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Journal of Clinical Exercise Physiology
The official journal of the Clinical Exercise Physiology Association


Journal Information | Information for Authors

2016; Vol. 5, No. 3 (most recent) | 2016; Vol. 5, No. 2 2016; Vol. 5, No. 12015; Vol. 4, No. 12014; Vol. 3, No. 1 | 2013; Vol. 2, No. 1 | 2012; Vol. 1, No. 1


TABLE OF CONTENTS

Volume 5, Number 3 | December 2016

FROM THE EDITORS

A First!
Jonathan K. Ehrman and Clinton A. Brawner

With this issue of the Journal of Clinical Exercise Physiology (JCEP) we celebrate a first. Dr. Allison Bowersock and colleagues have the distinction of the first original research study to be published in JCEP. They present an interesting analysis of hiring practices of clinical exercise physiologists for cardiac rehabilitation (CR) programs in the Mid-Atlantic region of the United States. This is important work because 1) it provides direction for both academic programs and young professionals with respect to necessary coursework, knowledge, and skills during their preparation for employment, and 2) the recent announcement at the American Heart Association 2016 Scientific Sessions regarding the Million Hearts® initiative which, in part, targets the availability and utilization of CR. It is estimated that only ~20% of Medicare-eligible patients attend CR. A stated goal is to increase this to 70% by the year 2022. This is a significant opportunity for well-prepared clinical exercise physiologists because to meet this goal programs must expand their capacity and new programs must be developed. This is truly an exciting time for the field of clinical exercise physiology.

This issue of JCEP also includes two excellent articles. The first is a review of exercise-induced bronchoconstriction (EIB) that spans clinical definition, diagnosis, and treatment for this condition that may affect 7% to 20% of the general population. The other article is an Expert Commentary regarding the Affordable Care Act (ACA) and its provisions for coverage of exercise rehabilitation services. We believe you will find this article enlightening, particularly given the current wide-spread hope among exercise professionals that general exercise training services might be “covered” by health insurance plans. It is also an interesting read given the coming political changes and potential effects on the ACA.

ORIGINAL RESEARCH

Hiring Practices of Exercise Physiologist in Cardiac Rehabilitation Programs among Mid-Atlantic States in the United States
Allison Hope Bowersock, William Alexander Breeding, Carmel Alexander Sheppard
Journal of Clinical Exercise Physiology. 2016;5(3):32-37. | Download PDF [Editors pick- download for free]

The purpose of this study was to identify factors that may be influencing the appreciation of exercise physiologists (EPs) in regional cardiac rehabilitation programs. A survey was administered to programs in 5 states in the Mid-Atlantic region of the United States. Results suggest hiring practices vary and there may be opportunities to improve inter-professional appreciation for EPs in cardiac rehabilitation programs.

REVIEW

Exercise-Induced Bronchoconstriction
Hans Christian Haverkamp, Timothy D. Mickleborough
Journal of Clinical Exercise Physiology. 2016;5(3):38-48. | Download PDF

Exercise-induced bronchoconstriction (EIB) refers to acute airway narrowing after whole-body exercise in persons with or without diagnosed asthma. This review provides a broad overview of EIB, including its definition, pathogenesis, physiological and clinical characteristics, prevalence, procedures for proper diagnosis and consideration of differential diagnoses, and discussion of pharmacologic and nonpharmacologic therapy.

EXPERT COMMENTARY

The Affordable Care Act and Coverage for Exercise Rehabilitation Services
David R. Nerenz
Journal of Clinical Exercise Physiology. 2016;5(3):49-52. | Download PDF

The Affordable Care Act (ACA) provides for expanded coverage of rehabilitation and therapy services under the broad concept of “essential health services,” but that coverage generally involves out-of-pocket expense for those receiving it. The ACA does not include exercise rehabilitation services in the list of preventive services that must be covered with no out-of-pocket expense.


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ISSN 2165-7629 (online)