Medical Exercise Specialist Workshop - HOUSTON!! September 28 & 29, 2019

Medical Exercise Specialist Workshop Houston

Medical Fitness Pros

September 28 & 29, 2019 

Workshop Details

Register Here!!

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Medical Exercise Training or Post Rehab Fitness.....Which One Is It?.....I'm Confused

I've received many emails regarding the difference between "medical exercise training" and "post rehab fitness". When we offered the first Medical Exercise Specialist workshop in 1994, the concept was "post rehab". That was the direct handoff of a physical therapy patient to a fitness professional for "post rehab" services. In the early 90's we just started to see reductions in insurance reimbursement for professional rehabilitation services.
Well insurance reimbursement continued to decrease and now it's far worse than 1994. This decrease along with increased interest in exercise to manage medical conditions, has led to "medical exercise training". Now in the late 2010's the direct handoff is pretty much gone. The client coming into the medical exercise training program now has migrated to Tucson or Naples from Minnesota or Ottawa. The surgeon that replaced the hip has retired or simply can't be located. And, that hip was replaced 12 years ago. This is the common...
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Medical Exercise Specialists......What Types of Clients Will You See?


As a Medical Exercise professional you will work with a wide range of clients when you open your practice. You will clients with neurological disorders (multiple sclerosis, Parkinson's and CVA), cardiovascular conditions (hypertension, myocardial infarcts, coronary bypasses) and musculoskeletal disorders (total hip and knee replacements, disc herniations and meniscal tears). These are just some of the conditions you will work with in your practice. 

Clients will also seek your services to correct postural and muscular imbalances and/or to improve strength, endurance or flexibility around a joint. With all clients, complete a thorough medical history interview BEFORE initiating any assessment procedures or exercise programming. 

Go to to get your copy.


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Medical Exercise Specialist.....How Well Do You Manage the "Big 6"?


Medical exercise professionals must effectively manage the “BIG 6”. These six conditions are major contributors to the skyrocketing health care costs we see across the globe. The “BIG 6” include:

  1. Total Joint Replacements
  2. Diabetes
  3. Osteoarthritis
  4. Hypertension
  5. Low Back Pain
  6. Obesity

The costs of managing these conditions is the primary reason every medical exercise professional should learn to manage these conditions. If you focus on these six conditions you can build a strong  practice.

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Why Does Medical Exercise Training Focus So Much on FUNCTION?


The majority of clients referred to medical exercise training (MET) are there due to “residual functional deficits”. As we have mentioned in previous blog posts, over the last 25 years the reimbursement for rehabilitation services has diminished. As a result physical therapy patients are discharged earlier. We saw trend starting in the early 1990’s. This prompted us to develop the “Medical Exercise Specialist” certification. Insurance reimbursement for physical therapy is now roughly half of what it was in the 90’s. With patients being discharged earlier, we estimate roughly 80% of those discharged from physical therapy have functional deficits and need a safe and effective exercise program to enhance their level of function at work, at home or with sports. FUNCTION is the driving factor for medical exercise training!

The function wheel above identifies the nine key elements of human function. These elements may be...

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7 Services Every Medical Exercise Training Facility Must Offer


MET is designed to augment medical services, particularly rehabilitation services. There are 7 programs every MET program must offer. These 7 programs include:

  • 1) Group Training for Total Joint Replacements
  • 2) Lifestyle Management Training
  • 3) Dynamic Back School
  • 4) Weight Management
  • 5) Osteoarthritis Training
  • 6) Sports Injury Conditioning
  • 7) Neuro Training

There are certainly other programs you might offer but these 7 are essential. For more MET practice building tips go to

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Do doctors understand the importance of MET and how to use it?


Do doctors understand the importance of MET and how to use it?

No, physicians will not understand medical exercise training (MET) but don't let this be a deterrent. Most physicians realize exercise is beneficial for their patients but as far as prescribing specifics with exercise, such as activities, frequency, duration and progression, they wont know how. But they aren't trainerd to know exercise. Physicians are trained to diagnose and treat disease. In learning to treat disease, they perform surgery, write prescriptions; read x-rays; and interpret diagnostic tests...exercise prescription is not part of the standard medical school curriculum. 


But their defense - which would you prefer? You go to the emergency room at 2 in the morning with a sick child. Would you want the physician to have the ability to interpret the diagnostic test(s) to determine your child's illness and the best course of treatment or do you want a physician that understands exercise...

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Medical Exercise Training......The 5 Keys to Insurance Reimbursement


In an earlier blog post we discussed the need to proviide more affordable medical exercise training options. Insurance reimbursment is an area many Medical Exercise Specialists are trying to understand. In this video Dr Mike will review the 5 criteria you must meed before you can begin to look at any possibility of reimbursement from the insurance carrier. The criteria are:

  1. Physician's Referral
  2. Major Trauma, Surgery or Long-Term Condition
  3. Received Maximum Benefit from Physical Therapy, Chiropractic, etc
  4. Residual Functional Deficits
  5. Not Covered by Medicare, Medicaid or Govt Coverage

If the client meets ALL 5 criteria, then you may begin the process of submitting for reimbursement. In a later article we will discuss the steps needs for reimbursement.

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Medical Exercise Jumpstart Begins Thursday!!

Uncategorized Sep 09, 2019

Medical Exercise Jumpstarts Begins THURSDAY!!! The first Jumpstart session will review Clarity and Foundation. In this video Dr Mike talks about the key points of Jumpstart session 2…..”Marketing Plan”. Click Here to Register Now!!

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Medical Exercise Training 101 Ebook - Tip 1


Welcome to the Medical Exercise Training 101 Ebook Tips Series. These are practice development tips from our MET101 Ebook. This first tip reviews "What is Medical Exercise Training....How is it Different from Personal Training, Corrective Exercise and Physical Therapy?" 

Click Here to Get Your Copy of the MET101 Ebook

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