A COURSE AND TEXTBOOK FOR PERSONAL TRAINERS
COACH THE PERSON. ADAPT THE EXERCISE.
One eight-stage system for training any adult client, from the first screening to the next progression. Written for certified trainers, in plain language, with 38 condition and disability chapters.
38
Chapters
12
Applied Case Studies
100
Question Final Exam
8
Stage Training System
THE PROBLEM
Many trainers turn away clients with disabilities because they don’t know where to start.
Most trainers learn one way to coach. Then a client arrives who uses a wheelchair, lives with MS, or has had a stroke, and the usual exercise selection, setup and progressions no longer fit. Guessing is risky. Saying no leaves the client without support.
This course gives you a third option: find out what the individual needs, make an appropriate change, and check whether it worked. It builds on what you already know about program design, strength and aerobic training, and screening. It does not ask you to diagnose or treat anyone.
THE METHOD
The Eight-Stage Adaptive Exercise System
Every condition chapter uses the same stages, so you are never starting from scratch with a new client.
STAGE 1
Screen
Can the client take
part in the planned activity?
STAGE 2
Assess
What is the starting point?
STAGE 3
Design
What should the program include?
STAGE 4
Train
How will the session be delivered?
STAGE 5
Monitor
What happened during and after exercise?
STAGE 6
Adapt
What needs to change?
STAGE 7
Evaluate
Is the approach working?
STAGE 8
Progress
What demand should come next?
SAFETY BUILT IN
A response you can use in any session
The Green, Yellow, Red Safety System in Chapter 3 applies to every client and every condition. Each condition chapter adds its own precautions on top.
GREEN
Proceed as planned, and keep watching the client's response.
YELLOW
Pause, change the activity, and recheck before continuing. Get follow-up when needed.
RED
Stop. Follow the emergency response and call for help when the situation requires it.
Safety, consent, communication and referral run through all 38 chapters. You learn when to modify an exercise, when to ask a provider, and when to call for help.
INSIDE THE BOOK
38 chapters, organized by what changes in the plan
Foundations
Chapter 1-5
- Adaptive exercise, disability, and function
- Communication, consent and access
- Safety, referral and exercise response
- The Adaptive Exercise System
- Building and coaching an adaptive exercise program
Neurological and Physical
Chapter 6-16
- Spinal cord injury, spina bifida, cerebral palsy
- Stroke, traumatic brain injury
- Multiple sclerosis, Parkinson's disease, ALS
- Muscular dystrophy, polio and post-polio syndrome
- Limb difference and amputation
Sensory
Chapter 17-18
- Blindness and low vision
- Deafness and hearing loss
Cognitive, Developmental and Mental Health
Chapter 19-23
- Intellectual disability and Down syndrome
- Autism, ADHD
- Dementia
- Mental health conditions and trauma
Chronic Health Conditions
Chapter 6-16
- Cardiovascular and pulmonary conditions
- Diabetes and related complications
- Cancer and treatment related effects
- Arthritis, osteoporosis
- Persistent pain and fibromyalgia
Complex and Variable Presentations
Chapter 31-38
- Hypermobility related conditions
- ME/CFS and post exertional symptom exacerbation
- Orthostatic intolerance, epilepsy and seizure disorders
- Peripheral neuropathy, vestibular disorders
- Chronic kidney disease and dialysis
- Functional neurological disorder
12 Applied Case Studies
Decide first, then compare your reasoning with the worked discussion.
Program-Building Assignment
Build, deliver and revise a program for a client of your own choosing.
Chapter Reviews with Explained Answers
Learn why the best answer is best, and why the others are not.
100-Question Final Examination
Multiple choice, open book. 80 correct answers to pass. Two attempts included.
Glossary and Full Reference List
Every clinical statement links to a numbered source you can check.
Certificate of Completion
Issued after the required learning activities are done and the exam is passed.
who is this for
Certified trainers who want to say yes more often, and safely
The course is written for certified personal trainers, strength and conditioning coaches, and other qualified exercise professionals who already understand basic anatomy, exercise physiology, screening, technique and program design.
It focuses on adults. It stays inside fitness practice: you select and teach exercise, adapt instruction and equipment, monitor responses and evaluate progress. When a decision depends on clinical information you do not have, you will know how to ask for it.

Jason Keigher is a personal trainer and strength and conditioning specialist with more than 25 years of experience. His career has included work at Equinox Fitness Clubs and Reebok Sports Club/NY, as well as instruction in cardiac and pulmonary rehabilitation exercise at Eisenhower Health in Rancho Mirage, California.
Jason holds credentials from the American College of Sports Medicine as an Inclusive Fitness Specialist; the National Strength and Conditioning Association as a Certified Strength and Conditioning Specialist; the National Academy of Sports Medicine as a Certified Personal Trainer, Corrective Exercise Specialist, and Performance Enhancement Specialist; and the American Council on Exercise as a Certified Personal Trainer and Group Fitness Instructor.
Based in the Palm Springs area, Jason develops fitness courses that connect exercise knowledge with practical training decisions. The Adaptive Exercise Specialist course reflects that approach: understand the client’s needs, select appropriate exercises, and use the response to guide the next decision.
ABOUT THE AUTHOR
JASON KEIGHER CSCS
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