SCOPE, QUALIFICATIONS AND STUDY
BIO + KINETICS = LIFE + MOVEMENT = LIFE THROUGH MOVEMENT
The Science of Movement and the application of exercise in rehabilitative treatment of performance.
Movement is an essential part of everyday life, depended on constantly by people of all ages. Movement affects development, learning, communicating, working, health, and quality of life. At the most basic level, movement permits people to navigate and to stay oriented within their environment. It is critical for most work and recreation and allows people to interact more fully. For these reasons, movement is a defining element of quality of life
Movement may be diminished or lost because of heredity, aging, injury, or disease. Such loss may occur gradually, over the course of a lifetime, or traumatically in an instant.
Conditions of movement loss that are linked with chronic and disabling diseases pose additional challenges for patients and their families. From the public health perspective, the prevention of either the initial impairment or additional impairment from this environmentally orienting and socially connecting functioning requires significant resources.
Prevention of movement loss or the resulting disabling conditions through the development of improved disease prevention, detection, or treatment methods or more effective rehabilitative strategies must be a global priority.
The profession of Biokinetics has evolved as a primary care health profession responding to the universal need for quality, accessible, cost-effective health care. Biokineticists are widely distributed in communities around the world; they provide economic value for the services they offer; they detect a wide spectrum of conditions at a savings to the health care system; they provide entry into the health care system for many patients who would otherwise not seek care; they prepare our children for the competitive marketplace by assuring their physical fitness and preparedness for learning and achievement; they maximize employment productivity and benefit economic stability; and they promote quality of life and individual independence, rather than more costly institutionalized and supported care.
Biokinetics primary function is to improve physical functioning and health care through exercise as modality.
Biokinetics is the profession concerned with health promotion, the maintenance of physical abilities and final phase rehabilitation, by means of scientifically-based physical activity programme prescription.
A Biokineticist is a clinical exercise specialist who:
- Functions within professional alliance to health and medicine, and is recognised by and registered with the Health Professions Council of South Africa.
- Improves a person’s physical wellbeing and quality of life through individualised scientific assessment and the prescription of exercise in rehabilitative treatment to prevent or intervene with certain ailments and the enhancement of performance (sport and work).
- Evaluates & Measures: body posture, body composition, blood pressure, glucose levels, lung function, heart rate, fitness, muscle strength, endurance, power, flexibility and other health screenings.
- Is a health professional who through health promotion and wellness create a better quality of life for people they work with?
DEPARTMENT OF HEALTH
NO. R.1746 14 OCTOBER 1994
THE SOUTH AFRICAN MEDICAL AND DENTAL COUNCIL
REGULATIONS DEFINING THE SCOPE OF THE PROFESSION OF BIOKINETICS
The Minister of Health has, in terms of section 33(1) of the Medical, Dental and Supplementary Health Service Professions Act, 1974 (Act No. 56 of 1974), on the recommendation of the South African Medical and Dental Council, made the regulations in the Schedule.
1. In these regulations "the Act" means the Medical, Dental and Supplementary Health Service Professions Act, 1974 (Act No. 56 of 1974), and any expression to which a meaning has been assigned in the Act shall bear such meaning, and unless the context otherwise indicates -
"Biokinetics" means the profession concerned with preventive health care, the maintenance of physical abilities and final phase rehabilitation, by means of scientifically-based physical activity programmes;
"biokineticist" means a person registered under article 32(1)(a) of the Act as a biokineticist;
"scientifically-based physical activity programmes" means specific and individual-oriented physical training programmes based on the individual's physical condition and compiled and supervised;
"final phase 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 a biokineticist shall, for the purposes of the Act, be deemed to be acts that pertain especially to the profession of biokinetics:
(1) Promotion of physical abilities, prevention of certain ailments, and physical selection:
(a) Recording of general history with a view to determining the risks of exercise (if any) for the individual.
(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 with an electrocardiograph 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 and muscle strength.
(iv) Evaluation of body posture and body composition.
(c) Exercise programme prescription: Prescription, follow-up of and guidance of specific excercise programmes.
(d) Physical selection: Evaluation of and excercise programme prescription for special groups and professions.
(2) Final phase rehabilitation: Musculoskeletal system:
(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; and
(iii) Analysis of posture.
(iv) Specialised tests for muscle strength, muscle exhaustion and range of motion 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.
(b) Rehabilitation programme prescription: Orthopaedic final phase rehabilitation programme prescription. Taking the patient through rehabilitation programme prescription.
(c) Rehabilitation session: Orthopaedic final phase rehabilitation session.
(d) Rehabilitation session on specialised equipment: Final phase rehabilitation with the aid of electronic-hydraulic isokinetic systems.
(3) Final phase rehabilitation: Medical conditions:
(a) Functional assessment:
(i) General history with a view to determining the risks of exercise for the patient.
(ii) 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:
(aa) Monitoring of heart rate by means of an electrocardiograph or heart rate monitor during multistage workloads.
(bb) Measurement of blood pressure and other physiological responses before, during and after workloads.
(b) Rehabilitation programme prescription: Final phase rehabilitation programme prescription for specific medical conditions.
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