Content
This training is suitable for; people working in care settings, health professionals, volunteers and exercise professionals (further pre-requisites may exist). Within the context of a falls prevention continuum the aim of CBE is to progress to standing work where able because chair-based exercise does not prevent falls. The evidence based exercises of this programme allow for progression to standing work whilst still providing a programme to maintain movement and strength for those requiring to remain seated.
The CBE course has been in existence since 1999 but was significantly updated in 2012 as a result of the CMO guidelines originally launched in 2011 and now updated for 2019. The updates were required to meet the current client and economic needs of community settings where the client base/service user is no longer only older participants or only disabled participants but instead integrated groups of older and disabled groups of older and disabled adults of all ages.
The course examines the importance of evidence-based education and training for the health and social care workforce, volunteers and exercise professionals* i.e. it crosses and has application across three sectors. For this reason the course has been appropriately designed to meet the training needs and skill sets of a range of learner and the pre-set nature of this programme ensures exercises are suitable for this population.
*Exercise instructors aligned with the REPs exercise training framework will be required to hold the L3 Older adult qualification prior to completing this training course and will only be eligible for associated CPD points if pre-requisites are met.
Underpinning knowledge
Age related changes in bones, joints, the cardio-respiratory system and nervous system are studied interactively with an emphasis on their effect on physical activity and function. The implications of some specific conditions associated with ageing and disability for everyday functional movement and exercise are explored from a practical solutions point of view. Learners are trained to adapt the LLT CBE exercises (22 in total) for a wider range of functional impairments using a functional model approach with a range of supporting resources.
Exercise Leading Skills
All learners will gain skills to lead this pre-set programme of 22 chair based exercises, including sit to stand exercises. Particular emphasis is placed on exercise technique, safety and purpose, essential for supporting motivation, individual difference and longer term engagement in the programme. Learners will have supervised opportunities to develop and practice necessary leadership skills, group management and motivation. Learners are not required to design or develop their own exercises but inline with the learning level of this training, they are expected to deliver precisely and competently the preset, research-tried-and-tested, exercises.
Evidence theory and practice is covered at an appropriate level and in line with CMO 2011. The 2012 revision better prepares older people to undertake the next step (i.e standing balance work) such as Otago strength and balance. Standing balance work is known to be the only way to effectively reduce future falls risk. The ‘Sit Tall, Stand strong’ CBE exercises allow leaders and managers to be confident that they are not only delivering a fun intervention that will improve participants quality of life, but also are helping their participants to meet the CMO’s recommended level and type of physical activities, reduce sedentary behavior all contributing to good mental health and well-being.
Duration
The standard CBE runs over 4 full days with the assessment on the fourth day. The intensive CBE course is for appropriately qualified exercise instructors, exercise and sports scientists, physiotherapists, occupational therapists and runs over 2 full days with the assessment on the second day. Days run from 9am to 530pm, full attendance is required.
Resources
All learners will receive the two part CBE manual containing underpinning theory, practical guidance and the LLT evidence-based, practical exercises. A resistance band is also provided for use on the course and home practice.
Certification
All successful learners achieving required assessed elements will receive an LLT Certificate in leading the Sit Tall, Stand Strong Programme.
Important; due to changes in the fitness sector (removal of REPs to CIMSPA as an endorsing body) this training is not currently endorsed and may affect you insurance.
Using the Training
On successful completion of the assessment and after ensuring appropriate insurance for the setting, Qualified Chair-Based Exercise Leaders will be able to set up and run sessions in a wide variety of community care and recreational settings including sheltered housing, residential and nursing homes, leisure centres, health clubs, community halls etc. All sessions delivered should be subject to appropriate insurance cover.
Download a CBE Flyer here.