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Clinical Exercise Physiology

The clinical exercise physiologist can work as a personal trainer with "apparently healthy" individuals. However the advanced education, training and experience also allows them to work with individuals with medical conditions. The individual's medical history is reviewed, including family history, previous medical laboratory test results, medications, and previous exercise experience. Then an examination is performed to determine the individual's health and fitness status, identify any functional limitations. If medically necessary patients are referred out for advanced diagnositic testing. Very few certifications in the health/fitness industry qualify for this level of scope of practice.

With this evaluation the clinical exercise physiologist determines safe limits for exercise, works with the patient to develop therapy goals. The clinical exercise physiologist then forms an "exercise prescription" for the client to maintain or improve health and physical function. Exercise can then be supervised if necessary and follow-up consultations and/or evaluations with the client help to progress the prescription to achieve goals. In order to ensure successful progress education on various exercise- and health-related topics is provided.

When properly prescribed exercise will benefit a wide range of conditions. It improves cardiovascular fitness, muscular coordination, balance and strength, coping with stress/anxiety, blood pressure, cholesterol levels, blood sugar regulation, immune function, and quality of life.

Other times clients consult a clinical exercise physiologist to review medical tests they have had in the past. Patients often have questions about the implications of the results of tests (stress tests, blood tests, bone scans, other diagnositic imaging, etc.) to exercise. Often these results require certain precautions with exercise, and/or patients require advice on nutrition and exercise to improve upon the results.

JD Kato has a Master of Science degree in Exercise in Sports Science, with a concentration in Exercise Physiology. He has the highest level exercise/fitness certifications available in both Canada and the U.S. These are described below.

American College of Sports Medicine - Registered Clinical Exercise Physiologist

The American College of Sports Medicine (ACSM) is the largest, most respected sports medicine and exercise science organization in the world. Their elite certification is known as the ACSM Registered Clinical Exercise Physiologist® (RCEP). The RCEP is certified to provide exercise management for patients with a broad spectrum of chronic diseases or disabilities. These populations can include various categories such as cardiac (ex. heart attack, etc), metabolic (e.g. Diabetes), pulmonary (e.g. asthma, emphysema), orthopedic/musculoskeletal (e.g. joint injuries), immunologic/hematologic (e.g. AIDS, cancer), and neurologic (e.g. stroke, Parkinson's disease).

The rigorous requirements of the RCEP involve a Master's degree in exercise-related field as well as a manditory 600 hours of varied clinical experiences across all practice domains.

For more information about the ACSM or Registered Clinical Exercise Physiologist certification please see:the ACSM websie

Canadian Society for Exercise Physiology - Certified Exercise Physiologist

The Canadian Society for Exercise Physiology (CSEP) is a voluntary organization composed of professionals interested and involved in the scientific study of exercise physiology, exercise biochemistry, fitness and health. They are a nationally recognized organization and currently have the highest standards in Canada for the fitness industry. Their highest level certification, Certified Exericse Physiologist, recognizes the qualifications of those persons who possess advanced formal academic preparation and practical experience in both health-related and performance-related physical activity/exercise science fitness applications for non-clinical and clinical populations.

For more information about CSEP or the Certified Exercise Physiologist please see: the CSEP website

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