About two years ago, the American Medical Association (AMA) and the American College of SportsMedicine (ACSM) announced a new initiative: Exercise is Medicine. This initiative includes a web site (
http://www.exerciseismedicine.org/) designed to help physicians promote exercise to patients, even recording physical activity as a vital sign during visits. This development occurred after an ACSM study found 65% of patients would be more interested in exercise if physicians advised them and provided resources, but only 41% of surveyed physicians endorsed exercise to patients, and very few were able to provide resources to implement that advice. To that end, the website holds a broad array of resources, both for physicians and the aspiring or current exerciser.
This initiative assumes that physicians are well equipped to advise their patients on selecting the proper exercises suited to the individual’s needs and interests, and certainly some are. However, our experience at Strong Medicine is that, with rare exception, physicians advice to patients on exercise programming is typically pretty broad: increase activity by walking, biking, swimming, joining a gym, etc. Or, when injury or a chronic musculoskeletal condition is involved, doctors
often turn to physical therapists for safe exercise programming. This leaves a great number of folks without specific advise and help on creating, refining and consistently performing an effective exercise program.
Strong Medicine is positioned as an asset to physicians, and we've not only discussed this synergy with several doctors, we're happy to say that some are in our exercise cohort. Physicians, by virtue of a trusted doctor/patient relationship, should indeed encourage exercise. In a fashion similar to the physician to physical therapist referral, we're positioned to help relatively healthy folks move to higher levels of health and fitness. Our extensive education in human movement, the ability to critically analyze peer reviewed medical and exercise science research and experience in day in/day out manipulation of the human response to exercise are clear assets when it comes to exercise prescription. That kind of understanding, set alongside a solid understanding of pathology and movement dysfunction, is Strong Medicine.We salute the AMA and ACSM for the Exercise is Medicine initiative, but offer one editorial change. Exercise is medicine, yes, but in the right hands, it is more accurate to state that Exercise can be Strong Medicine.