MOVE MAGAZINE - THIRD FREE MEMBER - SOCIAL MEDIA - Essa
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THE POW SOC ER IAL M OF EDIA MOVE MAGAZINE ISSUE 21 SEPTEMBER 2018 COM B AT TING PRE VEN PHYSIC TAT I A VE H L INAC E A LT TI H PR VITY W OM IT OTIO H N RETU PHY R SIOL NING T OGY O EX AFTE ERCI R CA SE NCE R WO RKIN ESSA G AS MEM AN AE TH I R BER P OVE AND D P O D FR E E M RSEA C AS S T RE EM BER LE AS ED
CONTENTS THE POWER OF SOCIAL MEDIA – OUR ADVICE TO YOU 4 RETURNING TO EXERCISE PHYSIOLOGY AFTER CANCER 6-7 SERENA WILLIAMS: CAN HAVING A BABY ACTUALLY IMPROVE 8-9 ATHLETIC PERFORMANCE IN THE LONG RUN? WORKING AS AN AEP OVERSEAS: AN INTERVIEW WITH YING-JU CHEN (JEANETTE) 10-11 CEO COMMENTARY: ESSA’S TRIP TO TAIWAN 12 DVA ALLIED HEALTH TREATMENT CYCLE INITIATIVE 13-14 AEP PROFILE: CHRIS BRIODY 16-17 COMBATTING PHYSICAL INACTIVITY WITH PREVENTATIVE HEALTH PROMOTION 20 MEMBER COMMENTARY: ACCREDITED EXERCISE SCIENTISTS, 21 A FUTURE IN COMMUNITY HEALTH PROFESSIONAL DEVELOPMENT CALENDAR 22-23 THIRD FREE MEMBER PODCAST RELEASED 25
an initiative of 2018 ANNUAL CPD POINT REQUIREMENTS 26-27 AEPS REPRESENTING THE INDUSTRY 28-29 ONLINE NDIS TRAINING FOR ALLIED HEALTH PROFESSIONALS 31 ESSA’S NEWEST DIRECTOR AN INTERVIEW WITH 32-33 PROFESSOR JULIE COTTER STATE CHAPTER CHAIRS CATCH-UP WITH ACT CHAIR EVA BOLAND 34-35 ESSA BUSINESS START-UP GUIDE 36 PROFESSIONAL PRACTICE FAQS 38-40 HOW SUPPORT GROUPS CAN BOOST YOUR HEALTH AND MAKE CHRONIC 42-43 CONDITIONS EASIER TO LIVE WITH ESSA ADVERTISING GUIDELINES 45 BOOK REVIEW: DYNAMIC HUMAN ANATOMY 46 SCIENCE FOR SPORT: ACL INJURY PREVENTION FOR YOUNG FEMALE 48-49 ATHLETES - WHICH PROGRAMS WORK? SUBMISSION TO THE SELECT COMMITTEE INTO THE OBESITY EPIDEMIC IN AUSTRALIA 50-53 3
THE POWER OF SOCIAL MEDIA – OUR ADVICE TO YOU BY ZOE BICKERSTAFFE, MARKETING, COMMUNICATIONS & MEMBER DEVELOPMENT MANAGER “We don’t have a choice on whether we do social media – the question is how well we do it!” – Erik Qualman After a recent phone conversation with an ESSA ‘News’, you should find an abundance of exercise member, it became obvious that social media still news articles that you can share. Another extremely remains a little bit of a mystery to some business easy way to fill your page is to follow the ESSA and owners. This member had a great business but had left Exercise Right Facebook pages – every day we share their Facebook page dormant and had a couple of a number of news items and infographics that can be key questions. repurposed onto your own business page. “Do I really need to have a Facebook Facebook shouldn’t be a chore – use it as an extra page?” tool to help build your brand. All you need to do is be organised, use your imagination and have a little fun. Despite its recent scandals, Facebook is still a “go to” If you would like any advice, contact us and we will be source for most Australians and will continue to be happy to help email@example.com. popular. For any business without a Facebook channel, you are potentially missing out on a chance to create a TOP TIPS FOR ESSA MEMBERS relationship with current and future clients. »» Post regularly – It shouldn’t take you hours to Facebook might not be the best place to gain clients schedule in a week’s worth of Facebook posts for but is a great way to create a buzz around your your own business page. Set aside half an hour business and help get word out to the wider audience and blast it out! Use a notepad or diary to make a via word of mouth. At ESSA we see many successful note of when you have scheduled posts for so you businesses share the community they are creating in don’t double up. their clinics via Facebook as well as sharing good news stories. »» Use your own language – Speak to people like you would normally! Don’t make up big words or “I don’t know what to share on my page?” fancy sayings – just be real. Facebook is meant to be fun and engaging, be professional yet add your Anything you want! Facebook is a social hub, so own flare. imagination is king. There is a general rule of “80/20” »» Imagery is everything – A picture does paint a – 80% of information that is shared on Facebook thousand words, and what paints a million words should not be the hard sell, it should be news, stories, is your own photos! Client, clinic… or even better images, quotes or just a good old joke. The 20% can a cute dog, anything that gives people a chance to be directly linked to your business and what you offer. hit “like” is valuable. »» Update your details – Make sure all your contact “I don’t know where to get ‘stuff’ to share details are up to date, it’s easy to miss – but you don’t on my page?” want clients to not be able to access your website. There should be no excuse – the Google world is your oyster! If you search for ‘health and exercise’ and hit
RETURNING TO EXERCISE PHYSIOLOGY AFTER CANCER BY CAMELLA BRIGHTMAN, MEMBER COMMUNICATIONS OFFICER After being initially diagnosed with cancer fourteen years ago, Cheryl Burnette had to put her life on hold again at the beginning of 2017 when she received a terminal diagnosis. Eighteen months later, Cheryl shares with us her inspiring journey about returning to work as an AEP after cancer. First of all Cheryl – how are you feeling? nutrition, has played an important role in maintaining What’s your health status at the moment? my health to this point. I’m currently feeling well, energetic and positive having You’ve completed a few different outlived a terminal diagnosis by 12 months. At this qualifications from different parts of the point in time, the cancer appears to be stable and it world – talk us through your career so far? is my intention to enjoy every day and I’m looking forward to the future. In the early 90s I worked in London as a Group Exercise Trainer and qualified with the American Diagnosed with cancer 14 years ago, then College of Sports Medicine as a Health/Fitness diagnosed as terminal in 2017, please Instructor. With a strong interest in health and wellness, take us through your health journey from and a desire to learn in-depth knowledge regarding then to now. physiology and biomechanics, I studied physiotherapy, for which I gained a First Class Honours. Over the In 2004, during pregnancy, I developed a rare form past 25 years, I’ve worked in various countries as of aggressive cancer in my foot, known as a Synovial an Exercise Instructor, Personal Trainer, Health Club Sarcoma. I gave birth to my son and shortly thereafter Manager and AEP. had my foot amputated. I’ve since worn a prosthetic leg. Once you got to Australia, what Having a young baby, a cancer diagnosis and loss of encouraged you to explore exercise a limb, we moved to Australia to be near family for physiology after completing a support and to re-build our future. Having worked in physiotherapy course? health and wellness since 1991, I returned to the industry as an Exercise Instructor and eventually qualified as an Unfortunately, as I developed cancer not long AEP. Six months after starting work in my new role as an after qualifying as a physiotherapist, I never AEP, I was informed that the cancer had metastasized to actually practiced in the profession. By the time my lungs and that there was no cure. I’d got back onto my feet, following the first bout of cancer, I was unable to gain registration as I was grateful to be given a place on an a physiotherapist as I was required to upskill in immunotherapy drug trial which involved an IV my qualification. As my career focus has always infusion every 3 weeks, for 18 months. This type of leaned towards physical activity and having a treatment has demonstrated positive results for many strong belief that exercise is medicine, I felt that my people, unfortunately however, in my case the cancer preference was towards a purely exercise-based slowly progressed. I therefore completed the trial and profession rather than physiotherapy, which uses now follow an integrative treatment regimen. I strongly various treatment modalities. feel that lifestyle medicine, including exercise and
