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no matter if you're new to the box of sports medicine or an experienced veteran within the career, through selecting ACSM you're to your option to incomes one of the crucial enormously identified certifications within the business - a credential that's wide-spread because the Gold usual around the globe. In deciding upon ACSM you will have made the dedication to establish yourself as a good health professional.
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The national fee for Certifying companies accredits all ACSM certifications.
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one of numerous associations that offer certification for health and health authorities, the American college of sports medicine, or ACSM, is the greatest activities medicine and pastime company on this planet. more than 25,000 health professionals in 44 international locations dangle ACSM certification. ACSM presents 9 health and health certifications and designations, including the fitness fitness specialist Certification, provided to fitness and fitness experts.
ACSM currently unveiled new tips and equipment to help the general public find the correct skilled capabilities and atmosphere for fitness and health. These on-line resources have been created to hyperlink the public to essentially the most certified gurus and suggestions within the health industry for secure and advantageous activity practice and tips.
A pair of training guides, identifying and conveniently using a personal trainer and settling on and with ease the usage of a health/fitness Facility, are now accessible on-line at www.acsm.org. These courses were developed by a panel of undertaking physiologists and endeavor science specialists to teach individuals on the proper traits of private trainers and fitness and fitness amenities. every e-book comprises a checklist of vital health components, as well as thoughts on asking the right questions before becoming a member of any new endeavor program.
The ACSM's ProFinderTM, a searchable on line database of ACSM-licensed fitness/fitness specialists, also is attainable to the public free of cost. This carrier makes it possible for a person to look for gurus who've accomplished ACSM certifications by the stage of certification, as well as geographical vicinity. ProFinder professionals hang at least one ACSM certification, which ensures that they've mastered the established talents, talents, and competencies required of ACSM certification courses. they've verified skills in fitness screening, fitness evaluation, activity testing, pastime prescription/program development, supervision, program administration, and development.
To participate within the ACSM ProFinder software, please contact ACSM's Certification branch at email@example.com.ACSM Clarifies symptoms for Fluid replacement
ACSM specialists propose the general public to keep away from relying on thirst on my own to gauge the body's fluid replacement needs in gentle of the contemporary Institute of drugs (IOM) document, which set dietary consumption levels for water, salt, and potassium for the renovation of health and wellbeing.
ACSM is blissful that the document indicates that athletes and different energetic americans have larger fluid replacement wants however that underscored thirst isn't the most advantageous indicator of how a lot these individuals should still exchange when it comes to fluid and sodium losses after prolonged actual exercise or heat publicity. Whereas plenty of the file focuses upon daily fluid necessities for the general public, consultants word that consuming fluids earlier than, all over, and after exercise is a crucial part of regulating body temperature and replacing physique fluids misplaced via sweat.
In the same vein, the IOM report's tips on continual sodium intake should no longer be perplexed with recommendations that athletes liberally salt their meals and eat activities drinks when acclimatizing to or exercising in sizzling conditions. Whereas cutting again on usual sodium within the food regimen is sound assistance for the majority of the public, athletes have a different should fill up lost sodium outlets within the brief-time period.
To examine the whole ACSM commentary, visit "news Releases" at www.acsm.org.have fun in INDY!
ACSM proudly hosts the 51st Annual assembly from June 2-5, 2004, marking the year-long anniversary occasion of the history of the corporation and its contribution to advancing the field of sports medicine and endeavor science. This yr's co-host is the metropolis of Indianapolis, a pleasant town this is domestic to the ACSM countrywide middle. do not omit this historic meeting and your probability to enjoy shows of normal analysis in quite a lot of academic formats. unique lectures and particular movements are deliberate for the event, as ACSM acknowledges the americans, courses, and landscape of fifty years in sports medicine and undertaking science. To register, consult with www.acsm.org.
