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IMPROVING PATIENT OUTCOMES THROUGH EXERCISE PHYSIOLOGY Accredited exercise physiologists (AEPs) hold a four-year university degree and are allied health professionals who specialise in the delivery of exercise for the prevention and management of chronic diseases and injuries. AEPs provide support for clients by customising exercise interventions to address both the underlying condition and to relieve symptoms associated with the condition. In addition, AEPs specialise in graded exercise therapy and lifestyle interventions to improve patient outcomes. Diagnosis/Condition Indications for Referral Benefits of Involving an AEP Ageing • • • • Dementia Falls Cognitive decline Maintain independence • • • • • Improved cognition Increased leg strength Better balance and flexibility Ability to do activities of daily living Increased independence Anxiety • • Lack of energy Poor motivation • • • Improved sleep quality Improved self esteem Reduced adrenaline and thyroxine levels Arthritis • • • Pain Weak muscle strength Joint stiffness • • • • Ease pain and joint stiffness Build muscular strength Reduced joint deformity Improved posture and balance Asthma • • • Wheezing or coughing Breathlessness Tightness of the chest • • • Improved lung capacity and function Strengthened immune system Reduced asthma symptoms Back Pain • • • Lack of sleep due to pain Numbness, tingling, or ‘pins & needles’ in lower legs or feet Changes to bowel or bladder control • • • • Improved strength Prevent injury Improved posture Increased pain threshold Cancer • • • • • • Fatigue and nausea Weakened immune system Loss of appetite Anaemia Depression and anxiety Changes to body weight • • • • • Improved muscle mass and strength Increased cardiorespiratory fitness Improved physical activity levels Strengthened immune function Reduced anxiety and depression Cardiovascular Disease • • • Increased heart rate High blood pressure Stress • • • • Lower blood pressure Strengthened heart muscle Reduced stress Improved lung function Chronic Heart Failure • • • Fatigue Shortness of breath Coughing • • • Improved heart and lung health Increased muscle strength and endurance Slow the rate at which the disease progresses Chronic Obstructive Pulmonary Disease (COPD) • • • • • Shortness of breath Coughing Difficulties performing daily tasks Leg fatigue Depression and anxiety • • • Increased energy levels Improved muscle strength and endurance Increased immune strength Chronic Pain • • Pain impacting daily life Fatigue • • • Better ability to manage pain Reduced stress Increased pain threshold Cystic Fibrosis • • • • Cough or wheezing Difficulty breathing Fatigue Poor appetite • • • • • Increased muscle endurance Increased respiratory endurance Increased energy Increased bone density Prevention of bone loss 1 AEP Benefits 1 Depression • • Weight gain Poor motivation and adherence • • • Lowered stress Weight reduction Improved mood Hypertension • • High blood pressure Overweight • • Lower blood pressure Weight loss Menopause • • • • • Weight gain Urinary incontinence Sexual difficulties Depression and anxiety Feeling forgetful • • • • Prevent the onset of chronic and complex conditions Reduced risk of heart disease Enhanced mental health Stronger muscles and bones Mental Health • • • Lack of energy and motivation Feelings of low self esteem Weight gain • • • Improved sleep Reduced risk of illness Reduced stress Neuromuscular Disease • • • Muscle weakness Fatigue Limited movement • • • • • • Reduced degradation of muscle Improved movement Improved symptoms or comorbidities of disease Prolonged independence Reduced risk of falls and injury Prevent or limit disability Obesity • • • BMI > 30 Chronic muscle or joint pain Reduced range of motion • • • Reduced body fat Protection against chronic diseases Improved mood Osteoporosis • • Poor muscle strength Problems with balance • • • Improved muscle strength Increased mobility Better balance and coordination Pelvic Organ Prolapse (POP) • • • A pulling or stretching in the groin area or a low backache Pelvic pressure Urinary problems • • Improved symptoms Delayed or avoided prolapse progression Pregnancy • • • • • Back pain Swelling Pelvic pain Stress Fatigue • • • • Reduced risk of injury, herniation, or other pregnancy related complications Easier labour and delivery Less weight gain Improved sleep Stroke • • • Transient ischemic attack (TIA) Fatigue Body weakness • • • • Improved strength and endurance Improved walking ability Better mood Improved alertness and thinking ability Type 2 Diabetes • • Fatigue Tingling, pain, or numbness in the hands or feet High blood pressure Feeling stressed • • • • Maintain a healthy weight Lower blood pressure Reduced risk of heart disease Reduced stress • • AEP Benefits 2