Medical exercise training (MET) utilizes a “new fitness approach” to manage medical conditions using exercise. We know there must be a new approach to managing chronic medical conditions using exercise. Hypertension, diabetes, osteoarthritis, total joint replacements, low back pain and others are bankrupting health care systems around the world.

For fitness to have a significant and long-term impact on healthcare these changes must be implemented: 1) using specific functional outcome measures to gauge progress; 2) utilize a protocol-based approach to deliver of MET services for specific medical conditions; 3) determine number of session and duration of MET services; 4) establish a system of communication and documentation to share the results and progress of exercise programming with the medical community and 5) incorporate home exercise and lifestyle education into MET programming. These five points simply say…..MET is an extension of the services provided by...

Healthcare is changing rapidly and Covid will speed those changes. Medical exercise training (MET) will continue to grow but there is a need for MedXPROs to complete comprehensive and detailed MET education leading to competence and confidence to integrate exercise into the medical management process. 

The integration will require MedXPROs to:1) develop safe and effective exercise protocols for individual medical conditions; 2) utilize and report functional outcome measures; 3) document client progress and 4) communicate effectively with medical professionals. These are just a few of the skills needed to apply this new modality - Medical Exercise Training. 

If you want to pursue a career as a medical exercise professional visit www.MedicalExerciseTrainingInstitute.com. Download and read "Medical Exercise Training.....The New Modality" by clicking here. 

Medical Exercise Training (MET) is here to stay. It’s the new modality in managing medical conditions. If you are a fitness professionals and would like to develop the skills and knowledge to use exercise to enhance the function of clients with medical conditions join us and start "Bridging the Gap Between Health Care and Fitness" by becoming a Medical Exercise Specialist. Go to MedicalExerciseSpecialist.com for details. Click here to learn more about Medical Exercise Training....The New Modality.

Happy Thanksgiving!! Have a great day. Eat, drink and be merry!!

Medical Exercise Training (MET) is growing rapidly. This new profession needs as MedXPROs as possible to share their experiences, outcomes. successes, failures and challenges with others to grow our profession. MET will have a huge impact on health care and wellness of our planet over the next 20 years. Gathering information from MedXPROs in the field is vitally important. 

Please follow the link below and complete the METI Survey. This survey will ask you about your client base, the types of conditions you have managed, the outcomes you have achieved and the medical professionals you have received referrals from. Please take 15 minutes and complete the survey and help build our new profession!! 

Thank you!! Please follow the link below. 

Medical Exercise Training Survey

You may now complete the MES or PRCS final examinations online. We realize with the Covid-19 pandemic it is extremely difficult for MEST students to find an examination facility/proctor. As a result we have developed an online MEST final examination. The online MEST final exam may be completed in the comfort and safety of your home. 

After the complete all the MES or PRCS quizzes you are eligible to sit for the final examination. The online exam is graded and within 72 hours you will have your exam results.

Medical Exercise Specialist Examination

The MES exam has a written component consisting of 200 multiple choice questions. The practical component of the exam requires completion of 5 case studies. 80% is required to pass the written component. The practical component requires passing each of the 5  case studies. Three hours should be allocated for the written exam and two hours for the practical component for a total of 5 hours. 

Post Rehab...

Hey Medical Exercise Professionals…..This is the final in the "Bridging the Gap with Total Knee Replacement" series. In this segment we review a couple of specific techniques to recruit/activate the quadriceps and stretch the knee. REMEMBER....leave the acute management to the physicians and therapists. They will make your job easier if they have managed their roles and responsibilities appropriately.

The swelling is the major limitation in the early stages. The swelling should be at a minimal level when MET begins. If the client is limited to less than 90 degrees of flexion and unable to achieve full extension, refer the client back to the therapist or contact the therapist o develop an appropriate training program. Terms you need to become familiar with are extensor lag and patella mobility. The extensor lag is a combo of quad weakness/lack of fiber recruitment, swelling and lack of flexibility and connective tissue pliablity. The therapist should address these...

MedXPROS....total knee and hip replacements will become a large component of MET services over the next 20 years. The number of total knee replacements performed is estimated at 720,000 per year. TKR clients, if there are no major post-operative complications, will go through a brief bout of physical therapy. After which they are prime candidates for medical exercise training (MET) to increase strength, maintain or improve ROM/flexiblity, enhance joint stability and overall restore function. Every total joint replacement client needs MET in some form or fashion.

This video summarizes status of the client regarding swelling, ROM/flexibility and exercise programming. Three areas must be simultaneously addressed in the acute stages following TKR: 1) swelling/pain; 2) ROM/flexibility and 3) muscle recruitment/strength. In the acute stages these 3 are best handled in a physical therapy setting after discharge from the hospital. After these are addressed and the client is...

Medical Exercise Specialists…..total joint replacements will become a bigger part of your practices over the next 20 years. This is a continuation of the earlier blog post working with a total knee replacement client. Weight bearing status is important when working with TKRs. Upon discharge from the hospital the client is usually weight bearing to tolerance. After the surgery, the physician wants the client up within the first 24 hours walking with a walker weight bearing to their tolerance.

After the replacement, the knee is severely swollen with significant pain. The knee is usually wrapped and partially immobilized in extension. Pain management and safe ambulation are the focus in the hospital. Discharge occurs within 24 - 48 hours of the surgery. Depending on the client's home situation and family support, along with their weight bearing and ambulatory status, the client will go home or to a skilled nursing facility (SNF). If the client is discharged to their home,...

Medical exercise training (MET) will grow tremendously over the next two decades. Medical Exercise Specialists (MES) will also see the types of clients they manage expand greatly. To manage this wide range of client, medical exercise professionals (MedXPROs) will need a logical thought process to develop safe and effective medical exercise programming. The Medical Exercise Training Institute (METI) developed this 6 Point MET Client Management system more than 20 years ago and it is taught to every METI Medical Exercise Specialist, Post Rehab Conditioning Specialist and Medical Exercise Program Director. This medical exercise "critical thinking" model should be used when providing all medical exercise services.

 The 6 Point MET Client Management System includes the following:

1. Understand the related clinical anatomy/pathology of the client's condition. Anatomy and pathology are the basis of every aspect of health care regardless of the practitioner delivering it. This begins...