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Title: Chapter%2014%20Careers%20in%20Therapeutic%20Exercise

Chapter 14 Careers in Therapeutic Exercise
Careers in Therapeutic Exercise
Chad Starkey
Therapeutic Exercise Defined
  • The systematic and scientific application of
    exercise and movement experiences to develop or
    restore muscular strength, endurance, or
    flexibility neuromuscular coordination
    cardiovascular efficiency and other health and
    performance factors.

Figure 14.1
Goals of Therapeutic Exercise Professionals
  • To help people restore lost function
    (rehabilitative therapeutic exercise) or acquire
    skills and functions considered normal or
    expected (habilitative therapeutic exercise).

Types of Therapeutic Exercise
  • Rehabilitative therapeutic exercise Processes
    and treatments that restore skills or functions
    that were previously acquired but have been lost
    because of injury, disease, or behavioral traits
  • Habilitative therapeutic exercise Processes and
    treatments leading to the acquisition of skills
    and functions that are considered normal and
    expected for an individual of a certain age and

Therapeutic Exercise Focus
  • Both rehabilitative and habilitative therapeutic
    exercise focus on developing the bodys systems
    so people are less likely to become injured or

Rehabilitative Therapeutic Exercise
  • Exercise therapy for the rehabilitation of
    musculoskeletal injuries
  • Exercise therapy for rehabilitation of athletic
  • Exercise therapy for rehabilitation of
    postsurgical trauma
  • Exercise therapy in cardiopulmonary
  • Exercise therapy for the rehabilitation of older
  • Exercise therapy for the rehabilitation of
    psychological disorders (mindbody relationship)

Habilitative Therapeutic Exercise
  • Exercise therapy for specialized habilitation
  • Exercise therapy for habilitation of obese
  • Exercise therapy for habilitation of children
    with developmental disorders
  • Exercise therapy for habilitation of general

Sedentary Lifestyles
  • Societal changes have negatively affected the
    health of a significant portion of the
    population. The information age has created a
    relatively sedentary group of people. Therapeutic
    exerciseeven in the form of casual
    recreationcan offer a more balanced lifestyle.

Therapeutic Exercise Settings
  • Inpatient facilities
  • Outpatient clinic settings
  • Sport team settings
  • Private practice

Overviews of Professions in Therapeutic Exercise
  • Credentials for each profession vary and also
    change regularly, so be sure to monitor any
    changes taking place in your profession to ensure
    that you are meeting the required standards for
    employment for education, licensure, and so on.
  • A brief overview of each therapeutic exercise
    professional follows.

Athletic Trainer
  • Responsible for the prevention, evaluation,
    management, treatment, and rehabilitation of
    athletic injuries
  • Accredited athletic training program
  • Clinical rotations
  • Education and credentials
  • Certification through the Board of Certification
    for Athletic Trainers
  • Employment opportunities
  • Rapidly growing field, especially as the variety
    of settings for employment increase

Sample Course Work for Athletic Training
  • Acute care
  • Administration
  • Assessment and evaluation of injuries and
  • Biomechanics
  • Chemistry
  • Counseling
  • Exercise physiology
  • Gross anatomy
  • Human anatomy
  • Human physiology
  • Injury prevention
  • Nutrition
  • Pathology
  • Pharmacology
  • Physics
  • Statistics
  • Therapeutic exercise
  • Therapeutic modalities

Still called kinesiology at some universities.
Clinical Exercise Physiologist
  • Cardiac, pulmonary, and metabolic disease care
  • Exercise testing
  • Exercise prescription
  • Program administration
  • Employment settings
  • Education and credentials
  • Recommended undergraduate and graduate degree
  • Specialized courses and certifications (ACSM)
  • Exercise specialist
  • Registered clinical exercise physiologist
  • Required credentials vary by state
  • Employment opportunities
  • Growth in aging population resulting in growth of
    these types of positions

Sample Course Work for Cardiac Rehabilitation
Specialist or Clinical Exercise Physiologist
  • Advanced cardiac life support
  • Cardiopulmonary assessment
  • Cardiopulmonary disease
  • Cardiopulmonary physiology
  • Cardiopulmonary technology
  • Clinical biomechanics
  • Echocardiography
  • Electrocardiography
  • Exercise physiology
  • Exercise prescription
  • Imaging devices
  • Nutrition
  • Pathophysiology
  • Pharmacology
  • Physics
  • Respiratory care

Still called kinesiology at some universities.
Occupational Therapist
  • Helps injured or ill individuals reach their
    maximum level of independence by emphasizing the
    acquisition and retention of functional skills
  • Employment settings
  • Education and credentials
  • National Board for Certification in Occupational
    Therapy, Inc.
  • State licensure
  • OT Masters degree (as of 2007)
  • OTA two-year degree program
  • Employment opportunities
  • Growth related to increased services being
    provided to children

