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By V. Riordian. Sacred Heart University, Puerto Rico.

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To review aspects of education during the class the exercise leader can invite the class to answer questions during the class purchase malegra fxt 140mg. USE OF VOICE The voice for an exercise leader serves many purposes; it is not cheap 140 mg malegra fxt overnight delivery, as is often assumed, only for instructing the group. The voice is an instrument 190 Exercise Leadership in Cardiac Rehabilitation that can impart authority, atmosphere and interest to the class, if used well. Volume The leader must use enough volume for the group to be heard, often in large spaces with poor acoustics. This can be problematic for CR exercise leaders, who must be aware of the potential to damage their voices (Kennedy and Yoke, 2005). In addition, in a typical week CR exercise leaders can be teach- ing up to 10 hours (Thow, et al. There is an extra demand on the exer- cise leader if he/she is performing the exercise as well as teaching. There is an increased oxygen demand, which could cause the leader to develop laryngitis (Bernardi, et al. To minimise potential problems, the leader should use good lower torso diaphragmatic breathing. It is important to avoid voice strain by forcing tension on the throat and shoulder muscles. Exercise leaders should also take care not to instruct all the time but allow vocal pauses. In large spaces, where acoustics are poor, a voice microphone can be useful to reduce the need for the leader’s voice to be used above music and the noise of exer- cise. Alternatively, a whistle can be used to attract attention, or, in the case of circuits, to indicate a time change, rather than voice commands. The circuit mode of delivering the aerobic overload period uses the voice in a slightly less demanding way as the exercise leader does not need to communicate to the whole group for the entire session. Tone and pitch Tone and pitch of the voice can make it more interesting and can introduce variety and motivational emphasis to the voice. Using variety also engages the participants, and the leader can use more expression to encourage the group. Varying tone and pitch can be used with emphasis on different types of exercise and can main- tain the group’s interest and motivation. For example: For performing a calf stretch, the tone of voice goes down to emphasise pushing the heel into the floor: We push the heel down into the floor.

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