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Whether you are new to the field of sports medicine or an experienced veteran in the profession, by choosing ACSM you're on your way to earning one of the most highly recognized certifications in the industry - a credential that is known as the Gold Standard around the world. In choosing ACSM you've made the commitment to establish yourself as a reputable fitness professional.
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If your New Year’s resolutions included getting in shape or improving the shape you’re already in, you might be interested in what’s trending in the fitness world for 2019. For the thirteenth year in a row, the American College of Sports Medicine (ACSM) sent out queries to more than 2,038 fitness professionals employed by commercial gyms, medical facilities, non-profits, and corporate health programs. ACSM’s goal was to rank 39 possible fitness trends. There were some surprises, circuit weight training and core training did not make the top 20. However, any fitness training is better than none at all. So remember, according to the experts the following are what’s trending.
The top five
Wearable Technology. According to Walter Thompson, ACSM president, “The wearables, even the low-end ones, have gotten more accurate. That may help explain why they’re back at the top.” Wearable tech came in third last year and didn’t even appear on the list until 2016. But as more people make a conscious effort to move more and sit less, they find tracking their efforts gives them incentive to get up and move. The various smartwatches and fitness trackers allow advocates to track various biometrics like heart rate, cadence, calories burned, recovery time, speed, distance, and much more.
Group Fitness. Devon Maier, managing director of Balance Gym, based in Washington, D.C., says, “Group exercise is the future. It definitely delivers on the community aspect, but you also have the instructor who motivates and pushes you harder.” Even though the technology has improved, vis-à-vis fitness trackers, people still want to be part of a community. What groups offer is an accountability factor. If you do a good job or hit a certain milestone, the group will acknowledge it and reward you somehow. Conversely, if you’re not doing as well as you should, negative feedback is sure to come your way. It appears exercise is often more fun and effective when done in a group. Despite all our technology, social media, and virtual reality, we still like getting together with others who enjoy exercising like we do.
High Intensity Interval Training (HIIT). Want to hit your maximum heart rate? HIIT is the way to go. Formerly the domain of elite athletes, the common man has recently embraced the concept. Sessions usually run 30 minutes or less and consist of short, yet intense intervals, that drive your heart rate to the max. Thompson opined that, “… we were all afraid that HIIT would lead to increased injuries in the general public, but that has not proven to be true. There is no more risk of injury than any other exercise.” The big advantage HIIT offers is being able to fit in an intense workout somewhere in a busy schedule. Most successful HIIT workouts are done in a group setting.
Fitness For Boomers. Baby boomers are retiring in record numbers, but none seem to be sitting on their couch all day. The fitness industry has tapped into this huge segment of potential customers and created programs geared especially for them. Many gyms experience a lull in attendance during parts of the late morning and mid-afternoon. These times fit well in the retirees’ daily schedules. Some gyms even change music and lighting during these times to make the seniors feel more at home.
Bodyweight Exercises. Ten years ago, the country was suffering with a depression. Gym owners looked for ways to save money, and one of their methods was to cut down on buying expensive equipment. However, they had to find a replacement and decided that developing programs using bodyweight exercises was just the ticket. Movements like planks, lunges, squats, pullups, dips, and sit-ups were perfect for what they had in mind. Thompson said managers were looking for sustainable programs for fitness buffs and developed programs including an assortment of movements that didn’t require expensive, hard to maintain equipment. The added value is these types of functional exercises mimic everyday reality.
The rest of the top ten trends.
Employing Certified Fitness Professionals. Make sure your trainer is certified by a fully accredited program.
Yoga. Has a variety of forms, including Power Yoga, Yogilates, yoga in hot environments, and others.
Personal Training. More people are hiring trainers in clubs, at worksites that have fitness facilities, at home, and even online. The advantage trainers offer is fitness testing, goal setting, and a one on one relationship.
Functional Fitness Training. Utilizes strength training and other activities and movements to improve balance, coordination, strength, and endurance. Great for training older adults.
