11. Making Participant Safety A Priority Flashcards

You may prefer our related Brainscape-certified flashcards:
1
Q

What should instructors be able to recognize in a class?

A

Any observable signs and symptoms that may indicate that safety is compromised

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
2
Q

What is overexertion?

A

Pushing oneself past the point of volitional control or exceeding the limits of one’s ability

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
3
Q

What are the symptoms of overexertion?

A

Nausea, dizziness, loss of strength, poor form, vomiting

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
4
Q

What is rhabdomyolosis?

A

The breakdown of muscle fibres resulting in the release of muscle fibre contents into circulation which are toxic to the kidney

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
5
Q

What are the symptoms of exercise fatigue?

A

Improper exercise technique

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
6
Q

What does executing an exercise with improper form reinforce?

A

It reinforces poor technique, increasing the likelihood that an unhealthy pattern will develop

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
7
Q

What is the “instructors eye?”

A

It is conducting a quick screening of participants at the beginning of class, asking participants if they are aware of the type or intensity of the class. It is also intently watching for warning signs of exhaustion or injury recognizing and proper mechanics, extra movement patterns and signs of exhaustion.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
8
Q

In which order should instructors teach the progression and regression?

A

Teach the most basic movement first

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
9
Q

What is a classic sign?

A

An objective observable indicator such as loss of coordination, or heavy coughing.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
10
Q

What is the knowledge required with regards to injuries and emergencies?

A

Basic injury and illness management as well as when to activate emergency medical services

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
11
Q

When should EMS be activated?

A

It should be reserved for life-threatening situations

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
12
Q

How often must an instructor renew their CPR certification?

A

Every two years

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
13
Q

What is the difference between an acute versus chronic injury?

A

Acute: immediate trauma, abrupt onset of injury presenting immediate symptoms of distress

Chronic: develop gradually from repeated stress over time, an ongoing condition such as tennis elbow or diabetes

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
14
Q

What do musculoskeletal injuries require?

A

Calm and swift action

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
15
Q

Sprain

A

Tearing or overstretching of ligaments

Symptoms: swelling, pain, joint instability and immobility, possible discolouration

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
16
Q

Strain

A

Tearing or stretching of a muscle or tendon

Symptoms: pain, local tenderness, possible discolouration, loss of strength and range of motion

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
17
Q

Compound fracture

A

Bone fracture resulting in an open wound

Symptoms: boney protrusion, bleeding and possible shock. EMS required

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
18
Q

Contusion

A

Bruise formed from an acute traumatic blow to the body

Sometimes: soft tissue hemorrhage, haematoma, restricted range of motion. EMS is required

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
19
Q

How can an instructor respond to someone’s chronic condition?

A

Diagnosis is outside of the scope of practice but options and modifications can be given to help facilitate pain-free exercise

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
20
Q

Tendinitis

A

Inflammation of a tendon due to overuse

Symptoms: tenderness, localized or disbursed pain, loss of strength

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
21
Q

Bursitis

A

Inflammation of the bursa sac near a tendon or joint

Symptoms: swelling, pain and some loss of function

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
22
Q

Plantar Fasciitis

A

Inflammation of the plantar surface of the foot

Symptoms: pain and tightness under the foot, worse with weight-bearing

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
23
Q

Shinsplints [medial tibial stress syndrome]

A

Pain or inflammation of the soft tissues along the shinbone

Symptoms: Bone and soft tissue tenderness

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
24
Q

Iliotibial [IT] band friction syndrome

A

IT band rubs against the lateral femural epicondyle in the outside of the knee resulting from overuse
Symptoms: pain, burning or tightness during running cycling or multi directional movement along the lower outside of the knee

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
25
Q

Patellofemoral pain syndrome

A

Lateral deviation of the patella during knee extension that causes painful contact between the patella and the femur
Symptoms: tenderness pain, swelling and discomfort

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
26
Q

Impingements

A

Muscle, tendon or nerve pinched
between boney structures
Symptoms: local pain and tenderness, burning sensation muscle weakness and loss of range of motion and mobility

27
Q

Lower back pain

A

Resulting from acute injury resulting in pain on flexion extension or rotation and loss of function

28
Q

What are the requirements in cardio respiratory emergencies?

A

A clear awareness of the symptoms which include experiencing difficulty breathing or complete lack of breathing and the ability to activate CPR and EMS when the signs are present

29
Q

Heart attack

A

Obstruction or blockage of blood flow to the heart
Symptoms: Chest pain, pain in arms, back, neck or jaw, difficulty breathing, nausea, anxiety, lightheadedness, sweating, fatigue, syncope (disruption in the normal beating pattern of the heart)

30
Q

Asthma attack

A

Swelling, inflammation or narrowing of the airways that inhibits breathing
Sometimes, wheezing, coughing, pain and tightness in the chest, panic, pale face

31
Q

Choking

A

Airway obstructed by object

Symptoms: coughing, loss of speech, pale or blue skin, irregular heartbeat

32
Q

What are some of the cerebral vascular emergencies?

