Enhancing Mobility and Independence: Exercise Physiology for NDIS Participants

Physical limitations don’t have to prevent you from leading a life filled with movement, confidence, and independence. With the right support - such as the expertise of a qualified exercise physiologist - NDIS participants can work towards achieving goals that improve physical function, well-being, and self-assurance. In this article, we’ll explore how exercise physiology within the National Disability Insurance Scheme (NDIS) can make a meaningful difference in participants' lives, helping them stay active and engaged with everyday life.

If you’re an NDIS participant, caregiver, or healthcare provider, understanding the benefits of exercise physiology can help you make informed decisions that support daily living and well-being. By the end of this article, you’ll be familiar with the role of an exercise physiologist, the types of support NDIS funding covers, and why exercise physiology can be a transformative part of care.

Does the NDIS Cover Exercise Physiology?

NDIS funding plays a crucial role in helping participants access a range of health and well-being services, including the essential support offered by exercise physiology. Exercise physiologists (EPs) are allied health professionals with specialised training in creating and managing therapy programs that cater to each individual’s specific health needs, primarily using exercise and movement based strategies. To see exactly which types of supports are funded under the NDIS, you can refer to their comprehensive guide here.

Exercise physiology services fall under two primary NDIS funding categories

●        Improved Daily Living: This category covers services that address daily functional needs, making it easier for individuals to manage their condition and enhance independence.

●        Improved Health and Wellbeing: This category supports exercise programs that focus on preventive care and managing chronic conditions, including exercises that help with:

○        Pain reduction

○        Improved mobility

○        Mental well-being

These categories are designed to fund therapeutic activities that promote independence, skill development, and ongoing health management - all critical factors for maintaining autonomy and quality of life. For more information, the official NDIS website provides a helpful overview of these categories and the services available.

Why Choose an Exercise Physiologist Over a Physiotherapist?

Many people wonder about the differences between exercise physiologists and physiotherapists, especially within NDIS-funded care. While both professionals play vital roles in health management, an exercise physiologist brings a unique skill set that can be particularly beneficial for NDIS participants aiming to improve mobility, build strength, and develop long-term habits for a healthier lifestyle.

The Distinctive Approach of Exercise Physiologists

Exercise physiologists specialise in understanding the body’s response to physical stress and activity , particularly for individuals managing chronic conditions, recovering from injury, or coping with disabilities. Rather than just focusing solely on rehabilitating an injury, EPs use comprehensive therapies that address a person’s broader wellbeing. For NDIS participants, this means an EP can design supports that not only assist with mobility but also improve or manage:

●        Cardiovascular and metabolic function

●        Mental well-being and psychosocial disability

●        Functional independence and the integration of activities of everyday life

Physiotherapists, on the other hand, often focus more specifically on rehabilitation after an injury or surgery. For participants with ongoing or progressive conditions, an exercise physiologist’s support can be invaluable in sustaining health and independence over time.

Building a Program Tailored to Individual Goals

Working with an NDIS-approved Exercise Physiologist means receiving tailored support that meets each person’s unique needs, goals, and abilities. These programs aren’t one-size-fits-all; they are carefully designed based on a participant’s physical condition, medical history, and personal objectives. By gradually building confidence, capacity, strength and flexibility, Exercise Physiologists help participants progress safely and effectively.

Tip from the Kinetic Team: “Your therapy  should be as unique as you are! Don’t be afraid to ask questions and communicate your goals so we can tailor services that feel right for your body.”

The Benefits of Exercise Physiology for NDIS Participants

Working with an exercise physiologist offers a range of unique benefits that go beyond simple physical activity. Exercise physiology sessions are structured to support each participant’s long-term well-being, with a focus on physical, mental, and emotional health. Here’s how exercise physiology contributes to a more holistic approach to health for those on the NDIS.

Improving Physical Health and Reducing Pain

One of the primary goals of an exercise physiologist is to help participants improve physical health, reduce pain, and increase mobility. Through targeted exercises, they address areas of weakness or imbalance, which can be especially helpful for those with musculoskeletal or neurological conditions. An NDIS-funded exercise physiologist can design movements that:

●        Strengthen muscles

●        Enhance joint mobility

●        Help manage chronic pain

By carefully adjusting the intensity of each session, exercise physiologists ensure participants don’t overexert themselves. This is particularly important for individuals with conditions like arthritis, cerebral palsy, or multiple sclerosis, where fatigue or strain could worsen symptoms. Exercise physiology provides a safe space to explore physical potential, with benefits that extend into daily activities such as walking, lifting, or even dressing.

