ELECTIVE

PLACEMENT
MOHAMAD SUHAIB BIN MOHD MAHFDZUZ
BPHP18046145
Pain and Gain Fitness
Description of Elective Placement
■ Name : Pain and Gain Fitness, Shah Alam, Selangor, Malaysia.
■ Type: Commercial Community Gym. Health and Fitness.
■ Place: Corner lot shop accessible by using a staircase to access the first and 2nd floor.
■ Equipment: Cardio, weight, agility, drill, including certain specific sports equipment
such as kickboxing and plyometric boxes.
■ Background of Founder: 26 years old man, education: business with ACE Certification,
Massage certification, love sport during school
■ Background of staff: Sport Science graduated, others course with ACE certification
Operation

■ 8 am to 10 pm daily
■ All generations entered the gym with mostly young men visited the gym at night
■ Some older generations and pensioners, who seemingly had more awareness in physical
activity, entered the gym during the morning session.
■ Selangor professional footballers also were training here.
■ Men more than female.
■ personal coaching package includes weight loss program, hypertrophy program, athletic
sport-specific, HIT, dance class and cardio fitness program.
Expanded Role of Physiotherapist

1. Creating awareness regarding the sport preventive exercise program in the community-based
gym
- Core stabilizer is essential in gym person to prevent injury from happening, such as back pain.
- Congcong Cai and Pui W. Kong, 2015, had shown that recreational athlete such as runners who
had chronic low back pain had identified to have diminished knee extensor and lumbar
multifidus deficit compared to healthy runners.
- Huxel Bliven KC, Anderson BE in 2013, proved that there is moderate evidence that early core
muscles activation can reduce the injury risk for the athlete.
- Some trainer lack of information regarding preventive measure. Too much focus on
hypertrophy
2. Home education is vital to ensure they had continuous support even when in rests day or not
coming to the gym
- enhance recovery after a workout day
- Paul Jansons et al. 2017 shown that no significant difference between home exercise-based
therapy and gym-based therapy after 12-month intervention after both methods
3. Resistance training for elderly population with proper physiotherapy assessment
- elderly population can undertake medical healthcare guidelines more reliable thus improving
their general mental health, reduced anxiety, depression and exercise tolerance (Jansens P. et al.
2017).
- Physiotherapist role in supervised elder population in the gym can be an essential scope to
make sure more effective, and precaution consideration
- Arguing regarding gym in Malaysia not elderly convenience.
4. Role in a professional athlete who attend the gym.
- A research done by Grant M, Steffen K, Glasgow P, et al., 2014, the physiotherapist was
needful for athletes and non-athletes to highlight high numbers of pre-existing and overuse
injuries in the Olympic Games 2012
Description of the Available Services
■ Strength Training to promote General Health to the community including older adult
- Physiotherapist and trainer can work together to provide better scope of view during
strength training
- All type of population live in the community. Thus, essential to provide services to all
including older adult.
- Philip A. Ades, Douglas L. Ballor, Taka Ashikaga, et al., 1996 that resistance training for
three months for healthy elderly can improves both leg strength and walking endurance.
■ HIT design to improve cardio-metabolic risk factor for newcomers
- HIT performed in a real-world gym setting improves cardio-metabolic risk factors and
psychological health in physically inactive adults (Sam O. Shepherd, 2015)
- exercise strategies that maximise exercise adaptations, require a lower time commitment
than the current guidelines, and offer a feasible and attractive exercise mode 
■ Proper weight Loss program for adult
- Multidisciplinary interventions including family support and guided behaviour
modification appear to be effective methods of reducing BMI in overweight and obese
adolescents. Systematic Review done by Raquel de Melo Boff et. al., 2016
■ Dance Class fitness
- intervention based on Zumba Fitness classes generates notable improvements in a wide
range of Health-Related Quality of Life (HRQoL) dimensions in sedentary middle-aged
worker women (Yaira Barranco-Ruiz, Susana Paz-Viteri, Emilio Villa-Gonzalez, 2020)
 POLICY BY GOVERNMENT
• New Health policies had been introduced in 2018. Tax exemption for
Gym Operator

• Qualified Physiotherapist can provide a service here by used manual

therapy technique but will not be certified by Minister of Health
(Recommendation)

• Most of the commercial gym in Malaysia had difficulty to comply with

Allied Health Professional Services under service standard 17A in all
area and ACT 586 for private Healthcare and Services.

