Debriefings:

Comment and Questions

4. Conclusion :

Discuss effectiveness
Orientation Activity- Show me

0
3
5

1
0
4
5

5
5
5

1
0
4
5
5

.
2

2
.
3

3
.
1

3
.

1. Introduction:
Introduction Video
Machine and Exercises Introduction

2. Learning Activity: Tone in, Tone up

Demonstrate & Give Instructions

Perform Activity

3. Debriefings:

Comment and Questions

4. Conclusion :

Discuss effectiveness
Orientation Activity- Desert Island
1. Introduction:
Introduce Cardiovascular System
Introduce Activity

2. Learning Activity: Imaginary Jog

Demonstrate & Give Instructions

Perform Activity

3. Debriefings:

Comment and Questions

4. Conclusion :

Discuss effectiveness
Orientation Activity- Once Upon a time
1. Introduction:
Introduce activity and rules

2. Learning Activity: Kick the Ball

Demonstrate & Give Instructions

Perform Activity

3. Debriefings:

Comment and Questions

4. Conclusion :

Discuss effectiveness
Orientation Activity- One Minute Please
1. Introduction:

1
0
5

5
4
0

5
5

5
5
5

5
3
0
5

5
4
0

3
.
3

2.

3.

4.

1.

2.

3.

4.

Introduce importance of fine motor

and coordination skills
Learning Activity: Tennis Time

1
0

Demonstrate & Give Instructions

Perform Activity
Debriefings:
Comment and Questions
Conclusion :
Discuss effectiveness
Orientation Activity- Mixed Up
Introduction:
Introduce importance of Physical
fitness for skill development
Introduce activity and allow
participant to choose machines and
materials

Learning Activity: You Choose

Demonstrate & Give Instructions
Perform Activity
Debriefings:
Comment and Questions
Conclusion :
Discuss effectiveness

Reference

Baptist Health of South Florida, Neuro-Rehabilitation Program,

1
0

1
0

5
4
0

Retrieved on March 22, 2015 from https://baptisthealth.net/en/healthservices/neuro/pages/neuro-rehabilitation-program.aspx

1
0
3
5

Dattilo, J. (2012). Inclusive leisure services (Third ed.). State College, Pa.: Venture
Publishing.

Makeover fitness, Retrieved on March 25, 2015 from

http://www.makeoverfitness.com/images/fitness-assessment-form.jpg

National Council For therapeutic Recreation Certification, Retrieved March 24, 2015,
Retrieved from http://www.nctrc.org/documents/5JobAnalysis.pdf

NCHPAD, Spinal Cord Injury and Exercise, Retrieved in March 23, 2015 from
http://www.nchpad.org/111/860/Spinal~Cord~Injury~and~Exercise

Norma J. Sumbo, Therapeutic Recreation Program Design, Specific program plan

Evaluation, page 367- 377 Retrieved on March 25, 2015

Sports and Fitness Center, Recreational Therapy, Retrieved on March 25th, 2015 from
http://www.spofit.org/recreation-therapy/

Therapeutic Health Organization Blog, 2015 Retrieved on March 20,

2015 from http://www.therapeutichealth.org/tag/modalities-in-physicaltherapy/

Active Games for Small to Medium Sized Groups, TR Therapeutic

recreation Directory, Retrieved on April 14th, 2015,
http://www.recreationtherapy.com/tx/txactive.htm

Bittner Seth, Imagination Jog, TR Therapeutic recreation Directory, Retrieved on April

13,2015 http://www.recreationtherapy.com/tx/txex.htm

Bodybuilding.com, Retrieved on April 11,

2015http://www.bodybuilding.com/exercises/detail/view/name/dumbbell
-bicep-curl

Knox Graame, 40 Icebreakers for Small Group Retrieved on April 13, 2015,
http://insight.typepad.co.uk/40_icebreakers_for_small_groups.pdf

Mercer Lisa Marie, Why is Cardiovascular Activity Important, Lovetoknow, Retrieved

on April 12, 2015,
http://exercise.lovetoknow.com/Why_Is_Cardiovascular_Fitness_Importa
nt

APPENDIX A

APPENDIX A

APPENDIX A

APPENDIX B

APPENDIX C

APPENDIX D

Source: http://www.makeoverfitness.com/images/fitness-assessmentform.jpg

APPENDIX E
APPENDIX I

Activity 1 Why should I do it?

Purpose: The purpose of this session is to educate participants the importance of

physical activity to increase their leisure activity.