Supporting Mental Health and Emotional Wellbeing

The psychosocial wellbeing benefits of physical therapies are well-established, and Exercise Physiologist’s lead the way in bringing these benefits in to daily reality. Regularly therapy can help alleviate symptoms of anxiety and depression, boost mood, and foster a sense of self efficacy. For many NDIS participants, these sessions provide structure that helps build a mental and emotional foundation for handling daily challenges.

The structured support of an exercise physiologist allows participants to set achievable milestones, which can be incredibly motivating. As progress builds, participants often experience:

●        Improved self-esteem

●        Greater sense of control over their health

●        Increased resilience and positive outlook

Knowing that their program is uniquely designed to fit their needs can make all the difference, fostering a positive outlook and promoting resilience.

Tip from the Kinetic Team: “Celebrating small wins can be just as important as reaching big goals. Each milestone matters!”

Creating Lasting Independence Through Exercise Physiology

For NDIS participants, achieving independence is often a key goal in their health and wellness journey. Exercise physiology supports this by empowering individuals to build physical skills and confidence, ultimately making everyday activities easier to manage. An exercise physiologist doesn’t just focus on immediate needs - they work to equip participants with the tools and habits they need for sustainable, long-term health.

Building Skills for Everyday Living

One of the greatest benefits of exercise physiology is its focus on skills that directly translate to everyday life. For example, exercises that improve core strength and balance are essential for tasks like:

●        Moving around the home

●        Reaching for items

●        Getting in and out of a car safely

By developing these core capabilities, participants gain confidence in handling various tasks independently. Additionally, exercise physiology programs teach participants how to incorporate safe and effective movement into their routines. These skills can be particularly valuable for NDIS participants who may face barriers to regular physical activity, such as limited access to gyms or restricted mobility. Working with an exercise physiologist enables participants to learn exercises they can do at home, maintaining progress even outside of scheduled sessions.

Long-Term Health and Preventative Care

Exercise physiology doesn’t just address current challenges; it also serves as a form of preventative care. Regular exercise has been shown to reduce the risk of numerous health conditions, including heart disease, diabetes, and certain cancers. For NDIS participants, this proactive approach can be life-changing, offering health benefits that extend well beyond the immediate effects of exercise.

By integrating these preventative practices, exercise physiology promotes a sustainable, healthy lifestyle. Participants gain physical strength along with the resilience and motivation to continue their health journey independently. This emphasis on long-term health is a key reason why exercise physiology remains such a valuable component of NDIS-funded care.

Empower Your Health Journey with Kinetic Medicine

Exercise physiology can be a powerful step toward a healthier, more independent life for NDIS participants. At Kinetic Medicine, our accredited exercise physiologists work closely with each client, tailoring programs to suit their unique needs and goals. Whether you’re seeking improved mobility, pain reduction, or overall wellness, our team is here to help you every step of the way. Start your journey to greater independence today - explore our NDIS services or reach out with any questions and take the first step toward a healthier, more active life.

Exercise Physiology for Workplace Injuries: Supporting Recovery and Return to Work

Understanding the Impact of Workplace Injuries on Health and Productivity

At Kinetic Medicine, we understand that workplace injuries can significantly impact both physical health and productivity, creating challenges for individuals and organisations alike. From manual labourers to office workers, injuries can range from minor strains to significant musculoskeletal issues, hindering an individual's ability to perform their job effectively. This is where our specialised exercise physiology services come into play.

What is Exercise Physiology and How Does It Support Injury Recovery?

Exercise physiology involves the study of the body's response to physical activity and its adaptation to exercise over time. At Kinetic Medicine, our qualified exercise physiologists use evidence-based exercise interventions to aid in the rehabilitation and prevention of injuries. What sets us apart from physiotherapy is the holistic nature of our supports, focusing not only on the immediate injury but also on other factors that influence recovery including psychological wellbeing.

