Lecture 5: Pre-Exercise and Health Screening

Question 1

What are the 5 purposes of pre-exercise screening

Answer 1

1. become familiar with the physical condition of each OA who wants to join ur program
2. identify relevant health problems, amount and type of meds used and current level of PA
3. identify the risk level and determine the need for medical referral
4. choose the correct type of follow up fitness and mobility tests
5. Identify the clients goals, interests, QOL, barriers, motivators, family support and psychological state to increase adherence

Question 2

If pre-exercise screening more important for OA than younger?

Answer 2

No, same importance but OA have a greater risk

Question 3

Pre-Exercise Screening helps identify clients who: (4)

1. have ______, symptoms, or _______ that require medical examination and clearance
2. are at _____ of a cardiac event
3. should be ________ from participation in an exercise program
4. should only be involved in a ___________ program because their risk is too great

Answer 3

Pre-Exercise Screening helps identify clients who: (4)

1. have DISEASES symptoms, or RISK FACTORS that require medical examination and clearance
2. are at RISK of a cardiac event
3. should be EXCLUDED from participation in an exercise program
4. should only be involved in a MEDICALLY SUPERVISED program because their risk is too great

Question 4

What are 8 contraindications to Exercise testing or participation during pre activity screening where clients need to referred to a physician

Answer 4

1. Pain or discomfort in the chest
2. shortness of breath at rest or with mild exertion
3. Dizziness or fainting
4. Swelling around the ankles
5. Fast or irregular heart beat problems
6. Pain in lower legs or intermittent claudication (block BV in the legs=pain and cramps_
7. Murmur
8. Undue fatigue

Question 5

What is pain or discomfort in the chest due to

Answer 5

angina

Question 6

What is shortness of breath at rest or with mild exertion due to

Answer 6

coronary heart disease

Question 7

What is dizziness or fainting due to

Answer 7

syncope (temporary loss of consciousness due to insufficient blood flow to brain)

Question 8

What is swelling around the ankles due to

Answer 8

congestive heart failure

Question 9

Where is the pain in the lower legs coming from

Answer 9

lack of oxygen to muscles

Question 10

With coronary artery disease what is the most serious risk associated with vigorous exercise

Answer 10

sudden cardiac death, associated w ppl having at risk medical conditions
important to identify ppl w:
Known CV disease
Symptoms of CV disease
Risk factors associated w CV disease

Question 11

True or False

Answer 11

Long term benefits of PA on cardiac risk outweigh the temporary elevation in risk due to exercise

Question 12

Who is the ACSM initial risk Stratification for

Answer 12

People who are just starting

Question 13

What is the goal of the ACSM initial risk stratification

Answer 13

To determine the participants level of risk

Question 14

What are the 3 classifications and is a medical check up needed

Answer 14

1. Low risk: asymptomatic younger, no more than 1 risk factor = no medical check up needed
2. Moderate Risk: older w 2 or more risk factors only need a medical check up during high intensity exercise
3. High Risk: ppl w one or more signs and symptoms or ppl w a known disease = medical check required

Question 15

At what age for men and women does it become a risk factor for coronary artery disease

Answer 15

men: 45+
women: 55+

Question 16

Family history of CAD

Parents and siblings; before age ___ for male relatives and ______ for female

Answer 16

55

65

Question 17

When does smoking become a risk factor for CAD

Answer 17

Smoking on a daily basis for the past 2 years

Question 18

Risk factor for CAD hypertension
systolic?
diastolic?

Answer 18

systolic: +140 mmHg
Diastolic: +90

Question 19

When does cholesterol become a risk factor for CAD

Answer 19

A total of 200 mg per deciliter or higher

Low levels of HDL, less than 35 mg per deciliter

Question 20

When is diabetes a risk factor for CAD

Answer 20

Type 1 + over 30
Type 1 for over 15 years
Type 2 and over 35

Question 21

At what BMI and waist girth becomes a risk factor for CAD

Answer 21

BMI +30
Men: <120 cm
Women: <88 cm

Question 22

What type of sedentary behaviour becomes a risk factor for CAD

Answer 22

A combo of not participating in PA and having a job that do not involve PA.

Question 23

What are the 4 screening steps before beginning an exercise program?

Answer 23

1. Informed consent
2. Par Q
3. Physician consent if needed
4. Health history and activity questionnaire

Question 24

what does the participant consent form include

Answer 24

-purpose
-procedure
-risk
-benefit
-signature
(contact info, statement on confidentiality and free to withdraw)

Question 25

What are the 2 main differences between the PAR Q and the PAR Q +2

Answer 25

1. No age limit for PAR Q+
2. if you answer yes to one of the questions in PAR Q+, you may or may not need a doc, if you answer yes to one question in PAR Q, need a doctor

Question 26

what does the par q establish

Answer 26

readiness to participate in low-mod intensity

Question 27

Is the PAR Q self administered

Answer 27

yes

Question 28

Why is the PAQ Q limited in scope

Answer 28

only ages 15-69

is above 69 and no active, check w doctor

Question 29

in the PAR Q+, What happens if you say no to all, or yes to one or more

Answer 29

No to all - cleared for PA

Yes to one or more, go to section 2

Question 30

How long is the PAR Q and PAR Q+ valid for

Answer 30

12 months

Question 31

Does that PAQ Q and PAR Q+ increase or decrease barriers to PA participation

Answer 31

PAR Q increases barriers

PAR Q+ decreases barriers

Question 32

Which one do you need a referral for chronic disease/disability

Answer 32

PAR Q, in the PAR Q+ no referral needed if chronic disease or disability are stable and under control

Question 33

What is included in the sample medical clearance form

Answer 33

• Description of performance testing
• Major components of the program
• Contact info
• Physician consent/Denial w/ reason
• Physician signature

Question 34

In step 4, the health history and activity questionnaire, what should it include

Answer 34

• demographics
• existing chronic or acute diseases
• assistive devices
• perceived health status
• family history of HD
• medication
• smoking behavior
• fall history
• functional limitations and disability
• current PA levels
• perceived QOL

Question 35

In Physical Activity Questionnaire, Q22 is a composite physical function scale, what does it measure

Answer 35

Ascertains participants ability to perform a wide range of tasks and activities from basic ADLs to advanced activities. Use the info to set goals and help design your exercise program

Question 36

The scoring is on 24, what are the 3 different ranges

Answer 36

22-24=high
16-21=moderate
below 16=low

Question 37

What is the final step

Answer 37

Feedback to participants and confidentiality

Question 38

What are the 5 aspects of the final step

Answer 38

1. inform your participants about their health and disability status
2. set goals with your participant
3. avoid technical terms
4. explain the results in a positive manner
5. info must be kept secure and not left in a area with unrestricted access

Question 39

How often should we update pre-activity screening tests

Answer 39

on a yearly basis and or when a participant shows a decline in health or function

Question 40

What are 3 special considerations on pre activity screening

Answer 40

1. if its not possible to screen a new participant a PAR Q+ should be completed
2. important for legal responsibility
3. if more info is needed, refer participants to their physicians

Question 41

Safety first: do not hesitate to exclude OA participants who

Answer 41

fail to complete the screening questionnaires