Equipment:

10 chair placed in a circle

Number 1-11 number cards
Body Parts Flashcards
Importance of Physical Activity for my disability booklet. Appendix E Provides a
few pages of the example Booklet used.

Setting: Auditorium

Description

The session will begin with an introduction the Fitness program following and
introduction of the importance of physical activity teach participants the importance of physical
fitness in order to become independent and to be part of leisure activities. They will learn how
they can work with their disability and perform regular tasks. At the end we will discuss what
was learned and if there are any concerns they will be addressed

Example booklet can be found in http://www.c3health.org/wpcontent/uploads/2009/09/C3-review-of-physical-activity-and-health-v-120110603.pdf

APPENDIX II
Activity 2 I can do it too

Purpose: The purpose of this session is to demonstrate participants that

there are no limitations for them to be able to participate in a physical
fitness activity.

Equipment:

Free Weights
Medicine Balls
Basketballs
Hoops
Soccer ball
A yoga mat
Chairs

Setting: Open Space outdoors or indoors if climate does not allow

Description

The session will begin with a small introduction of each adapted sport presented
in this session and each material used. After, we will start with a small warm up. The instructor
will explain the exercises to the participant and arrange any modification that needs to be done.

Before starting the exercised we will do a short warm up to move our bodies.

Have teams of two in each station.

1. Basketball and hoops will bounce the ball three times and try making it to the hoop.
Participants can do it standing up or sitting on a chair.

2. Free weight 3 lb.- bicep curls

Participants can do it standing up or sitting on a chair.

3. Soccer Balls- will kick the ball to each other

Participants can do it standing up or sitting on a chair.


4. Yoga mat- participants will do sit and reach to work on some stretching skills

5.
back
other.

Medicine Ball 5 lb- They will stand or sit back to

and turning side to side they will pass it to each

Each team will repeat their exercise 5 times then rotate to the next station so they all have
a chance to experience each material and sport skills.

APPENDIX III

Activity 3 I can do it too Part II

Purpose: The purpose of this session is to demonstrate participants that there are no
limitations for them to be able to participate in a fitness class and be part of a gym to
enhance their skills and increase leisure activities.

Equipment:
Treadmills
Resistance balls
Free weights
Beach Ball
Setting: Fitness Center

Description

The session will begin with a small introduction of the fitness facility, the
importance and the benefits of being part of if. The instructor will introduce the machines and
equipment presented in this session. After, we will start with a small warm up. The instructor
will explain the exercises to the participant and arrange any modification that needs to be done.
They will use a resistance ball to work on balance and strengthen they back. Last part of the
activity is yoga stretches. This is a continuation of session 2 but the purpose of this session is that
participants experience new equipment and a new environment where they can build confidence
and know they are able to participate and be part of this facilities outside their intervention
session.

1) We start with a warm up in the treadmill. The video shows an example of how the clients will
start and do a 10 min warm up. https://www.youtube.com/watch?v=E8p-CXlV29Q

2) Resistance ball This is a basis exercise char used for this intervention to choose 2
or three exercise that will help participants obtain balance and strengthen their backs.

3) Yoga Mat- Participant will perform stretches to cool down muscles and enhance
flexibility

Main chart used for Yoga Stretches for lower back pain and injuries

APPENDIX IV

Activity 4 Super Muscle

Purpose: The purpose of this session is to help facilitate participants functional ability
to participation in any leisure activity by enhancing their strength and coordination.

Equipment:

Free weights
Kettlebells
Ankle weights
Chairs

Setting: Gymnasium

Description

This session will begin with an introduction to the importance of doing weight
training and what are the benefits of it. After, the therapist will show participant a
learning video The Benefits of Strength Training
https://www.youtube.com/watch?v=A0tY3vmZL08. This is a video that will
challenge clients and teach them why they are here. After the video the instructor will
introduce the four station set and what they will do in each station. Participants will be

working on upper body, lower body, back/ abdominals and free exercise. At the end we
will do a cool down/ stretches to relax our bodies.
Therapist will work with participants to find out with is the best weight for them in each
station.

Station 1
Upper Body
Materials: dumbbells, chairs

Participants will perform:

Note- Can be done standing or sitting

1. 2 sets of 8-10 bicep curl

1. Stand up straight with a dumbbell in each hand at arm's length. Keep your elbows
close to your torso and rotate the palms of your hands until they are facing forward.
This will be your starting position.
2. Now, keeping the upper arms stationary, exhale and curl the weights while
contracting your biceps. Continue to raise the weights until your biceps are fully
contracted and the dumbbells are at shoulder level. Hold the contracted position for a
brief pause as you squeeze your biceps.
3. Then, inhale and slowly begin to lower the dumbbells back to the starting position.
4. Repeat for the recommended amount of repetitions.

