Exam 1 Flashcards
What is the overall purpose of PPHS?
So that exercise is safe and effective
To determine if medical screening is required
Exercise
A type of PA consisting of planned, structures and repetitive bodily movement done to improve and/or maintain one or more components of physical fitness
Fitness
Ability to carry out daily tasks with vigor and alertness without undue fatigue and with ample energy to enjoy leisure-time pursuits and meet unforeseen emergencies
What are the purposes of fitness testing?
Collecting baseline data
Provides data to develop individualized plans
Allows for comparison for follow up eval
Acts as a motivational tool
How should order of fitness teas be set up?
Minimize getting up and down
Resting should be taken first then height weight and body comp depending on what measurements will be taken
Allow for ample testing times
What is the ideal environment for exercise testing?
Explain everything clearly
Don’t rush
Quiet and private area, should be comfortable
Everything should be prepped
Comfortable place for testing measurements
Administrators should be relaxed and confident
Personnel should be trained for emergencies
Protest guidelines for submax bike test
No eating for 4 hours
No strenuous exercise for at least 24 hours
No caffeine for 12-24 hours
No nicotine for 3hours and alcohol for 24
Consult administrator regarding meds
Protest guidelines for submax treadmill test
No food, alcohol or nicotine for 3 hours
Participants should be rested, no exercise day of assessment
Clothing should be loose and allow freedom of movement
Bring all medications
Ensure normal hydration
Should be aware that they may be fatigued and need a driver
Parts of informed consent
Purpose and explanation of test Attendant risks and discomforts Responsibilities of the participant Benefits to be expected Inquiries Use of medical records Freedom of consent
What is the difference between max and submax test
Max is true max “stress test”
Submax is estimate with determined end point
Submax data collection
Heart rate every minute
Bp at end of each stage (3 min)
Looking for 2 consecutive hr between 110-150 in diff stages (bike)
Looking for 85% of max (treadmill)
When does data get collected/test end in max test?
HR Every minute
Bp at end of every stage (3 min)
Going until they can’t go anymore
Naughton protocol
Huge steps
Better for younger/active people
Ellestad protocol
One incline for a while with different speeds
Better for older/deconditioned people
Balke-ware protocol
Tiny steps
Better for older/reconditioned athletes
Describe RPE scale
6-20
6 very light
20 hardest thing ever
Where is v1 placed
4th intercostal space just to the right of the sterna border
Where is v2 placed
4th intercostal space just to the left of the sterna border
Where is v3 placed
At the midpoint of a straight line between v2 and v4
Where is v4 placed
On the midclavicular line in the 5th intercostal space
Where is v5 placed
On the anterior axillary line and horizontal to v4
Where is v6 placed
On the midaxillaty line and horizontal to v4 and v5
Signs or symptoms of cardiovascular, metabolic disease, and renal disease
Pain or discomfort in the chest, jaw, arms, or other strands that may result from myocardial ischemia
Shortness of breath at rest or with mild exertion
Dizziness or syncope
Orthopnea or paroxysmal nocturnal dyspnea
Ankle edema
Palpitations or tachycardia
Intermittent claudication
Known heart murmur
Unusual fatigue or shortness of breath with usual activities
Components of medical history
Medical diagnosis and procedures Previous exam findings like murmurs etc Lab findings like plasma glucose, etc History of symptoms Recent illness or hospitalization Orthopedic problems like arthritis Medication use Drug and alcohol use Work history Family history
