The NSCA Certified Special Population Specialist (CSPS) credential was established in 2012 to address the fitness needs of individuals afflicted by chronic or temporary health conditions. Anyone interested in pursuing a CSPS must first understand the types of health conditions that require special exercise intervention.

Health conditions are typically categorized according to the body system and physiological implications involved:

• Cardiovascular – Myocardial infarction, angina, peripheral vascular disease, congestive heart failure, revascularization, heart valve disorders, and/or conduction disorders.
• Pulmonary­ – Chronic obstructive pulmonary disorder, chronic restrictive pulmonary disorder, pulmonary hypertension, and/or asthma.
• Metabolic – Diabetes (Type I and II), overweight/obesity, pre-diabetes, metabolic syndrome, thyroid disorders, and/or end-stage renal disease.
• Immunological – AIDS/HIV, fibromyalgia, chronic fatigue syndrome, anemia, autoimmune disorders (e.g., lupus, rheumatoid arthritis), and/or blood clotting disorders.
• Musculoskeletal – Osteoporosis, limb amputations, osteoarthritis, lower back conditions, frailty, joint disorders, joint replacements, sarcopenia, posture disorders, and cystic fibrosis.
• Neuromuscular – Stroke, brain injury, spinal cord disorders, multiple sclerosis, cerebral palsy, Down’s syndrome, Parkinson’s disease, epilepsy, balance disorders, and muscular dystrophy.
• Cancer – Multiple body systems affected.
• Psychological/behavioral – Disordered eating, body image disorders, depression, and chemical dependency.

Special populations also include those groups of people with unique traits that are not necessarily afflicted by a chronic or temporary health condition.

• Females that are pregnant, postpartum and menopausal
• Older adults
• Children and adolescents

For further information on the CSPS credential, including prerequisites and exam preparation materials, visit the NSCA Certification Page. 

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