Exercise is Medicine. This is a global health initiative focused on encouraging primary care physicians and other health care professionals to include physical activity assessment as part of every patient visit. Patients are then referred to exercise professionals.
One sad takeaway.
Given that 18.5 percent of American kids ages 2—19 are obese, fitness programs for children did not even make the top 20. Sad.
STAY SAFE, BROTHERS AND SISTERS!
Should fitness instructors or personal trainers become embroiled in litigation, it is more likely than not that it would be within the field of civil law that deals with torts and contracts. The instructor or trainer probably would find him/herself defending a tortuous claim of negligence for having failed to act or for having acted in a manner that reflected substandard performance. However, there exists the possibility that the instructor or trainer could find himself/herself in violation of criminal law. If this were the case, it would most likely be a result of violating the scope of practice.
Scope of practice refers to the limitations imposed by law on different vocational pursuits, pursuits that require specific education and experience as well as demonstrated competency. Jurisdictions have their own laws, licensing bodies, and regulations that describe requirements for education, training, competency and those activities that fall within the purview of the practitioner. In effect, what the practitioner can and cannot do defines one’s scope of practice. However, when an individual who is not licensed engages in the practices of a licensed profession, then he or she is violating scope of practice.
The term “scope of practice” is used not only by national and state licensing boards for various professions to define the procedures, actions, and processes that are permitted for a licensee but also by professional associations like the American College of Sports Medicine (ACSM) to outline responsibilities and limitations for a certificant. For example, ACSM’s Certified Health/Fitness SpecialistSM (HFS) is “a degreed health and fitness professional qualified to pursue a career in university, corporate, commercial, hospital, and community settings.” The HFS is skilled in the following:
However, any HFS who strays from this job description and overreaches his or her documented competencies, by intruding into the field of a licensed health care professional, is in violation of criminal law as a result of exceeding or going beyond one’s scope of practice. When this is the case, the HFS and other instructors/trainers may become guilty of a misdemeanor of the first degree and, in some cases, a third-degree or even second-degree felony.
When instructors or trainers take on clients, they basically are stating that they have sufficient knowledge of exercise science and an understanding of their clients’ capabilities to provide safe and progressive exercise programming. In effect, they take on the responsibility of exposing their clients to the stress of exercise without imposing undue risk for injury and, perhaps, even death.
Clients rightfully can expect that their programs will bring about positive change without harmful effects. Generally, clients anticipate that their instructors/trainers have a significant grasp of anatomy, physiology, and exercise science to ensure safe and effective workouts. Often, clients assume that because instructors/trainers have been educated in anatomy and physiology, they have knowledge, even medical knowledge, beyond that which is required for exercise programming. Consequently, it is frequently the case that clients will pose medical questions to their instructors/trainers.
Unfortunately, instructors and trainers, in a desire to live up to their clients’ expectations, may feel pressured to provide answers to their clients’ medical questions. Rather than explaining to clients that to answer such questions would be going beyond their training and expertise, instructors/trainers may give opinions about medical concerns. This opining could verge on providing a clinical diagnosis or practicing medicine or allied health care without a license.
In light of this concern of practicing medicine without a license, it is important that instructors and trainers share with their clients that health appraisals, to include medical histories, are screening devices and not to be construed as a medical evaluation. To ascertain that there is no confusion on the part of the client, the instructor/trainer should have the client sign a witnessed statement, at the end of the medical history form, similar to the following: “The undersigned swears that the information provided is true and correct to the best of his/her knowledge and recognizes that this health appraisal is not the equivalent of a medical evaluation or diagnosis.”
In a like manner, when the instructor or trainer is taking a client’s blood pressure, it is essential that the client understand that this action is for screening purposes only. Should the client’s blood pressure be abnormally high, the instructor/trainer ought not tell the client that he or she has high blood pressure but rather that he or she ought to be evaluated further by a physician. Instructors/trainers must understand, and their clients must recognize, that they are “suspecticians” not “diagnosticians.”