Personalised Exercise Physiology Treatment for Effective Rehabilitation

One of the primary benefits of exercise physiology treatment through Kinetic Medicine  is our  tailored approach to rehabilitation. We provide each patient with more than just an exercise plan, with wrap-around support designed to address specific needs, whether recovering from a workplace injury or managing a chronic condition. These services aim to:

●     Improve confidence, strength, mobility, and endurance.

●     Prevent re-injury and promote a quicker, smoother return to work.

●     Enhance overall physical function and well-being.

Comprehensive Support for NDIS Participants

For those who are part of the National Disability Insurance Scheme (NDIS), our exercise physiology services play a pivotal role in promoting independence and stable physical function. Our exercise physiologists provide support that aligns with NDIS goals, ensuring that individuals receive the right interventions to manage their disability effectively. This support not only addresses the physical aspects of an injury but also considers the individual's overall capacity to engage in meaningful activities, including employment. Click here to learn more about the NDIS. We also provide specialised services for people living with psychosocial disability, helping with everything from mood regulation, stress coping and strategies to help you feel at home in your own body.

Effective Rehabilitation for Common Workplace Injuries

Workplace injuries can vary significantly depending on the nature of the job, but they often fall into a few common categories. At Kinetic Medicine, we specialise in effective rehabilitation strategies to support recovery from these specific injuries and prevent future incidents:

●     Musculoskeletal Disorders: Conditions such as lower back pain, shoulder impingement, and knee injuries are prevalent in roles that require heavy lifting, prolonged standing, or repetitive movements. Our targeted exercise programs focus on strengthening the affected muscles, improving joint stability, and reducing pain, helping individuals return to work safely and confidently.

●     Repetitive Strain Injuries: These injuries occur when specific muscle groups or joints are overused due to repetitive tasks, such as typing, using a mouse, or assembly line work. Our holistic approach includes exercises that address muscle imbalances, improve posture, and increase flexibility, along with education on ergonomic practices to prevent recurrence.

●     Acute Injuries: Sprains, fractures, and dislocations typically result from accidents or falls. Our exercise physiology is crucial during the later stages of rehabilitation, focusing on restoring mobility, reducing scar tissue formation, and ensuring that individuals can perform their job tasks without risking re-injury.

Supporting Workers' Compensation Claims with Exercise Physiology

Navigating a workers' compensation claim can be complex, and at Kinetic Medicine, we provide comprehensive support to make the process as smooth as possible. Our qualified exercise physiologists develop tailored rehabilitation programs that not only meet the requirements of your claim but also focus on effective recovery and a safe return to work. We provide detailed assessments and progress reports to facilitate communication with insurers and other healthcare professionals, ensuring that your treatment aligns with your recovery goals and the expectations of your claim. By focusing on improving functional capacity, reducing pain, and preventing re-injury, we aim to help you achieve the best possible outcomes during your rehabilitation journey. If you are managing a workers' compensation claim in Griffith NSW, or any of the surrounding areas we service, such as Albury, Corowa, and Forster, our team is here to support your recovery with evidence-backed exercise physiology.

Holistic Approach to Injury Recovery and Well-being

Beyond addressing the immediate physical aspects of workplace injuries, our programs also consider the emotional and psychological impacts of injury and recovery. We incorporate techniques such as:

●     Guided breathing and mindfulness exercises.

●     Stress management strategies to support mental well-being.

●     A supportive environment to help clients cope with the challenges of recovery.

This holistic approach not only accelerates physical healing but also fosters a positive outlook and improved quality of life.

Continuous Monitoring and Adaptation for Optimal Recovery

Recovery from a workplace injury is not always a linear process, which is why we continuously monitor our clients’ progress and adjust their programs as needed. This dynamic approach ensures that the rehabilitation plan evolves in response to the individual’s changing needs and capabilities. Regular assessments allow us to:

●     Track improvements and identify any new challenges.

●     Make necessary modifications to keep the client on track towards a successful return to work.

●     Provide ongoing support and guidance throughout the rehabilitation process.