You were determined to fight through this diagnosis – where did that strength and positive spirit throughout your treatment and the clinical trials come from? When initially diagnosed with cancer, I felt extremely vulnerable. Two years ago however, when informed that the cancer had metastasized, I felt a sense of hope and determination that there was a lot that I could do to empower myself to navigate the journey and improve my chance of survival. I welcomed this opportunity to own my own health and wellness, and to support my body in its healing. I embraced lifestyle medicine including exercise, nutrition and meditation, and I believe that this approach helped immensely. At times, the road has certainly been step back into life again. After spending several years rocky, however, for the most part, I feel that I’ve intensely researching cancer to support my own well- remained strong and buoyant. being however, I felt that I’d found an interesting idea for a study involving exercise and the gut microbiome, There’s been a lot of focus in the media that was worthy of further investigation. In the initial lately about how cancer patients should part of the year, I therefore focused on preparing and be prescribed exercise as medicine. What’s lodging a PhD research proposal. Unfortunately, I was your experience with exercise been like unable to gain a funded position to support the work as a cancer patient trained in exercise and therefore the project was put on hold. physiology? As such, I’m currently working with a small number of Being a cancer patient and an AEP, I feel that I’ve patients, and I’m also looking for new opportunities gained a unique perspective into the use of exercise for to leverage my personal experience in order to help the management of cancer, and I’m keen to apply this as many people as possible who are also on a similar valuable experience to support other cancer patients in cancer journey. the future. Have the past two years changed you as an For the most part, I maintained a regular level of AEP? What’s your mission now? physical activity and, without fail, I always felt better for having done so. Activities included cardiovascular There’s a large body of evidence that identifies a exercise, resistance training, walking in nature, and multitude of health benefits to be gained from physical meditation. I would like to mention however, that activity for people living with cancer. The past two although as an AEP I am aware of the benefits of more years have absolutely reinforced this to me as I have intense levels of exercise, there were days when my personally felt the benefits, and I will passionately preference was towards gentle activity. promote exercise for cancer in my role as an AEP. My advice to other AEPs working with cancer Over recent years, there’s been an emerging trend patients would be to ensure great listening skills in the development of comprehensive centres that and be mindful of how the patient is feeling on the offer lifestyle medicine, including exercise, to improve day. The cancer patient can be on an emotional and cancer care provision and survivorship. As such, I’m physical rollercoaster. Be prepared to tailor their very keen to become involved, in some capacity, within exercise program accordingly, go with the flow and this area. I’m also currently looking at sourcing funding encourage a patient’s enjoyment. Social support in order to pursue my research proposal. from group exercise may also help to boost a patient’s emotional well-being as the cancer journey Thank you for your time Cheryl – did you can be isolating at times. have anything further to add? What has been the driving force for your return Thank you for your interest in my story. All I would like to work as an AEP at the start of the year? to add is that after personally experiencing the benefits of exercise and seeing how it boosts the health and I intended to commence work as an AEP in January well-being of others, I believe without a doubt, that of this year as I like helping others and felt ready to ‘Exercise is Medicine’! 7
SERENA WILLIAMS: CAN HAVING A BABY ACTUALLY IMPROVE ATHLETIC PERFORMANCE IN THE LONG RUN? Original article: http://www.abc.net.au/news/2018-09-07/serena-williams-why-some-athletes-stronger-after-pregnancy/10208896 When Serena Williams demolished Anastasija Sevastova The general consensus is that women may become better 6-3, 6-0 in this year's US open semi-final, it was just athletes post-birth. But it's more about their heads than another stunning moment on her incredible climb up the their bodies. post-birth mountain. A DIFFERENT PERSPECTIVE Her progress has been particularly impressive given she almost died due to complications after labour. Susan White is a sports physician who's worked for decades in the Olympic and Paralympic sphere and The physical hurdles for post-partum athletes, even those within netball and swimming. She says women can with relatively trouble-free births, are well-known. But become better athletes post-baby, but more because of can having had a baby, as some claim, actually make "psychosocial" benefits, rather than physical. sportswomen better athletes? "You are not going to be a worse athlete after you've had It is an idea that gained currency on the back of stunning a baby," Dr White says. performances by some of the world's leading long- distance runners and endurance athletes. "Is it going to make you a better athlete? Maybe, because you learn a whole lot of things about yourself and the Marathon world record holder Paula Radcliffe was back practicalities of that." running an incredible 12 days after giving birth. And won the New York Marathon nine months later. "The general feeling is that [if athletes do improve] it's actually combination of things, most of which are US runner Kara Goucher set a personal best at the 2011 psychological and practical. Boston Marathon and finished fifth an even shorter time after labour. Her compatriot, swimmer Dana Vollmer, won "If you can come back and be an athlete and manage three medals at Rio Olympics 15 months after delivering having a baby and push through all of the stuff that her son. goes with that, then you also understand perhaps different limits than you had before, you have to be more That theory suggests the hormonal and cardiovascular organised, just to be more focused, all of these things." boosts that happen in pregnancy last for much longer than the expected four to six weeks after birth. Bec Bulley would agree. The international netballer has now retired for a second time, after returning to Super But there is, in truth, limited evidence to back that up. Netball after the birth of her first child, Indie, in 2016.
