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Exercise Physiology at CPA

A guide to the allied health discipline of EP

Teigan Butchers

on 21 April 2017

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Transcript of Exercise Physiology at CPA

What is an exercise physiologist?
An AEP is a university qualified allied health professional, who specialises in clinical exercise interventions for persons at high-risk of developing, or with existing chronic and complex medical conditions and injuries.  These interventions are provided by exercise delivery including health and physical activity education, advice and support and lifestyle modification with a strong focus on achieving behavioural change.  AEPs are the most qualified health professional to prescribe exercise for people with chronic disease.

Exercise Physiology
What we know about inactivity and CP...
- Evidence exists to confirm that individuals with CP have lower fitness, less muscle mass, diminished bone density and reduced functional reserve throughout the span of adulthood. Pronounced sedentary behaviour and fitness deficits that occur in CP have prompted concerns related to
exaggerated cardio metabolic health risks.

- Most adults with CP do not exercise regularly enough to maintain strength, which is a primary contributing factor for
losses of function

- Regular exercise is also an important factor in maintaining cardiovascular health and preventing disease. Indeed, mortality records have demonstrated a
2- to 3-fold greater death rate from coronary heart disease among adults with CP
as compared with the general population.
- Exercise prevention/management for chronic disease
- Goal based functional strength and cardiovascular fitness training (land and aquatic based)
- Weight loss/management
- Education to individuals, families and carers around healthy lifestyles and physical activity (including clients still in childhood)
- Inclusion in sport/physical activity including community gym programs
- Education to community gyms and personal trainers about exercise programs for people with CP
- General dietary advice
- Behaviour change/modification programs
What we do:
What we don't do:
- Prescribe mobility equipment or review/change mobility status
- Acute/chronic musculoskeletal injury diagnosis and acute muskuloskeletal injury management
- Casting
- Ongoing/maintenance style exercise sessions on a one on one basis
- Specific diet plans including modified consistencies
- Transfer procedures
- Physical manipulation
- Early childhood development
When to consider EP interventions
Goal limiting factors include:
- Outside healthy weight range (over/underweight)
- Diagnosis of chronic disease or at risk of developing
- Cardiovascular fitness and exercise tolerance
- Levels of physical activity/compliance with HEP
- Suitable location/facility for exercise participation
- Exercise prescription beyond the clinic style

Resources available on the divisional drive:
- Medical clearance forms, pre exercise screening forms and assessment toolkits
- Gym handbook – a guide for our clients who want to access a gym
- Aquatic exercise programs for higher intensity exercise prescription
- Education resources for personal trainers and gym facilities when starting to work with our clients
- Measurement and intervention tools for strength and CV goals
This could also help.....
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