Assessments Flashcards
Health Risk Assessment (HRA)
A screening tool used to evaluate the risks & benefits of starting an exe program.
Physical Activity Readiness Questionnaire (PAR-Q+)
A detailed questionnaire to assess a client’s physical readiness to engage in structured exe.
Will show:
A client’s current level of physical activity
Presence of cardio/pulmonary/renal/metabolic disease
Desires level of exercise intensity (light/moderate/vigorous)
Part I: 7 questions, looking for all NO
Part II: Only if any YES. Aimed at reducing false-positives for med review. 10 questions. Any further signs/symptoms to be eval by med provider only.
Health-History Questionnaire (HHQ)
Another pre-exercise screening tool.
Unlike the PAR-Q+, it is not industry standard. Meant to complement it.
It seeks to learn a client’s health history, habits, exercise history, eating behavior & general lifestyle.
Private & confidential:
Age
Gender
Height
Weight
Dr. name & contact
Emergency contact
Skinfold body fat testing: rested or after exe?
Should be done in rested state, due to thermoregulation & peripheral vasodilatation.
Indications to terminate Exe Test
Chest pain
A drop in systolic bp by 10 mm/hg below pre-exe measure
Exceeds sbp 250 or dbp 115
Unusual fatigue, dyspnea
Abnormal skin coloration, cyanosis
Dizziness
Sharp leg pain that abates when exe stops
Malfx of equip
HR measurements: at rest vs. exe
Radial pulse. 60s at rest. 10s during exe.
Android (apple) vs Gynoid (pear) shape
Android: more fat around the midsection. more disease risk.
Gynoid: more fat around hips. less disease risk.
Waist size and health risk
Men: greater or equal to 40”
Women: greater or equal to 35”
Waist to Hip Ratio (WHR): meaning of high or low ratio
Waist measurement/ Hip measurement
High: android shape. incr. health risk
Low: gynoid shape. lower health risk
SKF measurements
The amt of subcutaneous fat present is equivalent to total proportion of body fat.
-min of 2 measurements per site
-avoid mea. obese
-not after exe
Jackson & Pollock 7-site & 3-site SKF
Durmin-Womersley protocol
Other SKF methods. All est body fat %
Durmin not for older adults, best for ages 17-49. Less invasive, only upper body.
Bioelectrical Impedance Analysis (BIA):
Advantages & Disadvantages
-non invasive
-faster
-skewed results b/c hydration levels
Hydrostatic Underwater Weighing: how it works
Displacement. Compare land weight to water weight & take difference.
Cardiorespiratory fitness: def.
The ability of the circulatory & respiratory to provide the body w/ o2 during exe.
Vo2 Max
The most valid mea of cardio fitness
Vo2 mea o2 consumption & diff betw. Inspired & expired o2.
Shows the body’s ability to deliver o2 to the exercising muscles and to the mitochondria for energy production.
Peaks 25-30. Decr by 5% per decade in fit ppl, by 10% in untrained ppl
YMCA 3-min step test: purpose
For de-conditioned clients.
Uses recovery heart rate, w/ 60 measurement directly after the 3 mins.
96 bpm/ 24 steps per min
Rockport walking test
For newer exercisers & de-conditioned.
A 1-mile walking test w/ results based on time or HR.
HR taken right after.
1.5 mile test: validity compared w/ 1 mile test
More valid b/c it applies to wider population.
Ventilatory threshold vt-1 test
An aerobic test designed to estimate exe intensity when the body is using 50%-50% carbs/fats.
Done in stages if incr intensity
SS HR must be obtained
Vt1 is reached when the talk test becomes challenging but not difficult
Vt2 talk test
For a performance-centric client
The point at which can sustain its highest SS intensity for more than a few mins.
Maintain highest pace for 20 mins. Report on the last 5 mins. of HR & RPE.
Relies on anaerobic energy systems that challenge the blood’s lactic acid buffering system. Glucose provides almost all energy.
Cannot speak during exe.
Static vs Dynamic Posture
Standing still vs In motion.
A dynamic posture assessment is know as a Movement Assessment.
Further measurements of strength & agility are known as Performance Assessments.
Pes planus
Collapsed foot arch. Flat foot.
Muscle imbalances: overactive vs underactive
Overactive: excessive neural drive, causing muscle contraction in static position.
Under-active: limited neural drive, and thus resulting in neural inhibition and overly long muscle position in static posture.
Elements of Static Postural Assessment
An standing eval of the 5 Kinetic Chain Checkpoints from both anterior & posterior views.
Use imaginary lines to bisect horiz & vert.
Anterior:
Foot/Ankle: not flat/rot
Knees: not valgus/varus
LPHC: not tilted, rot, or hiked up
Shoulders: not elev or rounded
Head/Neck: not fwd, tilted or rot
Posterior:
Foot/Ankle: equal bal betwn left & right. Calcaneus not excessively everted & are straight & parallel. Achilles are vertical.
Knees: neutral, no valgus/varus
LPHC: level
Shoulders: level, scaps not elevated or protracted
Head: neutral
