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What are the components of a fitness assessment?
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Terms in this set (43)
*Obtain exercise or health guidelines from a physician, physical therapist, or registered dietician.
*Follow national consensus guidelines of exercise prescription for medical disorders
*Screen clients for exercise limitations
*Identify potential risk factors for clients through screening procedures
*Refer clients who experience difficulty or pain or exhibit other symptoms to a qualified medical practitioner.
What is a vasodilator? What is the effect on heart rate and blood pressure?*Used in the treatment of hypertension and congestive heart failure *Heart rate can go up, no effect, down *Blood pressure can go downWhat is a bronchodilator?*Generally prescribed to correct or prevent bronchial smooth muscle constriction in individuals with asthma and other pulmonary disease *no effect on heart rate or blood pressureHow do you find radial pulse?*Lightly place two fingers along the right side of the arm in line with the thumb. Count pulse for 60 seconds. Record for 3 days *Touch should be gentle *Take when client is not working out *Take all 3 recordings at the same time each day for accuracy.How to record carotid pulse?*Place two fingers along the side of the neck just to the side of the larynx *Count pulse for 60 secs *Record average over 3 day period *Make sure touch is gentle *Take when client is calm *Take at the same time everyday for accuracyWhat is THR?*Target Heart Rate Zone *Three zones *Zone 1-Builds aerobic base and aids in recovery *Zone 2-Increases aerobic and anerobic endurance *Zone 3-Builds high end work capacityExplain straight percentage method (peak maximal heart rate)*Estimated maximal heart rate is age subtracted from the number 220. *Once the maximal HR is determine for client, multiply estimated heart rate by the appropriate intensity (65-95%) at which the client should work *Zone One MHR 0.65 MHRX 0.75 *Zone Two MHR x 0.76 MHR x 0.85 *Zone Three MHR x 0.86 MHR x 0.95What is HRR Method?*The heart rate reserve method *Also known as Karvonen method *Establishes training intensity on the basis of the difference between a client's predicted maximal heart rate and their resting heart rate. *What is BMI and how is it calculate?*BMI or body mass index *Works under the notion that weight and height should be proptional *A good BMI is 22-24.9% *Risk of disease starts at 25% or greater *Calculated as <18.5 =increased disease risk, underweight 18.6-21.99= disease risk low, acceptable 22.0-24.99= disease risk very low, acceptable 25.0-29.99= diseased risk increased, overweight 30.0-34.99= disease risk high, obese 35.0-39.99= disease risk very high, obesity II > 40= disease risk extremely high, obesity IIIBMI Formula1) weight (lbs)/ height inches squared x 703= BMI 2) Weight (kgs)/ heigh (m) squared= BMIWaist to hip ratio1) Measure the smallest part of the client's waist 2) Measure the largest part of client's hip 3) Divide the waist measurement by the hip measurement 4) A ratio greater than 0.80 for women and greater than 0.95 for men may put individuals at risk for disease *Important because there is a correlation between increased abdominal fat and chronic diseaseWhat is the first test you must give?Preparticipation Health Screening. Includes a medical history questionaire (PAR-Q) Rates as low, medium, or high risk Can decied from there whether to move on to physical fitness assessmentLow Risk Medium Risk High RiskLow risk=no signs or symptoms of cardio, pulmonary or metabolic disease and have <1 cardiovascular disease risk factor Medium risk=Do not have signs or symptoms of cardio, pulmonary or metabolic disease but have <2 cardiovascular disease risk factors. High risk=Individuals who have one or more signs or symptoms of cardio, pulmonary, or metabolic disease.List cardiovascular disease factors?*Smoking *dyslipidemia *impaired fasting glucose *obesity *sedentary lifestylePrevious ankle sprains can cause what problems in the future?*decrease neural control to gluteus maximum muscles *Can lead to poor control of lower extremeties during func activities *Can lead to future injuryPrevious knee injuries involving ligaments can cause what future issues?*Can lead to poor neural control in muscles that stabilize the patella *Can lead to future injuryOften a result of ankle or hip dysfunction (like an ankle sprain)Basic function of Beta-Blockers?*Generally used as antihypertensive (high BP) *Also used for arrhythmias (irregular heart rate) Heart rate and BP will dropBasic function of calcium-channel blockers. Effect of meds on heart rate and BP?*Generally prescribed for hypertension and angina *Heart rate will go up, down, or no effect *BP will go downBasic function of nitrates? Effect of meds on heart rate and BP?