For her, birth made her better, but not because of oxygen However, she admits there's no doubt women who've just or hormones. given birth are stronger and fitter than they were before. "I felt that I was able to get back to a high level of strength "Pregnancy is like undergoing a program of resistance and fitness without as much training," she says. training because your body adapts to the increasing load over nine months," she says. "I also felt that I played better because I had more balance in my life. I wasn't totally focused on netball, "So even if you did no exercise during pregnancy [unlike instead I was busy being a mum. most athletes] you would still end up with a 10 per cent improvement in oxygen-carrying capacity by the end of "The time off I had whilst having a baby also allowed me the pregnancy." to come back refreshed and invigorated." "I do believe that athletes can maintain [the physiological Her comments echo the thoughts of another trailblazer, benefits of pregnancy] for longer, but there's no scientific tennis great Evonne Goolagong-Cawley, who recently evidence. There's evidence from individual athletes." reflected on the difference when she came back to her celebrated career after the birth of her daughter. Dr White points to the offset of those benefits by the ways in which pregnancy can produce problems for athletes — "I think it's more fun, because you'd go back, and instead for example pelvic floor instability and breastfeeding that of just going out to dinner or something you'd see Kelly suppresses potentially fatigue-reducing oestrogen. and play with her — it just made me more relaxed, and much happier within myself," she said. And that's before you take into account general soreness and fatigue. "I felt pure joy after having Kelly and that came out on the court." RETURNING MUMS 'FEEL LIKE SUPER HEROES' MAKING SPORT MORE MOTHER FRIENDLY Every athlete, like every pregnancy, is different. But most Few athletes, in any sport, would enjoy the same level elite athletes retain the core fitness born of a lifetime of of support as Serena Williams. But netball, with its training and competing. breakthrough mother-friendly contracts, is heading in the right direction. What of amateur sportswomen whose past-time is interrupted by becoming mothers? The Giants agreed to conditions that allowed Bulley not to be separated too much from her daughter and continue Sarah Evans, a Brisbane exercise physiologist who's breastfeeding. worked with women in AFL and rugby union, points out the different psychological benefits of giving birth lower "If I didn't have the support that I received from Netball down the athletic scale. NSW and the [Super Netball team] Giants I wouldn't have returned to netball", she says. While one state-level semi-professional athlete she worked with was frustrated by how long it was taking to "I think it's so important that we can negotiate things that return to fitness, many clients who ran for fun began to support mothers to return to elite sport." feel like super heroes on their return. Professor Wendy Brown co-authored one of the leading "I've heard a lot of people anecdotally report their studies on the subject that included a thorough literature mental fortitude has increased after coming back from review of the evidence. childbirth," she says. She points out the research that best correlates to the "Definitely some of my recreational athletes … they've experience of elite sportswomen was actually conducted found that [compared to] going through natural labour, on female soldiers. the last five to 10 kilometres are less unpleasant." It shows it takes anywhere between two and 24 months So they feel like if they get through birth, they can to return to full fitness, but Professor Brown "doubts their do anything? level of motivation to return compared to sportswomen". "It really puts everything into perspective for them." 9
WORKING AS AN AEP OVERSEAS AN INTERVIEW WITH YING-JU CHEN (JEANETTE) BY CAMELLA BRIGHTMAN, MEMBER COMMUNICATIONS OFFICER After completing her studies in Australia in 2013, Ying-Ju Chen (Jeanette) returned back to Taiwan to educate her community on exercise as medicine and the benefits of exercise physiology services. After spending time with the ESSA CEO and President at a recent conference in Taiwan, Jeanette spoke with us further about her role as an AEP. What encouraged you to travel to What has your experience been taking Australia to complete your exercise your AEP business back to Taiwan where physiology studies? exercise physiology is not considered a profession? Since I graduated from my Bachelor degree of Athletic Training from the National Taiwan Sport University When I came back to Taiwan I had tried to introduce in Taiwan, I was planning to study further in sports myself as a clinical exercise physiologist to allied health science in other countries to gain more knowledge professionals like doctors and physical therapists. and expand my professionalism. As Australia is a However, for their understanding of this new position, I well-known sporting nation with warm weather and was considered as a person doing rehabilitation which a friendly environment, I decided to study at the should be the work content of a physical therapist or University of Queensland (UQ), encouraged by UQ’s a personal trainer in a gym. Also, the National Health excellent reputation around the world. Also, the course Insurance in Taiwan would not cover the service and structure of clinical exercise physiology involved the referral because a clinical exercise physiologist is not exercise prescription training for multiple groups which considered as a profession. was the part I lacked experience in. I believed that this ability is vital regardless of being a clinical exercise In order to work as a clinical exercise physiologist, physiologist or an athletic trainer. I decided to open my own gym studio. In terms of position title, I use both clinical exercise physiologist What does your role as an AEP in and an athletic trainer to indicate my ability and Taiwan include? professionalism. However, the few issues I am still processing are purchasing appropriate equipment, I am an accredited athletic trainer in Taiwan as well, marketing acceptance, and manpower shortage. therefore the majority of my clients were athletes with injuries at the beginning. As time went on, more How has your community reacted to the people around me understood my work content and role of exercise as medicine? specialisation compared to other professions. Now, my clients are various – not only athletes but also people In Taiwan, the majority of people believe that exercise with obesity, ageing, metabolic diseases, neurological is beneficial for health, but it is just considered as and musculoskeletal conditions and disabilities. casual activities not as medicine and even risky
