HFFC-CEP™ Certified Exercise Physiologist Scope of Practice
Applied health- and performance-related physical and physiological fitness practices across the life span delivered both fact-to-face and virtually with informed consent for each platform and adherence to privacy laws
Cardio-respiratory exercise physiology and the energy systems with emphasis on physical activity/exercise training guidelines and adaptations
Evidence-based, evidence- informed versus non-evidence-based physical activity and exercise practices
Personal and group training for health-related physical and physiological fitness for primary and secondary prevention for all ages
Personal and group training for performance-related physical and physiological fitness including recreational and elite athletes, industrial athletes (e.g. police, structural fire fighters, wild land firefighters, etc) for all ages
Risk stratification for physical activity participation in the general population and low risk pregnancy
Issues related to legal liability, scope of practice, professional conduct, medical delegation for blood work use of informed consent, waivers, evidence-based physical activity participation screen tools such as the most current version of the PAR-Q+ and ePARmed-X+ (www.eparmedx.com) and other related evidence-based screening tools
Provide exercise clearance for person with 2 stable chronic conditions (eg hypertension plus obesity, obesity and hypertension, obesity and diabetes, etc)
Accept referrals aligned with the specific scope of practices of licensed health and allied health professionals
Only prescribe low intensity physical activity/exercise for persons with more than 2 stable or unstable chronic conditions until clearance is provided by the appropriate licensed health and/or allied health professional
Indirect assessment of body composition using skinfolds measurements, girth measurements, bioelectrical resistance devices (eg InBody), BOD Pod, etc
Risk stratification for persons with overweight or obesity
Anaerobic: fitness, power, capacity
Understanding the efficacy of established physical activity/exercise training guidelines and training monitoring techniques
How body composition is or is not affected by physical activity/exercise and lifestyle modifications, fat oxidation rates
Understanding the efficacy of the different methods used to evaluate body composition
Understanding cardiovascular-respiratory dynamics
Recognizing the electrocardiogram, leads, the normal EKG, time and speed of the EKG, summary of the EKG intervals, normal EKG variations, the potential presence of EKG abnormalities
Assessment of blood pressure at rest, pre-physical activity & exercise participation, during and post- physical activity & exercise participation
Musculoskeletal fitness: assessment compliance of muscle(s) in movement execution, biomechanics of resistance training
Ergonomics; occupation-specific physical demands analysis, workplace fitness programs, developing job-specific physical fitness protocols for safety related physical demanding occupations
Psycho-social aspects of physical activity/exercise and physical activity/exercise management plus design
Interacting with other professionals (eg physicians, physiotherapists, kinesiologists, nurse practitioners etc) concerning contraindications to exercise/functional capacity testing and physical activity/exercise participation
Safety, injuries and emergency procedures for exercise/functional capacity evaluation and physical activity/exercise participation
Assessment considerations plus physical activity/exercise strategies for special populations
Effectively use large and small fitness training equipment including treadmills, electrically and mechanically braked cycle ergometers, elliptical devices, arm ergometers, spinning cycles, free weights, weight machines, resistance bands, kettle bells, plyo/medicine balls, resistance bands, stability balls, suspension straps, BOSU, skipping ropes, ladders, cones, steps, recumbent cycling and stepping ergometers, battle ropes, gliding disks, barre, wearable technology for heart rate and breathing rates
Physical activity/exercise: demonstration, modification, monitoring with and without equipment (eg body weight exercises/calisthenics)
Physiological responses and adaptations of variant physical activity/exercise training tactics plus strategies
Efficacy of workplace fitness programs, commercial fitness programs, community-based recreation centres, home based programs plus clinically based programs
Developing, monitoring and modifying physical activity/exercise training/functional training/conditioning programs for primary and secondary management
Evidence-based recommendations regarding both the benefits and the risks associated with physical activity including exercise participation in select clinical disorders including: cardiovascular disease (excluding stroke), stroke, cancer, arthritis, low back pain, osteoporosis, respiratory disease, cognitive& psychological conditions, metabolic disorders, and spinal cord injury.
Physical Activity/Exercise practice guidelines for persons with chronic diseases, functional limitations and disabilities associated with: Musculoskeletal Conditions, Cardiopulmonary Conditions, Metabolic Conditions, Neuromuscular Conditions and Aging Conditions
Organization Specific Physical Activity Guidelines: CACPR, Obesity, Diabetes, etc