KIN & CE

Question 1

What is a Clinical Exercise Physiologist?

Answer 1

• A CEP is a certified health
  professional who utilizes scientific
  rationale to design, implement
  and supervise exercise
  programming for participants with
  chronic diseases and disabilities
• A CEP also assesses the results
  of outcomes related to exercise
  services provided to those individuals

Question 2

CEP services focus on the improvement of physical capabilities for the purpose of:

Answer 2

1. chronic disease management
2. reducing risk for early development or recurrence of chronic diseases
3. creating lifestyle habits that promote enhancement of health
4. Improving the ease of daily living activities
5. Increasing the likelihood of long-term
   physical, social and economic independence
6. Facilitating the elimination of barriers to
   habitual lifestyle changes through goal-
   setting and prioritizing

Question 3

Chronic disease management

Answer 3

reducing disease symptoms, improving energy, decreasing medications

Question 4

Reducing risks for early development or
recurrence of chronic diseases

Answer 4

preventing weight gain in type 2 diabetes

Question 5

creating lifestyle habits that promote enhancement of health

Answer 5

decreasing sedentary lifestyles and increasing PA level (ex. effect on pain)

Question 6

Can you name potential barriers to exercise for participants with disabilities?

Answer 6

• equipment not adapted at the gym
• meds=not enough energy to the brain
• fear of making cdn. worse
• lack of motivation
• transportation
• $$$

Question 7

The CEP’s responsibility is to:

Answer 7

1. Obtain a medical history on a client
2. Administer exercise-related tests
3. Analyse test results
4. Design an individualized exercise prescription that meets the specific needs of the client
5. Determine short and long term goals (along with each client)
6. Use his/her expertise to assist clients to improve health- and motor-related fitness components

Question 8

Where do CEPs work?

Answer 8

Variety of settings: hospitals, outpatient clinics,
rehabilitation centers, community centers,
university laboratories or hospital-based
research facilities (ex: St-Justine Hospital)

CEPs may work independently, but many times
work as a team with other health professionals
including dietitians, physiotherapists,
occupational therapists, physicians and nurses

Question 9

Typical programs:

Answer 9

• Cardiac rehab (Chip program)
• Pulmonary rehab (Sacré-Coeur Hospital)
• Chronic pain (Constance-Lethbridge)
• CNESST/SAAQ (Jewish Rehab Hospital)
• Neuromuscular rehab (Cummings and
  Lucie-Bruneau centers
• Cancer rehab (Hope & Cope wellness
  center, MUHC, new Kin position)
• … and more (Children with obesity at St-
  Justine Hospital)

Question 10

How does CEP differ from Kinesiology?

Answer 10

CEP is a specialization of Kinesiology

Question 11

CEP deals with clinical populations whereas Kinesiology deals with a variety of areas such as:

Answer 11

• Sports performance (training for athletes)
• Physical fitness (training) for
  asymptomatic population
• exercise programming for participants w/ chronic diseases and disabilities (ConU specialty)

Question 12

Is the term Clinical Exercise
Physiology or CEP widely used in
Quebec?

Answer 12

no

Question 13

Professional Organization
Provincial Level:

Answer 13

Quebec Kinesiologist Federation (FKQ)

1800 members (including 1200 accredited
members)

Founded in 1988

Question 14

Roles of FKG:

Answer 14

To promote and represent Kinesiologists
in the province of Quebec

To provide a certification in Kinesiology

To obtain a professional order

Question 15

Which of the following programs (offered in our dept) do you need to complete to become a certified Kinesiologist?

Answer 15

BSc KCEP

Question 16

When Kinesiology obtains its Professional Order, will it be regulated at the Provincial (A) or National (B) level?

Answer 16

Provincial (A)

Question 17

Disablement Model
(World Health Organization Definitions)

Answer 17

Trauma or Disease
Impairment
Disability
Handicap

Question 18

Trauma + examples

Answer 18

injury to living tissue caused by extrinsic agent

ex. traumatic brain injury, amputation, spinal cord injury

Question 19

Disease (active pathology)
Examples

Answer 19

interruption of normal cellular processes
top 2 diseases -> cancer, heart disease, Parkinson’s, diabetes, ALS, etc.

Question 20

Impairment

Answer 20

loss or abnormality in the tissue, organ, or body

Question 21

physiological impairments

Answer 21

musculoskeletal system

pulmonary system

neuromuscular system

Question 22

musculoskeletal system

Answer 22

muscular atrophy, lower flexibility, inflammation, etc…

Question 23

pulmonary system

Answer 23

decrease in breathing capacity, shortness of breath, etc

Question 24

neuromuscular system

Answer 24

demyelination, loss of proprioception, etc…

Question 25

disability

Answer 25

any restriction to perform a task or an activity in the manner considered normal for a person

Question 26

While walking on the sidewalk, you come across a wheelchair- bound individual. By looking at this person, can you say that he/she is handicapped? (why?)

Answer 26

no

Question 27

handicap

Answer 27

a disadvantage resulting from an impairment or disability that limits fulfillment of an individuals role

Question 28

It’s not a classification of individuals but a classification of

Answer 28

circumstances or situations

Question 29

Arthritis impairment

Answer 29

loss of muscle strength + pain and inflammation in affected hip

Question 30

arthritis disability

Answer 30

lower walking capacity

Question 31

arthritis handicap

Answer 31

can no longer play a role as a hospital volunteer

Question 32

Trauma Disease Impairment Disability Handicap

Answer 32

Trauma - extrinsic agent Disease - pathology Impairment - body Disability - task of activity Handicap - role

Question 33

Person-First:

Answer 33

The person is not a disability or a disease Ex 1: Person with a disability vs the disabled Ex 2: Person who has diabetes vs a diabetic Ex 3: Person who is deaf vs the deaf

Question 34

Identity-first:

Answer 34

-Places the disability first in the description, e.g., “disabled” or “autistic” - Born from the disability pride movement = disability is nothing to be ashamed of Ex 1: My autistic son enjoys playing video games Ex 2: A spinal cord injury person Ex 3: A disabled person ask for their preference Ask for preference