EXER Rx TM ©Bonnie's Fitware Inc. 18832 Stefani Avenue Cerritos, California 90703 http://shop.pesoftware.com Purchase of this program allows you to use the software on one computer only. If you wish to use this software on more than one computer, you will need to purchase additional copies or a site license. Contact [email protected]. EXER RxTM Installations Requirements Macintosh - System 10.39; 256 MG; G3; 10.4.8 and 10.5 with 512 RAM Windows - Windows XP (SP2); 256 MG; Pent III/500; Vista with 512 RAM Adobe Acrobat Reader - to view directions. Palm OS 4.2. Pocket PC: Windows Mobile 2003 (Second Edition) and 5.0 based Pocket PC compatible handheld. Special Notes Handheld Requirements - Each handheld computer needs a copy of FileMaker Mobile 8 which came with the program. For Windows users, the software may initially ask for name without a password - simply use your name. Installation Macintosh Insert disc - Copy folder/files to your hard drive (Applications folder is probably the best location). Windows Insert disc- Install EXER Rx. Macintosh and Windows Install FileMaker Mobile 8 if you plan to use the software with a handheld computer. Directions are available on the FileMaker Mobile CD. This is only necessary if you plan to use the software with a handheld computer. Access Macintosh Double click on the EXER Rx Folder. Double click on the FITT Rx (the file without the extension). Windows Go start menu - select the appropriate program Restrictions You have purchased a single copy license - this may go on one computer. If you are interested in multiple copies - please purchase a Site License (4x the cost of one copy). You may then install the software on as many computers at your site as you like. Contact [email protected] for more information. What is EXER RxTM All About? The idea of EXER RxTM is to provide a quick reference tool for a fitness professional to use in the same way that a medical doctor uses a drug prescription pad. Thus, the EXER RxTM software program is designed to be a quick and simple method of providing a quality exercise prescription. It helps make the creation of a prescription quick by providing the typical data for all of the basic exercise prescription variables; frequency, intensity, time, and type of exercise (FITT). Some uses of EXER RxTM include the following: o Keeping exercise prescription data to guide an exercise program participant during a workout. o Keeping as a reference to refer to at a later date. o Teaching clients about the basic variables that are used for exercise prescription (FITT). o Teaching current or future fitness professionals about the basic variables that are used for exercise prescription (FITT). The concept behind EXER RxTM: o To create an exercise prescription model that a variety of medical, health and fitness professionals can use quickly and accurately. o To provide the basic data needed to prepare an exercise prescription. o To present the four primary exercise prescription variables (FITT) in one quick and easy to read page. o To provide an exercise prescription model to guide the development of exercise prescription by summarizing typical formula(s) and data used for each of the four variables (FITT). This program is neither designed to be a comprehensive fitness data base, nor a fitness evaluation system. Directions A completed sample record comes with this software. Use it as an example. Screen shots of the example are included in the following directions. Use the sample, when needed, to follow the screen shots. Creating a record To enter data representing a client for the first time. Personal Data Click on “New” Begin typing data into the empty box and perform a mouse click to move on to another (any) box or simply press the “Tab” key to move down the list of data entry boxes. Type in the personal data for one client in the top section (above the three folders) beginning with the “Name” and ending with the “Fitness Professional”. Data for the “Setting 1” and “Setting 2” are chosen from an automatic drop down menu (it appears when the cursor is positioned over the box and the mouse button is clicked once). To enter “Notes:” perform a mouse click in the box area and begin typing. To enter “Restrictions:” perform a mouse click in the box area and begin typing. Exercise Prescription Data Select the title on a tab for one of the three folders (Cardiorespiratory, Muscular Strength/Endurance or Flexibility) by resting the cursor over the word and executing a mouse click. Each component of health-related fitness has four variables that make up the acronym FITT: frequency, intensity, time and type of exercise. The fitness professional can complete these four variables to create a personalized exercise prescription for each client. Note that frequency of exercise can be accumulated during the day to reach the minimum for cardiorespiratory endurance benefits. If one is to exercise multiple times in one day, it is recommended that this be described in the “Notes:” section. Multiple exercise sessions (e.g. walking for 10 minutes, 3 different times in one day) cannot be put into the “Frequency” drop down menu box. Thus, only the “Notes:” section will allow for more detail and variation of the basic information. Cardiorespiratory: Click on the first tab labeled “Cardiorespiratory” to enter data for this exercise prescription variable. Point the cursor to the box for each variable and click the mouse once. A drop down menu with the appropriate range of selections appears for Frequency, HR%, Max HR%, RPE, METs, AT%, Time, and Type of exercise. The ACSM guidelines in the bibliography can be used to help one determine the appropriate selections. The