Expert Details

Expert in Exercise Rehabilitation and Prevention and outcomes- based exercise programs

Expert ID: 730973 Delaware, USA

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Expert has applied his exercise physiology background and knowledge of integrative physiology to physical medicine and rehabilitation for a multitude of chronic illness populations. This includes those diagnosed or at risk for; cardiovascular disease, diabetes, pulmonary disease, hypertension, hyperlipidemia, obesity, neuromuscular and balance disorders, and cancer. Understanding pathophysiology (the changes taking place in the body in the presence of disease) and the beneficial effects of controlled exercise in stimulating physiological adaptation (in disease management or prevention), Expert utilizes exercise science in selecting the particular mode, intensity, duration, and frequency of activity to meet the needs and capabilities of the patient. To optimize effectiveness, the exercise therapy needs to be individualized, enabling adjustments to meet changes in a patient's condition that may occur. His extensive early career directing cardiac rehabilitation programs in treating different types of cardiac disorders, including atherosclerosis, has intensified his efforts in advocating the need for all (not just those at heart disease risk) to engage in regular physical activity as preventive medicine. As with other lifestyle choices, understanding the importance of exercise should be fundamental in our health education curriculum.
Of major concern is our spiraling health care costs, not only more suffering from the debillitating effects of disease, but the cost we share in treating disease. From a "fiscal" health standpoint, this trend cannot continue. More in our society are not only becoming obese at younger age, they are growing morbidly obese. While bariatric surgery has been perceived to be the treatment option for obesity, it at best serves to assist what must be a long term activity and nutrition plan, as statistically those who have had the surgery who do not adopt these lifestyle habits tend to put back all their weight and more. Expert educates patients and the community on how our body composition changes with age and what we can do to alter these changes.
Along with the expanding obesity crisis, there has likewise been an inactivity epidemic resulting in increased musculoskeletal injury and lost-time at work. Expert helps health care groups and organizations address their rising employee injury rates as well as concerns with their high fall/injury risk patients being discharged home. Physical therapists are of major importance in treating injury as well as educating health care workers on proper body mechanics when lifting/transferring patients. Occupational safety specialists analyze and make recommendations on maintaining a safe work environment. Expert's focus in injury prevention is the human factor, as our bodies change with age. Muscle weakness and weight gain through inactivity greatly contribute to the risk/occurrence of injury. Evaluating and prescribing exercises to correct weakness and postural deficiencies can dramatically reduce the risk of (re) injury, while improving one's work (duty) fitness.
Expert educates patients and clients that physical activity does not need to be exercise equipment or location dependent, and in fact can be followed anywhere. In consultation with individual patients and clients as well as in his group presentations, he gathers information on the client's medical history, current physical limitations, and barriers (i.e. economic) to activity. If possible (and preferable) he evaluates the individual's baseline fitness (prior medical consent required) in order to prescribe a tailored exercise program. His primary focus is to explain how exercise will address the individual's health concerns, provide options how to design in-house equipment, and to emphasize and demonstrate proper exercise form.

Expert was brought in by the DuPont company's Experimental Station in North Wilmington, DE to analyze and make recommendations in addressing their particularly high laboratory worker injury rates. He determined that while work-station adjustments needed to be instituted, he found that the workers' repetitive movement patterns could be made more efficient, and also provided brief but effective workstation exercises that helped alleviate strain from these repetitive movements. Expert was requested by senior VNA (Visiting Nurses Association) staff to provide exercise/activity guidelines for their health care staff working with home bound patients diagnosed with cardiomyopathy.Recently requested again by VNA to analyze their home health worker high injury rates to help provide some solutions in reducing these rates. Expert evaluated staff's muscle strength, endurance, and balance, provided a home exercise program for staff to follow, and will re-evaluate again to measure outcomes as to the pilot program's effectiveness.Employer asked for assistance in Trauma, Orthopedics, and Nuclear Medicine's departments have enlisted Expert to work with them to help their separate areas develop a comprehensive fall/injury prevention program for their high-risk hip fracture patients. Employer recently reached out to Expert to develop a proposal to help lower the incidence of injuries in their officers. Expert included in his proposal a preventive exercise and joint strengthening program for the officers to follow wherever most convenient for them.

Expert may consult nationally and internationally, and is also local to the following cities: Philadelphia, Pennsylvania - Allentown, Pennsylvania - Reading, Pennsylvania - Bethlehem, Pennsylvania - Elizabeth, New Jersey - Trenton, New Jersey - Camden, New Jersey - Wilmington, Delaware - Baltimore, Maryland - Alexandria, Virginia

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Education

Year Degree Subject Institution
Year: 1980 Degree: M.S. Subject: Exercise Physiology Institution: West Chester University
Year: 1977 Degree: B.A. Subject: Sociology, Health Services Concentration Institution: University of Delaware

