Thanks for your post. In response to your question, I have to say that the training that I have is very different from the training of a physical therapist and/or an athletic trainer. Hence, I would say that I can’t “rehab” an injured client as well as a physical therapist.
I am very confident in my skills and do my utmost to stay within the scope of practice of the credentials that I hold, one of which is ACSM Registered Clinical Exercise Physiologist.
The scope of practice of the ACSM RCEP is:
Working with individuals referred by, or are currently under the care of, a physician; working with individuals with cardiovascular, pulmonary, metabolic, orthopedic/musculoskeletal, neuromuscular and/or immunological/hematological disease; performing clinical exercise testing and data interpretation; developing complex exercise prescriptions and performing exercise counseling
In order to earn this credential one must have a minimum of a masters degree and 600 hours of documented clinical work. I feel confident in my abilities, however, I tend to try to build collaborative relationships with other allied health professionals as opposed to competitive relationships as they have skills I don’t possess and vice versa.
In notice that you are a graduate of Dr. Mike. I hear many wonderful things about his program and that he is incredibly knowledgeable. In the future, I intend to take his course. However, my present circumstance doesn’t permit me to learn from him.
Thanks so much for your question and I look forward to responding to your posts.
I do not compare myself or any Personal Fitness Trainer (PFT) to PT (Physical Therapist), but rather an extension there of.
I sort of laugh that so many PFT have difficulty emotionally differentiating themselves from the PT. Being in my middle ages, I guess accepting and appreciating the difference comes from time, and experience, as well as maturity.
The MD diagnosis the issue, and recommends or refers to the PT. Often times it is out of ignorance of non-invasive options that the MD does this. Other times it comes of a desire to avoid invasive options if possible, as should always be done.
The PT has spent years learning these non-invasive modalities. Like most “prescription” or other medical healing or “corrective” modalities, PT is costly and has a short time to both be implemented and work. The outcomes can be limited, particularly on a shorter term basis. However, on the longer term, with continual and strict adherence to therapy, outcomes can be improved and reach near or 100% success.
In my practice as a PFT, I have had the opportunity and privilege to work with multiple MD’s, and PT’s overseeing individuals and “special populations” rehabbing from injury, surgery, cardiovascular, pulmonary, spinal and other events or incidents. I tend to look at these experiences as “apprenticeships” and learning opportunities.
While I do not diagnose, I do not hesitate to continue or base my exercise prescription for a client in part on that which they are/were doing in PT. Often I will suggest to a client (potential or otherwise) to have their PT and I communicate or otherwise correspond as they complete or are released from PT. I have in more serious or unusual cases actually gone the extra mile to (with their permission and that of the PT) accompany them to PT as their program winds down.
So….in summary, I do not see myself as “able to rehab a client as well as a PT”, because it would be redundant. I see my role as an extension of the PT in the case of rehab. MD’s diagnose, PT’s implement, PFT’s develop adherence and compliance.
The PFT has the “opportunity” to turn a rehab client into a “preventative re occurrence and healthy whole body” individual. Sometimes injury or incident is a “wake-up” call to people that they need to become active, fit or learn how to do what it is they are doing that got them injured in the first place. These are the area’s beyond typical, or traditional fitness that a PFT can develop a niche in.
There was recently an article that stated that doctors (MD’s) are reluctant to “prescribe” or “refer” patients to fitness professionals because they themselves were ignorant of exercise or who and what qualifications one should have. Fitness is not a part of medical school training, and so that further added their reluctance.
On the other hand many fitness facilities partner with PT facilities or PT individuals. Though in many if not most cases the referrals are few and far between, this is something that can be nurtured and should be as it is beneficial to both the PT, PFT and above all to the patient/client.
Again, as another answer suggests, I see the MD, PT, and PFT working collaboratively, not competitively. We would all do better learning to develop such a model of collaboration as it not only would benefit each of us, but the client population as well.
I do not believe that I can rehab a client better than a Physical Therapist because I do not have the proper knowledge, education, background, or licensing to do so. However, I work with a Doctor of Physical Therapy and have learned a lot of knowledge from him and will go to him with questions, so I continue to learn more each day. I do trigger point massage on my clients, which I learned from him and helps each and every one of them.
Together, the DPT and I will be doing a DVD that combines fitness, pt exercises, stretches, and martial arts (I teach in his own system).
Many trainers are doing a great working with clients. The key thing is that if you don’t have the proper license as a Physical therapist and/or degree, the trainer shouldn’t prescribe the exercises. It’s OK to be trained by someone who meets the criteria and works under their supervision. As trainers, we should be an extension of the PT and other license professors.
Since law suits have increased against fitness professionals, they have to be careful to not work work beyond their Scope of Practice.
i appreciate the humbleness of Joanne when she said “Hence, I would say that I can’t “rehab” an injured client as well as a physical therapist.” She holds a Master’s degree, ACSM Registered Clinical Exercise Physiologist and multiple .certification plus years of experience. She is a true example of a Fitness Professional role model