1-b-Kinesiology Clinical Exercise Physiology c PDF

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KINESIOLOGY & CLINICAL EXERCISE PHYSIOLOGY

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What is Clinical Exercise Physiology Key words:

using person first technique for wording

- rehabilitation - exercise - individuals with chronic dz and disabilities - adaptations

Key words:

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Clinical Exercise Physiology What is Clinical Exercise Physiology?

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Clinical Exercise Physiology What is Clinical Exercise Physiology? • Relatively new career field (since the late 1960s) • Found within the healthcare realm, primarily in medical settings, where exercise is used to help clients manage or reduce their risk of chronic disease • Exciting and growing profession that is more and more organized and recognized at the provincial and national levels – and with the upcoming changes in the field of healthcare, it’s an exciting time to be a Clinical Exercise Physiologist!

Clinical Exercise Physiologist supervising a participant with Parkinson’s disease

TOPHAT: which motor component of fitness is the CEP mainly targeting with this exercise? a) muscle strength 4 b) coordination c) aerobic d) muscle endurance 2 ANS = B for person w/ parkinsons

Clinical Exercise Physiology What is a Clinical Exercise Physiologist? • A CEP is a certified health professional who utilizes scientific rationale to design, implement and supervise exercise programming for participants with chronic diseases and disabilities • A CEP also assesses the results of outcomes related to exercise services provided to those individuals The Clinical Exercise Physiologist, Maria Fragapane, with an internship student in a group with MS (site for Observation Hours)

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Clinical Exercise Physiology What are the CEP’s services? CEP services focus on the improvement of physical capabilities for the purpose of: 1.

Chronic disease management

ex. reducing dz sx, improving energy, decreasing meds etc 2.

Reducing risks for early development or recurrence of chronic diseases

ex. preventing weight gain in DM2 3.

Creating lifestyle habits that promote enhancement of health

ex, decr sedentary lifestyle and incr PA level (ex. effect on pain)

Clinical Exercise Physiologist showing ROM exercises

with acute pain, yes dont move BUT with chronic pain, have to move, have to exercise progressively

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Clinical Exercise Physiology What are the CEP’s services? CEP services focus on the improvement of physical capabilities for the purpose of:

increasing PA level and functional fitness will have a direct +ve impact on #4-6 4.

Improving the ease of daily living activities

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Increasing the likelihood of long-term physical, social and economic independence

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Facilitating the elimination of barriers to habitual lifestyle changes through goalsetting and prioritizing

Clinical Exercise Physiologist showing ROM exercises

Potential Barriers: equipment

not adapted at the gym, meds = side effects = not enough energy to train, fear of making their condition worse (inc sx), lack of motivation, transportation, $$$

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Clinical Exercise Physiology What does a CEP do? The CEP’s responsibility is to: 1. Obtain a medical history on a client 2. Administer exercise-related tests

seen in KCEP 349

3. Analyse test results 4. Design an individualized exercise prescription that meets the specific needs of the client 5. Determine short and long term goals (along with each client) 6. Use his/her expertise to assist clients to improve health- and motor-related fitness components A CEP supervising a

"a good part of our job is to listen to our participant during an clients _ give health advise and psychological exercise test support" See CHIP brochure 8

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KCEP Internship Site

OK FY

do stress tests, go over med list at internship site

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Clinical Exercise Physiology 1999 = 2 CEP internship sites 2020 = 30 CEP/ KIN internship sites Variety of settings: hospitals, outpatient clinics,

Where do CEPs work? •

rehabilitation centers, community centers, university laboratories or hospital-based research facilities (ex: St-Justine Hospital) • CEPs may work independently, but many times work as a team with other health professionals including dietitians, physiotherapists, occupational therapists, physicians and nurses • Typical programs: • Cardiac rehab (Chip program) • Pulmonary rehab (Sacré-Coeur Hospital) • Chronic pain (Constance-Lethbridge) • CSST/SAAQ (Jewish Rehab Hospital) • Neuromuscular rehab (Cummings and LucieBruneau centers • Cancer rehab (Hope & Cope wellness center, MUHC, new Kin position) • … and more (Children with obesity at St-Justine Hospital)

KCEP internship sites

Ste-Justine Hospital

McGill Nutrition and Performance Laboratory at MUHC

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Clinical Exercise Physiology How can a CEP make a direct impact on their clients’ lives? A CEP leads clients through a comprehensive program of health education and exercise as a means in managing risk factors for chronic disease. If high BP or high cholesterol is a problem area, the CEP knows the tools of the trade to assist clients to meet program goals. The CEP will encourage and support clients to stay on track with an exercise regimen and lifestyle changes, resulting in risk factor modification, ease in performing ADLs, and making exercise an enjoyable as well as a permanent lifestyle practice.

ex. is exercise training good enough for controlling high BP? --> no, need meds as well

A CEP supervising a participant doing aerobic training

CEP = long term process towards permanent health improvement

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What is the Difference between Clinical Exercise Physiology and Kinesiology?

