4. Pre-exercise health screening Flashcards
Is Pre-exercise and health screening more important in OA vs younger adults? Yes or No and why?
OA are more likely to have risk factors for CAD or other conditions vs YA
Purpose of pre-exercise screening? (5)
- Become familiar with physical condition
- Identify health problems
- Identify risk level/MD referral
- Fitness and mobility tests
- Identify the client’s goals
Pre-exercise screening helps identify clients who? (4)
- Have diseases, symptoms or risk factors
- Are at risk of a cardiac event
- Should be excluded
- Should only be involved in medically supervised
What are the S&S that need to be identified during pre-activity screening?
- Pain/discomfort in the chest
- Shortness of breath at rest or mild exertion
- Dizziness or fainting
- Swelling around the ankles
Pain/discomfort in the chest is due to
Angina
Shortness of breath at rest or mild exertion is due to
Coronary heart disease
Dizziness or fainting is due to
Syncope (drop in BP)
Swelling around the ankles is due to
Congestive heart failure
Important relative contraindications to exercise (4)
Severe arterial hypertension
Tachyarrhythmia
Neuromuscular, MSK or rheumatoid disorders exacerbated by exercise
Uncontrolled metabolic diseases
Important absolute contraindications to exercise (2)
High-risk unstable angina
Uncontrollable cardiac arrhythmia
Contraindications to exercise testing or participation: any of the following s&s (4)
- Fast or irregular heart beat
- Pain in the lower legs or intermittent claudication
- Heart murmur
- Undue fatigue
Where is the pain in the lower legs coming from?
Lack of O2 to the muscles
What is the most serious risk associated with vigorous exercise?
Sudden cardiac death
Important to identify participants with which 3 things?
1) known CV disease
2) symptoms of CV disease
3) risk factors associated with CV disease
ACSM initial risk stratification - Low risk
Men under 45/women under 55 who are asymptomatic AND have no more than one risk factor
ACSM Initial risk stratification - Moderate risk
Men 45 or older/women 55 or older OR individuals of any age having TWO or MORE risk factors
ACSM initial risk stratification - High risk
Individuals with one or more signs and symptoms of CV, pulmonary OR individuals with known CV, pulmonary or metabolic disease
Do high risk need medical check-up?
No, only if they want to do high intensity training
Risk factors for coronary artery disease (8)
Age (Men 45 or over / Women 55 or over)
Family hx of CAD
Smoking (2 years)
Hypertension (systolic 140/diastolic 90)
Cholesterol (total of 200 or more + less than 35mg of HDL)
Diabetes (Type 1 and type 2)
BMI (30+ and 102 cm men vs 88 cm men)
Sedentary lifestyle
Define the risk factor of diabetes for CAD (3 possibilities)
Type 1 AND over the age of 30 yo
Type 1 FOR MORE than 15 years
Type 2 AND over the age of 35 yo
What are the 4 screening steps before beginning an exercise program?
- Informed conset
- PA readiness questionnaire (PAR-Q)
- Physician consent (medical clearance)
- Health history and activity questionnaire
Participant consent form should include what (5)
Purpose
Procedures
Risks
Benefits
Signature
What is the age bracket for the PAR-Q?
15 to 69 yo
What does it implicate that the PAR-Q has an age limit of 69 yo, or they have to check with their doctor?
It’s a huge barrier to PA because a lot of OA will not start exercising because they don’t have a doctor = use the PAR-Q+
For the physical activity questionnaire what is the scoring range - 22-24
High function
For the physical activity questionnaire what is the scoring range - 16-21
Moderate function
For the physical activity questionnaire what is the scoring range - less than 16
Low function
When should we update pre-activity screening tests?
On a yearly basis or when a participant shows a decline in health or function