for patients. Therefore, it is neglected that exercise On the other hand, I have connected with many should be prescribed like medicine in a specific dosage allied health professionals such as doctors, physical and formulation to each individual person or patient therapists and occupational therapists to expand diagnosed with conditions. exercise prescription and the role of clinical exercise physiologists. Eventually some doctors in Taiwan realised that just telling patients to do exercise is not clear enough, so Why have you chosen to remain accredited the ACSM’s “Exercise is Medicine” has been noticed, and an ESSA member whilst working and many workshops about exercise prescription have overseas? been held over the last couple of years. Providing exercise prescription as a clinical exercise What has been a career highlight for you physiologist is a recently new concept in Taiwan, so far? therefore it is important to hold a creditable and convincing certificate to prove my education I have been running my own gym studio for one and background and experience when I am promoting a half years after my previous job which involved a my services. As ESSA is the professional organisation project to build up gyms in community health centres in to represent and support AEPs in Australia, the China, and my major service is one-on-one sessions. certification and the ESSA membership is reliable I am happy that more and more people are coming and valuable for academic experience exchange and for consultations about exercise prescription and international work opportunities. Furthermore, the professional health advice, and also stay with me substantial benefit of being an ESSA member for me to maintain exercising habits and promote clinical is developing the up-to-date practice resources and exercise physiologists. knowledge, and revising professional standards and other documents. For example, many of my clients with obesity are controlling their chronic conditions well and have changed their diet; clients with the frailty syndrome have started to believe that exercise is crucial for the improvement of the quality of life; and the groups with disabilities have turned to be more positive on many aspects. Some of my clients with disability are professional athletes for the following Asia Para Games, and finally they understand the advantage of exercise not only for their sports performance but also their quality of life. Also, I have held a few workshops to explain the importance of exercise prescription to the coaches, athletes and doctors. 11
CEO COMMENTARY: ESSA’S TRIP TO TAIWAN In early August, ESSA President, Kirsty Rawlings, and I were invited speakers at the Society for Chinese Scholars of Exercise Physiology and Fitness conference in Taiwan. It was a wonderful opportunity for ESSA to showcase all our accredited professionals and the role they play in the health and performance to the wider Chinese professions. There was significant interest in how they could access our course accreditation and individual accreditation and the possibility of our members being mentors to help develop their profession. It was also great to catch up with one our AEPs, Ying-Ju Chen (Jeanette), who has now moved backed to Taiwan to practice and help develop the professions. Do you have, or do you know of, an interesting role as an ESSA member that you’d like to have featured in an issue of MOVE magazine? Get in touch with us today: firstname.lastname@example.org
DVA ALLIED HEALTH TREATMENT CYCLE INITIATIVE The 2018-2019 Federal Budget announced a new DVA clarified the following points on the Treatment Cycle initiative which included a change treatment cycle: from July 2019 to the allied health services available to veterans. This will apply to all veterans eligible for »» A GP can refer for up to 12 sessions per cycle. A allied health services. referral may be made for less than 12 sessions based on treatment needs (e.g. where outcomes are Under this new treatment cycle, the GP may make a expected to be achieved sooner, or there is a need for referral for up to 12 sessions of allied health service an earlier review) delivery if it is clinically required for the patient. The »» Allied health providers will need to report to the GP patient will then undertake the treatment provided by at the end of the cycle, focussing on outcomes and the allied health practitioner. This new referral method objective measures will apply to all DVA allied health services, excluding dental and optical services. See Figure 1 below. »» The GP will review the veteran’s needs at the end of 12 sessions or 1 year, whichever comes first At the end of the treatment cycle, the allied health »» A veteran may have as many treatment cycles per provider will provide a report back to the GP. If the type of practitioner as clinically necessary GP assesses that further allied health treatment is clinically required, then the GP will refer the patient »» There will not be an increased burden on GPs and for a further treatment cycle of up to 12 sessions. veterans to obtain referrals. Veterans average 12 A client may have as many treatment cycles are GP visits per year, and those with complex care clinically required. needs require regular engagement with their GP for optimum care ESSA and 21 other peak medical and allied health associations attended a Health Provider Partnership The focus of this workshop was to consider what an Forum workshop with DVA on 22 August 2018 ideal treatment cycle would look like, potential issues discuss the federal budget changes introducing a new and propose strategies for DVA consideration. It was treatment cycle model from July 2019. The goal of a very positive collaborative discussion, and DVA treatment cycle change is to improve care of veterans have committed to work through the suggestions and through better care coordination, greater focus on consider what can be implemented, including financial functional outcomes and increased accountability. support/incentives. 13
