This page contains a Flash digital edition of a book.

Whether you’re a PT

or a large health club, if someone gets injured

on your watch, you lose them as a customer

in hand, be it running a marathon or regaining strength following an injury,” explains Cole. “We’re not looking at any blueprint of how a body should move – it’s individual. We’re fitting the client to their goal, not the other way round.” PRP involves four main assessments:

gait (walking and running), bilateral and unilateral squatting and shoulder mobility. “This establishes a start point and signposts where we need to investigate further,” says Cole. After the 60-minute screening, clients receive a video report outlining the trainer’s findings and recommendations. They are then encouraged to work with a PT within the club to address any limitations or weaknesses identified. Meanwhile, at 37° – a group of three

health clubs in Surrey and London – a LifeScore screen is free to members (£150 to non-members). This one-to- one assessment, described as a ‘total body-mapping tool’, looks at posture and gait, strength, body composition, nutrition and hydration. You can even opt to pay extra for a DNAfit test, to ensure your diet and training are optimal for your genetic make-up. Independent operators are at the

helm of the prehab trend – typically high-end gyms with specialist staff. But Goulden believes any club could benefit from offering similar services.

“Whether you’re a PT or a large health club, if someone gets injured on your watch, you lose them as a customer,” he says. “It’s in everyone’s interests – the club and the user – to minimise the risk of injuries by introducing initial screening and regularly monitoring exercise performance.”

Nuffield’s Health MOT measures factors related to a client’s overall health

MEMBER SUPPORT Cole and Goulden both have extensive specialist knowledge of movement – including neuroscience and motor learning theory – so are well-positioned to offer in-depth musculoskeletal screening. The average gym instructor, however, isn’t likely to have the necessary level of education or experience. So that means further training, or taking on specialist staff. “Whether these services add value

depends on how well they are delivered,” says Dr Paul Bedford, a specialist in member retention. “Research suggests they can contribute to retention, but unfortunately most operators are not prepared to invest in the training required to make them work.” Goulden agrees, but believes that

trainers and clubs need to take more responsibility for ongoing training and development. “Too often, the approach is ‘I’ve done my training course – now I know everything I need to know’,” he says. To encourage and facilitate learning, Goulden runs regular study groups and courses at Integra, which are open to all health and fitness professionals. Bedford isn’t convinced a significant

number of memberships fall by the wayside due to injury, but believes there’s an issue with discomfort in the early days of exercise. “A high heart rate, profuse sweating and burning muscles signal progress to the experienced exerciser, but to a beginner they can feel more like a medical emergency,” he says.

“Having some guidance and reassurance through that period could be beneficial.” Goulden supports the idea of more ‘hand-holding’ and monitoring early on.

54 Read Health Club Management online at

“Instead of a bog-standard induction, why not offer a six-week ‘way in to exercise’?” he suggests. “It could focus on really finding out what the client’s needs are and educating them about movement. This would help ease them into exercise and build a stronger relationship between club and client.” Nuffield Health’s Fitness and

Wellbeing Centres are already on the ball with such an offering. All new members get a Health MOT – a clinical assessment of overall health, including blood pressure, cholesterol, blood glucose, aerobic fitness and resting heart rate. But Nuffield’s recently introduced Wellbeing membership option also provides ongoing individual support and monitoring (see also p34). Wellbeing members get four one-

to-one appointments with an expert of their choice – a physiologist, physiotherapist, nutritionist or personal trainer – as well as a free physiotherapy session (which could be used as a pre- exercise musculoskeletal MOT) and four sessions with a health mentor. “Our health mentors are educated by

our Fitness Academy to a significantly higher standard than the average personal trainer,” says Natalie Cornish, the company’s fitness and wellbeing director. “We educate them not only on how to deliver exercise prescription, but also on nutrition, sleep and stress. All of our training is underpinned by effective coaching and understanding of how we can help our members achieve behavioural change.” How has the membership been

received? “The comments have been incredibly positive,” says Cornish. “We

May 2014 © Cybertrek 2014

Page 1  |  Page 2  |  Page 3  |  Page 4  |  Page 5  |  Page 6  |  Page 7  |  Page 8  |  Page 9  |  Page 10  |  Page 11  |  Page 12  |  Page 13  |  Page 14  |  Page 15  |  Page 16  |  Page 17  |  Page 18  |  Page 19  |  Page 20  |  Page 21  |  Page 22  |  Page 23  |  Page 24  |  Page 25  |  Page 26  |  Page 27  |  Page 28  |  Page 29  |  Page 30  |  Page 31  |  Page 32  |  Page 33  |  Page 34  |  Page 35  |  Page 36  |  Page 37  |  Page 38  |  Page 39  |  Page 40  |  Page 41  |  Page 42  |  Page 43  |  Page 44  |  Page 45  |  Page 46  |  Page 47  |  Page 48  |  Page 49  |  Page 50  |  Page 51  |  Page 52  |  Page 53  |  Page 54  |  Page 55  |  Page 56  |  Page 57  |  Page 58  |  Page 59  |  Page 60  |  Page 61  |  Page 62  |  Page 63  |  Page 64  |  Page 65  |  Page 66  |  Page 67  |  Page 68  |  Page 69  |  Page 70  |  Page 71  |  Page 72  |  Page 73  |  Page 74  |  Page 75  |  Page 76  |  Page 77  |  Page 78  |  Page 79  |  Page 80  |  Page 81  |  Page 82  |  Page 83  |  Page 84  |  Page 85  |  Page 86  |  Page 87  |  Page 88  |  Page 89  |  Page 90  |  Page 91  |  Page 92