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    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

    Access Status
    Fulltext not available
    Authors
    Maiorana, Andrew
    Williams, A.
    Askew, C.
    Levinger, I.
    Coombes, J.
    Vicenzino, B.
    Davison, K.
    Smart, N.
    Selig, S.
    Date
    2018
    Type
    Journal Article
    
    Metadata
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    Citation
    Maiorana, A. and Williams, A. and Askew, C. and Levinger, I. and Coombes, J. and Vicenzino, B. and Davison, K. et al. 2018. 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. Sports Medicine: pp. 1-10.
    Source Title
    Sports Medicine
    DOI
    10.1007/s40279-018-0888-2
    ISSN
    0112-1642
    School
    School of Physiotherapy and Exercise Science
    URI
    http://hdl.handle.net/20.500.11937/67412
    Collection
    • Curtin Research Publications
    Abstract

    © 2018 The Author(s) 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.

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