Role/Scope of Practice for Personal Trainer (Ch.1)

ACE Code of Ethics:

- Provide safe and effective instruction - Provide equal and fair treatment to all clients/participants - Stay up-to-date on the latest health and fitness research and understand its practical application - Maintain current CPR certification and knowledge of First-Aid Services - Comply with all applicable business, employment, and intellectual property laws - Maintain the confidentiality of all client/participant information - Refer clients/participants to more qualified health or medical professionals when appropriate -Uphold and enhance public appreciation and trust for the health and fitness industry - Establish and maintain clear professional boundaries

Which of the following is outside the ACE certified Personal Trainer Scope of practice?

- compiling detailed nutritional programming & specific meal planning recommended by their physician

ACE Scope of Practice

--Developing and implementing exercise programs that are safe, effective, and appropriate for individuals who are apparently healthy or have medical clearance to exercise --• Conducting health-history interviews and stratifying risk for cardiovascular disease with clients in order to determine the need for referral and identify contraindications for exercise -Administering appropriate fitness assessments based on the client's health history, current fitness, lifestyle factors, and goals utilizing research-proven and published protocols --Assisting clients in setting and achieving realistic fitness goals --• Teaching correct exercise methods and progressions through demonstration, explanation, and proper cueing and spotting techniques --Empowering individuals to begin and adhere to their exercise programs using guidance, support, motivation, lapse-prevention strategies, and effective feedback --• Designing structured exercise programs for one-on-one and small-group personal training --Educating clients about fitness- and health-related topics to help them in adopting healthful behaviors that facilitate exercise program success --Protecting client confidentiality according to the Health Insurance Portability and Accountability Act (HIPAA) and related regional and national laws --Always acting with professionalism, respect, and integrity --Recognizing what is within the scope of practice and always referring clients to other healthcare professionals when appropriate --Being prepared for emergency situations and responding appropriately when they occur

allied healthcare continuum

--chiros- can prescribe/dispense nutritional/herbals --accupuncturists-can order labs, practice chinese medicine --physicians- prescribe meds/therapies, can admit pts @ hospitals --dietitians- --NDs- acupuncture, homeopathy, botanical medicine, psychology/counseling, clinical nutrition --nurses --behavioral health practitioners --physical therapists & occupational therapists- lead pts through therapeutic exercise & teach them to perform additional exercises at home for rehabilitation --athletic trainers- teach athletes exercises to prevent injuries & rehab after injury

Client Scenario: client stands w/ a lordotic posture-

-CANNOT diagnose lordosis -CAN implement a core conditioning program to improve strength & flexibility imbalances in muscles acting on the hips & spine

Client Scenario: client is cleared for exercise following physical therapy for rotator cuff impingement

-CANNOT- continuing the PNF shoulder mobilization exercises used during PT -CAN implement exercises to improve shoulder stability & building on the work done in PT

Client Scenario: client wants to lose weight by trying the latest commercial diet

-CANNOT- help client to understand & implement diet --CAN- help client make more healthful choices using dietary guidlines.gov

Client Scenario: client tells you she is depressed due to problems w/ her spouse

-CANNOT- listening to the client & providing her w/ recommendations for improving the situation -CAN- listening to the client w/ empathy & maintaining her confidentiality

Client Scenario: client has tight iliotibial IT bands

-CANNOT- providing deep tissue massage to relieve tightness in the IT bands -CAN- teaching the client self-myofascial release techniques for the IT bands using a foam roller

Client Scenario: client has soreness following a weekend tennis tournament

-CANNOT- recommending use of OTC anti-inflammatory meds -CAN- discuss proper technique for performing light, dynamic stretching activities for the affected areas

which of the following is w/in ACE certified personal trainer scope of practice?

-Helping clients gain a better understanding of portion sizes & healthful foods so they can make better choices

Safe & effective instruction:

-Safe means that the instruction will not result in physical, mental, or financial harm to the client/participant -Effective means that the instruction has a purposeful, intended, and desired effect toward the client's/participant's goal.

Uniqueness of personal trainers in allied healthcare professional continuum

-actually teach clients HOW to exercise effectively

Reasons personal trainers are growing in number:

-baby boomers/aging population seeking relief from arthritis etc -increased numbers of gyms being opened -growing concerns about childhood obesity -increasing club memberships among young adults -

screening:

-certified pros should have ALL clients/participants complete an industry-recognized health-screening tool -if significant risk factors or s/s

What we CANT do:

-diagnose -prescribe -prescribe diets or recommend specific supplements -treat injury or disease -monitor progress for medically referred clients -rehabilitate -counsel -work w/ patients

reasons to be certified:

-have proven minimal competency required for a person to work in the profession -protects public from harm by assessing minimal competency -qualifies us to work w/ indiv. who are apparently healthy, clients w/ special needs cleared by Dr. to exercise, & work w/ small groups -competency in areas that protect clients from physical/emotional/psychological/financial/other harm

Health benefits of exercise for children/adolescents:

-improved cardio/muscle fitness -bone health -cardio/metabolic health biomarkers improve -favorable body comp. -reduced s/s of depression

defining scope of practice:

-is a legal range of services we can provide, & in what settings what guidelines to follow

health benefits of exercise in adults/older adults:

