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Journal article
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, Vol.48(6), pp.1293-1302
2018
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.
Details
- 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
- Authors
- Andrew J Maiorana (Author) - Curtin UniversityAndrew D Williams (Author) - University of TasmaniaChristopher D Askew (Author) - University of the Sunshine Coast - Faculty of Science, Health, Education and EngineeringItamar Levinger (Author) - Victoria UniversityJeff Coombes (Author) - The University of QueenslandBill Vicenzino (Author) - The University of QueenslandKade Davison (Author) - University of South AustraliaNeil A Smart (Author) - University of New EnglandSteve E Selig (Author) - Deakin University
- Publication details
- Sports Medicine, Vol.48(6), pp.1293-1302
- Publisher
- Adis International Ltd.
- Date published
- 2018
- DOI
- 10.1007/s40279-018-0888-2
- ISSN
- 0112-1642
- Copyright note
- The Author(s) 2018. This article is an open access publication. This article is distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution, and reproduction in any medium, provided you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons license, and indicate if changes were made.
- Organisation Unit
- Healthy Ageing Research Cluster; School of Health and Sport Sciences - Legacy; Cancer Research Cluster; School of Health - Sports & Exercise Science; School of Health and Behavioural Sciences - Legacy
- Language
- English
- Record Identifier
- 99450626502621
- Output Type
- Journal article
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- Collaboration types
- Domestic collaboration
- Web Of Science research areas
- Sport Sciences
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