Max HR is calculated from the person’s age that is entered in the personal data section. The AT is calculated from the AT%. The RHR can be typed in after clicking in the empty data box (see definitions for more information). Note: This software reduces the target heart rate (THR) by 10 bpm for swimming. Muscular Strength/Endurance: Click on the second tab labeled “Muscular Strength/ Endurance” to enter data for this exercise prescription variable. Muscular Endurance can be prescribed by selecting data from the drop down menus on the left side of this folder. Muscular endurance is typically developed with lower resistance and higher sets/reps. Point the cursor to the box for each variable and click the mouse once. A drop down menu with the appropriate range of selections appears for Frequency, Intensity (based as a percentage of the 1RM value), Sets/Reps (Time) and Type of exercise. The ACSM guidelines in the bibliography can be used to help one determine the selection of value(s). Muscular Strength can be prescribed by selecting data from the drop down menus on the right side of this folder. Muscular strength is typically developed with higher resistance and lower sets/reps. Point the cursor to the box for each variable and click the mouse once. A drop down menu with the appropriate range of selections appears for Frequency, Intensity (based as a percentage of the 1RM value), Sets/Reps (Time) and Type of exercise. The ACSM guidelines in the bibliography can be used to help one determine the selection of value(s). Flexibility: Click on the third tab labeled “Flexibility” to enter data for this exercise prescription variable. Point the cursor to the box for each variable and click the mouse once. A drop down menu with the appropriate range of selections appears for Frequency, Time, and Type of exercise. The ACSM guidelines in the bibliography can be used to help one determine the best selection of percent. The Time values given are for the unit of seconds; thus the time is given for each exercise, not for the entire session of flexibility exercises. The intensity for Flexibility can be changed in this program by highlighting the default text and typing in the new description desired. The default description suggests that all of the forms of flexibility exercise should be performed with some strain but not to the level of pain. Additional information can be presented to the performer using the “Notes” section and typing in any comments that might apply for a specific exercise prescription for flexibility. Finding a record: To review or change data representing a client for which a record has already been created (step 1 in directions). Position the mouse pointer over the word “Find” (magnifying glass) until it changes to look like a pointing finger. Perform a mouse click. Type in the “Name” of the person of the record desired and press “Enter” (Return). The data for the desired record should now appear. Deleting a record To discard data representing a client for which a record has already been created (step 1 in directions). Complete the “Find” a record procedure above so that the desired record for removal is showing. The record that is visible will be the one to be deleted. This process removes all of the data, not just one element. Position the mouse pointer over the word “Delete” (red X) until it changes to look like a pointing finger. Perform a mouse click. A dialog box appears just to make sure that you really want to get rid of all of the data for this person. The message in the dialog box says: “Permanently delete this ENTIRE record?” Select “Delete” if this is your desire, if this was not the intended action, simply click “Cancel”. If “Delete” was selected from the dialogue box, all data for the desired record has disappeared. List or Form Mode When in “List” mode the first and last names of all clients, name of their fitness professional and the date that the data was entered is presented. Click the word “Form” to return to and view the data entry folders. Or click on the small triangle by a student’s name to go to their individual record. When in “Form” mode the first and last names of all clients, name of their fitness professional and the date that the data was entered is presented. When in either “List” or “Form” mode, click on “Print Form” to go to the print screen. Print After data or partial data has been entered for a record, it can be printed. Click on the word “Print Form” at the top of the form to see the predetermined print format. All calculated values (numbers) are presented from the “Print” view. All entered text will also be visible in this easy to read one page view. When looking at the print view of the data, click “Print” again to get a typical print dialog window. Select the printer and the number of copies desired. -At the top of the print dialog window is drop down menu that begins with the word “print” which is followed by a blank and a drop down menu. There are three choices for printing: The current record A blank record, showing fields The records being browsed Mobile The directions for using a Palm OS handheld or PocketPC handheld computer with this program or any other FileMaker Pro file can be found on the FileMaker Mobile CD. When selecting fields to transfer to the handheld, select all the fields except for “Find.” You will notice that you can’t transfer calculation fields. However, the calculations will occur once the data is uploaded to your desktop or notebook computer. Also note, on the Windows computer, when selecting the EXER database - be sure to select “all files” in the dialog box. Bibliography ACSM Position Stand on “The Recommended Quantity