Framing new pathways in transformative exercise for individuals with existing and newly acquired disability

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Article describes a continuum of customized exercise options for people with an existing and newly acquired disability or diagnosis, referred to as the Transformative Exercise Framework (TEF). After rehabilitation discharge, people with newly acquired disability or diagnoses often never make the transition into usage of community-based exercise services that are tailored, safe, and effective. Transformative exercise is a continuum of individually tailored exercise strategies/programs that aims to assist individuals in moving along a continuum that transitions them from a patient in rehabilitation to a participant in lifelong physical activity. The four focus areas (Rehabilitation, Condition-specific Exercise, Fitness, and Lifetime Physical Activity) emphasize a range of options for people with newly acquired disability and diagnoses, or for people with existing disability and/or chronic health conditions who have a new injury, secondary condition or are severely deconditioned. The TEF supports a patient-to-participant, rehab-to-wellness model that emphasizes a linkage between physical and occupational therapists and community-based exercise trainers. The concept of transformative exercise is to support people with disabilities and diagnoses with a seamless restore–improve–prevent continuum of programs and services. This continuum connects individuals to rehabilitation and exercise professionals in a dynamic framework, which maximizes the expertise of both sets of professionals and provides the most effective interventions to achieve the greatest gains in health and function and/or to avoid future health decline.

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