Discussions included: »» Communication strategies and needs for veterans, »» Importance of setting appropriate expectations at GPs and allied health professionals to support the the beginning of treatment through collaborative transition and implementation of the treatment cycle discussion with all parties (veteran, carer/families, GPs, allied health practitioners) »» Strategies to support self-management beyond treatment »» Importance of quality assurance review processes »» Importance of supporting multi-disciplinary care and accountability; ways to support allied health – e.g. referral frameworks, case conferencing, providers in outcomes and objective measures; and reporting frameworks managing increased reporting FIGURE 1 Treatment GP refers Allied health Patient completed Patient visits patient to provider treats returns to GP or additional the GP allied health patient for review referral provider generated The GP works with The GP writes a The allied health The allied The GP will the patient to plan referral to the allied provider assesses health provider determine whether health care goal and health provider to the patient, develops communicates with treatment should treatment options, initiate an episode a treatment plan, the GP regarding continue or not - and which may inlcude a of allied health delivers treatment the outcomes of if so, which forms of referral to an allied treatment. The and reviews the treatment plan, treatment and who health provider or referral is limited to a outcomes against including any the provider will be. different type of maximum number of treatment plan. recommendations provider. treatments (up to 12). for further treatment. The GP assesses the outcome of the allied health treatment. Assists to reduce pain Assists to reduce swelling Assists to correct posture Allows full range of movement Water resistant STRETCHIER. Wear up to 5 days Hypoallergenic STICKIER. No latex or zinc oxide SUPERIOR. EDUCATION@ROCKTAPE.COM.AU ROCKTAPE.COM.AU COURSES AVAILABLE - SEE WEBSITE FOR DETAILS
ESSA COMMENTARY: CARLY RYAN, STANDARDS ADVISOR DVA have announced that the treatment cycle is planned to operate from 2019- 20 onwards. DVA will evaluate the implementation of the treatment cycle in its first year of operation and report back to government in 2020. Through the Health Provider Partnership Forum ESSA has raised many of the issues we are hearing from our AEPs, including referrals, managing expectations of all parties involved, and best care for those complex chronic conditions including significant mental health conditions. DVA have acknowledged the need to address these concerns, and the practical strategies suggested. DVA will spend the next few months working through this, and ESSA will communicate further details once they are available. What does this mean for AEPs? An AEP providing services to veterans under DVA will continue to work under the current rules until July 2019. ESSA encourages you to think about your current practices to ensure the transition for your veterans is smooth. For example, a key driving factor behind this change was that GPs need more regular updates about their patients. Under the current structure, there is less emphasis on the allied health provider communicating progress to the GP. The new cycle brings DVA into line with other compensable schemes with regular reporting and review requirements. Some steps include: »» Review your current treatment plan structure – for example, timing and type assessments/reassessments »» Review case records- for example, ensuring clear evidence of clinical progress, reassessments and changes to the treatment plan »» Ensure you are regularly communicating with the GP, health care team (e.g. other treatment providers), and veteran about progress and expectations for treatment Based on the treatment statistics available, the new treatment cycle shouldn’t have major impacts to AEP practices. However, as the allied health professional you are ultimately responsible for ensuring all services you provide meet the requirements so it’s important you are up to date and regularly reviewing your services. If you have any questions, please contact me in the ESSA office on 07 3171 3335 or via email@example.com. 15
AEP PROFILE: CHRIS BRIODY BY CAMELLA BRIGHTMAN, MEMBER COMMUNICATIONS OFFICER Tell us a little about your background, Chris. their respective families is a privilege and definitely not an average day. My day would be full of initial I completed an undergraduate dual-degree of Sport or subsequent intervention sessions providing and Exercise Science and Business Management. therapy to people with physical disabilities, cerebral From there, AEPs were recognised as an allied health palsy, global development delay, Tourette’s, ASD, professional so I went on to complete my Masters in and stroke, just to name a few conditions. If it is Clinical Exercise Physiology (Rehabilitation). an initial, I would complete baseline assessments including 6MWT, 6 metre up and go test and 30 What does your role at PATCHES STS upon other outcome measures and then design Paediatrics and Therapy Services involve? an individually tailored exercise program based on functional mobility independence. If it was a My title is the Clinical Services Manager - Therapy subsequent session, I would provide interventions Services. PATCHES vision is to deliver high-quality that vary between hydrotherapy, gym-based service delivery in hard to reach places. I lead a team home visits which might include body weight or of 40 allied health clinicians providing therapy to use of resistance bands, and park sessions with individuals with disabilities with the goal of improving paediatrics. My exercise physiology interventions functional independence across Western Australia are always goal directed using the GAS, functional and Northern Territory. I manage and work within a which directly relate to activities of daily living and multi-disciplinary team including AEPs, occupational also include a psychosocial/behavioural change therapists, speech therapists, psychologists, mental outcome measure recording. health accredited social workers, physiotherapists, therapy assistants, and administrative officers. What is it about the paediatric disability sector that you are most passionate about? What does an average day in the life at PATCHES look like? The majority of my case load is paediatrics aged between 6 and 18, however I do provide therapy An average day: Well, having the opportunity to intervention to individuals up to the age of 65. The work with inspirational clients with disabilities and research illustrates early intervention for functional
development, so knowing that by working with With all the recent changes in the individuals at a young age you can positively disability sector, what has your change their lives is most rewarding. I’ve also experience been so far? learnt to program sessions so that they are fun and engaging for kids, such as playing fitness bingo, to The NDIS has been life changing for families with promote physical activity and movement in a game- disabilities. I have worked with numerous families who based environment. haven’t had or have had minimal therapy through the public health hospital system or through the old I also have a passion for neurological conditions, disability funding schemes such as better start. so to have the opportunity to provide therapy to individuals who have the following disabilities I see first-hand on a daily basis the impact allied health is a privilege: stroke, cerebral palsy and global clinicians can have on individuals and their families development disorder. with disabilities. From an exercise physiology point of view, mobility functional assessments such as 6 minute Any inspirational client