and Quality of Exercise for Developing and Maintaining Cardiorespiratory and Muscular Fitness, and Flexibility in Adults”. Med. Sci. Sports Exerc., Vol. 30, No. 6, pp. 975-991, 1998. Edwards, S. (2005). The Heart Rate Monitor Guidebook. Published by Heart Zones (http://www.heartzones. com) Howley, E. & Franks, D. (2003). Health Fitness Instructor’s Handbook. (4th ed). Human Kinetics Publishers. Abbreviations and Definitions AT - is the anaerobic threshold. This can be determined directly in a laboratory or clinic although it is often estimated through field tests (e.g. 10k run) or a percentage of maximum. This program uses the selection of a percentage to estimate the anaerobic threshold. AT% - the percentage of maximum heart rate at which the anaerobic threshold will occur; it is lower when one is less fit and is higher when one is more fit. Usually AT heart rates for cycling are 5-10 bpm lower than running and swimming AT heart rates are another 5-10 beats lower than cycling. The Edwards book in the bibliography is a great resource to assist in selecting appropriate AT% for clients. HRR - is heart rate reserve or the effort we expend above the resting value. The formula for target heart rate (THR) developed by Karvonen uses the HRR. This is thought to be more accurate because the positive changes in RHR through fitness gains are taken into account when recalculating THR throughout training. HR% - is the percent of the heart rate reserve used to calculate the target heart rate (THR). The HR% is the heart rate percent value represented in the drop down menu. Lower values (e.g. 40%) are for very unfit individuals. The ACSM makes specific recommendations for selecting this number. Max HR - is the maximal heart rate (MHR), for this program it is calculated using the formula presented in the formula section of this document. The person’s age must be entered into the personal data section in order for this to calculate the correct result. Max HR is the fastest rate at which the heart can beat. It can be determined directly by doing a very demanding physical test or more practically by using one of the prediction formulas based upon age. Max HR% - is the percentage of the maximum heart rate at which the person will be working. Lower values (e.g. 55%) are for very unfit individuals. METS - or Metabolic Equivalent represents a comparison to resting metabolism. The number selected is the multiplier or the number of times resting metabolism. This is the level of oxygen consumption for the person. This is a great value to use with low fit clients or those that have a VO2 value to prepare the exercise prescription. RPE - is the person’s subjective rating of their perceived exertion. Their rating should also be close to their calculated heart rate. A rating of 14 would be a heart rate of about 140 bpm. Simply add a zero to the rating to obtain the heart rate. Reps - are the number of repetitions that a single exercise will be done. A set is a grouping of repetitions. For example, 1 set of 10 means that the person will do the exercise 10 times in a row and be done. If 3 sets of 8 are performed, the person will do 8 repetitions of the exercise, then rest or do different exercise, and then do a second group of the 8 repetitions, rest or different exercise and then finish with the third group of 8 repetitions. RM - is the repetition maximum. For a 1RM (also known as the “max”) this is the maximum amount of weight that can be lifted only one time (not 2 or more). A 10RM is the amount of weight that can be lifted 10 times but not 11 or 12. RHR - is the resting heart rate of the individual and can be determined by using the heart rate taken first thing in the morning using a 30 second count of heart beats and multiplying that number by two to arrive at the full one minute resting heart rate. THR - is the target heart rate or the range of heart beats that will give an effective exercise stimulus to the heart. This program uses the Karvonen method of calculating target heart rate (see formulae used). Formulae Used Max HR = 220 - age THR or HRR (Karvonen) = (Max HR – RHR) * HR% + RHR AT = Max HR * AT% RPE = take rated value and add a zero; RPE of 15 is ~HR of 150 bpm MET = resting VO2 (3.5 ml.kg.min-1); multiply the MET value times the resting value to predict VO2 (10 METS = 35.0 ml.kg.min-1); 10 METS is 10 times harder than resting (resting; sitting and doing nothing) License Agreement Registration All software packages produced by Bonnie's Fitware Inc. are professional products. A database of owners is maintained for each software package sold. Copyright All software and related products produced and sold by Bonnie's Fitware Inc. are copyrighted. You may not use, copy, modify, or transfer the program or documentation except as expressly provided in the license agreement. License Agreement You have the nonexclusive right to use the enclosed program on one computer. You may physically transfer the program from one computer to another provided the program is used on only one computer at a time. You may not electronically transfer the program from one computer to another over a network. You may not distribute copies of the program or documentation to others. Program Disclaimer The program is provided "as is" without warranty of any kind, either expressed or implied, including, but not limited to, the implied warranties of merchantability and fitness for a particular purpose. The entire risk as to the results and performance of the program is assumed by you. Should the program prove defective, you assume the entire cost of all necessary servicing, repair or correction. 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