All posts by First in Physio

Joe Denison

Joe completed his Bachelor of Physiotherapy at James Cook University in Townsville in 2018. He has a keen interest in orthopaedic rehabilitation and sporting injuries, especially ankle and knee injuries. Joe is also a qualified Clinical Pilates instructor, and he teaches a weekly group class in the clinic as well as one-on-one Clinical Pilates programs.

Joe was born in Manchester, England before moving to Australia and growing up in Mossman, near Cairns.  Outside of work life, Joe is a keen runner and is an active player of the Burdekin Panthers Football Club. He also enjoys travelling to destinations around the world.

Joe is a current member of the Australian Physiotherapy Association.

6 Things You Didn’t Know About Exercise Physiologists

1. The qualification matters.

Exercise Physiologists (EPs) are not just glorified personal trainers.  At the moment in Australia, it takes a minimum of 4 years of University training to earn a degree in Clinical Exercise Physiology, which includes over 400 hours of practical clinical experience.  This then permits the individual to apply for accreditation as an Exercise Physiologist with ESSA, the Australian body for Exercise Science.  This allows the EP to have the relevant insurance, professional contacts and medical referrals such as Medicare.  To maintain their accreditation, they much invest a significant amount of time and money annually into professional development courses around the country. 

 

 

 

 

2. There are Different Specialty Areas within Exercise Physiology.

 

Just like within Physiotherapy and medicine, an EP by law must graduate with qualifications and competency in all areas of Exercise Physiology, but will generally choose one or two specialty areas to base their career on.

 

These specialties include:

 

 

Cardiac Testing (eg ECG stress testing in hospitals);

Cardiac Rehabilitation (eg in-hospital following a heart attack);

Clinical Pilates;

Coaching (from kids through to elite level);

Neurological Rehabilitation (eg following a stroke or Parkinson’s Disease diagnosis)

Mental Health;

Musculoskeletal Rehabilitation (eg strengthening after acute sports injuries, or for injury prevention);

Chronic Pain Management (eg Low Back Pain);

Research (typically university-based); and

Public Health (eg weight management and disease prevention, education).

 

 

3. They are the future of our Health System.

In the last 5 years doctors globally have started to recognise the key role of exercise and weight management in prevention of increasingly common chronic diseases such as diabetes, high blood pressure, depression & anxiety, osteoporosis, cancers and so on.   With a health system that is currently in crisis (in terms of both costs and resources), EPs will be at the forefront of health care in the coming decades.  Take home message: don’t be surprised next time you see your GP and they prescribe 60 minutes of physical activity a day and 5 visits to an Exercise Physiologist instead of medication and a handful of tests!

 

4. A good training program may seem easy at first.

The Commando off The Biggest Loser will scream at you until you finish 50 chin-ups in your first session.  A “Bootcamp” instructor may demand you flip ridiculously huge tyres, regardless of your injury history.  An EP will not.  Every person has a unique set of challenges to work with, and it is imperative that both the EP and the client have clear and common goals established from the first session so that an individual program can be developed that will work for the long term.  The research tells us over and over that the quick-fix programs not only do not work, but tend to make the problem (whether it be weight, injuries or pain) worse in the long term.  Be patient, trust in the fact that you are in the best and most qualified hands, and acknowledge the relationship with your EP as the worthwhile investment into your health that it is.  Think of it like this: you can put in the time and money to be healthy now, or you can put in the time and money being sick later.  Both are hard.  You choose.

 

5. The best trainer in the world cannot make up for a shitty diet.

In this day and age I would find it hard to believe that anyone genuinely does not know that being sedentary, eating processed foods, and smoking are bad for your health.  But we still have the issue of increasing obesity and chronic disease.  Hence, we know that simply educating people is not the whole picture, and that is where an EP comes into the equation by helping you to create the best possible health and lifestyle plan for you and your family.

 

But here’s the catch: simply “buying into your health” by seeing an EP for exercise sessions and an eating plan won’t make you healthier – you have to actually put in the hard yards and stick to it.  If you are not meeting your weight loss goals and are working out every single day with your trainer while eating cereal, sandwiches, candy, soda, and other crap – don’t blame the trainer. Your weight, the way your body looks and your health are predominantly a function of what you put in your mouth. Exercise can positively alter what your body does with the food that you eat, in addition to the phenomenal emotional, physical, and mental benefits it offers.

 

The human body is an amazing machine and the knowledge that you can gain from working with an EP is an incredibly powerful tool; embrace it, and discover how good life can be when you achieve optimal health.

