Clinical Exercise Specialist Certification

A Fitness Professional’s Guide to Exercise and Chronic Disease

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Over the past few decades, the population of the United States, and other industrialized nations, has been sitting more, moving less; consequently, the incidence of many chronic conditions to include type II diabetes, cardiovascular disease, pulmonary disease, orthopedic issues, and metabolic syndrome have dramatically increased, and unfortunately, the rise in chronic disease has been mostly ignored.

Not one sector of healthcare is trying to address it. Not physicians, not public or population health departments, not health or educational institutions?

Medical Exercise Academy is recognized by the National Academy of Sports Medicine, the National Exercise & Sports Trainers Association, and the Athletics and Fitness Association of America as an Approved Continuing Education Provider.


By educating fitness professionals in chronic disease management, many conditions may be alleviated in the primary care stage, when they can be reversed. Because we know exercise and activity can help in primary, secondary, or tertiary prevention, and positively effect over 30 chronic conditions, fitness professionals trained in program design and management, who have knowledge of chronic disease, and in collaboration with clinicians, are in a prime position to help clients and patients ease the burden of chronic disease.

Medical Exercise Academy courses were developed with three goals in mind:

  1. 1. To provide continuing education opportunities to anyone who wants to learn more about exercise and chronic disease.
  2. 2. To provide personalized feedback. Outside of traditional academia, this is one of only a few educational programs that provides personalized feedback, and therefore an additional level of credibility for specialization courses (via discussion and application questions).
  3. 3. To provide a credible path for fitness professionals who want to collaborate with other health care providers.

Our courses are succinct and easy to navigate, with relevant videos, text, and application exercises.


Topics covered in the Clinical Exercise Specialist program:

  • The Benefits of Exercise for Chronic Disease
  • Scope of Practice and Health Risk
  • Rapport and Psychology
  • Postural and Movement Assessments and Corrective Strategies Assessments
  • Cardiorespiratory Assessment
  • FITT
  • Coronary Heart Disease
  • Hypertension
  • Diabetes
  • Hyperlipidemia
  • Body Composition, overweight, and obesity
  • Metabolic Syndrome
  • COPD and Asthma
  • Balance and Gait
  • Common Shoulder Injuries
  • Injuries of the Elbow, Wrist, and Hand
  • Common Hip Injuries
  • Common Knee Injuries
  • Common Injuries of the Lower Leg, Ankle, and Foot
  • Low Back Pain
  • Arthritis
  • Osteoporosis
  • Cancer
  • Pregnancy
  • Business

By the end of this course you will:

  • Understand the effect of exercise and activity on health and chronic diseases
  • Know the role of fitness professionals in the healthcare continuum
  • Recognize the signs and symptoms of common chronic diseases

In addition to the introductory section, the CXS course is presented in 25 sections; each with a video and quiz, and there is also a 125-question final exam. The quizzes are not graded, but will provide guidance as to your understanding of the material.the final exam is graded, but not timed, and you must receive a 75% or better to pass.

Although you have up to 12 months to complete the entire course, it is recommended you complete at least one section per week. There is no minimum time limit, so you may complete more than one section per week.



Your Instructor


Dr. Dan Mikeska
Dr. Dan Mikeska

For almost 25 years Dr. Dan Mikeska owned NOVA Medical Exercise – a fitness studio dedicated to helping clients control, minimize, and even overcome chronic disease through fitness. He’s also the creator of the Medical Exercise Academy which specializes in educating health and fitness professionals on the effects of exercise on chronic disease. He has a master’s degree in Human Movement and a doctorate in Health Science, and teaches undergrad and graduate exercise science classes for A. T. Still University and American Public University System.

Dr. Mikeska holds numerous certifications from the National Academy of Sports Medicine, the American Council on Exercise, the Cancer Exercise Training Institute, and Exercise is Medicine.He became interested in fitness as a means to improve in martial arts, and he holds belts or instructor ranks in Jeet Kune Do Concepts, Combat Submission Wrestling, American Sport Karate, and is a Universal and United States Martial Arts Hall of Fame inductee.He is on the Medical Exercise Review Board for the Cancer Exercise Training Institute as well as the Industry Advisory Council for American Public University System’s Sports and Health Science program.

As a bestselling author, he has published articles on metabolic conditioning programs for martial artists, the scope of practice for fitness trainers, and the state of online education and medical exercise, as well as the Clinical Exercise Specialist Manual:A Fitness Professional’s Guide to Exercise and Chronic Disease; accordingly, he is recognized as one of the top educators on fitness and chronic disease. He and his wife live in myrtle Beach SC, and he can be reached at www.MedEx.fit.


Course Curriculum


  Course directions
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  Introduction
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  Chapter 2 – Scope of Practice and Health Risk
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  Chapter 3 – Rapport and Psychology
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  Chapter 5 – Cardiorespiratory Assessment
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  Chapter 6 - FITT
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  Chapter 7- Coronary Heart Disease
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  Chapter 8 – Hypertension
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  Chapter 9 – COPD and Asthma
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  Chapter 10 – Diabetes
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  Chapter 11 – Hyperlipidemia
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  Chapter 12 – Body Composition, Overweight and Obesity
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  Chapter 13 – Metabolic Syndrome
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  Chapter 14 – Cancer
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  Chapter 15 – Pregnancy
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  Chapter 16 – Core, Balance, and Gait
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  Chapter 17 – Common Shoulder Dysfunctions
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  Chapter 18 – Common Dysfunctions of the Distal Arm
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  Chapter 19 – Common Hip Dysfunctions
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  Chapter 20 – Common Knee Dysfunctions
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  Chapter 21 – Common Dysfunctions of the Lower Extremities
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  Chapter 22 – Low Back Pain
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  Chapter 23 - Arthritis
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  Chapter 24 - Osteoporosis
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  Chapter 25 – Business Considerations
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  Clinical Exercise Specialist final exam
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Frequently Asked Questions


What grade do I need to get to pass the examination?
In addition to the introductory section, the CXS course is presented in 25 sections; each with a video and quiz, and there is also a 125-question final exam. The quizzes are not graded, but will provide guidance as to your understanding of the material.the final exam is graded, but not timed, and you must receive a 75% or better to pass.
How long do I have to complete the course?
Although you have up to 12 months to complete the entire course, it is recommended you complete at least one section per week.
What is the refund policy for this course?
We certainly understand how quickly everyone’s situation can change, and we want everyone who visit’s our program to be happy with their experience. Because the textbook is available from the beginning of the course, a refund of all except $100 will be available in the first two weeks. If you are on a payment plan, you will be charged any additional amount.

You and your clients will benefit.

  • Be on the front line of healthcare by aiding in the management and prevention of chronic disease.
  • Position yourself as an essential part of the healthcare and business community.
  • Expand your scope of practice to the largest, fastest growing demographic in the United States.
  • Gain credibility and network with other healthcare providers.
  • Earn valuable continuing education credits.
  • Increase income by expanding service offerings.

Until 11:59pm Nov 30: Use code EVERYTHING2 for our Black Friday savings on 1 or 4 payments.


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