A

Stroke, concussion, seizures

33
Q

Stroke

A

Lack of blood supply and oxygen to the brain
Symptoms: numbness in the arms legs or face, confusion, trouble speaking, dizziness, loss of vision, balance, coordination, drooping on one side of the face, loss of consciousness

34
Q

Concussion

A

Impairment of neural function as a result of direct blow to the head
Symptoms: shock,blurred vision, sensitivity to light, sleep disturbance, amnesia, loss of consciousness

35
Q

Seizures

A

Changes in brain activity causing mild to severe convulsions

Symptoms: convulsions, syncope, loss of coordination, clenching of the jaw, loss of bladder or bowel function

36
Q

What is exercise induced hypoglycemia?

A

Low blood sugar attributed to the physiological effects of exercise
Symptoms: dizziness, confusion, hunger, headache, pale skin, sweating, anxiety, weakness, poor coordination
Can progress to diabetic shock with possible loss of consciousness

37
Q

What should instructors avoid in a situation of loss of consciousness due to a metabolic emergency?

A

And unconscious participant should not be given anything orally in order to avoid compromising the airway

38
Q

Which environmental emergencies should an instructor be aware of?

A

Heat cramps, heat exhaustion, heatstroke, hypothermia

Rehydration, cooling methods and calling for medical assistance if symptoms progress and participants temperature is not decreasing or vomiting and nausea is significant

39
Q

What are common soft tissue injuries?

A

Lacerations, puncture, avulsions(skin tearing off) abrasions

Injuries with heavy bleeding should be referred to emergency medical services

40
Q

What about the possibility of pregnancy related emergencies

A

A higher chance of hypoglycaemic reaction due to lower fasting blood glucose levels
Should be sure to consume foods with easily digestible sugar sources such as fruit or juice

Early labour and a miscarriage require immediate emergency medical services

41
Q

How do you recognize exercise dependence?

A

When the commitment to exercise becomes a higher priority than other personal commitments
Symptoms: quick weight loss, extreme guilt, compulsive exercise, hair loss, dry skin, dizziness

Immediate but gentle intervention

42
Q

What is a safe early intervention strategy for many acute injuries?

A

RICE
Rest: avoid weight-bearing activity until cleared by the physician
Ice: applied every hour for 10 to 20 minutes until the tendency for swelling has passed
Compression: placing a wrap on the area to minimize local swelling
Elevation: lift the injured limb 6 to 10 inches above the level of the heart, helps to control swelling and reduce haemorrhage

43
Q

What necessitates emergency medical interaction?

A

Injuries that result in heavy bleeding, airway instruction, labour breathing, symptoms of shock, or unconsciousness

44
Q

What is a key component of wound care?

A

Maintaining a clean environment to minimize the risk of spreading blood-borne pathogen’s

Secure the area until emergency services arrive

45
Q

Accident reporting

A

Personal details, time date and place of the accident, brief description of injury, description and information of any equipment involved, reference to any instructions given and supervision, Description of how the injury occurred, witnesses, statement of actions taken at the time of the injury, signatures of the supervisor and injured person

Medical information must be kept private

46
Q

What are the injury related responsibilities of an instructor?

A
  1. Prevent injury through careful planning and delivering a class
  2. Provide regressions for special conditions
  3. Address injuries that occur in class
47
Q

Who ultimately has control over the workout intensity?

A

Participant

48
Q

How must an instructor evaluate the many new class formats?

A

By carefully managing the risks and providing modifications for those with limited ability

49
Q

What are some risk factors in group fitness?

A

Intrinsic: pre-existing injuries, body composition, deconditioned, and imbalances
Extrinsic: complexity and intensity, repetitions, surface, footwear, fatigue, equipment, climate altitude, air quality

50
Q

Mitigate pre-existing injuries or illnesses

A

provide regressions, exclusions and avoid ballistics

51
Q

Mitigate unhealthy body composition

A

Lower impact, basic movements, lower complexity

Intervention if eating disorder is suspected

52
Q

Mitigate deconditioned

A

Fewer repetitions and sets, shorter intervals, assessment of perceived exertion, time for recovery

53
Q

Mitigate strength and flexibility imbalance

A

Limited range of motion, reduce amount of joint movement, begin with dynamic flexibility, offer assistance such as yoga blocks and stretch straps

Exercise pain-free

54
Q

Mitigate complexity, intensity and speed

A

Teach foundational layers first

Build up

55
Q

Mitigate repetitions and sets

A

Suggest lighter loads and alternate exercises to allow active recovery

56
Q

Mitigate surface

A

Caution on carpet
Eliminate slippery patches
Beware of uneven surfaces

57
Q

Mitigate footwear

A

Hybrid shoe such as a cross trainer is essential
Dance classes need a lot of support and minimal tread on the soul
Barefoot training is only advisable when someone is free of pre-existing conditions

58
Q

Mitigate fatigue

A

Incorporate fluid breaks, create active recovery opportunities by targeting different energy systems

59
Q

Mitigate equipment

A

Use according to instructions, no homemade equipment

60
Q

Mitigate climates

A

Breathable clothing and fluid replacement

61
Q

Mitigate altitude

A

Ascend slowly and use oxygen

62
Q

Mitigate Air quality

A

Avoid going out to exercise on high alert days

63
Q

What are the most common ways to minimize risk in a class?

A

Motion and stretching kept within pain-free range and intensity
Gradual increase of intensity
Focus on technique and proper form
Avoidance of extreme range of motion
Assess appropriateness of plyometric techniques with high loads
Load closed kinetic chain exercises such as squats and lunges according to the tolerance of the joints
Teach overhead activity modifications
Proper fit of equipment