Lab 8: Functional Fitness Flashcards
What is functional fitness
-physiological capability to perform everyday activities safely and independently without undue fatigue
What should warm up include for functional fitness tests
-5-10 min general warm up with dynamic stretching
What are the 5 functional fitness tests that we can perform
-30 second arm curl
-2 min step in place
-timed get up and go (TUG)
-30 second sit to stand
-sitting to rising test
What is the purpose of the 30 second arm curl
-used to assess upper body strength
Position of client for 30 second arm curl
-back flat against chair
-feet flat on floor
-dominant side of body close to edge of chair
-weight in dominant arm and elbow in full extension
How to perform the 30 second arm curl test
-say go and client has to curl arm through entire range of motion and return to fully extended position
-count how many they can do properly
How to ensure that client is doing arm curls properly
-hold hand on clients biceps and make sure they are squeezing your fingers with their arm
What does the 2 min step in place test assess
-aerobic endurance
How to determine clients minimum knee stepping height
-midway point between middle of patella and iliac crest
-use tape to mark on the wall
How to perform 2 min step in place test
-ask client to step and meet the tape for 2 min straight
-inform them of each 30 second increment
When is the 2 minute step in place test terminated
-2 min have passed
-the client cannot maintain the correct knee height
-the client asks to stop
What is the client allowed to do during the 2 minute step in place test
-can stop to rest and continue the stepping task if time remains
-allowed to place a hand on a table or chair to assist in maintaining their balance if necessary
What is the cool down for the 2 min step in place test
-5 min slow walk or bike
What does the TUG test assess
-agility and dynamic balance
How is the TUG test set up
-standard height chair with arms
-3 meter measurement
How is the TUG test performed
-client is asked to start sitting, get up and walk to the marker, turn around, and walk back to the chair and sit down
What should you do before the TUG test
-demonstrate and ensure the client understands by asking them to repeat the instructions back to you
What are the verbal instructions given to client before the test
“on the word GO, i want you to stand up, walk to the line, turn around and walk back to the chair and sit down. Walk at your normal pace”
How is the TUG test assessed
-in seconds
What does a TUG time of equal to or greater than 12 indicate
-community dwelling older adults who require a more detailed fall-risk assessment
Notes about the TUG test
-client should not be talking to you
-if you are unsure about their abilities you should stay near them in case they fall
-do not touch client unless they are losing balance
-client may use gait aid
-client should wear typical footwear
What does the 30 second sit to stand test assess
-lower body strength and functional balance
How should 30 second sit to stand test be set up
-chair without arms
-placed against wall
Position of client for 30 second sit to stand test
-sitting in middle of chair
-back straight
-feet should width apart and placed on the floor at an angle slightly back from their knees with one foot in front of the other
-arms are crossed at the wrists and held against the chest
What should you do before the 30 second sit to stand test
-demonstrate
-have the client practice a rep or 2
How to complete the 30 second sit to stand test
-on “go” client rises to a full stand and then returns to initial seating position
-encourage client to complete as many full stands as possible within 30 seconds
-monitor clients perfomance throughout the test
In what case would the client be given a score of 0 in the 30 second sit to stand test
-if they must use their arms to complete it
What does the sitting to rising test assess
-lower body strength, flexibility, balance, and mobility
How should sitting to rising test be completed
-bare feet
What should you do before getting client to do sitting to rising test
-demonstrate
-say “without worrying about the speed of the movement, try and sit and then rise from the floor, using the least amount of support that you believe is needed
How many total points is the sitting to rising test out of
-10
What is the breakdown of points for sitting to rising test
-5 for lowering to the floor
-5 for standing back up
How is the sitting to rising test scored
-subtract one point each time a hand, forearm, knee, and/or side of the leg is used
-subtract 0.5 points for each loss of balance