Similarly, if the instructor or trainer does lung function or spirometry testing for forced vital capacity (FVC) and forced expiratory volume for 1 second (FEV1), he or she may suspect that a client has emphysema. Analyzing the FEV1/FVC ratio enables one to determine whether a client has difficulty with expiratory efficiency. Again, this warrants referring the client to a physician who in turn may order additional testing to determine whether, in fact, the individual does have chronic obstructive pulmonary disease. The instructor/trainer should be careful not to identify specific disorders (e.g., emphysema) because he or she could be viewed as providing a medical diagnosis.
Many instructors and trainers are using rapid blood chemistry analyzers to develop a blood profile on their clients, a profile reflecting total, high-density, and low-density cholesterol; triglycerides; glucose; and other parameters. These portable analyzers could be used as a screening device or a mechanism to monitor, hopefully, positive changes over time. However, it is imperative that comments like “it may be time for statin drugs” are not offered because this type of counsel could be interpreted as medical advice.
For those people providing allied health care without a license, there are concerns about intruding on the domain of physical therapists, dieticians, and psychotherapists, as well as other health care professions. The following examples are just some of the areas in which instructors and trainers should be cautious to avoid any hint of going beyond their scope of practice and violating criminal law.
Many instructors and trainers as part of their initial assessments/evaluations will do a postural analysis of their clients. If abnormalities are observed, instructors/trainers are frequently noted to promote specific exercises in an attempt to correct postural deviations such as excessive lordosis, kyphosis, scoliosis, and abducted scapulae. They assume that stretching and strengthening exercises will encourage adaptive lengthening and shortening of muscle-tendon complexes and, thereby, improve postural alignment. Unfortunately, a review of the literature reveals a lack of reliable data to substantiate the claims that exercise, in itself, will correct postural deviations (4). Not withstanding this fact, the concept that instructors/trainers are testing for postural problems and then prescribing corrective exercises is tantamount to providing a diagnosis with subsequent prescriptive remedies. This falls within the domain of a physician or physical therapist and may be viewed as an instructor/trainer exceeding his/her scope of practice and violating criminal law.
Instead, the instructor or trainer who tests for postural abnormalities should describe such an assessment as a screening mechanism, with the idea of referring his or her client to a physician or physical therapist if there are suspicions of abnormalities that could affect the client’s health. Along this line, there are other abnormalities that the instructor/trainer may observe that would generate “red flags,” thereby warranting further medical analysis. Such concerns might include unnatural gait, excessive foot pronation or supination, squinting patella, varus or valgus postures, excessive Q angle, and upper or lower cross syndromes.
Instructors and trainers frequently are asked questions regarding injury prevention and treatment. Although the instructor/trainer, through application of safe exercise programming, may help clients understand the cause for and avoidance of unnecessary injuries, the concept of treating existing injuries falls outside of his/her domain. True minor strains and sprains may lead to an instructor/trainer’s recommendation that the client use the “RICE” principle (i.e., rest, ice, compression, and elevation); however, when it comes to other potential neuromuscular and/or musculoskeletal disorders (e.g., plantar fasciitis), referral should be the action taken. Although instructors/trainers may knowingly or unknowingly use modalities used by physical therapists, they are not licensed to practice physical therapy. Competent instructors/trainers know when it is appropriate to refer to a physical therapist and, by doing so, bridge the gap between fitness training and injury rehabilitation.
There have even been cases of instructors and trainers practicing chiropractic care without a license, for example, an instructor/trainer “cracking” a client’s back or neck in an effort to resolve “stiffness.” Chiropractic is licensed and regulated in all 50 states and provides an alternative form of medicine emphasizing diagnosis, treatment, and prevention of musculoskeletal disorders, with an emphasis on correction or treatment through manual manipulation or adjustment of the spine. The instructor/trainer who provides such spinal manipulation could cause permanent damage, in which case he or she could be found guilty of a felony subject to imprisonment and/or a substantial fine.
