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    Dear Networkers,
    I am currently engaged in research which focuses on lower extremity mechanics
    and injury. In searching for subjects with particular running mechanics, I
    often have subjects who fit the criteria but are over age 40. Historically,
    our human subjects review board requires a physician present for these
    subjects. In checking with the ACSM recommended quidelines, they note that
    if the exercise is considered moderate and subjects are apparently healthy,
    no age restrictions nor physician superivision is necessary. I am having
    subjects fill out a health history questionnaire (the PARQ - recommended by
    ACSM). In addition, for inclusion, subjects must be engaged in a running
    program for a period of 6 months and be running a minimum of 2-3 miles, 3 dpw.
    The protocol requires them to run on a treadmill at their typical running
    pace (8 min/mile) and to make a number of passes over a force plate along
    a 75 ft runway. This level of exercise is below that which the subject
    is currently engaged. The difficulty in having a physician present relates
    both to cost and scheduling. The majority of these subjects must be tested
    during evenings and weekends. Based upon the ACSM guidelines, these subjects
    are not in a high risk group. Additionally, the Office of Protection from
    Research Risks (OPRR - Health and Human Services) state clearly in their
    guidelines that they allow expedited review for reseach involving minimal
    risks to subjects and go on to list "moderate exercise by healthy volun-
    teers. I have provided our review board this information and will be
    meeting with them soon. I would like to know if there are other university-
    based research programs in the US which have similar protocols in place
    and are testing subjects over 40 without the presence of a physician. I
    thank you in advance for your assistance.
    Sincerely,

    Irene McClay, PhD, PT
    Motion Analysis Laboratory
    Univerisity of Delaware
    cwv03814@udelvm
    (302)831-4263
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