Statement of Work PR - N0025920RCP006 Stength and Mobility Instructor.pdf

PERFORMANCE WORK STATEMENT

STRENGTH AND CONDITIONING

1.0 BACKGROUND

The mission of Naval Medical Center San Diego (NMCSD) is to be the nation's premier military medical center by providing world-class care anytime and anywhere. The mission of the Health and Wellness Department is to maximize the health of all beneficiaries through primary, secondary, and tertiary prevention programs and services. Resources will support the health and wellness needs of active duty, their family members, reserve component members, civilian beneficiaries, and retirees.

2.0 SCOPE

Scope of work. The Contractor shall teach various levels of adapted strength and conditioning techniques to able-bodied personnel and those individuals with physical and emotional disabilities to include, but not limited to, amputation (s), orthopedic and neurological related impairments, Traumatic Brain Injury (TBI), cancer, mental health disorders, Post Traumatic

Stress Disorder (PTSD), and all other medical or mental diagnoses. Strength and Conditioning instructors will be provided to all Navy, Marines Corps, and Army; ill, injured and wounded service members with permanent and temporary physical disabilities and all other eligible beneficiaries in support of the Health and Wellness Department, Naval Medical Center San

Diego (NMCSD). The Contractor shall also teach various levels of strength and conditioning techniques to active duty members enrolled in the fitness enhanced program (FEP) with goal of improving overall physical readiness and improvement in body composition to meet Navy physical fitness standards.

Adapted Nutrition and Mobility- this clinic is designed to focus on the whole body and instruct on the importance of moving optimally during everyday activities by utilizing stretching, strengthening, self-myofascial release (SMR), taping and Kinesio (KT) taping to facilitate increase blood flow, improve flexibility, reduce muscle soreness, and decrease injury risks. The clinic also offers a personalized plan for those wishing to gain more knowledge and understanding of the role proper nutrition has on recovery and overall quality of life. Nutrition and Mobility Clinic is adapted to each patient's individual needs and clinical goals. Patients are not required to have the ability to move a certain amount of weight prior to enrolling in the clinic.

Patients are required to be able to maintain an easy level of physical activity for one (1) hour prior to enrolling. Patients are required to be able to stand or sit for periods up to, but not exceeding, one (1) hour. Patients must be able to tolerate group settings and loud noises. All equipment the members will need for the clinic is provided. This clinic will utilize various equipment and techniques either in a gym or outdoor environment to meet objectives and goals for the intended population. A clinic summary of activities and individual objectives will be provided at the end of class.

FEP Nutrition and Mobility - this class is designed to improve physical readiness while focusing on the whole body. The class instructs on the importance of moving optimally during everyday activities by utilizing stretching, strengthening, self-myofascial release (SMR), taping and Kinesio (KT) taping to facilitate increase blood flow, improve flexibility, reduce muscle soreness, and decrease injury risks. The clinic also offers a personalized plan for those wishing to gain more knowledge and understanding of the role proper nutrition has on recovery and overall quality of life. Members are not required to have the ability to move a certain amount of weight prior to enrolling in the clinic. Members are required to be able to maintain an easy level of physical activity for one (1) hour prior to enrolling. Members are required to be able to stand or sit for periods up to, but not exceeding, one (1) hour. Members must be able to tolerate large group settings and loud noises. All equipment the member will need for the clinic is provided.

This class will utilize various equipment and techniques either in a gym or outdoor environment to meet objectives and goals for the intended population. This class may also be combined with various other educational activities/opportunities to promote physical readiness.

Adapted Interval Training- the clinic will be composed of a system of organized cardiorespiratory training which includes repeated bouts of short duration, high-intensity exercise intervals intermingled with periods of lower intensity interval of active recovery. The clinic focuses on building cardiovascular fitness while improving muscular strength and endurance. The Adapted Interval Training clinic will be adapted for the Wounded, Ill and Injured population. This clinic will utilize various equipment and techniques either in a gym or outdoor environment to meet objectives and goals for the intended population. A clinic summary of activities and individual objectives will be provided at the end of class.

FEP Interval Training- this class will is designed to improve physical readiness and will be composed of a system of organized cardiorespiratory training which includes repeated bouts of short duration, high-intensity exercise intervals intermingled with periods of lower intensity interval of active recovery. The class will focus on building cardiovascular fitness while improving muscular strength and endurance. This class will utilize various equipment and techniques either in a gym or outdoor environment to meet objectives and goals for the intended population. This class may also be combined with various other educational activities/opportunities to promote physical readiness.