The practice of nutrition and dietetics without a license is all too often observed, especially among fitness instructors and personal trainers. Most states require licensure before one is able to write specific diet plans for clients. Frequently, instructors/trainers tell clients exactly what and how much to eat for every meal and, sometimes, what supplements to take. If instructors/trainers are well versed in nutrition, then it is acceptable and advisable to educate clients how to develop lifelong healthy eating habits. Yet, providing specific meal plans and marketing oneself as a nutritional or dietary counselor are illegal in most states, unless one is a licensed dietitian/nutritionist, licensed nutrition counselor, or registered dietitian.
In addition, in most states, there exists a state statute requiring that a person may not knowingly engage in the practice of dietetics and nutrition or nutrition counseling for remuneration unless that person is licensed by the state. A person may not use the name or title dietitian, licensed dietitian, nutritionist, licensed nutritionist, nutrition counselor, or licensed nutrition counselor, or any other words, letters, abbreviations, or insignia indicating or implying that he or she is a dietitian, nutritionist, or nutrition counselor, or otherwise hold himself or herself out as such, unless the person is the holder of a valid license issued by the state (3).
Most states also prohibit one from presenting as his or her own the nutrition license of another individual or providing false or forged evidence to a Nutrition Board or Dietetic Practice Council. Individuals are prohibited from using or attempting to use a license that has been suspended, revoked, or placed on inactive or delinquent status. Understandably, businesses or facilities are prohibited from using unlicensed persons to engage in dietetics and nutrition practice or nutrition counseling. A person who violates any of the above prohibitions is committing a misdemeanor of the first degree punishable by a fine and/or even imprisonment not to exceed 1 year (3).
To better accommodate the important relationships between diet, nutrition, exercise, and health, instructors and trainers might best serve their clients by aligning themselves with licensed nutrition counselors and/or registered dietitians. Having the availability of this type of referral network only adds to the professionalism of the instructor/trainer’s service and enhances the probability of client success. Some instructors/trainers will purchase computer programs developed by licensed nutritional professionals to legally provide detailed meal plans.
With respect to unhealthy nutritional habits and/or exercise addiction, instructors and trainers may find themselves working with clients who have an eating disorder (e.g., bulimia, anorexia nervosa) that requires professional attention. For example, orthorexia nervosa is a fixation on “healthy” eating that can lead to an “unhealthy” set of problems, especially when persons eliminate many products and foods from a normal diet. Orthorexia nervosa defines this subset of people who are obsessed with eating healthy.
Another potential concern is for the instructor or trainer who has an athletic client who exhibits behavior typical of the female athlete triad (2). Disordered eating, amenorrhea, and osteoporosis are the serious issues with which the trainer must deal. However, as with the client with bulimia, anorexia nervosa, or orthorexia nervosa, instructors/trainers should involve health care professionals trained to deal with the female triad. Clearly, personality disorders fall within the purview of social workers, psychologists, and behavioral therapists who understand the social ramifications of these problems. To ignore these grave conditions or to try to solve them without professional assistance is to go beyond one’s scope of practice and, ultimately, endanger one’s client. Cognitive behavior therapy and other modalities of treating personality disorders must remain with those individuals appropriately trained for such challenging work.
Although there exists a lack of statutory laws and/or detailed association standards (i.e., ACSM, National Strength and Conditioning Association, International Health, Racquet and Sportsclub Association) explicitly defining what is the scope of practice for fitness instructors and personal trainers, there are numerous guidelines found within published texts and authoritative literature outlining professional responsibility in this realm. It should be noted that there exists case law where instructor/trainers have been sued for practicing medicine or allied health care without a license. Standard of care (degree of care that a reasonably prudent fitness instructor or personal trainer would use under similar circumstances) must be the overriding philosophy in working with clients to ensure that one remains within his/her scope of practice and does not violate that of another profession.
Disclosure: The author declares no conflict of interest and does not have any financial disclosures.
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