Exercise Management for Referred Medical Conditions  book cover
1st Edition

Exercise Management for Referred Medical Conditions

ISBN 9781138104006
Published July 29, 2022 by Routledge
500 Pages 44 B/W Illustrations

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Book Description

Exercise referral describes the process of consultation, planning and instructing physical activity programmes and applying appropriate behaviour change strategies for clients presenting a range of low- to medium-risk medical conditions. Exercise Management for Referred Medical Conditions is the first book to integrate exercise prescription with the development of healthy behaviours and the promotion of physical activity and well-being and provides students with an evidence-based, applied guide to becoming effective exercise referral practitioners.

The book draws upon the latest research and recommends best practices for creating referral pathways, providing exercise programmes and engaging clients in health lifestyles. Covering the pathology, medical management, role of exercise and recommendations for programming in each case, it discusses a range of conditions, including:

  • Obesity and type I and II diabetes
  • Hypertension and dyslipidaemia
  • Asthma
  • Low back pain, osteoarthritis and joint replacement, rheumatoid arthritis, and osteoporosis
  • Depression, anxiety and stress disorders

Consistently organised and laden with pedagogical features, including learning objectives, key terms, case studies, future developments and chapter summaries, no other book offers such a clear, holistic model for exercise referral. This is a vital resource for any student undertaking vocational courses in exercise referral and an important reference for exercise scientists, physical therapists, fitness professionals or local policy-makers interested in the use of physical activity in healthcare.

Table of Contents

1. Introduction

Andrew Scott, Paul Gorczynski, and David Broom

2. Co-Production in Exercise Referral Schemes

Benjamin J. R. Buckley, Paula M. Watson, Becky Murphy, Matthew Pearce, and Diane Crone

3. The Exercise Referral Process

Jeannie Wyatt-Williams

4. Health-Fitness Consultation and Assessment Skills

Michelle G. Swainson, Zoe H. Rutherford, and John P. Buckley

5. Personalising the Exercise Referral Experience: Understanding Individual Differences

Zoë Frankli and Dave Thompson

6. Behaviour Change in Exercise Referral

Paul Gorczynski

7. Reaching Hard-To Engage Groups with Physical Activity and Exercise Referral Interventions

Andy Pringle, Jason Feavers, and Stephen Zwolinsky

8. Maintaining Exercise Behaviour Following Ers Completion

Michael Eynon, Gill Crowther, and Hayley Mills

9. Health Complexity: Integrating Psychological Skills into Exercise Referral

Charlotte Hilton and Lynne Johnston

10. Obesity

Louisa Herring and David Broom

11. Type 1 Diabetes

Richard Bracken, Mary Finn, Jane Yardley, and Othmar Moser

12. Type 2 Diabetes

Joseph Henson, Oluwaseun Anyiam, and Dane Vishnubala

13. Hypertension

Alberto Alves, Fernando Ribeiro, and Linda Pescatello

14. Dyslipidaemia

Emily Newton and Steven Mann

15. Exercise Referral for People with Asthma

John Dickinson and Suraj Rajput

16. Exercise for the Management of Low Back Pain

James Fisher, Hopin Lee, and Paul Hendrick

17. Physical Activity, Exercise and Rheumatoid Arthritis

George Metsios and Antonis Stavropoulos-Kalinoglou

18. Osteoarthritis and Joint Replacement

Liba Sheeran, Nicola Pease, Kate Button, and Joseph M. Moore

19. Bone Health

Victoria Stiles and Karen Knapp

20. Mental Health and Illness

Kemi Wright, Simon Rosenbaum, and Bonnie Furzer

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Andrew Scott is Senior Lecturer and Course Leader for the MSc Clinical Exercise Science Programme in the School of Sport, Health and Exercise Science at the University of Portsmouth. He is a researcher, lecturer and practitioner in exercise and physical activity for people with long-term conditions to support their health and quality of life. His main interest is applying research to support education in clinical exercise for implementation in routine health-care practice.

David Broom is Professor of Physical Activity, Exercise and Health with over 20 years of experience working in health promotion and academia. Notable achievements include being an appointed member of the expert working group that updated the UK Chief Medical Officers Adult Physical Activity Guidelines published in 2019 and chair of BASES Division of Physical Activity for Health. He has recently submitted evidence to the Houses of Commons and House of Lords select committees regarding national plans for sport and recreation and the impact of major sporting and cultural events.


This book is a brilliant introduction to ERS for health and fitness professionals. It would be a valuable ‘go-to’ resource for anyone new to this field and would equip them with helpful context and relevant considerations.

Anna Lowe, programme manager at the National Centre for Sports and Exercise Medicine, Sheffield Hallam University