Exercise Testing

Question 1

No regular exercise

NO Disease and No Signs and symptoms

Answer 1

medical clearance not necessary

Question 2

No regular exercise

known disease and asymptomatic

Answer 2

medical clearance recommended

Question 3

no regular exercise

S&S suggestive of disease

Answer 3

medical clearance recommended

Question 4

ACSM guidelines for light intensity

Answer 4

30-39% HRR or VO2R
RPE 9-11
slight increase in HR and breathing

Question 5

ACSM guidelines for Moderate Exercise

Answer 5

40-59% HRR, RPE 12-13

noticeable increase in HR and breathing

Question 6

ACSM guidelines for Vigorous Exercise

Answer 6

> 60% HRR RPE>14

substantial increases in HR and breathing

Question 7

Participates in regular exercise

NO disease & NO S&S

Answer 7

no medical clearance required

Question 8

Known Disease but asymptomatic

Answer 8

no medical clearance necessary for moderate intensity recommended for vigorous

Question 9

any S&S of Disease

Answer 9

discontinue exercise and seek medical clearance

Question 10

absolute contraindication

Answer 10

no exercise should not be performed until their condition is stabilized

Question 11

relative contraindications

Answer 11

patients may be tested only after evaluation of the risk/benefit ratio

Question 12

signs and symptoms for ending an exercise test

Answer 12

fatigue. lightheadness, confusion, ataxia, pallor, cyanosis, severe dyspnea, nausea, onset of angina

Question 13

test termination CV signs

Answer 13

fall in BP below resting levels
excessive hypotension (>20 mmhg drop in systolic)
excessive BP increase (>220 & >110 mmhg
inappropriate bradycardia

Question 14

define a predictive test

Answer 14

sub maximal test used to predict maximal aerobic capacity

Question 15

define a performance test

Answer 15

involve measuring the responses to standardized physical activities that are typically encountering in everyday life

Question 16

assumptions of predictive tests

Answer 16

assumes steady stay HR at each exercise intensity
assumes linear relationship between HR VO2 & work
assumes the mechanical efficiency during cycling and treadmill
assumes maximal HR

Question 17

advantages of astrand rhyming cycle test

Answer 17

most frequently used submax cycle test

uses HR which is easy to measure

Question 18

disadvantages of astrand ryhming cycle test

Answer 18

can have a large margin of error in predicted VO2 max
influenced by variability in max HR
influenced by variability in max HR
Cycling can cause lower-extremity discomfort in some individuals

Question 19

advantages of sub max treadmill walking test

Answer 19

suitable for testing people in clinical and research settings

Question 20

disadvantages of sub max treadmill walking test

Answer 20

further research needed to validate the test in people with various disease in older adults
limited data on sensitivity to detect changes

Question 21

12 min run test advantages

Answer 21

no specialized equipment
allows more than one person to be tested at a time
good for those with high level of functioning but may not be appropriate for a rehab setting

Question 22

12 min run test disadvantages

Answer 22

developed using a male pop
pacing can be challenging
wording of test could make it maximal test
doesnt account for body weight

Question 23

20 M shuttle test advantages

Answer 23

lots of stages = wide range of fitness levels to be tested

requires little equipment and multiple people can be tested simultaneously

Question 24

20 M shuttle test disadvantages

Answer 24

frequent stopping, starting and pivoting may not be suitable for everyone
pacing might be difficult for some
testing criteria needed to ensure that the test is sub-maximal

Question 25

1 mile walk test (rock port fitness test) advantages

Answer 25

applicable to wide range of individuals
requires little specialized equipment
uses familiar activity
suitable for rehab settings

Question 26

1 mile walk test disadvantages

Answer 26

limited data on clinical pop
specific facilities required
assistant required

Question 27

modified bruce treadmill test advantages

Answer 27

widely used and lots of normative data

can be used to measure ECG cardiopulmonary parameters

Question 28

modified bruce treadmill test disadvantages

Answer 28

treadmill safety

requires special training if measuring ECG

Question 29

self-paced walking advantages

Answer 29

appropriate for individuals requiring mobility devices or when a treadmill or cycle ergometer
suitable for monitoring an older persons mobility status over time
can identify individuals at risk for injury when crossing an intersection

Question 30

self-paced walking disadvantages

Answer 30

does not provide a measure of endurance
may not be sensitive for those with a higher level of function
may be to difficult to compete all trials with only 5 min recovery

Question 31

incremental shuffle walking test advantages

Answer 31

simple, audio signal standardizes increments

initial speed is slow which is accommodate

Question 32

bag and carry test advantages

Answer 32

designed to integrate endurance, muscle force and balance capability- mimics an everyday activity

Question 33

bag and carry test disadvantages

Answer 33

guidelines for administering the test are not well described
no specifications on height of steps, use of handrail or whether a practice trial is required

Question 34

harvard step test advantages

Answer 34

simple test with minimal equipment requirements

can be conducted almost anywhere

Question 35

harvard step disadvantages

Answer 35

may not be safe for some clinical populations

fixed step height

Question 36

6 min walk test advantages

Answer 36

simple and inexpensive
corresponds well to functional activities
can be administered to healthy individuals and those with disease
using standard time rather than distance may provide better test of endurance
individual can set their own pace
highly used tested and validated

Question 37

6 min walk test disadvantages

Answer 37

despite the guidelines, investigators use slightly different protocols
difficult to monitor HR and other physiological parameters