Please use this identifier to cite or link to this item: https://hdl.handle.net/1959.11/26676
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dc.contributor.authorMaiorana, Andrew Jen
dc.contributor.authorWilliams, Andrew Den
dc.contributor.authorAskew, Christopher Den
dc.contributor.authorLevinger, Itamaren
dc.contributor.authorCoombes, Jeffen
dc.contributor.authorVicenzino, Billen
dc.contributor.authorDavison, Kadeen
dc.contributor.authorSmart, Neil Aen
dc.contributor.authorSelig, Steve Een
dc.date.accessioned2019-04-08T06:06:45Z-
dc.date.available2019-04-08T06:06:45Z-
dc.date.issued2018-06-
dc.identifier.citationSports Medicine, 48(6), p. 1293-1302en
dc.identifier.issn0112-1642en
dc.identifier.issn1179-2035en
dc.identifier.urihttps://hdl.handle.net/1959.11/26676-
dc.description.abstractRegular 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.en
dc.languageenen
dc.publisherAdis International Ltden
dc.relation.ispartofSports Medicineen
dc.rightsAttribution 4.0 International*
dc.rights.urihttp://creativecommons.org/licenses/by/4.0/*
dc.titleExercise Professionals with Advanced Clinical Training Should be Afforded Greater Responsibility in Pre-Participation Exercise Screening: A New Collaborative Model between Exercise Professionals and Physiciansen
dc.typeJournal Articleen
dc.identifier.doi10.1007/s40279-018-0888-2en
dc.identifier.pmid29524159en
dcterms.accessRightsGolden
local.contributor.firstnameAndrew Jen
local.contributor.firstnameAndrew Den
local.contributor.firstnameChristopher Den
local.contributor.firstnameItamaren
local.contributor.firstnameJeffen
local.contributor.firstnameBillen
local.contributor.firstnameKadeen
local.contributor.firstnameNeil Aen
local.contributor.firstnameSteve Een
local.subject.for2008110602 Exercise Physiologyen
local.subject.for2008110299 Cardiorespiratory Medicine and Haematology not elsewhere classifieden
local.subject.seo2008920103 Cardiovascular System and Diseasesen
local.profile.schoolSchool of Science and Technologyen
local.profile.emailA.Maiorana@curtin.edu.auen
local.profile.emailnsmart2@une.edu.auen
local.output.categoryC1en
local.grant.numberID 100040en
local.record.placeauen
local.record.institutionUniversity of New Englanden
local.publisher.placeNew Zealanden
local.format.startpage1293en
local.format.endpage1302en
local.peerreviewedYesen
local.identifier.volume48en
local.identifier.issue6en
local.title.subtitleA New Collaborative Model between Exercise Professionals and Physiciansen
local.access.fulltextYesen
local.contributor.lastnameMaioranaen
local.contributor.lastnameWilliamsen
local.contributor.lastnameAskewen
local.contributor.lastnameLevingeren
local.contributor.lastnameCoombesen
local.contributor.lastnameVicenzinoen
local.contributor.lastnameDavisonen
local.contributor.lastnameSmarten
local.contributor.lastnameSeligen
dc.identifier.staffune-id:nsmart2en
local.profile.orcid0000-0002-8290-6409en
local.profile.roleauthoren
local.profile.roleauthoren
local.profile.roleauthoren
local.profile.roleauthoren
local.profile.roleauthoren
local.profile.roleauthoren
local.profile.roleauthoren
local.profile.roleauthoren
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local.identifier.unepublicationidune:1959.11/26676en
local.date.onlineversion2018-03-09-
dc.identifier.academiclevelAcademicen
dc.identifier.academiclevelAcademicen
dc.identifier.academiclevelAcademicen
dc.identifier.academiclevelAcademicen
dc.identifier.academiclevelAcademicen
dc.identifier.academiclevelAcademicen
dc.identifier.academiclevelAcademicen
dc.identifier.academiclevelAcademicen
dc.identifier.academiclevelAcademicen
local.title.maintitleExercise Professionals with Advanced Clinical Training Should be Afforded Greater Responsibility in Pre-Participation Exercise Screeningen
local.relation.fundingsourcenoteNational Heart Foundation of Australia Future Leader Fellowshipen
local.output.categorydescriptionC1 Refereed Article in a Scholarly Journalen
local.search.authorMaiorana, Andrew Jen
local.search.authorWilliams, Andrew Den
local.search.authorAskew, Christopher Den
local.search.authorLevinger, Itamaren
local.search.authorCoombes, Jeffen
local.search.authorVicenzino, Billen
local.search.authorDavison, Kadeen
local.search.authorSmart, Neil Aen
local.search.authorSelig, Steve Een
local.uneassociationUnknownen
local.year.available2018en
local.year.published2018en
local.fileurl.closedpublishedhttps://rune.une.edu.au/web/retrieve/f5c438de-6ed2-4fdb-b393-389c6e874953en
Appears in Collections:Journal Article
School of Science and Technology
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