stories? walks or 6 metre up and go tests directly correlate to ADLs. Through physical therapy intervention, the I think every outcome measure improvement for my improvement in outcome measures reduce functional caseload is an inspirational story as it has such a huge impairment, increase functional independence and thus positive impact on their lives. To date, some of my are life changing. clients have lost a lot of weight, some have achieved the ability to walk again, and others have improved their I would also like to add that Beth Sheehan and ESSA functional mobility independence. are currently doing a fantastic job advocating for and educating NDIA on the profession of accredited This allows my clients to perform an increase in their exercise physiologists to receive funding through ADLs (Activities of Daily Living) to now being able the NDIS. to work, volunteer, play with their kids or grandkids more, and increase participation into their respective communities due to having improved their gait, strength, tolerance to fatigue, or even self-confidence respectively. Would you like to be featured as a member profile in an issue of MOVE magazine? Know of a passionate member we should get in touch with? Let us know: firstname.lastname@example.org 17
Take your accreditation to the next level Join the Sport Science School that has been ranked #1 in the world for two years running*. Advance your career by learning from expert academics and drawing from industry-leading research in sport and exercise science. Master of Applied Sport Science Master of Clinical Exercise Physiology Location: Cloud Campus (online) Location: Burwood (Melbourne) Campus Intake: Trimester 1, 2 and 3 Intake: Trimester 1 Duration: 1 year full-time (1.5 years in Duration: 1.5 years full-time or part-time commencing in T2 or T3) or part-time equivalent. equivalent Our Master of Applied Sport Science is designed Our Master of Clinical Exercise Physiology to meet the increasing industry need for high program is the first clinical exercise course in level sport scientists. The course builds on Victoria to achieve accreditation with ESSA. your existing knowledge and expertise gained Students undertake hands-on experience through previous education and experience. It in Deakin’s award-winning Clinical Exercise will provide you the appropriate professional Learning Centre at the Melbourne Burwood development to underpin career advancement Campus, as well as at the Baker IDI Heart and in to senior sport scientist positions or a Diabetes Institute, where they develop practical transition into a sport science research skills under close supervision and mentoring. environment. deakin.edu.au/sport *ShanghaiRanking’s Global Ranking of Sport Science Schools and Departments 2016-2017 Deakin University CRICOS Provider Code: 00113B
Study sport with the world’s #1 Deakin’s School of Exercise and Nutrition Sciences has cemented its position as the world’s best, having been ranked #1 sport science school in the world for the second year running.* The Shanghai Global Ranking of Sport Science Schools and Departments recognises academic excellence and industry-leading research by highlighting the performance of the top 300 universities with sport-related units across the world. 19
COMBATTING PHYSICAL INACTIVITY WITH PREVENTATIVE HEALTH PROMOTION BY CAMELLA BRIGHTMAN, MEMBER COMMUNICATIONS OFFICER The World Health Organization’s (WHO) goal to reduce physical inactivity by 15% by 2030 has been highlighted in their recent Global Action Plan on Physical Activity 2018-2030. WHO’s plan encourages countries to increase levels of physical activity through strengthening their response with evidence-based policy solutions, guidelines and implementation tools. Exercise & Sports Science Australia (ESSA) is urging Exercise assists with the prevention of risk factors for the Australian Government to implement preventative chronic disease – 32% of Australia’s total burden of health policies that invest in actions that promote walking, disease is attributed to modifiable risk factor. Physical cycling, sport, active recreation and play which promotes activity also increases endorphin release, improves mental community well-being and quality of life for all. health and can prevent or reduce the impact of mental health conditions, as well as reducing stress and anxiety. “Accredited Exercise Scientists (AES) play a significant role in prevention and health promotion. However, “An Accredited Exercise Scientist provides an evidence these solutions to combat physical inactivity globally, based practice approach to exercise and promotes and especially in Australia, requires a whole of government delivers individualised exercise programs to assist in approach,” says Beth Sheehan, ESSA Practice preventing risk factors of chronic disease and promoting Innovation Advisor. health.” “With the release of the recent National Sports Plan “The future of Accredited Exercise Scientists will be by Sport Australia, it’s encouraging to see that the best placed in environments and work places such as Australian Government is aware that an increase in active transport, corporate health, health promotion, physical activity is needed, but the implementation of a community health projects, but the Australian Federal Government National Physical Activity Action Government has an important role to play in initiating Plan is now vital.” support to implement these community partnerships.” With 50% of Australians having at least 1 of 8 common The ESSA for an Active Nation campaign is therefore chronic conditions (cancer, cardiovascular disease, calling on the Federal Government, as well as state and mental health, arthritis, back pain, lung disease, local governments, to commit to building a nation where asthma, diabetes), and 23% having at least 2 or more, everyone is supported to be active. $467 million is spent on health every year – that’s $19 per person, per day. “Too often the blame for inactivity is levelled at the individual. This is unfair. ESSA have launched the Active Although the leading causes of death in Australia Nation campaign to get physical activity and exercise ranges from coronary heart disease, to dementia and higher up on the government’s agenda and promote the Alzheimer’s, and lung cancer and lung disease, most benefits of the general public working with Accredited are preventable with exercise assisting in the prevention, Exercise Scientists for prevention and health promotion,” management and treatment for all conditions. adds Ms Sheehan. “There’s no denying the benefits physical activity has To find out more about the ESSA for an Active Nation on the health and well-being of all Australians. Physical campaign, click here. activity assists in reducing the burden of disease, mortality and morbidity, and improves social interaction and community networks,” explains Ms Sheehan.
