SPORT AND EXERCISE MEDICINE (SEM) IN PRIMARY CARE: A NOVEL DUAL ARMED APPROACH TO IMPROVING PHYSICAL ACTIVITY (PA) AND MUSCULOSKELETAL (MSK) SERVICES IN A HERTFORDSHIRE GENERAL PRACTICE

2013 ◽  
Vol 47 (17) ◽  
pp. A1133.1-A1133
Author(s):  
S Chew ◽  
J Noake
Keyword(s):  
Physical Activity ◽  
Primary Care ◽  
General Practice ◽  
Exercise Medicine ◽  
Sport And Exercise

scholarly journals Special Issue “New Trends in Sport and Exercise Medicine”

2021 ◽  
Vol 11 (18) ◽  
pp. 8353
Author(s):  
Daniela Galli
Keyword(s):  
Physical Activity ◽  
Cardiovascular Diseases ◽  
Regular Physical Activity ◽  
Special Issue ◽  
Exercise Medicine ◽  
Sport And Exercise

The practice of regular physical activity has been proposed as a determinant in many disciplines, from wellness to physiotherapy; in fact, it reduces the risks of cardiovascular diseases and diabetes [...]

scholarly journals An evaluation of the clinical skills and experience within an orthopaedic Integrated Clinical Assessment and Treatment Service

BJGP Open ◽  
2017 ◽  
Vol 1 (4) ◽  
pp. bjgpopen17X101217
Author(s):  
Simon Feist-Wilson ◽  
Neil Heron
Keyword(s):  
Primary Care ◽  
General Practice ◽  
Northern Ireland ◽  
Clinical Assessment ◽  
Clinical Skills ◽  
Treatment Service ◽  
Exercise Medicine ◽  
Assessment And Treatment ◽  
The Uk ◽  
High Level

BackgroundGeneral practice in the UK is ‘in crisis’. With 20% of GP workload relating to musculoskeletal (MSK) problems, an orthopaedic Integrated Clinical Assessment and Treatment Service (ICATS) could help support assessment of these patients in primary care, alleviating pressure on GPs. However, practitioners in ICATS must be trained appropriately to ensure its effectiveness.AimThis evaluation aimed to identify the training levels of doctors in one Northern Ireland orthopaedic ICATS system, what their future training needs are, and suggestions for how this service could be improved to better support general practice.Design & settingA questionnaire study in an orthopaedic ICATS, Northern Ireland.MethodAll seven doctors working within the Southern Trust orthopaedic ICATS were asked to complete a questionnaire detailing their training and experience in MSK medicine. Their views on how the service could be improved were elicited.ResultsSix of seven questionnaires were returned. All responders were Members of the Royal College of General Practitioners (MRCGP), while five of six held a Diploma in Sports and Exercise Medicine (Dip SEM). Half of responders suggested that MSK ultrasound could be beneficial within ICATS. However, it was viewed that extensive training would be required before paediatric MSK patients could be included.ConclusionHigh levels of training and experience were reported by responders, suggesting ICATS provides a high-level MSK service. Furthermore, it was noted that inclusion of MSK ultrasound and paediatric patients into this service could be beneficial but not without undertaking further training. With appropriate funding and support the ICATS service has the potential to expand the clinical services it offers to general practice, helping to reduce work pressures in primary care at this time of crisis for UK general practice.

scholarly journals Evaluation of the Clinical Champions' Physical Activity Training Programme

2020 ◽  
Author(s):  
Liz Carlin ◽  
Hayley Musson ◽  
Emma Adams
Keyword(s):  
Physical Activity ◽  
Clinical Practice ◽  
Healthcare Professional ◽  
Healthcare Professionals ◽  
Training Programme ◽  
Routine Clinical Practice ◽  
Training Models ◽  
Exercise Medicine ◽  
Physical Activity Advice ◽  
Sport And Exercise

