University Exercise Physiology and Healthcare Practice Report

This report provides a detailed overview of Exercise Physiology and its application in healthcare practice, focusing on the role of Accredited Exercise Physiologists (AEPs). It outlines the scope of practice, including screening, assessment, and the application of clinical reasoning to ensure the safety and effectiveness of physical interventions. The report covers the assessment of mobility patterns, development of tailor-made health interventions, promotion of health education, and the provision of exercise-based rehabilitation. It also addresses the design of clinical exercise prescriptions for long-term management and ethical considerations. The report emphasizes the importance of evidence-based practice, patient-centered care, and the use of tools like the clinical reasoning cycle and PICO model. It also highlights the role of AEPs in managing various health conditions, promoting lifestyle changes, and integrating exercise into mainstream healthcare, with a focus on the Australian healthcare system.

Running head: EXERCISE PHYSIOLOGY
Exercise physiology and health care practice
Name of the student
University name
Authors note

1
EXERCISE PHYSIOLOGY
Table of Contents
Introduction..................................................................................................................................2
Scope of practices........................................................................................................................2
Screening, accessing and applying clinical reasoning for ensuring safety and affectivity of
implemented physical interventions................................................................................................2
Assessment of mobility patterns and standards of all individuals undertaking the clinical
interventions....................................................................................................................................5
Development of tailor made health interventions or exercises for catering to individual care
needs................................................................................................................................................7
Encouraging health education to spread sufficient amount of health literacy which helps in the
generation of self managerial skills.................................................................................................9
Provision of suitable intervention methods for the ones at the risk of development of long term
or chronic disease conditions........................................................................................................11
Designing a clinical exercise prescription for the ones in need of long terms and constant
supervision management...............................................................................................................13
Provision of exercise based rehabilitation along with effective counselling in order to relieve
acute stage of injury or surgery.....................................................................................................14
Core rules and regulations guiding the ethical practise.............................................................16
Conclusion.................................................................................................................................17
References..................................................................................................................................18

2
EXERCISE PHYSIOLOGY
Introduction
The current assignment focuses upon the role of the accredited exercise physiologists
(AEPs). The scopes of practice governing such practices have been further entailed over here.
The AEPs provide effective medical interventions catering to the health requirements of a vast
majority of population. The change implemented over here covers a comprehensive and holistic
plan aimed at bringing about required lifestyle changes within an individual.
The interventions are mostly in the form of daily care exercises with an emphasis on
bringing about a positive behavioural change. Some of the targets pathological conditions looked
after by the AEPs are cardiopulmonary diseases, metabolic disorders, muscuskelatal disorders,
neurological disorders among others. The assignment provides a detailed overview about the
scope of AEP practices which further helps in meeting the health requirements of the support
users. Further, implementing the scope of practice helps in maintaining the affectivity of the care
services.
Scope of practices
The scope of practices can be further divided into a number of points as mentioned below:
Screening, accessing and applying clinical reasoning for ensuring safety and affectivity of
implemented physical interventions
The AEP professionals need to screen the applied physical interventions in order to
ensure that the safety concerns of the support service users are effectively maintained. In this
respect, a clinical reasoning cycle may be applied for planning and designing of the care
interventions. The clinical reasoning cycle forms a very important evidence based tool for the

3
EXERCISE PHYSIOLOGY
effective implementation of the AEP scope of practice. The clinical reasoning cycle may be
divided into the following components such as analysing the patient situation. As mentioned by
Smart et al. (2016), such analysis helps in designing the effective care plan. Additionally,
reviewing the current information of the patient along with gathering new and relevant
information could be helpful. This further helps in expansion of the care plans and programmes.
The process information helps in interpreting and relating to the effective interventions which
could be implemented over here. The next step is the identification of the problem or issues
which helps in focussing upon the definitive problem and arriving at a suitable alternative.
One of the most important aspects is the designing of effective goals which helps in
provision of person centred approach to the support user. As commented by Soan et al. (2014),
such measures places the patients at the centre of care and support services. Further selection of
the action depends upon the availability of a majority of options and alternatives. Additionally,
the outcomes need to be evaluated and reflected upon before implementing in the concerned
scenario. This helps in planning of the suitable alternatives aimed towards the betterment of the
support users. The AEP professional needs to undertake a screening process for implementing
the correct exercises as per the requirement of the support users. The screening activities which
need to be performed before implanting the physical exercises include jotting down medical
history of the client. As commented by Cheema et al. (2014), inculcation of physical disabilities
along with noting down for the presence of psychosocial complications of the support users helps
in designing actual care plans meeting the care needs of the support users. Additionally,
assessment of the competencies of the support users helps in designing the effective clinical
interventions and physical exercises which can help in addressing the mobility issues of the
support user. In this respect, accessing the functional competencies of the support users can help

