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Title: Exercise Professionals with Advanced Clinical Training Should be Afforded Greater Responsibility in Pre-Participation Exercise Screening: A New Collaborative Model between Exercise Professionals and Physicians
Contributor(s): Maiorana, Andrew J (author); Williams, Andrew D (author); Askew, Christopher D (author); Levinger, Itamar (author); Coombes, Jeff (author); Vicenzino, Bill (author); Davison, Kade (author); Smart, Neil A  (author)orcid ; Selig, Steve E (author)
Publication Date: 2018-06
Early Online Version: 2018-03-09
Open Access: Yes
DOI: 10.1007/s40279-018-0888-2Open Access Link
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Abstract: Regular exercise improves health but can also induce adverse responses. Although such episodes are rare, many guidelines for pre-participation exercise screening have historically had a low threshold for recommending medical clearance prior to the commencement of exercise, placing the responsibility for decision making about exercise participation on physicians. The 'clearance to exercise' model still occurs widely in practice, but creates cost burdens and barriers to the uptake of exercise. Moreover, many physicians are not provided the training, nor time in a standard consultation, to be able to effectively perform this role. We present a model for pre-participation exercise screening and the initial assessment of clients wishing to commence an exercise programme. It is designed to guide professional practice for the referral, assessment and prescription of exercise for people across the health spectrum, from individuals who are apparently healthy, through to clients with pre-existing or occult chronic conditions. The model removes the request that physicians provide a 'clearance' for patients to engage in exercise programmes. Instead the role of physicians is identified as providing relevant clinical guidance to suitably qualified exercise professionals to allow them to use their knowledge, skills and expertise in exercise prescription to assess and manage any risks related to the prescription and delivery of appropriate exercise programmes. It is anticipated that removing unjustified barriers to exercise participation, such as mandated medical review, will improve the uptake of exercise by the unacceptably high proportion of the population who do not undertake sufficient physical activity for health benefit.
Publication Type: Journal Article
Source of Publication: Sports Medicine, 48(6), p. 1293-1302
Publisher: Adis International Ltd
Place of Publication: New Zealand
ISSN: 1179-2035
Fields of Research (FoR) 2008: 110602 Exercise Physiology
110299 Cardiorespiratory Medicine and Haematology not elsewhere classified
Fields of Research (FoR) 2020: 420702 Exercise physiology
320101 Cardiology (incl. cardiovascular diseases)
Socio-Economic Objective (SEO) 2008: 920103 Cardiovascular System and Diseases
Socio-Economic Objective (SEO) 2020: 200101 Diagnosis of human diseases and conditions
Peer Reviewed: Yes
HERDC Category Description: C1 Refereed Article in a Scholarly Journal
Appears in Collections:Journal Article
School of Science and Technology

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