Variations: There are many possible variations for this movement. For instance, you can
perform the exercise sitting down on a bench with or without back support and you can
also perform it by alternating arms; first lift the right arm for one repetition, then the left,
then the right, etc.

2. 2 sets of 8-10 Lateral arm raises

1. Pick a couple of dumbbells and stand with a straight torso and the dumbbells by your side
at arms length with the palms of the hand facing you. This will be your starting position.
2. While maintaining the torso in a stationary position (no swinging), lift the dumbbells to
your side with a slight bend on the elbow and the hands slightly tilted forward as if
pouring water in a glass. Continue to go up until you arms are parallel to the floor. Exhale
as you execute this movement and pause for a second at the top.
3. Lower the dumbbells back down slowly to the starting position as you inhale.
4. Repeat for the recommended amount of repetitions.

Variation: This exercise can also be performed sitting down.

3. 2 sets of

8-10 Triceps
Extension

1. To begin, stand up with a dumbbell held by both hands. Your feet should be about
shoulder width apart from each other. Slowly use both hands to grab the dumbbell
and lift it over your head until both arms are fully extended.
2. The resistance should be resting in the palms of your hands with your thumbs around
it. The palm of the hands should be facing up towards the ceiling. This will be your
starting position.
3. Keeping your upper arms close to your head with elbows in and perpendicular to the
floor, lower the resistance in a semicircular motion behind your head until your
forearms touch your biceps. Tip: The upper arms should remain stationary and only
the forearms should move. Breathe in as you perform this step.
4. Go back to the starting position by using the triceps to raise the dumbbell. Breathe out
as you perform this step.
5. Repeat for the recommended amount of repetitions.

Station 2
Lower Body
Materials: dumbbells, chairs

Participants will perform:

1. 2 sets of 10 Squats

1. Position your legs using a shoulder width medium stance with the toes slightly
pointed out. Keep your head up at all times and also maintain a straight back. This
will be your starting position.
2. Begin to go down by bending the knees and hips as you maintain a straight
posture with the head up. Continue down until the angle between the upper leg
and the calves becomes slightly less than 90-degrees. Inhale as you perform this
portion of the movement. Tip: If you performed the exercise correctly, the front
of the knees should make an imaginary straight line with the toes that is
perpendicular to the front. If your knees are past that imaginary line (if they are
past your toes) then you is placing undue stress on the knee and the exercise has
been performed incorrectly.
3. Begin to go up as you exhale by pushing the floor with the heel of your foot as
you straighten the legs again and go back to the starting position.
4. Repeat for the recommended amount of repetitions.

2. 2 sets of 10 Leg Extension on each leg with ankle weigh sitting down

1. Choose your weight and sit on the chair feet pointed forward and the hands
holding the sides. This will be your starting position. Also, make sure that
your legs form a 90-degree angle between the lower and upper leg. If the
angle is less than 90-degrees then that means the knee is over the toes which
in turn creates undue stress at the knee joint. If the machine is designed that
way, either look for another machine or just make sure that when you start
executing the exercise you stop going down once you hit the 90-degree angle.
2. Using your quadriceps, extend your legs to the maximum as you exhale.
Ensure that the rest of the body remains stationary on the seat. Pause a second
on the contracted position.
3. Slowly lower the weight back to the original position as you inhale, ensuring
that you do not go past the 90-degree angle limit.
4. Repeat for the recommended amount of times.

3. 2 sets of 10 Calf Raises with ankle weights

1. Position your toes facing forward. Push up by extending your hips and knees until your
torso is standing erect. The knees should be kept with a slight bend; never locked. Toes
should be facing forward, outwards or inwards. This will be your starting position.
2. Raise your heels as you breathe out by extending your ankles as high as possible and
flexing your calf. Ensure that the knee is kept stationary at all times. There should be no
bending at any time. Hold the contracted position by a second before you start to go back
3. Go back slowly to the starting position as you breathe in by lowering your heels as you
bend the ankles until calves are stretched.
4. Repeat for the recommended amount of repetitions.

