Exercise Physiology vs Physiotherapy: What's the Difference?

One of the most common questions we hear at The Biomechanics is: what is the difference between an exercise physiologist and a physiotherapist? Both professions work with movement and the body, and we offer both here. So let's break it down.

A brief history

Exercise physiology

The earliest academic mention of exercise physiology dates to the mid-1800s, but the first dedicated exercise physiology laboratory was established at Harvard University in the 1890s. From there the profession grew steadily. Here in Australia, accredited exercise physiologists have been recognised as allied health providers since the early 2000s, with Medicare funding available under Chronic Disease Management Plans since 2006.

Physiotherapy

Physiotherapy has a longer history. The earliest documented forms of physical rehabilitation trace back to ancient Greece, but the profession as we know it today has its roots in Sweden. Per Henrik Ling founded the Royal Institute of Gymnastics in Stockholm in 1813, combining gymnastics with physical rehabilitation. In 1894, the Chartered Society of Physiotherapy was established in Great Britain. Physiotherapy is one of Australia's most well-established allied health professions.

Who should I see?

At The Biomechanics, our exercise physiologists and physiotherapists work closely together. Here is a general guide.

Exercise physiologists are specialists in therapeutic exercise. They work with people managing persistent pain, chronic health conditions (including diabetes, cardiovascular disease, osteoporosis, PCOS, and MS), injury rehabilitation, NDIS goals, and anyone who wants to move more safely and confidently. Exercise physiology consultations can be accessed through Medicare under a Chronic Disease Management Plan.

Physiotherapists are trained in assessment, diagnosis, hands-on treatment, and rehabilitation. They are well suited to acute injuries, post-surgical recovery, and situations where manual therapy is useful alongside exercise. Physiotherapy is covered by Medicare and most private health extras.

In practice, both professions overlap significantly when it comes to pain and injury. The most important thing is finding a clinician who listens, uses evidence-based methods, and puts you in the driver's seat of your own recovery.

Who should I see for chronic illness and disease?

For long-term health conditions such as diabetes, cardiovascular disease, or autoimmune conditions, an exercise physiologist is typically who you would work with. Exercise is medicine when it is prescribed well, and exercise physiologists are trained to do exactly that. Both professions can contribute to your care, and research shows that outcomes improve when a team of practitioners work together (Momsen et al., 2012).

How we approach things at The Biomechanics

Whether you see a physiotherapist or an exercise physiologist at The Biomechanics, you can expect the same approach: longer consultations so we can hear your full story, evidence-based care grounded in contemporary pain science, and a plan built around your goals.

We believe the profession matters less than the quality and intent of the care. You should leave every appointment feeling heard, understood, and confident about what to do next.

Not sure which to book? Get in touch and we will help you work it out.

Reference:
Momsen A, Rasmussen J, Nielsen C, Iversen M, Lund H. Multidisciplinary team care in rehabilitation: An overview of reviews. Journal of Rehabilitation Medicine. 2012;44(11):901-912.