*Generally prescribed for hypertension *Congestive heart failure *heart rate will go up or have no effect *BP will go down or have no effectBasic function of diuretics? Effect of medication on heart rate and BP*Generally prescribed for hypertension *Congestive heart failure *Peripheral edema *No effect on heart rate *No effect on BP or will drop the BPWhat should be asked during a health history assessment?*Past Injuries *Chronic Conditions *Surgeries *MedicationsWhat is the typical resting heart rate?between 70 and 80 bpm.What are the two most common ways to calculate a client's target heart rate zone*maximal heart rate (straight percentage method) *Percentage of heart rate reserve (Karvonen method)What are some form of body composition assessment?*Skinfold measurement-uses caliper to estimate the amount of subcutaneous fat under skin *Bioelectrical impedance-portable instrument conducts electrical impulse to estimate body fat *Hydrostatic testingWhat does SKF stand for?Skinfold testing. It's an assessment that is an indirect measure of the thickness of adipose tissue on a client's body.What are some rules to follow in regard to skin fold measurements (SKF?)*Avoid performing SKFs on obese clients *Instruct client prior to test *Do not measure directly after exercise *Be meticulous when locating anatomic landmarks *Open jaw of caliper before removing from body site *Take at least two measurements at each site, each site measurement should be within 1-2mm average *Train with an individual skilled at SKF assessment and frequently compare results with yours.What formula is used with the SKFs?The Durnin-Womersley formula is used to calculate body fat percentage. Use caliper and measure at the: *Middle of the triceps *Middle of the biceps *Subscapular at 45 degree angle *illiac crestWhat assessments can be used to test those looking to improve athletic abilities?*performance assessments *Measure upper extremeity stabilitiy, lower extremeity agility, muscular endurance, overall strength *Push-up Test *Davies TestExplain push-up test and what it is used for?*A performance assessment that determines upper body muscular endurance. Mainly pushing muscles Procedure: 1) In push-up position (ankles, knees, shoulders and head in a straight line). Client lowers the body to touch a partner's closed fist placed under chest, 60 seconds or exhaustion with no overcompensation *Record touches *Client should perform more when reassessed.What is the Davies test and the procedure?*Measure upper extremity agility and stabilization. Not good for clients with bad shoulder stability. Procedure: *Place two pieces of tape on the floor, 36 inches apart *Client places hand on each piece of tape in push-up position *Client must quickly move his or her right hand to touch the left hand and vice versa for 15 secs *Repeat 3 times *Reassess in the future to measure improved number of touches *Record the number of lines touched by both hands.Shark Skill Test*Measures lower extremity agility and neuromuscular control *Progression from the single-leg squat Procedure: *Client stands in center box of a grid, hands on hips and standing on one leg *Have client hop to teach box in a designated pattern, always returning to the center box *Perform one practice with each foot *Perform the test twice with each foot (4 times total. Keep track of time. *Record time Add .10 secs for each of the following: Non-hopping leg touches ground hands come off hips foot goes in wrong square foot does not touch center squareUpper Extremity Strength Assessment:Bench Press*assessment to estimate the one-rep max on overall upper body strength of the pushing muscles *Can also determine training intensities of bench press *Advanced assessment (not for everyone) Procedure *Client on bench, lying on his or her back. Feet pointed straight ahead and low back in a neutral position *Warm up with light weight that can be performed 8-10 times easily *Take 1-min rest *Add 10-20 lbs (5-10%) of initial load and perform 3-5 reps *Take 2 min rest *Repeat until client achieves failure between 2-10 reps (3-5 reps for better accuracy) *Use the one-rep maximum estimation chart to calculate on rep maxLower Extremity Strength Assessment Squat*Estimates the one-rep squat max and overall lower body strength *Advanced assessment for strength specific goals Procedure: *Feet should be shoulder width apart, knees in line with toes. Neutral back *Client should warm up with light resistance that can be performed 8-10 times *1 min rest *Add 30-40 lbs (10-20% of initial load) and perform 3-5 reps *2 min rest *Repeat steps 3 and 4 until the client achieves failure between 2-10 reps (3-5 reps for greater accuracy *Use the one-rep max estimateion chart to calculate one rep max.What is static posture?*How an individual presents himself in stance *Provides the found or the platform from which extremeties function *Weak foundation leads to second problems in the system *Static postural assessment basis for identifying muscle imbalances.