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Clinical Exercise Physiology How does CEP differ from Kinesiology? CEP is a specialization of Kinesiology CEP deals with clinical populations whereas Kinesiology deals with a variety of areas such as: • Sports performance (training for athletes) • Physical fitness (training) for asymptomatic population A CEP supervising a participant doing exercise programming for participants resistance training • ____________________________ ____________________________ with chronic diseases and disabilities

--> our speciality at concordia

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TOPHAT: is the term clinical exercise physiology widely used in Quebec? --> No kinesiology is used

Professional Organizations Provincial Level: • Quebec Kinesiologist Federation (FKQ) • 800 1100 members 1700 members Founded in ______ 1988

Roles of FKQ: • To promote and represent Kinesiologists in the province of Quebec • To provide a certification in Kinesiology • To obtain a professional order Top Hat ?

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which of the following programs (offered in our dept) do you need to complete to become a certified kinesiologist? a) Bsc major b) BSc KCEP c) BSc AT d) all above e) a or b --> B 7

success rate in QUebec for passing kin programs is 40% # of students who wrote the exam last year: 32 # students that passed --> 21 --> 81%

Is Kinesiology Known in Quebec? 2013 Survey: • Have you ever heard about Kinesiologists? • Popularity on the rise: • 2007 = 34%; • 2010 = 46%; • 2013 = 56% • 2016 = 60%

“Don’t know”

No: 33%

Yes: 56%

Proportion of people who know what Kinesiologists are is greater in: • People with higher family income ($100k or + = 78%) • People with higher level of education • CEGEP degree = 64% • University degree = 72%

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Average Salary for Kinesiologists Canada, 2018

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Minimum hourly rate depending on the status, work environment and service offered Freelance worker

Source: FKQ, 2014

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Professional Organizations 1967 Founded in ______

National Level: • Canadian Society for Exercise Physiology (CSEP)

• Mission Statement: CSEP is the resource and voice for exercise physiology and health and fitness, providing leadership in research, education and practice to improve health outcomes for Canadians

Professional Certifications

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al Organizations CSEP Certified Personal Trainer (CPT): • Administers the CSEP-PATH to healthy populations • Develops and implements a tailored physical activity, fitness and lifestyle plan. • Minimum Academic Requirement: • 2 year College diploma or 2 year University degree

CSEP Certified Exercise Physiologist (CSEP-CEP) • Performs assessments, prescribes conditioning exercise, as well as exercise supervision, counselling and healthy lifestyle education in apparently healthy individuals and/or populations with medical conditions, functional limitations or disabilities. • Minimum Academic Requirement: • 4-year (?) University degree in exercise science

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They are CSEP CEP Certified!

Amanda

Christina

Alicia

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CSEP = canadian society for exercise physiology

Professional Organizations A CSEP Certified Exercise Physiologist® is sanctioned by CSEP to: • Conduct pre-participation screening, administers various health and fitness assessments, prescribes and supervises exercise programs, and provides counseling and healthy lifestyle education to general populations, high performance athletes, and those with chronic health conditions, functional limitations or disabilities across the lifespan. • Accept referrals from health care professionals who are trained and licensed to diagnose and treat acute and chronic medical conditions. • Use evidence-informed behavior change models to facilitate physical activity and exercise participation, and lifestyle modification.

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Professional Organizations A CSEP Certified Exercise Physiologist® is sanctioned by CSEP to: (con’t) • Use the outcomes from health and fitness assessments to design and implement safe and effective physical activity and exercise prescriptions for both healthy and unhealthy populations • Monitor the influence of medications on the response to submaximal and maximal exercise during assessments and/or training sessions. • Measure and monitor heart rate, electric activity of the heart (using ECG) and blood pressure at rest, during exercise and post-exercise. These measures can be used to identify, but not diagnose, irregularities during rest, sub-max, and max exercise. • Conduct group physical activity sessions with screened participants. Sessions can include any one or combination of aerobic, resistance, balance or flexibility exercises within the CEPs individual knowledge competency. 22

when kinesiology will obtain its professional order, will it be regulated at the provincial (FKQ) or nationa (CSEP) level? 11...