Note: Hold onto a chair, wall, or bar to obtain better balance

Station 3
Back/Abdominals
Materials: Mat

Participants will perform:

1. 2 sets of 8-10 Back Extensions

1. Lie face down on a mat

2. With your body straight, cross your arms in front of you or behind your head. This will be
your starting position.
3. Slowly raise your torso back as you inhale. Tip: Do not swing the torso at any time in
order to protect the back from injury.
4. Repeat for the recommended amount of repetitions


2. 2 sets of 8-10 Curl up

1. Lie flat on your back with your knees bent and feet flat on the floor,
hip width apart
2. Place your hands slightly either side of your head, do not lock your
fingers or pull the head up
3. Push the small of your back into the floor to engage the abdominals
4. Tilt your chin slightly, leaving a few inches space between chin and
chest
5. Begin to roll your shoulders off the floor
6. Your shoulders should leave the floor by about 4 inches and your
lower back should always remain on the floor
7. Hold for a moment at the top then slowly move back down


3. 2 sets of 8-10 on each side Arm and leg raise

1. Sit on your hands and knees on an exercise mat.

2. The hands are directly beneath the shoulders. The knees are directly beneath the
hips.
3. The core is tight and the spine is neutrally aligned.
4. Extend one leg and lift the opposite arm until they are in line with the body.
5. Return to the starting position and repeat for the prescribed number of repetitions.
6. Switch sides.

Station 3
Free Exercise
Materials: Mat, kettlebells , dumbbells

Participants will perform

1. Any exercise they wish to perform with materials provided. They can also choose
to perform stretches.

Assistant will be in this station assisting clients and /or advising which exercises they can
do

APPENDIX V

Activity 5Tone in, Tone Out

Purpose: The purpose of this session is participants learn and perform full range of
motion moves using machines in a fitness facility to strengthen their muscles.

Equipment:

Static Bikes
Multi Station Machine

Setting: Fitness Facility

Description

The session will begin with an introduction to the multi station machine. The
instructor will use a video to show participants how to use the machine and what are
some common exercises done with it. After all instructions and rules have been given we
will begin with a 10 min warmup in the static bikes. Once 10 min have passes by,
participants will choose one of the sides of the machine. They can chose to work arms,
legs, back, ect. Participants do 3 sets of 8 and rotate to the next side until they have
completed all the repetitions and machine sides.

 Note: Always remind Participants about breathing techniques

XMark 4 Station Home Gym - XM 8830 - Every Tool Needed for a Home Gym
video is the introductory video for this session but also it provided example
for the type of exercises that will be performed.

https://www.youtube.com/watch?v=DKao6ZPEaow

Therapist will test participants strength to set the appropriate weight level for each
exercise. This is done to avoid injuries and protect each participant. Also, it is important
in order for participant to perform each exercise with the correct range of motion.

The session will end with a small cool down and stretches

Participants will be taught how to perform full range of motion

Chess press
Mid row
Butterflies
Ab Crunches
Leg extensions

Leg curls
Leg press
Calf Raises
*All exercises will be modified for participants need

Activity 6 Imagination Jog

Purpose: The purpose for this session is to help facilitate participants functional
activity by enhancing participants cardiovascular system and gain knowledge of the
importance of cardio exercise.

Equipment:

None

Setting: Open Space Outdoors

Description

This session will start with a small introduction to the cardiovascular system t
teach participants the importance of doing any kind of cardio activity. This activity is a basic
exercise but works well for getting the group excited for events to come and gets them physically
warmed up. Walking, Jogging, Run, the leader will take the group through an imaginary trip.
This is a great exercise because it can change every time that you do the exercise. While walking
around the open area, Therapist will call out a verbal cue to do a certain physical activity.
Examples are when it is said log, we pretend that we jump over a log, and jump as high as
possible. When it is said duck, we pretend that we duck under a branch. You can use any physical
activity that you choose, just use your imagination to tie it into the story. After 10 minutes of

walking. begin to jog at a very slow pace. Using the same concept of imagination cues we will
jog for 10 minutes and then go into slow running for 10 min. The only limit that you have is your
imagination. Have the group come up with their own cues too.

Introduction Banner

To Share with Participants

Importance of Cardiovascular Exercise usually caller Aerobics

Cardiovascular fitness enhances the ability of the heart and lungs to supply oxygen-rich
blood to the working muscles.

Cardiovascular fitness enhances the muscle's ability to use this oxygen to supply
adequate energy for movement.

What Activities Enhance Cardiovascular Fitness?