Adapted Aquatic Healthy Back- This clinic focuses on back, neck and hip issues. The clinic is a series of aquatic exercises focusing on various stretches, posture correction and core strengthening. The goal is improved fitness and accelerated rehabilitation focusing on core strengthening exercises that are friendly to the back. Exercises are performed to tolerance and are adapted to different injuries and chronic pain conditions. Through aquatic therapy, patients may improve their cardiovascular fitness, physical strength, increase endurance. Aquatic exercises may assist in to developing strength, endurance, and range of motion, flexibility, balance, coordination, kinesthetic sense, posture, and proprioception. Patients who suffer from traumatic brain injuries and. other conditions that cause vestibular imbalance may improve their balance. With chronic pain may learn how to exercise and improve/maintain fitness level despite their medical condition. This clinic will utilize various equipment and techniques in a pool to meet objective and goals for the intended population. A clinic summary of activities and individual objectives will be provided at the end of class.

FEP Boo/camp - This class is designed to improve physical readiness and to promote strength, cardiovascular endurance, lean muscle growth and excess fat lass. This class targets all muscle groups by engaging in dynamic and isometric movements. Exercises will focus on a full body work out engaging abdominal core, legs (inner, outer thigh), arms (triceps, rotator cuff, and trapezius) including building strength through lower lumber. Exercises will involve cardio equipment, stretch bands, weighted and body weighted activities. This class will utilize various equipment and techniques either in a gym or outdoor environment to meet objectives and goals for the intended population. This class may also be combined with various other educational activities/opportunities to promote physical readiness.

3.0 DUTIES

The program and associated classes/clinics is conducted on the dates below or as otherwise specified by NMCSD, Health & Wellness Program Manager. Other classes may be offered as needed to include but not limited to, other designed strength and conditioning events within military/civilian community. The NMCSD Health & Wellness Program Manager will make the determination regarding these additional events and will notify the contractor of the times and dates of events.

Monday, 0700-0830 -Adapted Aquatic Health Back -Wounded, Ill and Injured

Monday, 0900-1030 - Nutrition and Mobility-Wounded, Ill and Injured

Tuesday, 0700-0830 - Nutrition and Mobility -Fitness Enhancement Program

Tuesday, 0900-1030 -Adapted Interval Training -Wounded, Ill and Injured

Thursday, 0630-0800 - Bootcamp - Fitness Enhancement Program

Thursday, 0830-1000 -Interval Training -Fitness Enhance Program

3.1 Instructor must have the ability to teach: self-myofascial techniques, programs designed in various settings (gym, football/basketball court, outdoors and home) for 180+ participants, and the understanding of various modalities (dumbbells, barbells, kettle bells, bands and bodyweight). Instructor must have the ability to assess patient movement patterns and quickly implement alternative movement patterns to allow the patient to perform the exercise/movement in a pain-free range of motions and understand the use and interpretation of heart rate monitor techniques.

3.2 Contractor must have the ability to simultaneously instruct varying abilities from the novice to the Paralympic athlete, from .the disabled to able-bodied athlete. Instructor must also have an extensive knowledge base of various physical impairments and precautions associated with those disabilities to include recent amputations, skin break down, prosthetic use, and overall general daily functioning associated with disabilities. Interpersonal dynamics and specialized experience is a must teaching members with Post-Traumatic Stress Disorder (PTSD), Traumatic Brain Injury (TBI), Spinal Cord Injury (SCI) and amputations on how to adapt to various strength and conditioning techniques in order to meet their individual needs and rehabilitation goals.

3.3 The contractor will assist in putting back all equipment used during the class and proper storage of equipment used. Maintenance is not provided by the contractor outside of the hours of training courses. The contractor is not responsible for providing parts or extensive repair labor for broken equipment. The contractor shall inform the Government of non-operational equipment with advisement of the required repairs.

3.4 The contractor will conduct the strength and conditioning class in conjunction with the NMCSD Staff.

3.5 Contractor employees shall hold a current first aid and CPR certification and have them readily available for inspection.

3.6 Contractor employees shall have the ability to effectively communicate both orally and in writing.

3. 7 Contractor shall have completed a Doctorate degree in Physical therapy, certified as a CSCS (Certified Strength and Conditioning Specialist), BS in Kinesiology with and emphasis in Fitness, Nutrition and Health, and CPR/AED Certification. A proof of completion alongside a resume shall be provided by the Contractor to the Government point of contact. The required certification shall be renewed annually at the Contractor's expense.