Scope of practice & NOC
In provinces where kinesiology is legislated, a kinesiologist's scope of practice is defined by law, this is not the case in other provinces thus the definition will differ from one province to another. We have, here, provided a scope of practice that encompasses what a kinesiologist may do in non-legislated provinces, as well as the legislated province (Ontario).
Kinesiologist is a profesionnal recognized under NOC National Occupational Classification issued by Statistics Canada: 3144 - Other professional occupations in therapy and assessment
Kinesiologists treat asymptomatic (healthy) individuals and those experiencing chronic diseases (likely associated with morbidities). This brings on challenges when treating with exercises but also provides a greater benefit and impact on their quality of life. Despite treating chronic disease, Kinesiologists do not diagnose pathologies but rather collaborate with multidisciplinary care teams. They may work in the domains of sport, recreation and active living, and their wide scope of practice may include functional ability evaluations, rehabilitation, ergonomics, motor redundancy, neuroplasticity, adaptation through exercise, home/workplace health and safety, disability management, and research. Kinesiology is associated with movement, performance, fitness and function, rehabilitation, prevention and management of chronic diseases, sport, recreation and work.
In provinces where kinesiology is legislated, the definition of the scope of practice is defined in the Law thus it may be different from one province to another. We have, here, attempted to give it a global definition.
Subject to the foregoing, the following list, while not exhaustive, contains many of the modalities and services that members are permitted to use in their practice:
- Fitness & health evaluations and exercise prescription.
- Postural assessment and education.
- Athletic training, exercise therapy and interventions.
- Therapeutic application of heat and cold.
- General nutritional counselling.
- Mobilization, manual therapy and manipulation (subject to the limitation in clause 2 of the “Restricted Activities” below)
- Completion of insurance assessment forms (subject to form specific limitations).
With additional training and certification, a kinesiologist may perform other treatment such as:
- Osteopathic manual techniques*.
- Electrical therapy techniques*, including: Ultrasound. Interferential Current Therapy (IFC). Low Intensity Laser Therapy**. Transcutaneous Electric Nerve Stimulation (TENS). Muscle stimulation. Pulsed high frequency electromagnetic stimulation (also known as therapeutic magnetic resonance).
1. *In order for kinesiologists to consider themselves appropriately educated and trained to perform
Osteopathic manual or Electrical therapy techniques they need to be able to show they have completed
formal or non-formal training for delivery of these treatments. Informal training is not generally
considered an acceptable form of training.
2. *Kinesiologists are permitted to use osteopathic manual and electrical therapy techniques as part of a
kinesiology treatment plan. However, if a kinesiologist is providing manual osteopathic and/or electrical
therapy treatment solely, or is utilizing either of these techniques for treatment of a condition outside of
the scope practice, the kinesiologist must consider the BCAK requirement of Dual Practice.
3. **Kinesiologists are only permitted to perform low intensity (level) laser therapy (LLLT) and are not
permitted to perform high intensity laser therapy (HILT) or utilize known forms of hazardous laser therapy
regardless of the intensity.