Module 2 Flashcards

Ch 6 - assessements

1
Q

Measure the current health and fitness level of a client

A

Fitness assessment

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2
Q

What should a PT not do?

A
Diagnose medical condition
Prescribe treatment
Write meal plans
Provide treatment of any kind
Provide rehab services
Provide counseling services
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3
Q

What is subjective assessment?

A

Information that the client told you that cannot be directly observed

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4
Q

What is an objective assessment

A

Any physiological measurements and can be directly observed.

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5
Q

examples of subjective assessments

A

PAR Q, Medical history, client’s hobbies, and lifestyle

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6
Q

examples of objective assessments

A
heart rate
blood pressure
body composition
cardio
static posture
dynamic/movement assessments
performance
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7
Q

What does PAR-Q stand for?

A

physical activity readiness questionnaire

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8
Q

If a client answers yes to one or more in the PAR Q, what do they need to do first?

A

Meet with their physician for further screening before starting an exercise

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9
Q

What are some common occupation traits in clients?

A

Extend period of sitting
Repetitive movements
Dress shoes
Mental stress

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10
Q

How does occupation help the PT?

A

Understand energy expenditure
Client musculoskeletal structure
potential health and limitations

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11
Q

What happens to the body after an ankle sprain?

A

decrease neutral control to glute max and medius

poor control on lower extremities

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12
Q

What happens to the body after knee injuries involving ligaments? (ACL)

A

decrease neutral control to the muscle that stabilizes the patella

most ACL injuries are due to non-contact injuries due to hip or ankle dysfunction

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13
Q

What happens to the body after a low back injury?

A

decrease neutral control of the core to stabilize

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14
Q

What happens to the body after a shoulder injury?

A

alter neutral control of rotator cuff muscles - instability of the shoulder

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15
Q

What does surgery cause in the body?

A

trauma

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16
Q

List the chronic diseases

A
Cardiovascular disease
Hypertension
High cholesterol 
Diabetes
Stroke
Respiratory disease
Obesity
Cancer
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17
Q

Medication that decreases HR and blood pressure

A

beta-blockers

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18
Q

A fairly good indicator of overall cardio fitness

A

resting HR

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19
Q

strong indicator of how client cardiorespiratory is responding and adapting to exercise

A

exercise HR

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20
Q

Where is the radical pulse taken?

A

wrist

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21
Q

Where is the carotid pulse taken?

A

neck

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22
Q

What’s the typical resting HR and for men and women

A

70-80 bpm
70 bpm - men
75 bpm - women

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23
Q

What’s the straight % HR formula?

A

220-age

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24
Q

What’s the regression HR formula?

A

208 - (.07 x age)

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25
What is the name of this formula? HR = ((MHR - RHR) x 0.70) + RHR
HRR - Karoven
26
How does the blood pressure formula position like?
Systolic/Diastolic
27
What does systolic measure?
pressure within the arterial system, measures AFTER the heart contracts
28
What does diastolic measure?
Pressure within the arterial system when heart is resting and filling with blood.
29
Which artery do you place the material to measure blood pressure?
Brachial artery
30
Bodyweight except for stored fat - include muscles, bones, water and connective/organ tissue
Fat Free
31
What is the recommended body fat for men and women?
15% men | 25% for women
32
What is the durnin formula?
calculating body fat by using skinfold measurements
33
What are the measurements for the skin fold caliper?
Biceps Triceps Subscapular iliac crest
34
Which side should all measurements be taken?
Right side
35
How do you measure the biceps and triceps?
Vertical fold
36
How do you measure the subscapular?
45 degree inferior to the scapula
37
how do you measure the iliac crest?
45 degree taken above the iliac crest
38
Who should you NOT use skin caliper on?
Extremely obese clients
39
What is a good systolic and diastolic number?
less than 120mm for systolic | less than 80mm for diastolic
40
You should do skin measurements AFTER exercise (T/F)
False! DO NOT MEASURE AFTER EXERCISE
41
What is the formula to calculate fat mass and lean mass?
body fat % x weight = fat mass | scale weight - fat mass = lean body mass
42
What can the circumference measurements be used for?
waist to hip ratio on obese clients comparison and progression
43
What is important when it comes to circumference measurements?
consistency
44
What waist to hip ratio will put women into risks for chronic diseases?
more than .80
45
What waist to hip ratio will put men into risks for chronic diseases?
more than .95
46
What is the BMI range with a low risk of diseases?
22-24.9
47
What is the preferred method for predicting vo2 max during cardio?
submaximal testing but it requirements expensive equipment and requires client go bat their max capacity, not the most common way to measure cardio assessment.
48
What are the two ways to measure cardio assessment?
YMCA 3-min step test | Rockport mile test
49
What are the instructions for the YMCA test?
The client performs 96 steps per min on 12 inch steps at 96 steps for a total of 3 minutes. HR is measure AFTER 5 seconds for 60 secs (known as the recovery pulse)
50
What are the instructions for the Rockport test?
Client walk as fast as they can for 1 mile. Record the time it takes for the client to finish the walk, record the HR at 1 mile and use the Vo2 score. May use the HRR formula instead of straight formula (220-age)
51
What are the three common distortion patterns?
Pronation Distortion Syndrome (flat feet, knocked knees) Lower cross syndrome (anterior pelvic tilt) Upper cross syndrome (posterior pelvic tilt)
52
What are the 5 kinetic chain checkpoints?
``` Foot Ankles Knees LPHC Shoulders Head ```
53
What does the overhead squat assessment measure?
lower extremity decreased hip abduction and external rotation increase hip adductors restrict ankle dorsiflexion
54
What does the single leg squat assessment measure?
lower extremity balance core strength neuromuscular control
55
What does the pulling assessment measure?
movement efficiency of pulling movements
56
What does the pushing assessment measure?
movement efficiency of pushing movements
57
What are the 5 performance assessments?
1. Push up 2. Davies Test 3. Shark skill 4. Bench press assessment 5. Squat strength assessment
58
What does the push-up assessment measure?
muscular endurance of the upper body
59
What does the davies test measure?
upper body agility and stability. (NOT FOR PEOPLE WHO LACK SHOULDER MOBILITY)
60
what does the shark skill test measure?
lower body extremity agility and neuromuscular control. (not suitable for ALL individuals)
61
what do the bench and squat assessment measure?
for more advanced clients who are looking to gain strength specific goals and find their 1RM.
62
What the instructions for push up assessments?
Have the partner fist under the client's chest during a push-up position. Client to touch the fist for each rep and go for 60 secs w/out compromising form
63
what are the instructions for the davies test?
tape 36 inches apart and perform each side for 15 secs.
64
what are the instructions for the shark skill test?
start in the middle and hop to a different box and come back to the middle. .10 secs is added every time hopping leg touches the ground, wrong box, does not return to center, and hands-off hips
65
what are the instructions for the bench press assessment?
``` warm-up and perform 8-10 reps add 10-20 pounds for 3-5 reps 2 min rest repeat until there is a failure between 2-10 reps use 1RPM chart ```
66
what are the instructions for squat assessment?
``` warm up and perform 8-10 reps add 20-30 pounds for 3-5 reps 1 min rest repeat until there is a failure between 2-10 reps use 1RPM chart ```