Sample Course Work for Occupational Therapy
  • Occupational Therapist
  • Abnormal psychology
  • Assistive technology
  • Biology
  • Biomechanics
  • Gross anatomy
  • Human anatomy
  • Human performance abilities
  • Human physiology
  • Neuroanatomy
  • Occupational analysis
  • Physical dysfunction
  • Psychology
  • Statistics
  • Occupational Therapy Assistant
  • Biomechanics
  • Human anatomy
  • Human development
  • Human physiology
  • Neurology
  • Occupational therapy procedures
  • Organization and administration
  • Psychology
  • Psychosocial dysfunction

Still called kinesiology at some universities.
Physical Therapy Specialty Certifications
Physical Therapist
  • Provides rehabilitative care to a diverse patient
    population with a wide range of injuries,
    illnesses, and diseases
  • Education and credentials
  • Educated as a generalist, tends to specialize in
    practice (seven specialty areas)
  • Physical therapist (plans, directs, implements
    patient care)
  • Accredited masters degree program (doctorate of
    PT required by 2020)
  • State licensure
  • Physical therapist assistant
  • Delivers care under direction of PT
  • Accredited two-year program
  • State licensure

Physical Therapist (continued)
  • Employment settings
  • Geriatric care
  • Pediatric care
  • Sport physical therapy
  • Employment opportunities
  • Increased survival rates of accident victims
    along with increased support from employers
    indicates growth in job opportunities.

Physical Therapists Role
  • A physical therapist administers patients
    programs and performs the required functional
    evaluations. A physical therapists assistant
    assumes much of the hands-on patient care,
    functioning under the physical therapists

Sample Course Work for Physical Therapy
  • PrePhysical Therapy
  • Biology
  • Chemistry
  • Exercise physiology
  • Physics
  • Human anatomy
  • Human physiology
  • Psychology/developmental psychology
  • Physical Therapist (Entry-Level Clinical
    Doctorate Degree)
  • Biomechanics
  • Cardiopulmonary evaluation and treatment
  • Clinical medicine
  • Geriatrics
  • Gross anatomy
  • Management and reimbursement
  • Medical ethics
  • Musculoskeletal evaluation and treatment
  • Musculoskeletal imaging
  • Neuroanatomy
  • Neurological evaluation and treatment
  • Pathology and pathophysiology
  • Pediatric evaluation and treatment
  • Pediatric neurology
  • Pharmacology
  • Psychological and social aspects of disability
  • Statistics and research design
  • Therapeutic modalities

Sample Course Work for Physical Therapy
  • Physical Therapy Assistant (Two-Year Associates
  • Biomechanics
  • Clinical practice
  • Human growth and development
  • Physical disabilities
  • Physical therapy procedures
  • Therapeutic exercise
  • Therapeutic modalities
  • Still called kinesiology at some universities.

Therapeutic Recreation Specialist
  • Treats patients with physical disability or
    impaired mental function restores, remediates,
    or rehabilitates to improve function and
    independence also focuses on social integration
    (treatment team approach)
  • Education and credentials
  • Bachelor's degree in therapeutic recreation
  • Internship under a certified recreation
  • National certification exam Certified
    therapeutic recreation specialists (CTRS)
  • Employment settings
  • Employment opportunities
  • Limited growth because of cuts in hospital

Sample Course Work for Therapeutic Recreation
  • Introduction to therapeutic recreation
  • Assessment and documentation in therapeutic
  • Therapeutic recreation interventions and
  • Leisure education
  • Program planning and design in therapeutic
  • Professional trends and issues in therapeutic
  • Human growth and development across the life span
  • Abnormal psychology
  • Anatomy and physiology
  • General recreation course work

Strength and Conditioning Specialist
  • Maximizes physical performance, reduces the
    frequency of injury, and decreases the
    possibility of cardiovascular disease by
    designing programs for the specific needs of the
    individual (sport and activity specific)
  • Education and credentials
  • Bachelors degree in kinesiology preferred,
    required for some certifications
  • Certifications recommended (e.g., National
    Strength and Conditioning Association Certified
    Strength and Conditioning Specialist)
  • Current CPR certification
  • Employment settings
  • Employment opportunities

Careers in Therapeutic Exercise
  • Fulfill a societal need
  • Assist in attaining desired levels of fitness
  • Assist in regaining lost function
  • Cover a wide range of populations
  • Newborns to geriatrics
  • Athletes to unskilled