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

Maiorana, Andrew J, Williams, Andrew D, Askew, Christopher D, Levinger, Itamar, Coombes, Jeff, Vicenzino, Bill, Davison, Kade, Smart, Neil A and Selig, Steve E (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, 48 6: 1293-1302. doi:10.1007/s40279-018-0888-2


Author Maiorana, Andrew J
Williams, Andrew D
Askew, Christopher D
Levinger, Itamar
Coombes, Jeff
Vicenzino, Bill
Davison, Kade
Smart, Neil A
Selig, Steve E
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
Journal name Sports Medicine   Check publisher's open access policy
ISSN 1179-2035
0112-1642
Publication date 2018-03-09
Year available 2018
Sub-type Article (original research)
DOI 10.1007/s40279-018-0888-2
Open Access Status Not yet assessed
Volume 48
Issue 6
Start page 1293
End page 1302
Total pages 10
Place of publication Auckland, New Zealand
Publisher Adis International
Language eng
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.
Q-Index Code C1
Q-Index Status Provisional Code
Grant ID 100040
Institutional Status UQ

 
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Created: Wed, 14 Mar 2018, 10:02:42 EST