 

6. I am yet to meet a person who cannot benefit from a few sessions with an Exercise Physiologist.

Where most other health professionals are limited to fairly specific areas, an EP is truly is the “jack of all trades”.  They work with clients of every age, from healthy to sick, from elite athlete to chronically ill, from families to individuals.  They can: make you fitter; stronger; more injury proof; reduce your pain; improve your posture; improve your flexibility; make your spine stronger; rehabilitate your body (from toe injuries to hip replacements to heart attacks!); assist with weight loss – or weight gain; muscle sculpting; power; help to reverse chronic diseases (from depression to diabetes); even keep you fit during pregnancy and immediately after.  If you have ever wanted to improve any aspect of your body, health or happiness, then you could benefit from seeing an EP.

 

Exercise Physiology sessions can be expensive for many people, so to get the most out of your sessions, do some prep work beforehand.  Spend some time thinking about your goals, your main limitations, your strengths and weaknesses.  Write them down, along with any questions you may have.  Turn up on time, and listen to every word, and don’t be afraid to write notes!

What are you waiting for?!

 

– Kristy Shannon

B.Appl.Sc(HMS); M.PHTY

Kristy has a degree in Exercise Physiology from the University of Queensland and a Master’s Degree in Physiotherapy from Griffith University.  

 

An accredited EP can assist with safe rehabilitation from injury through to full fitness

An accredited EP can assist with safe rehabilitation from injury through to full fitness

 

Welcome to First in Physio

The gold standard in health care in one central location.

Physiotherapy, Exercise Physiology, Strength & Conditioning Programs and Clinical Pilates to see your rehabilitation through from the injury stage through to return to optimal performance.

Every human body is unique and presents with a different set of challenges.  We understand that everyone has different goals – whether it be pain reduction, improved function, or enhanced sports performance – and are committed to working with you to achieve those goals.  If you haven’t had success in the past, or are sick of living with pain, then give us a call today – we would love to be able to work with you to improve your quality of life and to get the most out of your body.

Life is too short to be living with pain!

 

Physiotherapy

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Physiotherapists
Physiotherapists are often referred to as “movement specialists”. They are trained to assess and treat a variety of conditions that affect the physical function of adults and children. Physiotherapists work very closely with doctors, specialists such as orthopaedic surgeons, and other allied health professionals such as occupational therapists and exercise physiologists. This allows them to provide the gold standard in health care for their patients and to achieve optimal outcomes in treatment. Continue reading

Clinical Pilates

2013-09-05 thomas PT 1Clinical Pilates is a system of safe and effective exercises which meet your specific individual needs. Clinical Pilates is used by our physiotherapists to treat a wide range of injuries and conditions, ranging from low back pain and chronic pain to hypermobility and chronic fatigue syndrome. It is also used by elite athletes and dancers to improve essential movement patterns and enhance fitness and performance, as well as assisting with injury prevention.  By working into your body’s preferred movement, Clinical Pilates improves your mobility, stability, balance, posture and overall function.

Clinical Pilates offers a system of safe, effective and highly specific exercises appropriate for all ages and people. There are stages of exercises that you can progress through and will allow you to see the improvements in your strength, control and healing.

 

Differences between Regular and Clinical Pilates

There are important differences between regular Pilates and Clinical Pilates.

 

Regular Pilates is conducted by a Pilates instructor, whereas Clinical Pilates is prescribed and supervised by a Clinical Pilates trained Physiotherapist or Exercise Physiologist (E.P.). This difference is very important because a Physiotherapist or E.P., unlike a Pilates instructor, has an in-depth knowledge of injury, pathology, bodily function, healing and movement patterns. This knowledge allows a Physiotherapist to assess each patient and determine which exercises will be the most effective for each individual.  This becomes especially important if you have any history of injury – whether it be low back pain, whiplash, osteoporosis, or if you are an athlete coming back from an injury.  There will be certain exercises which need to be adapted specifically for you so to avoid further injury; this is something that only a Physiotherapist or Exercise Physiologist is trained to do.  Like any form of exercise, Pilates can be wonderful for fitness, however still has the potential to cause injury or pain if not prescribed and monitored in the right way.

 

Benefits of Clinical Pilates

Clinical Pilates has been shown to prevent injuries, improve balance and stability, strengthen and tone muscle and improve bone density.  It is a great form of general exercise to improve fitness and improve technique in specific movements, such as dance, running and golf.  It is appropriate for all age groups from kids through to the elderly and is safe and fun!

  • Prevention and treatment of back pain & injury
  • Resolution of spinal pain
  • Enhanced core stability and pelvic floor function
  • For the elderly, enhancement in movement, balance, agility and flexibility
  • Falls prevention
  • Muscle toning without adding bulk
  • Increased bone density (for Osteopaenia & Osteoporosis)

For more information, please do not hesitate to give our staff a call and find out more about the amazing benefits of Clinical Pilates at FirstIn Physio!

