Workshop: Physical Activity Counselling and Exercise Prescription in Health Care

Date:  Saturday, December 8, 2018
Time:  8:30 AM – 12:30 PM
CE Hours:  3.5
Facilitators: Dr. Scott Howitt and Dr. Michelle Laframboise

The benefits of physical fitness and activity on overall health are the focus of this workshop. A comprehensive framework will be presented to help chiropractors integrate motivational physical activity counselling and exercise prescriptions into regular clinical practice. Motivational counselling, health behaviour discussion and exercise prescriptions will be covered to give chiropractors the confidence and skills to integrate them into clinical evaluations.

Learning Objectives

Participants will be able to:

  1. Discuss the health benefits and safety of regular exercise with their patients.
  2. Use physical activity as one of the vital signs when doing a clinical health evaluation.
  3. Provide basic PA counselling and exercise prescription for patients as part of patient care.
  4. Utilize motivational counselling to help patients overcome barriers for health behaviour change.
  5. Learn how to monitor aerobic exercise intensity and how to do basic resistance exercise.


8:30 am        Introduction of EIMC and Self Reflections around PA counselling in clinical practice

8:45 am        Evidence for Exercise is Medicine

9:30 am        Clinical Perspectives – outcomes of exercise in clinical practice

10:00 am      Break

10:30 am      Self-Reflections and Discussion of Barriers to Prescription of Exercise in Clinical Practice

10:40 am      Building competency for PA Counselling and Exercise Rx in clinical practice – Motivational Interviewing Strategies

11:00 am      Aerobic Exercise prescription – use of tools for monitoring, prescribing

11:20 am      Resistance Exercise Prescription – use of tools for monitoring, prescribing

11:40 am      Stretch break (walk the talk)

11:50 am      Issues for Exercise Rx in Clinical practice – consider Obesity management, medications/comorbidities,

12:10 am      Interactive Q& A, Post-Workshop Reflections and workshop confidence survey

12:30 am      Adjourn

About the Facilitators

Scott D. Howitt, DC

Dr. Scott Howitt holds an Honors Baccalaureate degree in Physical Education from the University of Western Ontario and a Masters degree in Human Health and Nutritional Sciences from the University of Guelph. He graduated from the Canadian Memorial Chiropractic College, and completed a two-year post-graduate residency in Sports Sciences, a three-year post-graduate program in Rehabilitative Sciences, and a two-year course in acupuncture. Dr. Howitt was a member of the core medical team for the 2015 Canadian Pan Am team, and works with various amateur and professional sports including rugby, bobsled/skeleton, triathlon and the Men’s National Soccer team.

Dr. Howitt has a special interest in endurance athlete performance and co-ordinates the medical coverage for the Toronto Triathlon Festival and the Toronto Ultimate Club. He has created content for sports medicine courseware, has published numerous research papers, and is a lecturer for undergraduate and post-graduate sports medicine, rehabilitation, nutrition and fitness. Dr. Howitt is the 1st Vice President of the RCCSS(c), the chiropractic representative for the Canadian concussion Collaborative and the National Advisory Council of EIMC, in addition to being on the editorial board of the JCCA.

Michelle Laframboise, DC

Dr. Michelle Laframboise has dedicated her professional career to working with and treating athletes and families alike. Dr. Laframboise graduated with Magna Cum Laude and clinical honours from the Canadian Memorial Chiropractic College after completing a fitness and health diploma from Fanshawe College and an Honours Bachelor of Kinesiology degree from Brock University. After graduating as a Doctor of Chiropractic, Dr. Laframboise went on to pursue a sports sciences specialty in the post-graduate residency program at the Canadian Memorial Chiropractic College, due to her particular interest in sports and sport specific injuries.

Dr. Laframboise is a Sports Specialist Chiropractor and belongs to the Royal College of Chiropractic Sports Sciences (RCCSS(C)). She is currently active on the board of the RCCSS(C) and serving as the chair of the RCCSS(C) health promotion committee and serves as the RCCSS(C) Ontario Chiropractic Association liaison. She has taught at the undergraduate level at CMCC and still maintains an active role in the research community, publishing numerous research articles in peer-reviewed journals. She also continues to act as a reviewer in the peer-review process. In particular, Dr. Laframboise is interested in investigating central sensitization and the role of spinal manipulation on myofascial trigger points.

Dr. Laframboise has always had a passion for the development of grass roots athletes and is heavily involved in the athletic community. Her dedication and love for sports is shown through her work with local sports teams. She was the team doctor for the Rama Aces Junior A Hockey team. She has worked as a team doctor for provincial and national soccer clubs, hockey teams, snowboarding, triathlon, track and field, international wrestling competitions and provincial and national figure skating competitions. She has also been a member of the core medical team for provincial and national level taekwondo competitions and football games. Dr. Laframboise has had the pleasure to work as medical manager for the Ontario Summer and Winter Games. She is also heavily involved with CrossFit Orillia, working with many of the trainers, members and competing athletes. Dr. Laframboise is a certified Contemporary Medical Acupuncture Provider (McMaster University), an Active Release Techniques® practitioner, a certified Graston® provider, a certified Sports First Responder and certified personal trainer.

Class Size