I came across an interesting fitness blog post recently. It is a great point of thought, I make it a point, regardless of the program design for my client to ask how do they feel. Asking and listening to a client is very important and should determine how you proceed before training. How do you all address this subject with clients.
Thanks for your question Gillon.
My scope of practice includes working with populations with diagnosed:
1. Cardiovascular Disease
2. Pulmonary Disease
3. Metabolic Disease
4. Immunological and Hematological Disorders
5. Orthopedic Diseases and Disabilities
6. Neuromuscular Disorders
7. Cognitive, Psychological and Sensory Disorders
My professional liability insurance covers me when working with these populations provided that I am adhering to the standard of care guidelines established for clinical exercise physiologists. If I don’t I can be charged with negligence.
Having said that, there are assessment scales that one can utilize if they are working within their scope of practice to assess one’s level of pain. The Borg CR 10 – Customized for Pain Measurement is one of those scales. I emphasize, though, that this scale is one of the scales an ACSM Registered Clinical Exercise Physiologist would use.
Thanks so much for your question.