In 2014 Public Health England (PHE) launched the National Physical Activity Framework ‘Everybody Active, Everyday’. The framework included a key domain for action called ‘Moving Professionals’. The Moving Professionals Programme aims to build expertise and leadership across key professional sectors and to raise awareness and understanding of the health benefits of physical activity among professionals and the wider public. The programme comprises several innovative work packages which are described in full elsewhere (Brannan et al., 2019). One element of the programme was the Clinical Champions’ Physical Activity Training Programme. PHE developed a network of Clinical Champions who were tasked with providing peer-to-peer training on physical activity for healthcare professionals. The long-term aim of the Clinical Champions’ Physical Activity (CCPA) training programme is to increase population levels of physical activity by increasing the proportion of healthcare professionals integrating conversations about physical activity into routine clinical practice in England.An independent evaluation of the Clinical Champion’s physical activity training programme was conducted by researchers based at the National Centre for Sport and Exercise Medicine (NCSEM) in the School of Sport, Exercise and Health Sciences at Loughborough University, UK. The NCSEM were not responsible for the implementation of the Clinical Champions’ physical activity training. The evaluation aimed to: 1) Evaluate the uptake and utilisation of the training programme and the different training models; 2) Assess the perceived impact of the training programme on healthcare professionals’ confidence, knowledge and application of brief physical activity advice in routine clinical practice; 3) Assess whether there is any differential impact of the training programme when sessions are delivered by different types of Clinical Champion (i.e. doctor, nurse or allied healthcare professional) to different healthcare professional audiences and 4) Assess the perceived strategic impact of the Clinical Champion physical activity training programme. A mixed methods approach was used to evaluate the programme. This report details the evaluation findings and provides recommendations for the future implementation of the Clinical Champions’ physical activity training programme.

Oxford Textbook of Children's Sport and Exercise Medicine

2017 ◽  
Keyword(s):  
Physical Activity ◽  
Sport Medicine ◽  
Exercise Physiology ◽  
Young Athlete ◽  
Exercise Science ◽  
Contact Sports ◽  
Sport Science ◽  
Exercise Medicine ◽  
Biological Maturation ◽  
Sport And Exercise

Comprehensive and up to date, this textbook on children’s sport and exercise medicine features research and practical experience of internationally recognized scientists and clinicians that informs and challenges readers. Four sections—Exercise Science, Exercise Medicine, Sport Science, and Sport Medicine—provide a critical, balanced, and thorough examination of each subject, and each chapter provides cross-references, bulleted summaries, and extensive reference lists. Exercise Science covers growth, biological maturation and development, and examines physiological responses to exercise in relation to chronological age, biological maturation, and sex. It analyses kinetic responses at exercise onset, scrutinizes responses to exercise during thermal stress, and evaluates how the sensations arising from exercise are detected and interpreted during youth. Exercise Medicine explores physical activity and fitness and critically reviews their role in young people’s health. It discusses assessment, promotion, and genetics of physical activity, and physical activity in relation to cardiovascular health, bone health, health behaviours, diabetes, asthma, congenital conditions, and physical/mental disability. Sport Science analyses youth sport, identifies challenges facing the young athlete, and discusses the physiological monitoring of the elite young athlete. It explores molecular exercise physiology and the potential role of genetics. It examines the evidence underpinning aerobic, high-intensity, resistance, speed, and agility training programmes, as well as effects of intensive or over-training during growth and maturation. Sport Medicine reviews the epidemiology, prevention, diagnosis, and management of injuries in physical education, contact sports, and non-contact sports. It also covers disordered eating, eating disorders, dietary supplementation, performance-enhancing drugs, and the protection of young athletes.