Preventative Strategies for a Safer Workplace

At Kinetic Medicine, we believe that integrating exercise physiology into the workplace not only aids in the recovery of injured employees but also plays a vital role in preventing future injuries. We advocate for a proactive approach that includes:

●     Pre-employment and Workplace Assessments: Identifying potential risk factors in the workplace and recommending modifications to prevent injuries.

●     Preventative Exercise Programs: Tailored to the specific demands of different job roles, these programs aim to strengthen key muscle groups, improve flexibility, and enhance overall physical resilience.

●     Educational Workshops: Providing employees and management with the knowledge and skills needed to maintain a safe and healthy work environment.

Achieve a Healthier Workforce with Exercise Physiology

At Kinetic Medicine, we are dedicated to providing personalised exercise physiology services that support recovery and long-term health. Whether you are recovering from an injury in Griffith, Albury, Corowa, Forster, Gloucester, Salamander Bay, or Wingham, our tailored rehabilitation programs are designed to help you return to work safely and confidently. By integrating comprehensive support for NDIS participants and those navigating workers' compensation claims, we ensure that all aspects of your recovery are covered. Contact us today to learn more about how we can assist you in achieving your health and employment goals through our specialised exercise physiology services.

Tailored Exercise Physiology Services: Our Unique Approach at Kinetic Medicine

Tailored Exercise Physiology Services: Our Unique Approach at Kinetic Medicine

At Kinetic Medicine, we understand that every individual’s journey to better health is unique. Whether you're dealing with chronic pain, managing a condition like diabetes, or seeking to improve your mental well-being, our approach to exercise is designed specifically for you. We don't just treat the symptoms; we address the underlying causes, providing long-term solutions that help you regain control over your health.

A Way to Reset

A Way to Reset

Kate thought back surgery would be the end of her back pain which she had experienced throughout her day to day life for quite some time. Over the last few months though, Kate had become increasingly frustrated with her pain. She didn’t want to rely on medication for pain relief, she wanted a way to reset.

When coming in to Kinetic Medicine Kate was grateful to be heard out as she reflected on her experiences with her pain. It was comforting to know that it’s not uncommon for pain to persist after an initial injury and the natural healing process, and even after surgical intervention.

Under the Umbrella

Under the Umbrella

Diabetes is an umbrella term for several different conditions in which blood glucose levels (BGL’s) are elevated in the blood. Glucose is a form of energy that the body requires for our cells to function and allows the body to move. Glucose comes from carbohydrate foods for example a banana 🍌

What people with PCOS ought to know

What people with PCOS ought to know

Exercise might not seem like one of the first things to come to mind when thinking about PCOS but it has a multitude of benefits. Firstly, exercise can help reduce insulin resistance by allowing muscles to take up some of the glucose stored in the blood and use it for fuel. High intensity interval training (HIIT) is a type of training that incorporates short efforts followed by a longer rest and has been shown to have a large impact on reducing insulin resistance. HIIT also releases adrenaline to maintain the pace, and once the muscles use up the glucose, it will turn towards using fat as a primary source of fuel. This can help with weight loss by burning fat and reducing the amount of insulin the body has to release hence decreasing hunger signals and lowering blood pressure. By reducing weight, we also minimise the risk of pregnancy complications and increase fertility.

Let's be present in this moment

Let's be present in this moment

Have you ever wanted to be flexible? The idea of being flexible is tied up with a notion of feeling free or easy, and is usually a physical description. But what about being psychologically flexible? This might sound like a bit of a complicated idea, yet there is something just as appealing about being mentally and emotionally flexible as there is about being physically so. Fortunately enough if you like this idea - and even if you don’t feel naturally inclined to be so flexible - there is a way that these qualities can be broken down into components you can cultivate for yourself. Emerging out of a field of psychology that has become ‘Acceptance Commitment Therapy’ or ACT, these 6 components or traits are able to be developed like psychological ‘muscles’.

Goal & Achievement

Goal & Achievement

Sometimes it can be powerful to ask ourselves the tough question of ‘have we been wrong about this?’ Whether it’s about a decision that we’ve made in the past or one we keep on making, it can be powerful to ask the boldest of questions of self reflection. Doing so, though, in a way that doesn’t lead us to shame, guilt or regret is somewhat of an art. Being objective doesn’t come as easy to some as it does to others because the notion of ‘failure’ can have such a powerful and lasting impact. This notion of ‘failure’ – either considering our actions or even ourselves in our entirety as either living up to a standard or falling short – often does more harm than good and as a result the management of this concept is emerging as a secret weapon in helping people do things of significant.