MEMBER COMMENTARY: ACCREDITED EXERCISE SCIENTISTS – A FUTURE IN COMMUNITY HEALTH BY VANESSA JONES, AES, AEP, AND MANAGER OF HEALTH & WELL-BEING AT LINK HEALTH AND COMMUNITY Person-centred. Restorative. Reablement. Prevention. Early Intervention. Well-being. For those working in public community health, these will not be unfamiliar terms. All funding models place the person at the centre of their care, and aim to maintain or improve function to promote self-management and independence, within a person’s individual capacity. In Victoria, we have seen strong growth in the recruitment of Accredited Exercise Physiologists in public health and specifically community health over the past few years – an excellent step. With the increasing focus on exercise as medicine and the promotion of active therapy to manage and improve health and well-being, it seems that the next logical step is to formally recognise and introduce roles in the health sector for Accredited Exercise Scientists. An AES has potential to enhance programs and services already offered in community health. The benefits of AES in community could improve the quality of supervision for clinically prescribed programs for people with clinical conditions or injuries, provide greater depth to health screening and assessment and support the delivery of both individual and group based exercise interventions and community education programs to promote well-being and increase uptake of appropriate exercise and physical activity. 21
PROFESSIONAL DEVELOPMENT CALENDAR OCTOBER Functional Movement Assessment and Prescription for Injury Prevention 6 OCTOBER 2018, ADELAIDE Fundamentals of Kettlebell Training 6 OCTOBER 2018, MELBOURNE Functional Movement Assessment and Prescription for Injury Prevention 13 OCTOBER 2018, MELBOURNE Lumbar Spine Rehabilitation for Chronic Conditions From Assessment to Exercise Prescription 13-14 OCTOBER 2018, BRISBANE Get that job or career change – How to make it reality! 20 OCTOBER 2018, BRISBANE Genetics, biotypes and coaching for exercise prescription 27 OCTOBER 2018, ADELAIDE How to get your dream job in Sport 27 OCTOBER 2018, TOWNSVILLE Lumbar Spine Rehabilitation for Chronic Conditions From Assessment to Exercise Prescription 27-28 OCTOBER 2018, DARWIN
NOVEMBER PROFESSIONAL DEVELOPMENT CALENDAR Functional Movement Assessment and Prescription for Injury Prevention 3 NOVEMBER 2018, PERTH The Running Patient: Real-time Run Analysis and Functional Rehabilitation 10 NOVEMBER 2018, ADELAIDE Lumbar Spine Rehabilitation for Chronic Conditions From Assessment to Exercise Prescription 10-11 NOVEMBER 2018, LAUNCESTON Functional Movement Assessment and Prescription for Injury Prevention 17 NOVEMBER 2018, BRISBANE Functional Movement Assessment and Prescription for Injury Prevention 24 NOVEMBER 2018, CANBERRA Lumbar Spine Rehabilitation for Chronic Conditions From Assessment to Exercise Prescription 24 NOVEMBER 2018, MELBOURNE Please see the ESSA Website for full details and CPD Points. Disclaimer: All accredited persons, regardless of any professional development completed/attended must refer to their accreditation’s Scope of Practice/Standards, and only treat/practice within the same. 23
You've changed. We've created. In 2009, ESSA created the ESSA Business Forum due to the growing need to provide business advice to ESSA’s professionals. Now, after 5 hugely successful biennial Business Forums, ESSA’s professionals have grown again, and it's with great pleasure that we introduce the ESSA Innovation & Practice Forum. Growing on the Forum concept, the 2019 ESSA Innovation & Practice Forum will have practical demonstration sessions, applied learning for the day to day life of the ESSA professional and cover topics ranging from business and guidelines to practical implications and services. Our aim is to provide you with practical learnings, that you can use and implement the next day in your own working environment. “ TAKE HOME PRACTICAL KNOWLEDGE AND PRACTICES THAT YOU CAN USE TOMORROW ”
THIRD FREE MEMBER PODCAST RELEASED The third free podcast for ESSA members was released on the 1st September and is complimentary until the end of 2018. This now totals 3 complimentary podcasts for members, providing a total of 4.5 CPD points at no cost! The free member podcasts can be found on the ESSA website: Members Lounge > Member Benefits > Free Member Podcast PLAYING BY THE RULES – WHAT YOUR ACCREDITATION REQUIREMENTS REALLY MEAN IN PRACTICE Are you sure you or your team are doing ultrasound? Do I need my accreditation the right thing in practice? ESSA wants for my job if I’m not practicing with to help you play by the rules and prevent clients? Can I get CPD points for that? We any adverse risk to you, your clients and will walk you through your responsibilities your business. so you can learn what you need to do to be a compliant accredited professional. There are so many things you need to do to ensure you are practicing safely Presented by Ms Carly Ryan BAppSc and professionally so we have wrapped (HMS) AES, AEP, ESSAM it up nicely in this podcast which we recommend for practicum supervisors, Carly is an AEP with strong grounding team managers, business owners and in private practice and program anyone who has questions about what coordination. Carly is the Standards they can and can’t do in practice. Advisor at ESSA, and works across a range of standards portfolios including We address common member questions scopes of practice, continuing professional including “What happens if someone development, competency standards, wants to complain about me? What if an compliance and ethics. Carly is passionate insurer asks for my case notes? What do about developing and empowering quality I need to include in my case notes? Do I ESSA professionals. legally need to conduct assessments? Can I use testimonials? Can I do pelvic floor 25
2018 ANNUAL CPD POINT REQUIREMENTS All ESSA accredited professionals, regardless of accreditation type, must earn CPD points. Please follow the below for your required number of CPD points for 2018. The requirements are based on your FIRST accreditation received. • If you earned your first accreditation in 2016 or earlier, a minimum of 20* CPD points are required, earned from 1 January 2018 to 31 December 2018. • If you earned your first accreditation in 2017, a minimum of 20* CPD points are required, earned from the date of your accreditation to 31 December 2018. • If you earned your first accreditation in 2018 no CPD points are required in 2018. A minimum of 20 CPD points will be required in 2019, earned from the date of your accreditation to 31 December 2019. • If you took a leave of absence or returned to practice in 2018, please refer to your correspondence from the ESSA national office for your 2018 CPD point requirements. *A minimum of 15 CPD points is required in Category 1, Further Education. Please ensure you review the 2018 Continuing Professional Development Guidelines for each of your accreditations and the 2018 Continuing Professional Development Point System. These can be found on the ESSA website, at the ESSA Professional Development Centre > Continuing Professional Development Points. If you are unsure of how many points you require, please contact ESSA at email@example.com or phone 07 3171 3335.
