Application of Normal and Abnormal Exercise Physiology in The Adult Patient (on-demand webinar)

Course Description

Are you challenged by the acuity and complexity of today’s acute care patients?  This course is designed to develop the clinical decision-making of participants so that they can provide safe, effective and evidence-based therapy to adult acute cardiac patients.  This course is lecture based and focuses on the normal and abnormal responses to exercise.  Understanding normal exercise physiology will allow the participant to also recognize abnormal data.   The course will review heart rate, blood pressure, respiratory rate and oximetry responses to exercise.  The participant will learn to utilize MET calculations, understand heart rate formulas and blood pressure formulas and know when to terminate exercise. This course is of value to physical therapists, occupational therapists and exercise physiologists who want to have a greater understanding on how to interpret hemodynamic  responses to increased workload.  Emphasis will be on the acute care setting, however, the evidence can apply to all settings.

Course Objectives

At the end of this course, the participant will be able to:

  • Describe the normal responses to increased workload for heart rate, blood pressure, respiratory rate and oxygen saturation.
  • Describe the abnormal responses to increased workload for heart rate, blood pressure, respiratory rate and oxygen saturation.
  • Understand how to calculate cardiac output and blood pressure
  • Understand the different heart rate maximum formulas and know when to select the most appropriate one.
  • Determine if a patient can reach steady state
  • Know when to terminate exercise
  • Understand how to define and test for orthostatic hypotension

Prerequisites - None

Instructional Level - Intermediate

Instructor - Jackie Mulgrew PT, DPT, CCS

Jackie is a graduate of Liverpool University, England. Jackie brings 23 years of acute care experience to this course, having worked in major acute care hospitals in England and the USA. Currently employed at Massachusetts General Hospital as a Cardiovascular and Pulmonary Board Certified Clinical Specialist, she specializes in the care of cardiac medical and surgical patients and is responsible for the clinical and professional development of the physical therapy staff.  Jackie has facilitated cardiopulmonary tutorial sessions at Simmons College and the Institute for Health Professions in Boston, and has lectured for Boston University’s graduate program in physical therapy.  For the last 6 years Jackie has taught acute care physical therapy around the country.  Jackie is the author of Circulatory Assist Devices in the Acute Care Handbook and her clinical interests include heart failure, mechanical circulatory support and exercise testing.


  • Satisfactory completion of this course will require the participant to complete a 10 question post-test with a minimum passing score of at least 70%.
Meets Requirements of: AL, AK, AZ, AR, CA, CO, CT, DE, DC, FL, GA, HI, ID, IL, IN, IA, KS, KY, MD, MI, MS, MO, MT, NE, NV, NH, NJ, NM, NY, NC, ND, OH, OK, OR, RI, SC, TN, TX, UT, VT, VA, WA, WI, WY
Contact Hours: 2