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Prescribing and dosing exercise in primary care.
Aust J Gen Pract. 2020 04; 49(4):182-186.AJ

Abstract

BACKGROUND

Exercise prescription, while not traditionally part of the medical school curriculum or many advanced post-graduate training programs, is rapidly becoming an essential skill in primary care. Its importance relates to exercise being an effective evidence-based intervention for osteoarthritis, back pain, tendinopathy, some cancers, depression, diabetes and cardiovascular diseases.

OBJECTIVE

The aim of this article is to describe the basic principles of exercise prescription in the context of a primary care medical consultation, assisting general practitioners to manage cases without the need for referral. Understanding the basic principles is important, but it should not be presumed that exercise prescription is always straightforward.

DISCUSSION

A good mantra for exercise prescription is 'move, monitor, modify'. Failure of basic exercise prescription does not necessarily mean that procedural or medication treatment is required, but instead second-line exercise prescription may be indicated. Although referral to an exercise-based practitioner is a useful option, exercise prescription should become embedded as part of primary care medical practice because of its reported effectiveness and minimal side effects when appropriately implemented.

Authors+Show Affiliations

AM, MBBS, MD, PhD, FACSEP, FFSEM (UK), FACSM, Adjunct Professor, School of@Public Health, University of Sydney, NSW.

Pub Type(s)

Journal Article

Language

eng

PubMed ID

32233343

Citation

Orchard, John W.. "Prescribing and Dosing Exercise in Primary Care." Australian Journal of General Practice, vol. 49, no. 4, 2020, pp. 182-186.
Orchard JW. Prescribing and dosing exercise in primary care. Aust J Gen Pract. 2020;49(4):182-186.
Orchard, J. W. (2020). Prescribing and dosing exercise in primary care. Australian Journal of General Practice, 49(4), 182-186. https://doi.org/10.31128/AJGP-10-19-5110
Orchard JW. Prescribing and Dosing Exercise in Primary Care. Aust J Gen Pract. 2020;49(4):182-186. PubMed PMID: 32233343.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Prescribing and dosing exercise in primary care. A1 - Orchard,John W, PY - 2020/4/2/entrez PY - 2020/4/2/pubmed PY - 2020/4/2/medline SP - 182 EP - 186 JF - Australian journal of general practice JO - Aust J Gen Pract VL - 49 IS - 4 N2 - BACKGROUND: Exercise prescription, while not traditionally part of the medical school curriculum or many advanced post-graduate training programs, is rapidly becoming an essential skill in primary care. Its importance relates to exercise being an effective evidence-based intervention for osteoarthritis, back pain, tendinopathy, some cancers, depression, diabetes and cardiovascular diseases. OBJECTIVE: The aim of this article is to describe the basic principles of exercise prescription in the context of a primary care medical consultation, assisting general practitioners to manage cases without the need for referral. Understanding the basic principles is important, but it should not be presumed that exercise prescription is always straightforward. DISCUSSION: A good mantra for exercise prescription is 'move, monitor, modify'. Failure of basic exercise prescription does not necessarily mean that procedural or medication treatment is required, but instead second-line exercise prescription may be indicated. Although referral to an exercise-based practitioner is a useful option, exercise prescription should become embedded as part of primary care medical practice because of its reported effectiveness and minimal side effects when appropriately implemented. SN - 2208-7958 UR - https://www.unboundmedicine.com/medline/citation/32233343/Prescribing_and_dosing_exercise_in_primary_care L2 - http://www.racgp.org.au/AJGP/2020/april/prescribing-and-dosing-exercise-in-primary-care/ DB - PRIME DP - Unbound Medicine ER -
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