CLASS 5 - Exercise Screening Flashcards
T/F: Pre-exercise screening is more important OA than younger adults.
True, they have more risk factors for CAD and other conditions
Name the 5 purposes of exercise screening.
- Become familiar with the physical condition of each person
- Identify relevant health problems, medications, and PA level
- Identify risk level/ determine need for medical referral
- Choose correct fitness and mobility tests
- Identify clients goals, interests, barriers, motivators, QOL, family support, and psychological state.
Why is it important to assess a client’s goals, interests, barriers, QOL, family support, and psychological state before exercise?
It will help increase adherence
Medical screening helps determine: (4)
- Who has diseases or risk factors
- Who is at risk of a cardiac event
- Who should be excluded from a program
- Who needs medical clearance/ medial supervision
Name the 8 signs or symptoms of cardiovascular or pulmonary disease
- Chest pain (angina)
- SOB w/ mild exercise (CAD)
- Dizziness or fainting (syncope)
- Swelling around ankles (congestive heart failure)
- Fast or irregular heart beat
- Pain in the lower legs (intermittent claudication)
- Heart murmur (valves won’t close)
- Undue fatigue
How does heart failure cause fluid accumulation?
Heart can’t pump hard enough, kidneys think there is less fluid which leads to water retention.
What are two absolute contraindications to exercise?
- Unstable angina
- Uncontrolled cardiac arrhythmia
What are 4 relative contraindications to exercise?
- Sever hypertension (BP over 200/110)
- Tachyarrthymia or bradyarrhythmia
- Neuromuscular, musculoskeletal, or rheumatoid disorders that get worse with exercise
- Uncontrolled metabolic disease (like diabetes)
Why is intermittent claudication painful?
Muscles don’t recieve enough blood so they are starved of O2
What is the most serious risk associated with vigorous exercise?
Sudden cardiac death
T/F: Long term benefits of PA do not outweigh the temporary elevation of risk during exercise.
False
T/F: Incidence of MI is inversely proportional to the frequency of physical exertion per week.
True, more frequent = less MI
What is considered a low risk classification?
Men under 45, women under 55. Asymptomatic, no more than 1 risk factor
What is considered a moderate risk classification?
Men older than 45, women older than 55, two or more risk factors.
What is considered a high risk classification?
One or more s/s or known cardiovascular or pulmonary disease. Or known metabolic disease.
Is medical clearance needed for moderate risk for moderate intensity exercise?
No
Is medical clearance needed for moderate risk for vigorous intensity exercise?
Yes
What are the 8 risk factors for CAD?
- Age
- Family history of CAD
- Smoking
- Hypertension (140/90)
- Cholesterol
- Diabetes
- BMI
- Sedentary lifestyle
When is type 1 diabetes considered a risk factor?
Over the age of 30 or for more than 15 years.
When is type 2 diabetes considered a risk factor?
Over the age of 35
What BMI is considered a risk factor?
30+
What waist girth is considered a risk factor?
102 cm for men, 88 cm for women
T/F: HDL cholesterol below 35 mg/Dec is not a risk factor.
False.
T/F: total cholesterol over 200 mg/Dec is a risk factor.
True
T/F: if you have not smoked for two years it’s no longer a risk factor.
True
What are the 4 screening steps before exercise?
- Informed consent
- PA readiness questionnaire
- Physician consent
- Health, history, and activity questionnaire
A consent form should include (5)
- Purpose
- Procedures
- Risks
- Benefits
- Signature
What is the goal of the Par-Q?
Establish readiness to participate in low to moderate activities
What is the age range for the PAR-Q?
Age 15-69
T/F: medical permission is only needed if the participants answer yes to two questions on thr Par-Q?
False, 1 question
T/F: medical permission is needed if the participants are over 69 and not active in regards to the Par-Q?
True
What are the 9 categories of the Par-Q+ part 2?
- Arthritis
- Cancer
- Heart disease
- Metabolic
- Mental health
- Respiratory
- Spinal coed
- Stroke
- Other or two chronic conditions
What is the main advantage to the ParQ+?
Creates less barrier to PA participation
What percent of participants need medical clearance after the ParQ+?
1%
What componants should a medical clearance form have? (6)
- Description of testing
- Componants of program
- Your contact info
- Physicians consent
- Physicians denial + reason
- Physicians signature
Name at least 6 componants of the H,H, and A questionnaire. (11)
- Demographic
- Chronic and acute diseases
- Assisting devices
- Perceived health status
- Family history of heart disease
- Medications
- Smoking
- Fall history
- Functional limitations and disability
- Current PA level
- Perceived QOL
How much time does the h, H, and A questionnaire take?
15-30min
When do screening tests need to be updated?
If there is a decline in health or function or every 12 months
