Module 2 Flashcards

Ch 6 - assessements

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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
Q

What is the name of this formula? HR = ((MHR - RHR) x 0.70) + RHR

A

HRR - Karoven

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26
Q

How does the blood pressure formula position like?

A

Systolic/Diastolic

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27
Q

What does systolic measure?

A

pressure within the arterial system, measures AFTER the heart contracts

28
Q

What does diastolic measure?

A

Pressure within the arterial system when heart is resting and filling with blood.

29
Q

Which artery do you place the material to measure blood pressure?

A

Brachial artery

30
Q

Bodyweight except for stored fat - include muscles, bones, water and connective/organ tissue

A

Fat Free

31
Q

What is the recommended body fat for men and women?

A

15% men

25% for women

32
Q

What is the durnin formula?

A

calculating body fat by using skinfold measurements

33
Q

What are the measurements for the skin fold caliper?

A

Biceps
Triceps
Subscapular
iliac crest

34
Q

Which side should all measurements be taken?

A

Right side

35
Q

How do you measure the biceps and triceps?

A

Vertical fold

36
Q

How do you measure the subscapular?

A

45 degree inferior to the scapula

37
Q

how do you measure the iliac crest?

A

45 degree taken above the iliac crest

38
Q

Who should you NOT use skin caliper on?

A

Extremely obese clients

39
Q

What is a good systolic and diastolic number?

A

less than 120mm for systolic

less than 80mm for diastolic

40
Q

You should do skin measurements AFTER exercise (T/F)

A

False! DO NOT MEASURE AFTER EXERCISE

41
Q

What is the formula to calculate fat mass and lean mass?

A

body fat % x weight = fat mass

scale weight - fat mass = lean body mass

42
Q

What can the circumference measurements be used for?

A

waist to hip ratio
on obese clients
comparison and progression

43
Q

What is important when it comes to circumference measurements?

A

consistency

44
Q

What waist to hip ratio will put women into risks for chronic diseases?

A

more than .80

45
Q

What waist to hip ratio will put men into risks for chronic diseases?

A

more than .95

46
Q

What is the BMI range with a low risk of diseases?

A

22-24.9

47
Q

What is the preferred method for predicting vo2 max during cardio?

A

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
Q

What are the two ways to measure cardio assessment?

A

YMCA 3-min step test

Rockport mile test

49
Q

What are the instructions for the YMCA test?

A

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
Q

What are the instructions for the Rockport test?

A

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
Q

What are the three common distortion patterns?

A

Pronation Distortion Syndrome (flat feet, knocked knees)
Lower cross syndrome (anterior pelvic tilt)
Upper cross syndrome (posterior pelvic tilt)

52
Q

What are the 5 kinetic chain checkpoints?

A
Foot
Ankles
Knees
LPHC
Shoulders
Head
53
Q

What does the overhead squat assessment measure?

A

lower extremity
decreased hip abduction and external rotation
increase hip adductors
restrict ankle dorsiflexion

54
Q

What does the single leg squat assessment measure?

A

lower extremity
balance
core strength
neuromuscular control

55
Q

What does the pulling assessment measure?

A

movement efficiency of pulling movements

56
Q

What does the pushing assessment measure?

A

movement efficiency of pushing movements

57
Q

What are the 5 performance assessments?

A
  1. Push up
  2. Davies Test
  3. Shark skill
  4. Bench press assessment
  5. Squat strength assessment
58
Q

What does the push-up assessment measure?

A

muscular endurance of the upper body

59
Q

What does the davies test measure?

A

upper body agility and stability. (NOT FOR PEOPLE WHO LACK SHOULDER MOBILITY)

60
Q

what does the shark skill test measure?

A

lower body extremity agility and neuromuscular control. (not suitable for ALL individuals)

61
Q

what do the bench and squat assessment measure?

A

for more advanced clients who are looking to gain strength specific goals and find their 1RM.

62
Q

What the instructions for push up assessments?

A

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
Q

what are the instructions for the davies test?

A

tape 36 inches apart and perform each side for 15 secs.

64
Q

what are the instructions for the shark skill test?

A

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
Q

what are the instructions for the bench press assessment?

A
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
Q

what are the instructions for squat assessment?

A
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