Aerobic exercise can enhance cardiovascular fitness. The words aerobic exercise defines
any type of rhythmic, continuous activity that involves the simultaneous use of multiple
large muscle groups. Aerobic activities challenge the heart and lungs, thereby causing
them to work harder than at rest. When performing cardiovascular fitness activities, your
pulse must be in a target heart range, which is usually calculated by subtracting your age

from the number 220 and then calculating 60 to 85 percent of that number. Examples of
aerobic exercises include:

Running or jogging

Brisk walking

Cycling

Swimming

Aerobic dance

Cross-country skiing

Snowshoeing

Why Is Cardiovascular Fitness Important?

The primary importance of cardiovascular fitness becomes evident when you look at its
definition. Any type of activity that will supply oxygen to the muscles will increase
energy levels as well as make your body more functional and efficient. This is just one of
the many benefits of cardiovascular fitness.

Activity 7 Kick the Ball

Purpose: The purpose for this session is to help facilitate participants functional
activity by enhancing participants coordination and motor skills.

Equipment:

Soccer Ball or dodge ball

Setting: Gymnasium

Description

This session will begin with a small ice breaker activity to make the session fun
and enjoyable. After, the therapist will introduce Kick the Ball Activity.

Kick the Ball

Participants will be partner up in a group of 2

Note: Participants can do activity standing or sitting down
1. One participant will be on the red line, the other participant will be on the blue line
standing in from of each other.
2. The participant standing in the red line will have the soccer ball while the participant
on the blue line is standing straight.

3. The participant with the soccer ball will through it to his/ her partner
4. Participant in the blue line will kick the ball for the other participant to catch it
5. They will repeat this 5 times then turn roles. Now, the one kicking will throw and
catch.
6. After each has done it 5 times, the participants on the red line will move to their right
and perform the same exercise with their new partner.
7. Continue to do this exercise until participants on the red line have worked with all
participants in the blue line.

Optional Challenge: Participant who throws the ball can move one step back in every turn
theey throw.

Activity Diagram

Kickers

Throwers

Activity 8 Tennis Time

Purpose: The purpose of this session is to facilitate participant functional abilities to

participation in leisure activities by increasing fine motor skills through fitness activity

Equipment:

Tennis Racket
Tennis Balls

Target Number: Group of at least 3-5people

Setting: Gymnasium

Description

The session will begin with an introduction to the importance of developing fine
motor and coordination skills. Therapist will teach participant why these skills need to be
developed in order to perform regular daily tasks. After the participant will introduce the

activity and explain how tennis can help them develop fine motor, coordination and focus
skills.
This activity will consist of two sessions: First part will consist of participant
experimenting playing with the tennis racket and a tennis ball individually. Second part
consists of all participants playing together. In addition before beginning this activity
Therapist will introduce the materials. He will teach participants how to grab the racket
and how to swing it to hit the ball.
To start this activity will do a dynamic warm up.

Part 1

Participant will be given a Racket and a tennis ball. Against a wall they
will hit the ball back and forth trying not to miss the ball. They will
begin close to the ball and after 5 hits they will move three steps back.

Repeat this for 10- 15 minutes

Part 2

Participants have now gained some experience on how to hold the

racket and how to hit the ball we will do an interaction game.
Participant will do a circle giving each other enough space so they
would not hit each other. Therapist will start serving the ball then
participant will hit the ball trying to keep it inside the circle.
Participants will hit the ball when it comes their way using the
techniques learned from the individual activity.

Therapi

Activity 9 You Choose

Purpose: The purpose of this session is to facilitate participant functional abilities to

participation in independent leisure activities obtaining overall good physical fitness.

Equipment:

Any Available equipment participant will want to use.

Target Number: Group of at least 3-5people

Setting: Fitness Facility

Description

This session will begin with an introduction of the importance of maintain a

healthy and active physical fitness lifestyle. Therapist will also explain how maintaining a
good overall physical fitness helps individuals develop and enhance many skills needed
to perform day by day task and to have th ability to join any type of leisure activity.

This session will consist of giving participant the opportunity to choose machines
and materials they would like to use to enhance their overall physical fitness. They need to
choose machines and materials they will increase their motor, coordination skills, strengthen
muscles and cardiovascular. After attending past session participants should be familiarized in
what some exercises they can perform are based on their need. Therapist will oversee and help
any participant.

Before we start any exercise we will do a dynamic warmup to prepare muscles

and joints for the exercises that will be performed.

Note: Always remind participants of common breathing techniques

Participants can choses

Treadmills
Static bikes
Stability Ball
Free weights
Specific machines for specific muscle group
Elastic bands