Work History

Years Employer Title Department Responsibilities
Years: 1997 to Present Employer: Undisclosed Title: Manager Department: Exercise Services, Pulmonary Rehabilitation Responsibilities: He develops exercise screening and training programs to meet the needs of various populations; diagnosed, at-risk, and healthy. He also directs a team of health professionals in providing outcome oriented medically prescribed exercise in treating chronically-ill conditions, and collaborates with various allied health professionals from different disciplines in a patient centered team approach.
Years: 1980 to 1997 Employer: Cardio-Kinetics, Inc. Title: Partner and Sr. V.P. Department: Director of Medical/Clinical Services Responsibilities: Directed outpatient (phase 2) cardiac rehabilitation program for referred patients, and performed cardiac diagnostic procedures to include; stress testing, 2-D echocardiography, carotid ultrasound, metabolic studies, arterial/venous doppler.
Years: 1980 to 1981 Employer: Devon Manor Retirement Home Title: Private contractor and program director Department: Responsibilities: Private contractor of a therapeutic exercise program for geriatric residents in Devon, PA.
Years: 1977 to 1980 Employer: Alfred I. DuPont Institute Title: Phyical Therapy technician Department: Physical Therapy Responsibilities: Expert provided physical therapy treatments for patients under the guidance of physical therapists at a pediatric orthopedic children's hospital in Wilmington, Delaware.
Years: 1974 to 1977 Employer: YMCA Title: Adapted P.E. instructor Department: Fitness Responsibilities: Developed and taught physical activity programs to educable and trainable mentally retarded youngsters in an inner city program in Wilmington, Delaware.

International Experience

Years Country / Region Summary
Years: 1985 to 1985 Country / Region: Jamaica Summary: Provided cardiovascular screening and stress management workshops for a U.S. national marketing company during their annual retreat
Years: 1987 to 1987 Country / Region: Mazatlan, Mexico Summary: Provided cardiovascular screeing and stress management workshops for a U.S. national marketing company during their annual retreat.

Career Accomplishments

Associations / Societies
International Society of Exercise Immunology (ISEI.dk)
Tri-State Society of Cardiovascular and Pulmonary Rehabilitation
Fellow, The American Institute of Stress,
Wilmington, DE Rotary member
Professional Appointments
Director, Exercise Services
Clinical Manager, Pulmonary Rehabilitation
Awards / Recognition
Member of Who's Who in my field

Additional Experience

Training / Seminars
He has developed training seminars for staff and student interns on cardiac diagnostic testing, metabolic stress testing, and field fitness/human performance testing. Most all of his work has involved teaching the principles of exercise testing and training to trainers, and exercise training to patients and clients. Additionally, he has developed an outcomes-based injury and fall reduction program for health care workers and high fall/injury risk populations.
Vendor Selection
Has utilized his experience and contacts in networking to locate vendors in the exercise equipment industry
Marketing Experience
His career in chronic illness (cardiac, diabetes, pulmonary) rehabilitation has enabled him to evaluate health care costs involved with adherence to healthy lifestyle behaviors compared to the standard medical/surgical care model. In many if not most all instances, end-stage tertiary care is extremely expensive and does not provide a higher quality of life compared to preventive care (with the understanding that prevention does not only involve screening but should also provide outcomes-based health programs). The challenge is to not only educate but motivate the higher health-risk individuals (constituting the majority of our population who are driving our health care costs) to live healthier lifestyles.
Other Relevant Experience
Frequent lecturer for medical and lay groups on the science of exercise in medical management of those diagnosed with chronic disease, those at-risk, and for younger and/or healthy populations.
Other particular skills include human factor evaluations (cardiovascular, musculoskeletal) in meeting workplace requirements and developing solutions to minimize muscle strain/injury and improving physical efficiency.

Fields of Expertise

preventive medicine, exercise physiology, exercise therapy, pathophysiology, physical medicine and rehabilitation, physiological adaptation, integrative physiology, injury prevention, duty fitness, in-house exercise equipment design, cardiovascular disease, atherosclerosis, heart disease risk, human body composition, obesity treatment, health education, exercise equipment, sport science, occupational health & safety, bariatrics, ischemic contracture, hemorrhage, cardiovascular abnormality, cardiopulmonary resuscitation, family, dieting, health care, cardiopulmonary physiology, physical education, weight loss, bone health, experimental treatment, health club facility, cardiac care, personal training, workplace injury, integrated medicine, skeletal muscle physiology, sociology, cardiopulmonary disease, arterial compliance, cardiovascular diagnostics, kinesiology, health care management, exercise equipment design, blood capillary, coronary artery bypass surgery, spine injury, critical care monitoring equipment, cardiovascular physiology, exercise machine, blood pressure, coronary artery, blood vessel, physical fitness, artery, body fat, health, ventricular fibrillation, vascular disease, therapy, tachycardia, sports medicine, occupational health, public health, physiology, physiological monitoring, obesity, human physiology, human factors engineering, heart disease, heart, health assessment, geriatrics, eating disorder, circulatory system, cardiovascular surgery, cardiology, cardiac arrest, arterial hypertension, anthropometry, angioplasty

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