| Editors: Dr. Lonnie
Lowery and Dr. Tommy Boone
The "New Cardiac Rehab."
Criffield, MA, EPC, ATC/L
Critical Analysis Of The ACSM Position Stand on Resistance Training:
Insufficient Evidence to Support Recommended Training Protocols
Michael R. Mcguigan, Jeffrey M. Mcbrideenkata
The Power to Choose
Tommy Boone, PhD, MPH, MA, FASEP, EPC
New Cardiac Rehab
Criffield, MA, EPC, ATC/L
of growing interest in wellness is cancer recovery and survival. It
has been coined the new cardiac rehab. I believe this is an area
we, as exercise physiologists, need to market our abilities.
the traditional cardiac rehab has tremendous benefits regarding
rehabilitation of the heart and body, likewise, it is the same for
cancer patients undergoing and recovering from treatment.
Exercise has been shown to benefit cancer patients by reducing fatigue,
improving immune function, and facilitating a regaining of
flexibility. There also seems to be some kind of healing effect
exhibited by cancer patients who exercise in a group compared to those
who go about it alone.
cancer rehabilitation programs are beginning to become a more common
addition to health care. Most of these programs are set up around exercise
as the main modality, along with other added educational
components. What a perfect opportunity for exercise physiologists
to think outside of the box and put their knowledge of exercise and the
body to use! Unfortunately, many schools do not teach about exercising
cancer patients as part of their curriculum and I hope that this will
change in the near future. Such an expansion of existing curricula will
better meet the needs of future exercise physiologists as the demand
for such services increases. We, as Exercise Physiologists, are
pigeonholing ourselves if we just stick to cardiac rehab as our main
Ask the Professor
Professor is an opportunity for individuals to submit questions related
to the realm of exercise physiology and have them answered by experts
in our profession. Each issue of the newsletter will feature a question
previously submitted along with a response. Question topics can range
from exercise physiology related theory and research to clinical
application and professional issues. Please do not ask any questions
that can be interpreted as requesting medical advice or diagnosis. Due
to professional responsibility within our scope of practice, ASEP will
not respond to such inquiries. Questions can be submitted (one question
per individual, please) via email to firstname.lastname@example.org.
Please provide your name. If you are a professional practicing exercise
physiology, please provide your name and city/state in which you
practice. If you are a student in an exercise physiology related major,
please provide your major, academic classification (e.g., junior,
graduate student), academic department, and institution.
in those questions! We look forward to receiving them.
first question will appear right here next month! -Ed.]
ASEP recently joined the Coalition to
Preserve Patient Access to Physical Medicine and Rehabilitation
Services in an effort to protect clinical exercise
physiologists. A letter was sent September
24, 2004 to legislators by a dozen organizations regarding the
following (as quoted from the letter itself):
"The Centers for Medicare and Medicaid
Services (CMS) published in the August 5, 2004 Federal Register, pages
47550-47551, a proposal that would limit reimbursement of
physicians for Therapy-Incident To to a narrow group of providers:
physical therapists, occupational therapists and speech and language
therapists. Currently CMS regulations allow the physician the freedom
to choose any qualified health care professional to perform therapy
services at the physicians office or clinic."
Formal opposition to this type of proposal (that is, that
excludes EPs as legal members of a healthcare team) is yet another
reason why exercise physiologists need to unite under an EP-exclusive
organization (ASEP). Without formal opposition to such movement from
other professional groups, your clinical job may soon become a thing of
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