Chapter 1 Role/ Scope of PT Flashcards
Personal Trainers do not…
Diagnose
Prescribe
Prescribe diets or recommend specific supplements
Treat injury or disease
Monitor progress for medically referred clients
Rehabilitate
Counsel
Work with patients
Personal Trainers do…
- Receive exercise, health, nutrition guidelines from physician, physical therapist, registered dietitian
- Follow national consensus guidelines for exercise programs or medical disorders
- Screen for exercise limitations
- Identify potential risk factors through screening
- Refer clients to appropriate allied health professional\
- Design exercise programs
- Provide general info on healthy eating, according to My Plate Food Guidance System
- Use exercise to help improve overall health
- Help clients follow physician or therapist advice
- Document and report progress to health professional
- Coach
Physical Activity are associated with health benefits
such as…
- some phsyical activity is better than none
- higher intensity
- greter frequency
- longer duration
Health benefits from regular physical activity with childen and adolescents…
- improved cardiorespiratory/ muscular fitness
- improved bone health
- improved cardiovascular/ metabolic health biomarkers
- favorable body composition
Health benefits from physical activity for adults/ older adults are…
- lower risk of early death
- lower risk of cornonary heart disease
- lower risk of stroke
- lower risk of high blood pressure
- lower risk of adverse blood lipid profile
- lower risk of type 2 diabetes
- lower risk of metabolic syndrome
- lower risk of colon cancer, breast cancer
- prevention of weight gain
- weight loss combined with reduced calorie intake
- improved cardiorespirator/ muscular fitness
- prevention of falls
- reduced symptoms of depression
- better cognitive function (older adults)
What is the least amount of moderate-intense physical activity needed to gain most health benefits?
- 150 minutes a week of moderte-intese physical activity
- brisk walking
- both aerobic (endurance and muscle strengthening (resistance
Physical therapists & Occupational therapists
- lead patients thorugh therapeutic exercise/ teach them to perform exercises at home to facilite rehabilation.
Personal Trainer must prepare to work with…
- youth to older adults
- overweigth to sedentary
- athletic adults
Fitness Worker/ Personal Trainers goals are to provide…
- one-one
- assess level of physical fitness
- set/ reach fotmess goals
- improve their exercise techniques
- keep recods to montior clients progress toward physical fitness
- modify their lifestyles outside of the gym to improve their fitness
Athletic trainers
- teach atheltes exercises to prevent injury
- support them with therapeutic exercises
If client is referred by his his/ her physician…
- PT should obtain written permission from client to communicate with referring physician to provide regular reports regarding the client’s progress with the exercise program.
Nutritional Support
- Registered dietitian
- Clinical weight-loss program
Mental Health
- Psychiatrist
- Psychologist
- Social Worker
- Support Groups
Alternative Healthcare (Licenced)
- Chiropractor
- Acupuncturist
- Massage Therapist
Trainers/ Instructors
- Athletic Trainer
- Advanced Fitness Professionals (AHFS, LWMC)
- Personal Trainers
- Group Fitness Instructors (Yoga, Pilates, Aquatic Exercise)
Rehab Professionals
- Physical Therapist
- Occupational Therapist
- Cardiac Rehabilitaion Professional
- Pulmonary Rehabilitaion Professional
- Athletic Trainer
ACE Certified Personal Trainers
Scope of Practice includes:
- Developing/ implementing exercise programs, safe, effective, appropriate for individuals who are healthy / or have medical clearance to exercise
- Conducting health-history interviews, stratifying risk for cardiovascular disease with clients to determine the need for referral and identify contraindications for exercise.
- Administer appropriate fitness assessments based on client’s health history, current fitness, lifestyle factors, goals utilizing research-proven / published protocols.
- Assisting clients in setting/ achieving realistic fitness goals.
- Teaching correct exercise methods, progressions through demonstration, explanation, proper cueing/ spotting techniques.
- Empower individuals to begin/ adhere to exercise programs using guidance, support, motivation, lapse-prevention strategies, and effective feedback.
- Design sructured exercise programs for one-on-one & small-group personal training.
- Educate clients about fitness/ health related topics to help them adopt healthful behaviors that facilitate exercise program success.
- Protect client confidentiality according to HIPAA
- Always act professional, respectful, and with integrity
- Recognize scope of practice, always referring cleints to other healthcare professionals when appropriate.
- Be prepared for emergency situations/ respond appropriatly when they occur
Rapport
- collecting adequate health-history information
- determine appropriate referral
- conduct appropriate assessment
- design/ modify exercise programs to help clients progress toward their goals
- motivate clients to exercise
- adhere to their programs, act professional
Developing a Refferal Network that includes…
- Mind/ body instructors (Yoga, tai chi, qigong)
- Smoking cessation programs
- Aquatic exercise programs
- Support Groups (Cardiac rehabilation, cancer survivors, Overeaters Anonymous)
- Message Therapist
Which is WITHIN the scope of practice for personal trainers?
Screening clients for exercise limitations to facilitate exercise program design
Which of the following is OUTSIDE of the scope of practice?
Compiling detailed nutritional programming and specific meal planning for clients
Intrinsic motivation in regards to exercise can be defined as
A person is engaged in exercise activity for the inherent pleasure of the experience
A person who is confident that he or she can successfully participate in an exercise program most likely:
Has high self-efficacy related to exercise
People new to exercise typically have a hard time with program adherence. How can the personal trainer reduce the chance of their client quitting. Choose all that apply.
- Help client create SMART goals
- Create a well rounded program detailed to their clients needs
- Make sure the client has positive experiences and interactions during training sessions
Lower levels of activity are seen with which of the following factors?
- Fewer years of education
- Lower income levels
- Increasing Age
True or False
Past program participation is the most reliable predictor of current participation.
True
There are several factors that influence exercise. Which of the following factors is related to a person’s health status.
Biomedical
What is the most common excuse used by people for why they do not exercise?
Lack of time
True or False
It is important to create a program that is unique to each client. Be patient, listen to their words, and be creative when designing a program.
True
Client stands with lordosis posture
Inappropriate to…
- Diagnose the cause of the client’s lordosis
Client stands with lordosis posture
Appropriate to…
- Implement a core conditioning program
- to improve strength, flexiblity imbalances in muscles acting on hips and spine
Client wants to lose weight by trying the latest commercial diet
Innapproprate to…
- Help the client to understand and implement the diet
Client wants to lose weight by trying the latest commercial diet
Appropriate to…
- Help the client to make more healthful choices using www.choosemyplate.gov
Client is cleared for exercise following physical therapy for rotator cuff impingement
Innappropriate to…
- Continue the PNF shoulder mobilization exercises used during physical therapy
Client is cleared for exercise following physical therapy for rotator cuff impingement
Appropriate to…
- Implement exercises to improve shoulder stability/ building on work done in physical therapy
Client has tight ilitibial (IT bands)
Inappropriate to…
- Provide Deep tissue massage to relieve tightness in the IT bands
Client has tight ilitibial (IT bands)
Appropriate to…
-Teach the client self-myofascial release techniques for the IT bands using a foam roller
Client has soreness following weekend tennis tournament
Inappropriate to…
- Recommend use of over-the-counter anti-infalmmatory medications
Client has soreness following weekend tennis tournament
Appropriate to…
- Discuss proper techniques for icing
Client tell you she is depressed dur to problems with her spouse
Inappropriate to…
- Listen to the client and provide her with recommendations for improving the situation
Client tell you she is depressed due to problems with her spouse
Appropriate to…
- Listen to the client with empathy and maintain confidentiality
