Physio vs Exercise Physiology: What Is the Difference and When Might Each Be Helpful
- Samuel Bulten

- Dec 3
- 4 min read

Physiotherapists and exercise physiologists both play important roles in supporting movement, physical function, and overall wellbeing. Many people are unsure about the differences between these two professions and when one may be more suitable than the other. This guide provides a clear, educational overview to help you understand how each practitioner works, what their training involves, and how they can assist people in Geraldton and the surrounding Midwest region.
This article is designed for general information only. It does not provide treatment recommendations or guarantee outcomes. Its purpose is to explain the scope of practice of both professions in a clear way.
Understanding Physiotherapy
Physiotherapy is a registered health profession focused on assessing and supporting movement and physical function. Physiotherapists work with people experiencing a broad range of physical presentations, from new injuries to long term conditions.
Training and Regulation
Physiotherapists complete university level training and are registered with the Physiotherapy Board of Australia. They follow professional standards and guidelines and must meet ongoing education requirements to maintain registration.
How Physiotherapists Support Individuals
A physiotherapist may assist with:
Assessment of movement, strength, balance, and physical function
Understanding the causes or contributors to physical concerns
Providing education about symptoms, recovery expectations, and self management
Guiding movement and exercise strategies
Offering manual therapy where appropriate
Supporting recovery after surgery or injury
Helping individuals manage long term physical conditions
Physiotherapists commonly see people with concerns such as back discomfort, joint irritation, soft tissue injuries, mobility issues, or post surgical recovery needs.
Understanding Exercise Physiology
Exercise physiology is a profession that focuses on using exercise and movement based programs to support health, physical capacity, and chronic disease management. Accredited Exercise Physiologists, or AEPs, complete extensive training in exercise science and clinical exercise prescription.
Training and Regulation
Exercise physiologists complete a university degree in exercise physiology or exercise science with clinical accreditation. They are accredited through Exercise and Sports Science Australia (ESSA) and meet continuing professional development standards.
How Exercise Physiologists Support Individuals
An exercise physiologist may assist with:
Developing personalised exercise programs
Supporting people with chronic health conditions
Strength building and physical capacity improvements
Education about exercise, lifestyle habits, and physical health
Ongoing supervision of exercise routines
Guidance on safe and appropriate activity levels
Exercise physiologists often see individuals with long term conditions such as cardiovascular concerns, diabetes, metabolic conditions, chronic pain or those seeking physical activity guidance.
Key Differences Between Physiotherapy and Exercise Physiology
Although both professions support movement and health, there are distinct differences in their focus and approach.
1. Scope of Practice
Physiotherapists can assess, diagnose, and support people with new injuries, acute presentations, and post surgical recovery.
Exercise physiologists focus more on long term exercise programs and supervising movement strategies that support overall health and function.
2. Approach to Care
Physiotherapists may use a wide range of strategies including manual therapy, education, and exercises.
Exercise physiologists specialise in using exercise, education as the primary tool to support health and wellbeing.
3. When Each May Be Appropriate
It may be helpful to see a physiotherapist when:
An injury has recently occurred
There is a sudden change in mobility or pain
Post surgical guidance is needed
There are concerns about how the body is moving or functioning
It may be helpful to see an exercise physiologist when:
Long term physical activity guidance is needed
There is a chronic condition that benefits from structured exercise
A person wants support in building strength or endurance
Lifestyle changes are a priority
These are general examples. The most appropriate practitioner depends on individual needs and circumstances.
Working Together: Physiotherapy and Exercise Physiology in Geraldton
Many people benefit from working with both professions at different stages of their health journey. For example:
A physiotherapist may support an individual in the early stages of recovery, helping them understand their presentation and begin safe movement strategies.
An exercise physiologist may later guide a structured program that builds strength or physical capacity over time.
At clinics like Adapt Movement, physiotherapists and exercise physiologists may collaborate to provide cohesive care. This allows people to move between practitioners as needed, ensuring they receive the right support at the right time.
Collaboration may also involve other professionals such as psychologists, massage therapists, or dietitians when appropriate and with the person’s consent.
How to Choose the Right Practitioner for Your Needs
When deciding who to see, consider the following questions:
Are you experiencing new symptoms or physical changes?
Are you recovering after surgery or an acute injury?
Are you seeking guidance on movement and exercise for long term health?
Do you prefer structured exercise sessions or a mix of education, movement, and manual strategies?
If you are unsure, many people contact a physiotherapist first because they can assess and provide clarity about what type of support may be most helpful.
FAQs
Do I need a referral to see a physiotherapist or exercise physiologist?
No. You can book directly unless you are accessing a specific funding program that requires referral.
Can physiotherapists and exercise physiologists work together?
Yes. Many individuals benefit from both approaches, especially when moving from early recovery to long term exercise programs.
Are the two professions the same?
No. They have different training, scopes of practice, and areas of focus. Both support movement but in different ways.
Is one better than the other?
Neither profession is superior. Each plays a unique role based on individual needs and goals.
Can either profession guarantee results?
No. Progress varies for each person. Both professions follow evidence informed practice and work collaboratively with individuals to support their health goals.
References
Exercise and Sports Science Australia. Scope of Practice for Accredited Exercise Physiologists.
Physiotherapy Board of Australia. Professional standards for physiotherapists.
Australian Commission on Safety and Quality in Health Care. Person centred care resources.
National Institute for Health and Care Excellence. Exercise based guidelines and recommendations.
Australian Health Practitioner Regulation Agency. Guidelines for advertising a regulated health service.
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