AEPS REPRESENTING THE INDUSTRY A COMMENTARY BY ISMINI DANDANIS, AEP AND DIRECTOR AT INFORM HEALTH & EXERCISE BREAST CANCER NETWORK AUSTRALIA The shift in healthcare pathways and utilising exercise in conjunction with pharmacological interventions (BCNA) PLAN B LIVING WELL WITH is starting to blossom and the message of the use of BREAST CANCER CONFERENCE – exercise as a true form of medicine was evidently AUGUST 2018 being acted upon. The team at InForm Health & Exercise were excited and Rochelle Gannon and Ismini Dandanis were able to honoured to be invited by BCNA to their survivorship speak to participants about how to link in with a local conference in August this year. The day started with Accredited Exercise Physiologist and directed many of much anticipation and excitement all round and lots of the 500 delegates to the ESSA ‘Find an AEP’ search to eager questions about why exercise is important, how link in with their communities. it can improve outcomes of treatment and what types of physical activity might be a suitable starting point. This Further to this, InForm Health & Exercise led a interest came from individuals from all ends of Australia. stretching break at the Conference for all individuals (participants and speakers alike) to get up and move We were overwhelmed with the response and reactions to really practice what we preach! This was very well and it was heartwarming to see and feel the energy in received by all. the room especially in relation to most individuals with an appetite to learn more about how they can be active. We can’t wait to continue to build this network with BCNA and our fellow AEPs!
VICTORIAN ACTIVE AGEING PARTNERSHIP (VAAP) FORUM – AUGUST 2018 Have you heard of “chair dancing”? Neither had we until we were invited to present an “active break” at the VAAP Forum for all delegates! The theme of the Forum was around increasing participation in physical activity programs for Victorians, especially those who may be isolated, disadvantaged or requiring further assistance. We heard about the role of different organisations and how lobbying with the focus on building community and health outcomes was integral in improving access to programs to allow Victorians to become more active. What better way to break up the day than to create some fun and lead some chair dance moves (pre- choreographed, of course!)? So, with “What a Feeling” as our song choice and our moves going smoothly, we had 200 delegates moving and shaking to share our passion in movement and making it happen! The InForm Health & Exercise team answered countless questions and linked delegates in with the ESSA ‘Find and AEP’ function to continue to build our community of exercise professionals to be able to help fellow Australians reach their health and well-being goals and continue to promote exercise as a form of medicine within our wider audiences, not just our local community! As a team of AEPs at InForm Health & Exercise, we are passionate about spreading the word and improving accessibility to programs to improve one’s holistic health. That is, using our prescription of exercise to tailor towards the needs and goals of the individual at the center of our care. Let the 2019 “chair dance” practice begin! 29
ONLINE NDIS TRAINING FOR ALLIED HEALTH PROFESSIONALS Allied Health Professions Australia (AHPA) is pleased to present the Introduction to the National Disability Insurance Scheme (NDIS) for Allied Health Professions course, which has been developed by AHPA and its member associations to provide a detailed introduction to the NDIS for allied health professionals. The AHPA NDIS training consists of four modules: »» MODULE 1: Overview of the NDIS »» MODULE 2: NDIS Participant Plans, Goals and Outcomes »» MODULE 3: Introduction to NDIS Funded Supports for AHPs »» MODULE 4: My NDIS Pathway – How AHPs Provide Support To access the training, please visit: https://www.psychology.org.au/Event/19937. After completing the four modules, it is expected that allied health professionals will have a much more thorough understanding of the NDIS and how the scheme impacts on the delivery of services for people with disabilities (participants). We expect that to complete the training and associated reading will take approximately six hours. To access the training, members of your association will need to pay $55. Non-members will need to pay the full rate of $165. To access the cheaper rate, your members will need to utilise the promo code: AHPA_MEMB. Please note that any questions about accessing the training should be directed to the APS Institute who are hosting the training on behalf of AHPA. They can be contacted via (03) 8662 3300 or online. If you have any comments or feedback about the training, please direct those to AHPA 31
ESSA’S NEWEST DIRECTOR AN INTERVIEW WITH PROFESSOR JULIE COTTER In July, ESSA was pleased to announce the newest Appointed Director for the National Board: Professor Julie Cotter. So that ESSA members could get to know their newest Board member a little better, Julie answered a few quick questions for us. Tell us a little about your background, Julie. from injury, and that science should underpin professional practice. Obviously I still have a lot to learn about the My core training is in accounting, finance and governance. industry and will be guided by Anita and the elected I have over five years board level experience as a Non- members on the Board. Executive Director, Committee Chair and Advisory Board Member across the public, commercial and not-for- Since being awarded the honorary title of profit sectors with experience in the health, agribusiness, Professor Emeritus in acknowledgement of research and education industries. My senior management your outstanding scholarly and industry experience includes university Head of School and contributions over a period of 26 years, Research Centre Director roles. can you shed some light on your scientific background? On a more personal level, I have lived in Toowoomba, Queensland for the past 30 years. I have a husband, son, For the first 18 years of my academic career, my research daughter-in-law and two grandchildren and am a life focus was on the information that large companies report member of Coolaroo Australian Rules Football Club where to their shareholders. Then for the past eight years I shifted I ran water for 14 years. I enjoy keeping active outdoors my focus to applied agribusiness research, which was and applying my creativity, mind and determination to fun because I got to work more closely with businesses solving puzzles and taking on new challenges. and scientists from different backgrounds. While I’m no longer an active researcher, my work on the AA Co What did you already know about the Scientific Advisory Board allows me to keep working in a industry? multidisciplinary science and technology environment and contributing to the development of the beef industry. Just that it’s an important one! I understand the important role of exercise in disease prevention as well as in recovery
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