🚨 The New Standard: 11 Services Every MedExPRO Should Offer

Medical Exercise Training has evolved over the last 31 years. Initially, everything was one-on-one training. Now, a Medical Exercise Professional (MedExPRO) practice should offer a structured and comprehensive Menu of Services focused on improving function, reducing recurrence, and enhancing quality of life for clients with medical conditions after discharge from medical care. This menu should align with the scope of practice for MedExPROs and reflect a continuum of care—bridging the gap between healthcare and fitness.

Here’s a recommended menu of services for a MedExPRO practice:

🔷 1. Post-Rehab Functional Training Programs

For clients recently discharged from PT, OT, or chiropractic care
Goal: Maintain and improve functional outcomes, prevent re-injury
Includes:

• Condition-specific programming (e.g., post-ACL, post-stroke, post-MI)
• Functional movement training
• Balance and proprioception retraining
• Core stabilization

🔷 2. Medical Exercise Assessments

Thorough functional assessments to establish a baseline and guide program design
Includes:

• Medical history review and red flag screening
• Range of motion and strength testing
• Posture and movement analysis
• Functional capacity assessments (e.g., gait, stairs, sit-to-stand)

🔷 3. Condition-Specific Programs

Ongoing programs designed around managing specific medical conditions
Program Tracks May Include:

• Diabetes Functional Conditioning
• Hypertension Control through Movement
• Arthritis Joint Support Training
• Low Back Stability Program
• Post-Cancer Recovery Conditioning
• COPD/Asthma Breathing Support and Endurance Training
• Neurological Conditioning (e.g., post-stroke, MS, Parkinson’s)

🔷 4. Medical Exercise Progress Tracking & Documentation

Professional tracking of client progress and regular reporting to healthcare providers
Includes:

• Monthly summary reports to referring physicians/PTs
• Documentation using METI forms and EMR templates
• Outcome measurement (pre/post comparisons)
• Referral re-authorization templates

🔷 5. Group Medical Exercise Classes

Small-group, condition-specific sessions to increase access and community
Examples:

• Joint Preservation Class (Hip/Knee)
• Functional Aging Circuit
• Balance & Fall Prevention Series
• Metabolic Conditioning for Pre-Diabetics

🔷 6. Home Exercise Program (HEP) Design and Coaching

Support for clients between sessions or who prefer home-based activity
Includes:

• Individualized home programming
• Instructional videos and manuals
• Periodic reassessments

🔷 7. TeleMedical Exercise Coaching

Remote support and supervision for clients unable to attend in person
Includes:

• Virtual assessments and sessions
• Weekly check-ins
• Remote progress tracking and accountability

🔷 8. Medical Exercise Education & Lifestyle Workshops

Educational support to help clients self-manage their conditions
Workshop Topics Might Include:

• Exercise and Blood Sugar Control
• Joint Health & Pain-Free Movement
• Functional Nutrition Basics
• Safe Stretching for Chronic Conditions

🔷 9. Functional Outcome Maintenance Programs

Long-term programs designed to preserve gains and prevent regression
Includes:

• Monthly memberships
• Periodic reassessments
• Customized progression planning

🔷 10. Care Collaboration & Case Review Services

Strengthening relationships with healthcare professionals through shared care
Includes:

• Case summaries
• Referral updates
• Phone/video consults with MDs, PTs, DCs
• Participation in interdisciplinary care teams (where appropriate)

🔷 11. Single-Session Medical Exercise Training Orientations

For clients discharged from rehab who are 80–90% functional and need guidance to finish strong
Goal: Provide a one-time consultation to ensure safe and effective continuation of exercise
Includes:

• 60-minute individual session
• Review of rehab discharge and functional status
• Development of a customized independent exercise program for home or gym
• Professional communication to the referring physician or therapist
• Documentation and written plan provided to the client
• No follow-up required unless both parties agree to ongoing sessions

These orientation sessions are ideal for clients ready to resume work, household tasks, or recreational activities but need expert guidance to bridge the final 10–20% gap in recovery. MedExPROs should position this service as a value-add for medical providers seeking safe handoffs for their patients post-discharge.

Optional Add-Ons (based on scope and partnerships):

• Massage therapy (via licensed provider)
• Nutrition consultations (via registered dietitian)
• Medical billing (through MES Revenue Services if reimbursement is pursued)

Notes:

• All services should avoid treatment or diagnosis and remain within MedExPRO scope.
• Emphasize outcome-based delivery, professional communication, and documentation.
• Services should be branded around functional restoration, long-term wellness, and medical collaboration rather than fitness or performance.

Today, MedExPROs offer a broad range of services to support clients transitioning from physical therapy and rehab, including condition-specific programs, group sessions, remote coaching, single-session consultations, and coordinated care with healthcare providers. The modern MedExPRO practice is a vital resource for functional recovery and long-term wellness. In this article, we’ve highlighted key services you can implement to grow your practice, attract more clients, and boost revenue. If you're offering services not listed here, I’d love to hear from you—email me at [email protected].