Authority on Ex.

Authority on Ex.

You see there are a range of beliefs when it comes to behaviours and habits as they relate to our health. It’s not scandalous to say that there are as many different dietary persuasions as there are instagram influencers and it’s potentially not possible to say that there is universal agreement about what ‘good eating’ should look like. Equally, we’re seeing people be particularly brazen about other more technical aspects to health and medicine like pharmaceuticals. There are those in staunch opposition to anything remotely pharmaceutical, and those who expect there to be a pill or a jab to fix each and every ailment. Whilst the truth is always somewhere in the middle, it all stands to prove that the age of information is as much the age of dis-information – where there’s a YouTube video for almost any every task you could ever hope for instruction in.

The language of pain   

The language of pain    

We generally talk about pain by asking sufferers how ‘bad’ it is, as if bad is the objective standard by which we measure pain. The reality is that, because pain is such a complex experience, we need to have a more ‘sophisticated’ way to talk about pain. Moreover, we know that when people have a better way to communicate their experience with pain we have a greater likelihood of applying more effective interventions. So how do we as a community need to break down this experience if we are truly going to understand the way pain affects those who suffer with it? Three domains we should consider are the notions of intensity, bothersomeness and interference.

Pain VS No Pain

Pain  VS No Pain

Pain certainly feels, at least initially anyway, like it’s something that should be avoided and that certainly can be the case in at least the initial stages. If you’ve suffered the onset of an acute injury then ensuring that your body has the time and space to settle down and/or heal can be important. Yet bed rest has become something we know, in principle, doesn’t lead to better results. That’s why it’s vitally important to get expert oversight when you become injured or suffer the onset of pain, and that the result of this should include at least some idea of what a map of recovery should look like. Yet, health professionals who simply provide the advice to wait until all pain resolves are providing advice that has been found to often lead to impaired recovery and even poorer rates of healing. Our body thrives on stimulus and when we withdraw physical stimulus that keeps our systems regulated appropriately towards tolerating stress we do it a disservice.

Don’t go it alone with mental health 

Don’t go it alone with mental health 

So how do you know when you actually need help with your mental health? There are potentially 3 considerations to make when asking yourself “do I need to get some help?” Briefly stated, these are a consideration of the severity of symptoms, an appraisal of the current ability you have to cope with these symptoms amongst everyday tasks, as well as the length of time symptoms have persisted. Of all these considerations, though, the often most underrated is an appraisal of our ability to cope. It’s the thing we all reassure ourselves about with adages like “it’s not that bad” or “there are people worse off than me”.

The physical activity health paradox 

Physical activity is one of the best things an individual can do to improve their health and using this rationale conventional thinking may suggest that having a physically demanding occupation therefore contributes positively to health. It is not unusual for people who work in industries such as the building trades to think that the physical nature of their work means that they’re physically active. However it would seem, ‘work is not a workout’ and the physical activity paradox suggests occupational physical activity doesn’t really improve health and can potentially negatively impact on health. 

How can this be? The physical activity paradox is not well understood, however some of the reasons for its existence are discussed below: 

To improve cardiorespiratory fitness requires performance of physical activity at high intensity levels (60%-80% maximal aerobic capacity) and it would seem that even the most physically active workplaces or jobsites aren’t reaching the levels required to improve cardiorespiratory fitness. 

The intensity levels that workers in manual labour occupations typically work at are around the 30%-35% of maximal aerobic capacity. If you spend extended periods of time at this level it can elevate your resting heart rate for 24 hours and an elevated resting heart rate is a risk factor for cardiovascular disease. Occasionally elevating the heart to these levels for extended periods is perfectly normal, however if this is happening daily in the workplace there is potential for problems. 

There is often insufficient recovery time between work shifts on the jobsite. In many occupations there can be a requirement to be physically active for 7-12 hours a day, 5 days a week with limited opportunities for recovery. The term used in sports medicine to describe fatigue associated with ongoing levels of physical activity without rest is overtraining and it would seem that extended periods of fatigue as a result of overtraining can increase cardiovascular disease risk.  

