Cours 7 : Kinesiology Clinical Exercise Physiology

Question 1

What are the key words of Clinical Exercise Physiology?

Answer 1

Rehabilitation
Exercise
Individuals with chronic diseases and disabilities
Adaptations : adapting a program based on how your client feels, but also being able to adapt on the spot

Question 2

What are the darker areas on heart? What does it mean?

Answer 2

Dark areas = where he had his heart attack. After a heart transplant, your heart cannot work as high as it used to. Due to the disconnection to the autonomic nervous system.

Question 3

What is Clinical Exercise Physiology?

Answer 3

Relatively new carrer field (since the late 1960s)

Found within the health care realm, primarily in the 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 .

Question 4

Is exercise as good as medications?

Answer 4

Medications targets certain receptors, exercise is more of a global response in your body. Most of the time adding exercise with your medication, it gives better results. If someone takes antidepressants drugs, adding exercise with it, it will make you feel so much better

Question 5

Which motor component of fitness is the CEP mainly targeting with this exercise?

Answer 5

Coordination, it will help with muscle strength, aerobic and muscle endurance, but really it is mostly done to help with the coordination

Question 6

What does clinical exercise physiologist do?

Answer 6

Certified Health professional who utilizes scientific rationale to design, implement and supervise exercise programming for participants with chronic diseases and disabilities

It also assesses the results of outcomes related to exercise services provided to those individuals

Question 7

What are the CEP’s services?

Answer 7

1. Chronic disease management
   ex : reducing disease symptoms, improving energy, decreasing medications
2. Reducing risks for early development or recurrence of chronic diseases
   ex : preventing weight gain in type 2 diabetes ( most amount of people that have it is because the person has too much fat, the blood glucose levels cannot reach the insulin due to the fat)
3. Creating lifestyle habits that promote enhancement of health
   ex : decreasing sedentary lifestyle and increasing PA level (ex : effect on pain)

Question 8

CEP services focus on the improvement of physical capabilities for what purpose?

Answer 8

Increasing PA Level and Functional Fitness will have a direct positive impact on #4 to #6

Improving the ease of daily living activities

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

Facilitant the elimination of barriers to habitual lifestyle changes through goal-setting and prioritizing

Question 9

What are the potential Barries to exercise for participants with disabilities?

Answer 9

Equipment not adapted at the gym

Meds = not enough energy to train

Fear of making their condition worse

Lack of motivation

Transportation

Money (budget limit)

Question 10

What are the responsibilities of the CEP?

Answer 10

Obtain a medical history on a client

Administer exercise related tests

Analyse test results

Design an individualized exercise prescription that meets the specific needs of the client (flexibility, body composition and strength)

Determine short and long term goals (along with each client)

Use his/her expertise to assist client to improve health - and -motor related fitness components (agility, power)

Question 11

Where do CEPs work?

Answer 11

Variety of settings: hospitals, outpatient clinics, 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)
CNESST/SAAQ (Jewish Rehab Hospital)
Neuromuscular rehab (Cummings and Lucie-Bruneau centers
Cancer rehab (Hope & Cope wellness center, MUHC, new Kin position)
… and more (Children with obesity at St-Justine Hospital)

Question 12

What is the Difference between
Clinical Exercise Physiology and
Kinesiology?

Answer 12

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
Exercise programming for participants wit chronic diseases and disabilities

Question 13

What are the roles of FKQ?

Answer 13

Founded in 1988

• To promote and represent Kinesiologists in the province of Quebec
• To provide a certification in Kinesiology (work in hospital - physiotherapist and occupational therapist – same salary)
• To obtain a professional order

1800 members (including 1200 accredited members)

Programs you need to complete to become a certified Kinesiologist :

BSc Major, BSc KCEP and BSc AT

Question 14

What is trauma?

Answer 14

Injury to living tissue caused by an extrinsic agent

ex : Traumatic brain injury (TBI), amputation, spinal cord injury (SCI)

Spinal cord injury = body weight support system to relearn how to walk after an injury like that

Question 15

What is a disease (active pathology)?

Answer 15

Interruption of normal cellular processes

Examples:
(top 2 diseases in Canada?)
= Cancer, heart disease
Others? Parkinson’s, diabetes, ALS, stroke, etc.

Exercise can help tremendensly to help Parkinsons disease

Question 16

What is impairment?

Answer 16

Loss or abnormality at the tissue, organ, or body system level

Physiologic impairments:
Musculoskeletal system (ex:…)
EX: muscular atrophy, loss flexibilty (ROM), less bone mass, less muscle strength inflammation,etc

Pulmonary system
EX: loss of a lung ; decrease in breathing capacity, shortness of breath

Neuromuscular system
EX: demyelination, decrease in balance, coordination, proprioception

Question 17

What is a disability?

Answer 17

Any restriction or lack of ability to perform a task or an activity in the manner considered normal for a person, such as disturbance in basic activities of daily living.

Ex of activity : taking a shower or any task or activity.

Question 18

Is the term Clinical Exercise Physiology widely used in Quebec ?

Answer 18

Yes

Question 19

And what about kinesiology?

Answer 19

Yes

Question 20

While walking on the sidewalk, you come across a wheel-chair boud individual. By looking at this person, can you say that he or she is handicapped?

Answer 20

No

Question 21

What is being handicap?

Answer 21

A disadvantage resulting from an impairment or disability that limits or prevents fulfillement of an individuals role

Its not a classification of inidividuals but a classification of circumstances or situations

Question 22

What is the example of the disablement model of arthiritis?

Answer 22

Disease : arthiris in hip and knee (pain in joints)

Impairment : less range of motion because of loss of muscle strength and muscle endurance + inflammation in affected hip and knee

Disability : decrease in walking capacities ex : you can no longer give a bath to your kid

Handicap : can no longer play a role as volunteer in a hospital

Question 24

Relate the two groups of words to the best of your knowledge

Answer 24

Trauma - extrinsic agent
Disease - pathology
Impairment - body
Disability - task or activity
Handicap - role

Question 25

What is person first?

Answer 25

The person is not a disability or a disease

ex: person with a disability vs the disabled
ex : person who has diabetes vs a diabetic

Question 26

What is identity first?

Answer 26

Places the disability first in the description

Born from the disability pride movement = disability is nothing to be ashamed of
ex : mu autistic son enjoys playing video games
ex : a spinal cord injury person
ex : a disabled person

Question 27

For whom the first international silent games where for?

Answer 27

Deaf people

Question 28

What is the name of the important sport federation ?

Answer 28

International Stoke Mandeville Wheelchair Sports Federation

Question 29

What could be used as a model for the Olympics?

Answer 29

The first male and female wheelchair entrain in Boston Marathon

Question 30

What does the International Paralympic Committee has to do?

Answer 30

Make sure that the rest of the world knows and acknowledges the paralympic olympics and to try to integrate these events to the Olympics