AFAA chapter 5 fitness assessment

Question 1

Medical History Form
Doctors permission form (mod-high risk)
Par-Q
Informed Consent Waiver

Answer 1

forms required

Question 2

appropriate clothing
avoid heavy meals and strenuous exercise just before testing
get a good night’s sleep

Answer 2

inform client before testing

Question 3

establish current health status
gauge progress
educate and involve client
demonstrate knowledge & professionalism

Answer 3

reasons for fitness testing

Question 4

estimates only

some client’s do not like

Answer 4

limitations of fitness testing

Question 5

resting HR and blood pressure
body composition
assess cardiorespiratory fitness
assess muscle strength and endurance
assess flexibility
optional fitness assessments

Answer 5

components of fitness assessment

Question 6

radial artery, 30 seconds
look for steady beat, less than 100
if over 100 then postpone further testing

Answer 6

resting heart rate

Question 7

current guidelines:
15% men, 25% women
ways to test: DEXA, hydro weighing, caliper, formula, …

Answer 7

body composition

Question 8

take all measurements on RH side of body
measure 1/2” from thumb and finger, perpendicular to skin fold
maintain pinch during measurements
wait 1-2 seconds after pinching to read
rotate through sites to allow skin time to regain normal texture and thickness
ID sites using landmarks
measure each site twice

Answer 8

protocols for skinfold “pinch” test

Question 9

triceps
suprailiac
thigh

Answer 9

skinfold sites for females

Question 10

chest
abdomen
thigh

Answer 10

skinfold sites for males

Question 11

add average reading for each of 3 sites together; use the chart - find the sum of the readings row and the age column intersection

Answer 11

determine body fat % using skinfold measurements

Question 12

more than 25%

Answer 12

what % body fat = overweight

Question 13

30%

Answer 13

what % body fat = obese

Question 14

measure waist and hips; divide waist by hips and you have the ratio; should be less than .95 for men under 60; .85 for women under 60

Answer 14

waist to hip ratio method

Question 15

maximal

submaximal

Answer 15

cardio respiratory testing types

Question 16

diagnostic or functional

exercise to exhaustion

Answer 16

maximal CR testing

Question 17

single stage (3 min step)
multi stage (3 stage treadmill or cycle test)

Answer 17

submaxial CR testing methods

Question 18

purpose
no warm up, light stretch, practise steps, no arm movement, no talking, 12” platform at 96 bpm, entire foot on step, discontinue if pain, after 3 mins sit and take pulse
palpate radial artery and take pulse for one minute (this is recovery rate)

Answer 18

3 minute step test protocols

Question 19

static/isometric
dynamic/ isotonic - 1 RM (bench or leg press)
not appropriate for all clients

Answer 19

muscle strength assessment

Question 20

sit up test
push up test *
YMCA dynamic bench press
partial curl up *

Answer 20

muscle endurance assessment

Question 21

state purpose
men - hands and toes
women - hands and knees
maintain proper form and alighment - neck neutral, heads not drop, no sagging waist, chest within 3" of floor
breathe
count # performed correctly
stop when client stops or breaks form

Answer 21

push up test protocals

Question 22

state purpose
supine with knees 90 degrees
finger tips at tape with another 10" away
35 curl up/minute
30 degres of trunk flexion
breathe
1 minute
determine # of reps (max 25)

Answer 22

partial curl up test protocal

Question 23

state purpose (evaluate ham, erector spinae, calf, upper back)
yardstick or measuring tape
shoes off
knees at 15" mark
0" toward body
stretch fwd and reach tape
3 attempts
use best reading and refer to chart

Answer 23

sit and reach flexibility assessment tests

Question 24

trunk extension (prone with hands under shoulder)
hamstring test (supine and lift one leg)
hip flexor test (supine, hands behind knee and pull into chest with other leg flat)
quads flex text (prone, raise heel to butt)
calf flexibility (against wall; dorsiflex and hold 1" off floor)
shoulder flexibility (stand, raise arm overhead, reach downward, other arm reaches up)
shoulder flexion (supine with bent knees and reach overhead)

Answer 24

other flexibility assessments

Question 25

state purpose (ID muscle imbalances and postural abnormalities that might cause back pain)

Answer 25

postural screening purpose

Question 26

lorodosis - sway back
against wall with heels 1” away; should & hips against
if greater than one palm depth space may have tendancy to lorodosis
if so, forcus on strengthen abs, stretch erector spinae and illiopsoas muscles

Answer 26

excessive lorodosis define and explain screening test

Question 27

kyphosis - hunchback, fwd head alignment
march in place
stop
examine posture from side
are head and shoulders lined up? is head fwd or shoulders
if kyphosis - strengthen scapular adductors, mid trap and rhomboids (seated row); stretch pec major and ant delt

Answer 27

excessive kyphosis define and explain screening test

Question 28

hip height test - stand normally, measure iliac crest to floor both sides, more than 1/4” diff may suggest problem and affect balance
shoulder height test - paper taped to wall and stand against and draw straight edge; measure to floor and compare; diff more than 1/4” may suggest misalignment
in either case, refer to health care provider for contraindicated exercises or PT needs

Answer 28

hip and shoulder height discrepancy screening

Question 29

lung function test
cholesteral testing
ADLs testing (balance, get out of chair)
functional fitness tests (stair climbing CR assessment, ...)

Answer 29

optional fitness assessments