Sports injuries in older people

2013 ◽  
Author(s):  
Cathy Speed
Keyword(s):  
Physical Activity ◽  
Health Status ◽  
Sports Injuries ◽  
Ageing Population ◽  
Activity Levels ◽  
Exercise Medicine ◽  
Age Related ◽  
Physical Activity Levels ◽  
Sport And Exercise ◽  
Age Related Changes

A generally enhanced health status in an increasingly ageing population allows many to maintain high physical activity levels, and competitive masters and seniors events are becoming progressively more popular. This, together with the recognition of the importance of exercise to mitigate or even reverse many age-related changes, means that the physician in sport and exercise medicine requires a high index of awareness of the specific issues that arise in relation to sporting injury in the ageing individual. These issues include not only recognition and management of sports injuries ...

scholarly journals An Internet-Based Intervention Augmented With a Diet and Physical Activity Consultation to Decrease the Risk of Dementia in At-Risk Adults in a Primary Care Setting: Pragmatic Randomized Controlled Trial (Preprint)

2020 ◽  
Author(s):  
Kaarin J Anstey ◽  
Nicolas Cherbuin ◽  
Sarang Kim ◽  
Mitchell McMaster ◽  
Catherine D'Este ◽  
...  
Keyword(s):  
Physical Activity ◽  
Primary Care ◽  
At Risk ◽  
General Practice ◽  
Risk Reduction ◽  
Primary Outcome ◽  
Control Group ◽  
Web Based ◽  
Dementia Risk ◽  
Diet And Physical Activity

BACKGROUND There is a need to develop interventions to reduce the risk of dementia in the community by addressing lifestyle factors and chronic diseases over the adult life course. OBJECTIVE This study aims to evaluate a multidomain dementia risk reduction intervention, Body Brain Life in General Practice (BBL-GP), targeting at-risk adults in primary care. METHODS A pragmatic, parallel, three-arm randomized trial involving 125 adults aged 18 years or older (86/125, 68.8% female) with a BMI of ≥25 kg/m<sup>2</sup> or a chronic health condition recruited from general practices was conducted. The arms included (1) BBL-GP, a web-based intervention augmented with an in-person diet and physical activity consultation; (2) a single clinician–led group, Lifestyle Modification Program (LMP); and (3) a web-based control. The primary outcome was the Australian National University Alzheimer Disease Risk Index Short Form (ANU-ADRI-SF). RESULTS Baseline assessments were conducted on 128 participants. A total of 125 participants were randomized to 3 groups (BBL-GP=42, LMP=41, and control=42). At immediate, week 18, week 36, and week 62 follow-ups, the completion rates were 43% (18/42), 57% (24/42), 48% (20/42), and 48% (20/42), respectively, for the BBL-GP group; 71% (29/41), 68% (28/41), 68% (28/41), and 51% (21/41), respectively, for the LMP group; and 62% (26/42), 69% (29/42), 60% (25/42), and 60% (25/42), respectively, for the control group. The primary outcome of the ANU-ADRI-SF score was lower for the BBL-GP group than the control group at all follow-ups. These comparisons were all significant at the 5% level for estimates adjusted for baseline differences (immediate: difference in means −3.86, 95% CI −6.81 to −0.90, <i>P</i>=.01; week 18: difference in means −4.05, 95% CI −6.81 to −1.28, <i>P</i>&lt;.001; week 36: difference in means −4.99, 95% CI −8.04 to −1.94, <i>P</i>&lt;.001; and week 62: difference in means −4.62, 95% CI −7.62 to −1.62, <i>P</i>&lt;.001). CONCLUSIONS A web-based multidomain dementia risk reduction program augmented with allied health consultations administered within the general practice context can reduce dementia risk exposure for at least 15 months. This study was limited by a small sample size, and replication on a larger sample with longer follow-up will strengthen the results. CLINICALTRIAL Australian clinical trials registration number (ACTRN): 12616000868482; https://anzctr.org.au/ACTRN12616000868482.aspx.

scholarly journals The Active Hospital pilot: A qualitative study exploring the implementation of a Trust-wide Sport and Exercise Medicine-led physical activity intervention

PLoS ONE ◽  
2021 ◽  
Vol 16 (9) ◽  
pp. e0257802
Author(s):  
Anna Myers ◽  
Helen Quirk ◽  
Anna Lowe ◽  
Helen Crank ◽  
David Broom ◽  
...  
Keyword(s):  
Physical Activity ◽  
Physical Activity Intervention ◽  
Clinical Pathways ◽  
Clinical Care ◽  
Limited Resource ◽  
Political Climate ◽  
Structured Interviews ◽  
Effect Change ◽  
Exercise Medicine ◽  
Sport And Exercise