So what can be done? 

Paradox number two, it would seem to manage some of these factors workers in physically demanding occupations need to undertake occasional workouts that push their physiology in to more uncomfortable territory to challenge the cardiorespiratory system and improve cardiorespiratory fitness. Whilst also engaging with strategies and practices that support recovery from the demands of a physically demanding occupation. 

Warwick Maloney KM

More reading: 
Holtermann, A, Krause, N. and van der Beek, A.J. (2018). Editorial The physical activity paradox: six reasons why occupational physical activity (OPA) does not confer the cardiovascular health benefits that leisure time physical activity does. British Journal of Sports Medicine 52(3), 149-150. 
https://bjsm.bmj.com/content/bjsports/52/3/149.full.pdf 

Holtermann, A. and Stamatakis, E. (2019). Editorial Do all daily metabolic equivalent task units (METs) bring the same health benefits? British Journal of Sports Medicine, 53(16), 991-992. https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6691932/pdf/bjsports-2017-098693.pdf 

Two feet firm

With age the likelihood of a fall occurring increases, it also becomes more likely that a fall will result in a serious injury. As Australia’s population is ageing, there is likely to be an increase in the occurrence of falls and fall related injuries. Falls are the most common cause of injury in older people and can affect their independence, activity levels, social interactions and quality of life. Treatment of fall related injuries is also of great expense to Australian health services. 

Some common risk factors for a falls occurrence include; older age, falls history, poor balance, muscle weakness, impaired vision and taking multiple medications. These risks can be managed via a multifactorial approach that may include exercise interventions, improving vision, reviewing medication and modifying living environment. 

Exercise is a particularly good intervention for preventing falls as it can address multiple risk factors and has been shown to improve muscular strength, balance, balance confidence and walking speed. An exercise program focusing on preventing falls should see the participant undertaking regularly physical activity, incorporating balance challenges totaling at least two hours a week. Good balance exercises may involve controlled body movements while standing with the feet close together (or standing on one leg), with as little arm support as possible. The exercises should be safe, but challenging and should aid in developing postural and lower limb strength. Tai chi has been proven to be an effective form of exercise to aid in the prevention of falls in healthy older people. 

If you think you are at falls risk and requiring guidance speak with your GP. 

More reading: Australia and New Zealand Falls Prevention Society, http://www.anzfallsprevention.org/ 

*Disclaimer, this is a discussion and does not represent an exercise prescription, for exercise or injury advice seek an appropriately trained health professional. 

If it hurts, should i still exercise?

If it hurts, should i still exercise?

If there is a question that we get asked often, this would be right up there. As much as we can all say that exercise is a virtuous or healthy practice, the most significant reason why people don’t is because of pain and discomfort. To add confusion and conflict to the matter, there persists a certain attitude that ranges from the sentiment of ‘toughen up’, to the cliché of ‘no pain, no gain’. Whilst it certainly is true that we can expect some discomfort with exercise – fatigue, in some degree, is a necessary part of effective exercise – the complexity of the experience of pain means that this sentiment is not particularly healthy and certainly not always true. To really understand why, there’s two things that warrant explaining: what pain actually is, and what is required to make exercise worth it.

Karen's story

Karen's story

Karen’s* foot wasn’t actually ‘killing her’, but she used that metaphor frequently when anyone asked why she was walking with a limp. It’s true, she would continue to live on despite her foot pain, but her concern over how she was going to continue to earn a living was real. Semi-retired, she lived fairly comfortably off what she made from her weekly market stall. All of that was at risk though as she weighed up what was going to give in her day-to-day life in the hopes of making her pain manageable.

Ageing actively - what is it and why you must

Ageing actively - what is it and why you must

There are few certainties in life. ‘Death and taxes’ is the cliche, but there is another certainty. After middle age, most people will lose around 3% of muscle mass per year. Ultimately this is a critical factor which can contribute to increased chances of joints pain, poor blood circulation, a syndrome known as sarcopenia (loss of muscle mass and strength), increase falls risk and increase mortality risk.