The Group Forward, Direction changes

Therefore, for many in the group visual cues will dominate as the motor skill learning mode. In order to engage participants whose hearing is compromised,186 Exercise Leadership in Cardiac Rehabilitation larger, exaggerated gestures should be used to accentuate required exercise manoeuvres. Commands and gestures by the leader should be the same, so as to help the exerciser obtain maximal information for performing the exercises properly. It is important to position yourself to be seen by the class, frequently turning to let the group observe a speci?c detail of an exercise. For example, turn to face away from the group or side on in order to let them see how to perform a calf stretch: I am going to turn round. Can you see how my back foot is straight and that there is a space between my feet to help my balance? As most motor skill learning results from visual cues, demonstration by the exercise leader must be accurate, as the participants are virtually copying the leader’s performance.

Mirror image When facing the group there is a mirror image: the leader can confuse the group with direction changes of left and right. If you ?nd using left and right dif?cult, give direction instructions using objects or room features: We are going to move towards the door orWe are going to take four steps towards the window.

Similarly, when moving the group forward the leader should move backwards, i.e. same direction as the group. Otherwise, the group will not see the leader: I want you to move forward for three beats and clap on four. Ready, and come forward two, three…. .

DEMEANOUR OF LEADER The demeanour of the leader is a signi?cant factor in the success of CR, and is regarded by the American College of Sports Medicine as a major factor in enhancing exercise adherence .