Background In 2017 Public Health England and Sport England commissioned a Consultant-led Sport and Exercise Medicine (SEM) pilot to test the feasibility and acceptability of embedding physical activity interventions in secondary care clinical pathways. The aim of this paper is to report qualitative findings exploring the experience of healthcare professionals (HCPs) and patients involved in the Active Hospital pilot. Methods Qualitative data was collected by semi-structured interviews with Active Hospital pilot SEM Consultants, and staff and patients involved in three clinical pathways. Interviews with SEM Consultants explored the experience of developing and implementing the pilot. Interviews with staff and patients explored the experience of delivering and receiving Active Hospital interventions. Data were analysed thematically. Results Interviews identified the importance of the Active Hospital pilot being Consultant-led for the following reasons; i) having trusting relationships with decision makers, ii) having sufficient influence to effect change, iii) identifying champions within the system, and iv) being adaptable to change and ensuring the programme fits within the wider strategic frameworks. HCPs emphasised the importance of the Active Hospital interventions fitting easily within existing work practices, the need for staff training and to tailor interventions for individual patient needs. The Active Hospital pilot was well received by patients, however a lack of dedicated resource and capacity to deliver the intervention was highlighted as a challenge by both patients and HCPs. Conclusion The SEM Consultants’ ability to navigate the political climate of a large National Health Service (NHS) Trust with competing agendas and limited resource was valuable. The interventions were well received and a valued addition to usual clinical care. However, implementation and ongoing delivery of the pilot encountered challenges including lack of capacity within the system and delays with recruiting to the delivery teams in each pathway.

scholarly journals Evaluation of the Public Health England and Sport England Funded Physical Activity Clinical Advice Pad Pilot in Primary Care

2020 ◽  
Author(s):  
Robert J. Copeland ◽  
Anna Myers ◽  
Helen Quirk ◽  
Helen Crank ◽  
David Broom ◽  
...  
Keyword(s):  
Public Health ◽  
Physical Activity ◽  
The Public ◽  
Telephone Interviews ◽  
Exercise Medicine ◽  
Independent Evaluation ◽  
Innovative Work ◽  
Sport And Exercise ◽  
Brief Advice ◽  
Improve Health

In 2014 Public Health England (PHE) launched the national physical activity (PA) framework ‘Everybody Active, Everyday’. The framework included a key domain for action called ‘Moving Professionals’. The Moving Professionals Programme aimed to build expertise and leadership across key professional sectors and to raise awareness and understanding of the health benefits of PA among professionals and the wider public. The Moving Professionals Programme comprised a number of innovative work packages that are described elsewhere (See Brannan et al., 2019). The Physical Activity Clinical Advice Pad (PACAP) pilot was one element of the Moving Professionals Programme, and aimed to; increase the number of primary healthcare professionals (HCPs) in England who integrate brief advice on PA into their routine clinical practice.The PACAP provides advice about the amount and type of PA required to improve health and was designed to look like a prescription pad to aid compliance with the advice provided. It also provides tips on different ways to become more active and signposts users to the PHE Active 10 app and One You website. The purpose of the PACAP was to prompt and facilitate conversations about PA between HCPs and patients.In 2017, PHE and Sport England invited expressions of interest (EoIs) from Local Authority (LA) and Clinical Commissioning Group (CCG) partnerships across England to engage in the pilot. Twenty-five applications were returned and ten partnerships were invited to take part in the PACAP pilot.As part of the National Centre for Sport and Exercise Medicine (NCSEM) network, academics at Sheffield Hallam University (SHU) were commissioned to conduct an independent evaluation of the PACAP pilot. The NCSEM were not responsible for the implementation or delivery of the PACAP pilot. The evaluation adopted a mixed methods approach to explore the acceptability of the PACAP pilot. Data was collected from patients and HCPs using surveys, telephone interviews, focus groups and audits between April 2018 and February 2019. This report details the evaluation findings, provides recommendation for future iterations of the project and provides implications for scaling the PACAP across additional localities in England.

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