4
EXERCISE PHYSIOLOGY
in planning suitable exercises for them. With respect to designing the care plan for fall patients
care has to be taken not to include extensive workout sessions within the daily activity sessions
of such people. Therefore, the care professional needs to inculcate light stretching exercises for
restoring the mobility within such people. Additionally, the support users may be provided with
motivational interview sessions in order to find out the different barriers and challenges faced for
the implementation of the care plan.
Fig 1: clinical reasoning cycle
(Source : Lederman et al. 2016)

5
EXERCISE PHYSIOLOGY
Assessment of mobility patterns and standards of all individuals undertaking the clinical
interventions
The second criteria within the AEP scope of practise are the measurement of mobility of
the support users availing the physiotherapy programs. For this purpose the AEP professionals
can use the movement screen app to screen and access the capacity of movement of the support
users. The interventions are designed for use by exercise physiologists, fitness professionals and
physiotherapists. The app puts forward a well designed questionnaire which helps in
understanding the current activity patterns of the care users. The currently approved world health
organization disability scores (WHO DAS) to analyse the current physical health attributes
possessed by the support users.
The movement screening process helps in understanding the overall health risks
possessed by an individual. The evaluation undertaken over here helps in providing a
comprehensive care structure to the patients. It helps in conducting an overall risk profiling
which helps in highlighting the joint movements which are ore restricted compared to the others.
A score may be recorded for each of the nine movements which helps in analysing the risk
patterns of an individual. As mentioned by Lederman et al. (2016) conducting such workshops
helps in understanding the concern areas of the support users. Additionally, inculcation of
effective technologies where a virtual and interactive interface is provided to the patient can be
beneficial. The availability of such interfaces helps the fitness professionals to directly interact
with the client.
On the contrary, as argued by Naumann et al. (2014), the success of the care plans and
interventions depends upon the amount of skills and knowledge possessed by the care
professional. Thus, the skills possessed by the professionals could be enhanced by focussing

6
EXERCISE PHYSIOLOGY
more upon the alternate measures. As commented by Cheema et al. (2014), inculcation of a
number of alternate methods helps the care professional in enriching oneself in the wide and
different ranges of techniques which could be applied over here. In this respect evidence based
planning along with the implementation of light stretching exercises within the care plan can
help in meeting the criteria of informed decision making and provision of autonomy to the
service users. In this respect, a number of evidence based artefacts may be used for presentation
of the exercise plans and programs. For the present concern the PICO model has been used to
highlight the planning and intervention programs.
Factors Methods and outcome
Patient , population,
problem
82 patient experiencing injuries from fall were selected as
participants for the randomized clinical trial.
Intervention factor Implementation of kinetix personal health and fitness
services within the daily care regimen of the patients
Comparison or
intervention
Setting up of the fitness goals and measuring the progress
of the patients by implementing cardiovascular fitness
and posture maintenance exercises
Outcome The patient were subjected to follow up along with
motivational interview sessions in order to understand the
improving in patient health
Table 1: PICO model for implementing kinetix health assessment
(Source: Stanton et al. 2017)

7
EXERCISE PHYSIOLOGY
Analysis:
In the present context, the PICO model have been used which helps in assessment of the
mobility patterns of individuals and community. The PICO model have been divided into a
number of parameters such as accessing the problem situation of the patient, development of
suitable intervention strategies along with suggesting alternative exercises which can help in
restoring the mobility patterns. The patients were also provided with motivational interview
sessions in order to highlight the problem situation of the patient.
In the first scope of practise kinetix Assessment approach have been applied for
implementation of fitness plans and goals within the curriculum of an individual. The assessment
could be divided into a number of following types such as the general fitness, body composition
and posture assessment. The general fitness goals emphasizes upon the implementation of the
cardio and endurance training within the daily care regimen of an individual, which helps in the
restoring sufficient mobility within the concerned individuals (Stanton et al .2017). The body
composition test helps in assessment of excess fat present within the body of an individual and
the inculcation of sufficient exercises for reducing the fat content of the body (Naumann et al.
2014). The posture assessment is used for evaluating the body position using 13 different areas
as per the New York Posture assessment.

