Exercise Prescription (fillable)

Musculoskeletal & Rheumatology, Patient Education
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Weeks 1 and 2
Aerobic activities
For [text size=20 memo="frequency" default="3 days per week"], [text size=20 memo="activity & intensity" default="walk briskly"] for [text size=20 memo="duration" default="20 minutes"] each day at [text size=40 memo="setting" default="the local park after dinner"].
Flexibility training
For [text size=20 memo="frequency" default="3 days per week"], [text size=40 memo="activity & muscle groups" default="stretch calf and thigh muscles"] for [text size=40 memo="" default="5 minutes each day"] at [text size=40 memo="setting" default="home after aerobic activity"].
Resistance training
For [text size=20 memo="frequency" default="2 days per week"], [text size=60 memo="activity & muscle groups" default="lift 5-lb dumbbells, front arm and side arm raises for 2 sets of 5 repetitions"] each day at [text size=20 memo="setting" default="home"].

Weeks 3 and 4 (increase duration of aerobic activity and add more resistance training)
Aerobic activities
For [text size=20 memo="frequency" default="3 days per week"], [text size=20 memo="activity & intensity" default="walk briskly"] for [text size=20 memo="duration" default="30 minutes"] each day at [text size=40 memo="setting" default="the local park after dinner"].
Flexibility training
For [text size=20 memo="frequency" default="3 days per week"], [text size=40 memo="activity & muscle groups" default="stretch calf and thigh muscles"] for [text size=40 memo="" default="5 minutes each day"] at [text size=20 memo="setting" default="home after aerobic activity"].
Resistance training
For [text size=20 memo="frequency" default="2 days per week"], [text size=60 memo="activity & muscle groups" default="lift 5-lb dumbbells, front arm and side arm raises for 2 sets of 10 repetitions"] each day at [text size=20 memo="setting" default="home"].

[checkbox memo="display/hide references" name="footnotes" value=""][conditional field="footnotes" condition="(footnotes).is('')"]
reference: [link url="https://www.ncbi.nlm.nih.gov/pubmed/28409595" memo="Lee PG, Jackson EA, Richardson CR. Exercise Prescriptions in Older Adults. Am
Fam Physician. 2017 Apr 1;95(7):425-432. "][/conditional]
Weeks 1 and 2
Aerobic activities
For frequency, activity & intensity for duration each day at setting.
Flexibility training
For frequency, activity & muscle groups for at setting.
Resistance training
For frequency, activity & muscle groups each day at setting.

Weeks 3 and 4 (increase duration of aerobic activity and add more resistance training)
Aerobic activities
For frequency, activity & intensity for duration each day at setting.
Flexibility training
For frequency, activity & muscle groups for at setting.
Resistance training
For frequency, activity & muscle groups each day at setting.

display/hide references
Result - Copy and paste this output:

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