 

Exercise Physiology

Accredited Exercise Physiologists (AEPs) are recognised allied health professionals with a diverse range of knowledge and skills across the health, exercise and sports science fields.  Exercise Physiologists in Australia have strict standards to achieve accreditation with their national body, ESSA (Exercise and Sports Science Australia).  Training includes a 4-year university degree as well as the study of medical science subjects such as anatomy, neuroscience and physiology.  Their scope of practice ranges from rehabilitation following stroke and cardiac surgery right through to elite sport performance programs optimising biomechanics and injury prevention.  They are also qualified in treating children of all ages, whether it be for improving co-ordination, fitness, rehabilitation or sports performance.

The essential component of Exercise Physiology lies in development of specialist exercise programs for individuals which typically includes exercise delivery and supervision, advice and support, and a strong focus on successfully changing lifestyle behaviours.  Exercise physiologists work closely with doctors, specialists, orthopaedic surgeons and other allied health professionals such as Sports Dietitians in order to achieve the best possible outcome for their patients and athletes.

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Who needs an Exercise Physiologist?

Anyone with the following goals could benefit:

– Weight loss

– Muscle gain

– Injury rehabilitation, for eg low back pain

– Post-surgery rehabilitation

– Technique improvement for sport

– Injury prevention programs

– Parkinson’s and stroke rehabilitation

– Individualised Exercise Programs to suit your goals

– Performance training

– To help manage chronic health conditions eg diabetes, osteoporosis, high blood pressure.

Your Exercise Physiologist will

– Do an initial assessment to determine health status and exercise history;

– Explain how exercise therapy will help to treat or improve your condition and improve your quality of life;

– Discuss your exercise and health goals, and develop strategies to achieve these goals;

– Complete a physical assessment to determine your current physical abilities to enable a program to be designed;

– Instruction on how to complete the exercise program, including how to achieve good technique;

– Written reports back to your doctor and any other important allied health professionals;

– Ongoing assessment to track your progress and identify changes to your program as they need to occur;

– For athletes – ongoing performance markers and feedback sessions including coaches where appropriate;

– For weight management programs – ongoing outcome measures to give you a clear outline of your progress (eg skinfold and fitness measures).

How Much Does it Cost?

The consultation cost for AEP services varies.  A number of subsidies are available under Medicare Australia and The Department of Veterans’ Affairs.  Patients are also able to attract private health fund rebates from most private health insurers.  For further information, please check with your GP or Private Health Insurer.

What Should I Wear?

Exercises tailored to you and your body will be a part of all AEP sessions.  Wear anything that you feel comfortable in while exercising, as well as comfortable shoes (joggers are ideal).

For more information on how an Exercise Physiologist can benefit you, please call our friendly reception staff and have a chat about your goals today!

Coaching Programs

FirstIn Physio is proud to support many local athletes in the Burdekin region, and won the North Queensland Community Business Award in 2018 for their contribution to developing teenage athletes in sport.  

We work closely with the local Rugby and touch football clubs, as well as the Ayr and Home Hill swim schools and the local Dance schools.  The beginning of each year is always busy with Musculoskeletal Screenings and Injury Prevention Programs for our younger athletes, always important as they grow and adapt to their training loads.

Our resident Exercise Physiologist Richard Martin has many athletes of all ages and sports on his books for strength and conditioning programs, which run year-round.  Richard has a wealth of knowledge and experience in getting athletes to achieve their optimal potential through supervised and controlled workouts.  He has worked with runners, swimmers, track athletes, triathletes, rugby players and CrossFit athletes and has seen some amazing developments and achievements in his athletes throughout the years.  Options include small group coaching, individualised in-house coaching and individualised programs that you can perform in your own home or gym.  Richard also runs a very popular Adolescent Strength and Conditioning Program after school during the school terms, helping to tech our younger athletes correct technique and safely building their strength in a supervised environment.

The FirstIn Physio Run Group offers a guided running performance program, coached by our resident Physios and Ironman athletes, Kristy and Patrick Shannon.  This is the perfect program for both seasoned runners and complete beginners alike.  It is also ideal for recently-injured runners who are wanting a safe way to progress back into their run training, or who may have had some time away from the sport.  The program runs annually and is limited in numbers due to its popularity; to find out more about this wonderful group please call the clinic or send us an email.  Kristy and Patrick also offer year-round individualised run coaching for all distances from 5km fun runs through to the Ultramarathon and Ironman Triathlon

Since 2014, FirstIn Physio has supported the Burdekin Catholic High School with its High Performance Program.  This program fosters young athletes who show promise in their chosen sports through guided training, coaching, education and development.  We love being a part of this fantastic program and seeing our younger athletes achieve their dreams.

Whether you are interested in one-on-one performance coaching, group clinics, or injury prevention, we are here to help.  For more information, please call the clinic today.