• 774 Act had been introduced but not yet published

• No special act to open gym and only Act 1956 for Registration of
Business

2018
Physiotherapist needs for Continuous
Professional Development
■ Physiotherapist need to involve in community gym to create more awareness regarding
physiotherapist services. As studied done in Australia, population can rely more in
physiotherapist to provide information and general health advice in addition to specific physical
activity (Kunstler et. al., 2019)
■ For continuous education, Physiotherapist can get professional certification for trainer like ACE
or specialization in Sport to be part of multidisciplinary team in treating athlete
■ In Malaysia, Post-Graduate program offer Sport physiotherapy to be recognized as specialization.
■ Andrea Scott & Dominic Malcolm, 2014 in their systematic review concluded that
physiotherapists in sports multidisciplinary is fostered through close physical contact with athlete
patients, and extended periods of exposure not only in relation to treatment, but while
undertaking a variety of other performance-oriented functions.
Thank You
References
■ ANDREA SCOTT & DOMINIC MALCOLM (2015) ‘Involved in every step’: how working practices shape the influence of physiotherapists in elite sport,
Qualitative Research in Sport, Exercise and Health, 7:4, 539-556, DOI: 10.1080/2159676X.2014.968605 Accessed on: 4 January 2021 Available on:
https://www.tandfonline.com/doi/full/10.1080/2159676X.2014.968605
■ CONGCONG CAI AND PUI W. KONG (2015) Low Back and Lower-Limb Muscle Performance in Male and Female Recreational Runners With Chronic Low
Back Pain. [Online] Journal of Orthopaedic & Sports Physical Therapy. Available from https://www.jospt.org/doi/full/10.2519/jospt.2015.5460 [Accessed: 31th
January 2021]
■ DE MELO BOFF, R., LIBONI, R.P.A., DE AZEVEDO BATISTA, I.P., DE SOUZA, L.H. AND DA SILVA OLIVEIRA, M., (2017) Weight loss interventions for
overweight and obese adolescents: a systematic review. Eating and Weight Disorders-Studies on Anorexia, Bulimia and Obesity, 22(2), pp.211-229. Accessed on:
4 January 2021. Available on: https://link.springer.com/article/10.1007%2Fs40519-016-0309-1
■ Grant M, Steffen K, Glasgow P, et al (2014) The role of sports physiotherapy at the London 2012 Olympic Games. [Online] British Journal of Sports Medicine.
Available from https://pubmed.ncbi.nlm.nih.gov/24334506/ [Accessed: 27th January 2021]
■ HUXEL BLIVEN KC, ANDERSON BE (2013) Core Stability Training for Injury Prevention. [Online] Sports Health. Available from:
https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3806175/ [Accessed: 25th January 2021]
■ KUNSTLER, B., FULLER, R., PERVAN, S. AND MEROLLI, M., (2019). Australian adults expect physiotherapists to provide physical activity advice: a
survey. Journal of physiotherapy, 65(4), pp.230-236. Available from: https://www.sciencedirect.com/science/article/pii/S183695531930089X [Accessed: 22th
January 2021]
■ SHEPHERD, S.O., WILSON, O.J., TAYLOR, A.S., THØGERSEN-NTOUMANI, C., ADLAN, A.M., WAGENMAKERS, A.J. AND SHAW, C.S., (2015). Low-
volume high-intensity interval training in a gym setting improves cardio-metabolic and psychological health. PloS one, 10(9), p.e0139056.[Online] Available on:
https://journals.plos.org/plosone/article?id=10.1371/journal.pone.0139056 [Accessed: 20th January 2021]
■ PAUL JANSONS, LAUREN ROBINS, LISA O’BRIEN, TERRY HAINES (2017) Gym-based exercise and home-based exercise with telephone support have
similar outcomes when used as maintenance programs in adults with chronic health conditions: a randomized trial [Online] Journal of Physiotherapy, Available
from: https://www.sciencedirect.com/science/article/pii/S183695531730070X. [Accessed: 28th January 2021]
■ Philip A. Ades, Douglas L. Ballor, Taka Ashikaga, et al. (1996) Weight Training Improves Walking Endurance in Healthy Elderly. Available from:
https://www.acpjournals.org/doi/abs/10.7326/0003-4819-124-6-199603150-00005 [Accessed: 31th January 2021]
■ BARRANCO-RUIZ, Y., PAZ-VITERI, S. AND VILLA-GONZÁLEZ, E., (2020). Dance Fitness Classes Improve the Health-Related Quality of Life in Sedentary
Women. International Journal of Environmental Research and Public Health, [online] 17(11), p.3771. Available at: <http://dx.doi.org/10.3390/ijerph17113771>.