ASSESS- Preliminary & Body Composition Flashcards
Assessments should be postponed if…
-Client demonstrates difficulty breathing at rest
-Are ill or coughing
-Have extremity swelling
-Have ignored preliminary instructions (not dressed appropriately)
-Unknown pregnancy (needs to fill out PARMed X if so)
What are the RHR protocols?
-Required as CPT
-Client must be seated with feet flat and legs uncrossed for about 5 minutes
-Ask permission to touch
-Take HR radial or carotid
-Use index and middle fingers to apply light pressure (left side of body is preferred)
-Take 15 sec count with first beat you feel as zero
-Multiply count by 4 (if its less than 25 you are good)
-Repeat after an additional 5 minute sit if greater or equal to 100 bpm
-If still above cut-off after second time DO NOT proceed to active portion
-Refer to physician PA readiness clearance form
What are the RBP protocols?
-Required as CPT
-Client sits with legs uncrossed and back against seat for about 5 minutes before assessment
-Place cuff around arm
-Take radial pulse while inflating cuff till pulse disappears
-Place stethoscope on brachial artery
-Slowly release pressure:
Systolic: first korotkoff sound you hear
Diastolic: last korotkoff sound you hear
-160/90 is cut-off
-If above cut-off, wait another 5 min and repeat
-If still above do not proceed to active assessment and refer client to physician PA readiness clearance form
What is the difference between PASB-Q and GAQ?
-PASB-Q provides an approx of a clients physical activity and sedentary behaviour for a typical week
-GAQ assess’ clients current level of moderate to vigorous physical activity, but does not include questions about resistance training or sedentary behaviour
What is the SOC questionnaire?
-Helps identify a clients SOC and motivational readiness for exercise
-Will inform CPT how they can help commence change for a client
What is BMI?
-Body mass index
-Tells a client whether their weight is appropriate for their height
-Not a direct measure of body fatness rather is correlated to health risk and a predictor of mortality at the population level
-BMI= weight (kg)/ height (m)2
What is the standing height protocol?
-Ask client to remove shoes
-Stand erect against wall with feet together and arms at sides
-Heels and back should touch wall
-Look straight ahead
-Place square on head, depressing hair and have client take a deep inhale
-Have client walk away after breath and mark to the nearest 0.5 cm
What is the body weight protocol?
-Ask client to stand on scale without footwear and in light clothing
-Have client stand with arms at sides and looking forward
-Record weight to nearest 0.1 kg
What is the waist circumference protocol?
-Uses anthropometric tape, placed at clients iliac crest to give an indicator of visceral adiposity in the body (tells us health risk)
-Ask if client is comfortable with touch
-Feet hip width apart and crossing arms
-CPT takes measure on right side of their body on one knee
-Mark both sides of iliac crest and make sure tape is snug and client takes an exhale before taking measurement
-Record to the nearest 0.5 cm
What are some alternate body composition assessments?
-Hydrostatic weighing (body density)
-Bioelectrical impedance analysis
-Skin folds
