Chapter 9: Client Consultation and Health Appraisal Flashcards
Scope of Practice
Legal boundaries that determine the extent of a personal trainer’s professional duties. (NSCA CPT, pg. 165)
Health Appraisal
Process to screen a client for risk factors and symptoms of chronic cardiovascular, pulmonary, metabolic, and orthopedic diseases in order to optimize safety during exercise testing and participation. (NSCA CPT, pg. 166)
PAR-Q
An assessment tool to initially screen apparently healthy clients who want to engage in low-intensity exercise and identify clients who require additional medical screening. (NSCA CPT, pg. 167)
Coronary Risk Factors
A characteristic, trait, or behavior that affects the probability of developing cardiovascular disease. (NSCA CPT, pg. 167)
Assumption of Risk
A defense for the personal trainer whereby the client knows that there are inherent risks with participation in an activity but still voluntarily decides to participate. (NSCA CPT, pg. 168)
Coronary Artery Disease
A condition or dysfunction of the cardiovascular system (e.g., atherosclerosis, myocardial infarction, angina). (NSCA CPT, pg. 169)
Atherosclerosis
A progressive degenerative process through which the interior lining of the arterial walls becomes hardened and inelastic. (NSCA CPT, pg. 169)
Myocardial Infarction
A result of the death of heart tissue due to an occluded blood supply; also referred to as a heart attack. (NSCA CPT, pg. 169)
Chronic Obstructive Pulmonary Disease
A condition or dysfunction of the pulmonary system (e.g., chronic bronchitis, emphysema, asthma). (NSCA CPT, pg. 173)
Thrombotic Occlusion
Blockage due to a blood clot. (NSCA CPT, pg. 173)
Sudden Cardiac Death
Death occurring unexpectedly and instantaneously or within 1 hour of the onset of symptoms in a patient with or without known preexisting heart disease. (NSCA CPT, pg. 173)
Hypertrophic Cardiomyopathy
Condition of unknown cause resulting in thickening in a part of the muscle of the heart. (NSCA CPT, pg. 173)
Aortic Stenosis
Narrowing of the aorta. (NSCA CPT, pg. 173)
Marfan Syndrome
Genetic disorder of the connective tissue; symptoms include irregular and unsteady gait, tall lean body type with long extremities including fingers and toes, abnormal joint flexibility, flat feet, stooped shoulders, and dislocation of the optic lens. Complications include a weakened aorta, which may rupture if not treated. (NSCA CPT, pg. 173)
Mitral Valve Prolapse
Valvular heart disease characterized by the displacement of an abnormally thickened mitral valve leaflet into the left atrium during systole. (NSCA CPT, pg. 173)
Myocarditis
Inflammation of the heart muscle. (NSCA CPT, pg. 173)
Medical Clearance
Approval by a physician indicating that the client is fit for exercise. (NSCA CPT, pg. 177)
Risk Stratification
A method to initially classify clients as being at low, moderate, or high risk for coronary, peripheral vascular, or metabolic disease. (NSCA CPT, pg. 176)
M in MATER
personal trainers MOTIVATE performance and compliance. (NSCA CPT, pg. 166)
A in MATER
personal trainers ASSESS health status. (NSCA CPT, pg. 166)
T in MATER
personal trainers TRAIN clients safely and effectively to meet individual objectives. (NSCA CPT, pg. 166)
E in MATER
personal trainers EDUCATE clients to be informed consumers. (NSCA CPT, pg. 166)
R in MATER
personal trainers REFER clients to health care professionals when necessary. (NSCA CPT, pg. 166)
Client Consultation Steps
- Schedule interview appointment.
- Conduct interview.
- Implement and complete health appraisal forms.
- Evaluate for coronary risk factors, diagnosed disease, and lifestyle. 5. Assess and interpret results.
- Refer to an allied health professional when necessary.
- Obtain medical clearance and program recommendations. (NSCA CPT, pg. 166)