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Scope of practice

REGULATIONS DEFINING THE SCOPE OF THE PROFESSION OF BIOKINETICS

(1)   "biokinetics" means the profession concerned with preventive health care and related physical conditions, the maintenance of physical abilities and final phase functional rehabilitation, by means of scientifically-based physical activity programmes;

"biokinetics are the primary profession that provides final phase functional rehabilitation by means of scientifically-based physical activity programmes and sports specific programmes.

"biokineticist" means a person registered under article 32 (1) (a) of the Act as a biokineticist;

"scientifically-based physical activity pro- grammes" means specific and individual-oriented physical training programmes based on the individual's physical condition and compiled and supervised;

"final phase functional rehabilitation" means the period or phase in the rehabilitation process in which physical activity and physical conditioning constitute the primary therapeutic modality;

(2) The following acts of biokineticist shall, for the purposes of the Act, be deemed to be acts that pertain especially to the profession of biokinetics: 

(2.1) Promotion of physical abilities and performance, prevention and rehabilitation of certain medical ailments, physical selection, body composition analysis, wellness intervention and functional restoration in the following domains:

  • Musculo-skelatal/orthopedic disease, disability and injury
  • Neuromuscular  disorders and disease
  • Cardiovascular disorders and disease
  • Pulmonary disease
  • Metabolic disorders and disease
  • Immunological/Hematological disorders
  • Psychological disorders
(2.1) Evaluation 1

(2.1.a) Recording of general history with a view to determining the risks of
exercise (if any) for the individual.

(2.1.b)
Evaluation:  Physical work capacity test:  Determination of physical
work capacity with the aid of a cycle ergometer or treadmill, monitoring
equipment and available associated equipment to arrive at and
determine an effective and safe excercise level for an excercise
programme prescription using the following tests:

(i) Monitoring of heart rate and rhythm with an electro-cardiograph or heart rate monitor during multistage workloads.

(ii) Measurements of blood pressure and other physiological responses before, during and after work.

(iii) Measurement of range of motion muscle strength and specific functions.

(iv) Measurement of lung function and capacity by means of specialized spirometry equipment

(v) Evaluation of body posture, alignment and body composition.

(vi) Assessment of joint stability

(2.1.c) Exercise programme prescription:  Prescription, follow-up of and guidance of specific excercise programmes.
(2.1.d) Physical selection:  Evaluation of and excercise programme prescription for special groups and professions.

(3) Evaluation 2

(3.1)Final phase rehabilitation:  Musculoskeletal system and Neuromuscular systems:

(3.1.a) Functional ergological assessment:  The assessment of the affected
limb or body part to determine the functional limitations with the aid of
the following:

(i) Specific history of the condition and previous treatment,
and a general medical history.

(ii) Specific assessment of the affected limb or body part.
This includes the manual determination of:  - range of motion; -
muscle strength; functional stability and - flexibility.

(iii) Analysis of posture.

(iv) Specialised tests for muscle strength and activation, muscle exhaustion and range of motion in all planes of joints by means of the assessment of torque, muscle, work, ratios between antagonistic muscle groups with regard to torque and work, bilateral comparisons with
regard to torque and work, range of motion and extent and position of restriction resulting from injury or deviation of the following joints.

  • Knee
  • Ankle
  • Shoulder
  • Elbow
  • Hip
  • Wrist
  • spinal column

(3.1.b) Rehabilitation programme prescription ans sessions:  Orthopaedic final functional phase rehabilitation programme prescription.  Taking the patient through rehabilitation programme prescription.

  • chronic
  • orthopedic

(3.1.c) Rehabilitation session:  Orthopaedic final phase functional rehabilitation session

(3.1.d) Rehabilitation session on specialised equipment:  Final phase functional rehabilitation with the aid of electronic-hydraulic isokinetic systems. Final phase functional rehabilitation with the aid of stability equipment and exercise.

(3.1.e) Exercise programme prescription:  Prescription, follow-up of and guidance of specific excercise programmes.

(3.1.f) Physical selection:  Evaluation of and excercise programmeprescription for special groups and professions.

(3.1.g) Final phase functional rehabilitation by means of hydrotherapy.

(3.1.h) gait assessment, analysis and exercise programme

(4) Medical conditions:

Final phase rehabilitation:  Medical conditions:

Functional assessment:

(4.1.) General history with a view to determining the risks of exercise for the patient.

(a) Physical work capacity test:

The determination of physical work capacity with the aid of a cycle ergometer or treadmill, monitor equipment and available associated equipment to determine an effective and safe final phase rehabilitation programme prescription using the following tests:

(i) Monitoring of heart rate and rhythm  by means of an electrocardiograph or heart rate monitor during multistage workloads.
(ii) Measurement of blood pressure and other physiological responses before, during and after workloads.
(iii) Rehabilitation programme prescription:  Final phase rehabilitation programme prescription for specific medical conditions.

(5.1) Sport specific performance

(a) improvement of functional ability
(b) scientifically designed, final phase rehabilitation and exercise programs
(c) enhancing sport performance
(d) sport specific training programs to enhance individual and team performance
(e) promotion of high performance physical activity
(f) implementation of sport specific programs
(g) implementation of long term development of sport specific programs for atheletes
(h) structured pre-season, in-season and post-season training programs

(5.2) Testing

(a) scientifically based exercise testing
(b) specific physiological profiles for each athlete
(c) fitness testing and  re-evaluation