-lower risk of: early death, CAD, CVA, HTN, hyperlipidimia, T2DM, metabolic syndrome, breast/colon cancer, weight gain -fall prevention -reduced depression risk -better cognitive function most health benefits occur w/ at least 150 min/week of moderate-intensity exercise such as brisk walking (additional benefits occur w/ more activity)

The primary purpose of professional certifications is to: ________________

-protect the public from harm by assessing if candidates meet established levels of minimum competence

What we CAN do:

-receive exercise health or nutrition guidelines from a physician/PT/RD etc. --follow national consensus guidlines for exercise programming for medical disorders --screen for exercise limitations --ID potential risk factors --refer clients to appropriate allied health pro --design exercise programming --provide general info. on healthy eating, according to MyPlate Food guidance system --use exercise to improve overall health --help clients follow PT etc. recommendations --design exercise programs for clients released from PT --coach --provide general information

Which of the following is w/in the scope of practice for personal trainers?

-screening clients for exercise limitations to facilitate exercise program design

ACE Certified Personal Trainers must complete a minimum of 20 hours of continuing education every two years to maintain their certifications. The primary reason ACE has established this minimum continuing education requirement is to help ACE Certified Personal Trainers _______________.

-stay current w/ the latest exercise science research & guidelines for fitness & health

At what point does a candidate for the ACE personal trainer cert agree to uphold the Ace Code of Ethics?

-while registering for an ACE certification exam

Most health benefits occur with at least __________ a week of moderate-intensity physical activity, such as brisk walking. Additional benefits occur with more physical activity.

150 minutes

To renew certification for a new two-year cycle, ACE-certified professionals must complete a minimum of _____ hours of continuing education and maintain a current certificate in ________________ and, if living in North America, automated external defibrillation.

20; cardiopulmonary resuscitation

As a general rule, ACE recommends that candidates allow _______________ of study time to adequately prepare for the ACE Personal Trainer Certification Exam.

3 to 4 months

ACE Certified Personal Trainers looking to advance their knowledge, skills, and abilities beyond their ACE Personal Trainer Certification would be BEST served by completing what type of continuing education?

An advanced fitness certification that is NCCA accredited

Improving your value as a personal trainer

Consistently improving your education through continuing education Working on more advanced knowledge, specializations Pursuing a degree in exercise science or kinesiology Obtaining additional certifications Other areas of knowledge in the Allied healthcare realm

Which of the following is an appropriate response to a client who mentions being sore following a weekend tennis tournament?

Discussing the proper technique for icing the affected areas

The U.S. Department of Labor, Bureau of Labor Statistics (2014), reports that people planning fitness careers should be:

Outgoing • Excellent communicators • Good at motivating people • Sensitive to the needs of others • In excellent health and physical fitness, due to the physical nature of the job • Good at sales if they want to work as personal trainers, particularly in large commercial fitness centers • Personable and motivating to attract and retain clients

What should a personal trainer do if a client insists on using dietary supplements despite the trainer's assurance that his or her fitness goals can be met without them?

Refer the client to a registered dietitian or physician

Personal training referral network

Smoking cessation groups and programs Mind and body instructors Various support groups Massage therapists Aquatic exercise programs Choose my plate for nutrition and supplements Dietary guidelines for nutrition and supplements

Which of the following is NOT part of the definition of "scope of practice"?

The code of ethics that must be adhered to while in the workplace

A personal trainer who wants to provide massage to help clients who have tight or sore muscles can do so ONLY if:

The personal trainer becomes a licensed massage therapist

Which of the following accounts for the unique position that personal trainers hold in the allied healthcare continuum?

They are able to show clients how to exercise effectively while following physicians' general recommendations

What do most allied health certification programs, such as the credentials for registered dietitians, occupational therapists, and nurse practitioners, have in common with certifications from the American Council on Exercise?

They are all accredited by the National Commission for Certifying Agencies. The NCCA has reviewed and accredited the certification programs for most professions within allied healthcare, including the credentials for registered dietitians, occupational therapists, athletic trainers, podiatrists, nurses, nurse practitioners, massage therapists, personal trainers, group fitness instructors, and advanced fitness professionals. ACE Personal Trainer Manual, 5th Edition, p. 18

What is the primary purpose of a fitness certification?

To protect the public from harm

Which of the following is MOST accurate regarding personal trainers recommending supplements to their clients?

Unless the personal trainer has other credentials such as an R.D. or M.D., he or she does not possess the qualifications to legally recommend supplements

allied healthcare continuum:

composed of health professionals who are credentialed through certifications, registrations, and/or licensure and provide services to identify, prevent, and treat diseases and disorders

According to the general scope of practice for fitness professionals, personal trainers can rehabilitate clients who are recovering from musculoskeletal injuries.

false

Diagnosing the cause of a client's lordosis and prescribing an exercise program to treat it is within a personal trainer's scope of practice.

false

U.S Dept. of Labor defines personal training as:

work with a single client or a small group. They may train in a gym or in the clients' homes. Personal fitness trainers assess the clients' level of physical fitness and help them set and reach their fitness goals. Trainers also demonstrate various exercises and help clients improve their exercise techniques. They may keep records of their clients' exercise sessions to monitor clients' progress toward physical fitness. They may also advise their clients on how to modify their lifestyles outside of the gym to improve their fitness."