8
EXERCISE PHYSIOLOGY
Development of tailor made health interventions or exercises for catering to individual care
needs
The Australian health care services are well connected with the rebatable exercise
services. As per the guidelines mentioned within the Australian health care context, patient with
chronic illnesses are referred to the allied health professionals by the general medicine
practitioners. The plan allows a patient to have a minimum of 5 rebetable consultations with an
AEP professional. In this context, the government pays the allied health professional $ 50 per
visit. As commented by Lawrence & Hobson-Powell (2015), the Australian as well as the
worldwide system has realised the importance of exercises and allied medical interventions in
patient care.
In the present context, the development of the organization aimed towards the promotion
and health advancement of by and large the Australian population has been discussed. Thus, the
main aim of the Exercise Is Medicine Australia focuses is the inculcation of allied health
professionals within the mainstream care and management process. The EIM further emphasises
upon the incorporation of exercises as a compulsory part and processes of the normal care
delivery process. It further builds upon the referral system for provision of support services along
with restoration of motility in the ones with movement impairments such as rheumatoid arthritis
and gout. As mentioned by Naumann et al. (2014), one of the important parameters over here is
achievement of a positive behaviour change within the support service users through
motivational interviewing. The action could be further perceived with the implementation of an
evidences based model which conducts a systematic review of exercises and its benefits in adult
health programs
Reason for program For restoring mobility within the target population

9
EXERCISE PHYSIOLOGY
implementation group
Number of participants enrolled Around 125 participants were contacted through
door to door advertisements by local hospitals
along with sending e-mails.
Recruitment strategies In order to involve maximum number of
participants templates and leaflets detailing the
additional benefits provided with the health
assessment programs were distributed to the
target group of consumers
Number of participants actually
completing the program
However, 90 participants actually turned up for
the exercise programs.
Extent of training The staffs were trained in the relatable areas of
functional movement assessment by
implementing of the assessment parameters and
exercises within the daily schedule of the support
care professionals.
Table 2: CHA checklist of systematic review
(Source: Stanton et al. 2017)
Functional movement screen
The functional movement assessment could be used for evaluating the level of right and
left side movements of the clients. The assessment is done based upon a number of tests such as
hurdle step, inline lunge, shoulder mobility, impingement clearing test. The scores are further
divided into raw score and final score. The lowest score recorded in the raw score parameter is

10
EXERCISE PHYSIOLOGY
used for arriving at the final score. For e.g. a person recording a three on the right and four on the
left would be given a final score of three. The compiled data is used for further health assessment
and implementation of effective measures.
Application of measures such as rehab lab
The rehab lab is web based technology used for designing and customization of
rehabilitation handouts of high professional standards. As commented by Naumann et al.
(2014), the implementation of the same helps in muscoskeletal strengthening programs. The
rehab lab helps in the designing of tailor made healthcare policies and interventions for
individuals availing the training program.
Encouraging health education to spread sufficient amount of health literacy which helps
in the generation of self managerial skills
Health education helps in providing sufficient amount of awareness regarding diseases
and the conditions and factors contributing towards the development of the same. In this respect,
a health care professional has to face a number of challenges in the provision of optimum care
services to the ones receiving the care services. As commented by Elcock & Lewis (2016), some
of the cultural paradoxes faced by an individual and within communities have severe
implications on the lifestyle habits and health approaches of an individual. However, as argued
by Garfield (2017), some of the social determinants play a crucial role in the education and
health literacy of individuals and community.
In this respect, the social determinants which can have profound effect on the health
literacy and habits of an individual are possessing sufficient amount of education along with
economic stability. It has been found that many individuals do not want to consult a healthcare

11
EXERCISE PHYSIOLOGY
professional as they are not aware of their present conditions of health. As mentioned by Kane et
al. (2016), economic concerns often prevent an individual from availing of the health care
services.As mentioned by Elcock & Lewis (2016), such referral systems also helps in spreading
awareness regrading health issues and practices which helps in maintaining good health of an
individual.
In this context, organising workshops educating the masses about the health benefits of
exercises and specific diets for catering to the complex health concerns of the ones suffering
from chronic illnesses such as diabetes could be helpful. The workshops help in providing
sufficient information about eating right and balancing the blood sugar level. As commented by
Brodie et al. (2017), implementation of evidence based tools for the promulgation of the health
objectives of the chosen or specific group of population needs to be highlighted here.
Additionally, a number of restrictions could be followed for the maintaining exaggeration of the
symptoms of diabetes mellitus. Some of the precautionary measures are lowering the intake of
sugarated drinks or beverages, limiting the intake of alcohol along could help controlling
important parameters such as obesity, which have been found to possess direct relation with
diabetes (Freeman et al. 2013).
Provision of suitable intervention methods for the ones at the risk of development of long
term or chronic disease conditions
In this respect, a suitable intervention method needs to be provided to the ones who are at
the risk of development of long term or chronic disease conditions. Thus, some of the long terms
diseases which could be mentioned over here are diabetes, rheumatoid arthritis. Both the diseases
often affect the motor skills and competencies possessed by an individual. However as argued by