• Heart conditions

• Diabetes

• Mental health

• Back pain

• Weight loss

• Osteoporosis or osteopenia

• Pulmonary disease

• Arthritis

• Multiple Sclerosis

• Older people at risk of falls

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Heart Conditions

• Post a cardiac event, such as a myocardial infarction (heart attack) 

• After a stroke

• Post coronary surgery such as

  • a coronary artery bypass graft surgery

  • cardiac transplant surgery

  • a valve replacement

  • Fitting of a permanent pacemaker or an implanted cardioverter defibrillator

• Stable angina

• Stable chronic heart failure

• Peripheral vascular disease such as intermittent claudication

• High blood pressure (hypertension) with a resting systolic reading of less than 180 mmHg and a diastolic reading of less than 100 mmHg

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Exercise is not recommended

• If you have unstable angina, including if you are newly diagnosed within the past month

• Unstable or acute heart failure

• New or uncontrolled arrthythiams

• Resting or uncontrolled tachycardia

• Resting systolic blood pressure reading  greater than 180 mmHg and a diastolic reading greater than 100 mmHg

• Symptomatic hypotension

• Febrile illness

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Diabetes

Clinical exercise is suitable for people with both type 1 and type 2 diabetes.

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Exercise is not recommended

• If the diabetes is unstable

• You have persistent or non-healing foot sores (please consult your GP before taking up exercise)

• If pre-exercise blood glucose is higher than 13 mmol/l. Please make sure you have the equipment to measure your blood glucose before exercising

 

Mental Health 

Clinical exercise is a great way to manage mental well being and can be a useful adjunct to other therapies and medication. Conditions include

• General anxiety disorder

• Mild-moderate depression

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This programme is not recommended

• Personality disorder

• Obsessive compulsive disorder

• Eating disorders

• Bipolar disorder

• Scizophrenia

• Substance-related and addictive disorders

• If you pose a risk to yourself or others 

• Non-compliance with medication

 

Back pain

Exercise is recommended for chronic conditions, such as non-specific back pain or sciatca

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Exercise is not recommended

• For acute back pain

• If your health care professional has indicated red flags against your diagnosis​

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Weight Management 

Clinical exercise is an effective way to manage weight loss.  A calculation called 'Body Mass Index' (BMI) is used to classify  whether you are appropriate weight.  Check this link to see what category you belong to.

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Clinical exercise for weight loss is suitable for people with a BMI of 25-40

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Pulmonary disease 

Chronic Obstructive Pulmonary Disease (COPD) can be managed through clinical exercise. Whether you have mild, moderate or severe COPD, clinical exercise can reduce breathlessness and fatigue.

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Arthritis 

While osteoarthritis and rheumatoid arthritis are quite different, they both benefit from clinical exercise. See benefits for more details

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Osteopenia and Osteoporosis

Clinical exercise is generally well tolerated by people with osteopenia or osteoporosis

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Multiple Sclerosis

Physical activity can be challenging for people with MS. However, being active it is important for maintaining muscle strength, reducing fatigue and depression and improving sleep. It is important that you seek a personalised clinical exercise programme.

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Falls Prevention

Using an evidence based approach to improving strength and balance in later life.  Research has found that a 9 month programme led by a postural stability instructor (PSI) halves the risk of falling amongst 'frequent fallers' (Skelton, 2005). Carol qualified as a  PSI in January 2019

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