Module 2 Flashcards
Ch 6 - assessements
Measure the current health and fitness level of a client
Fitness assessment
What should a PT not do?
Diagnose medical condition Prescribe treatment Write meal plans Provide treatment of any kind Provide rehab services Provide counseling services
What is subjective assessment?
Information that the client told you that cannot be directly observed
What is an objective assessment
Any physiological measurements and can be directly observed.
examples of subjective assessments
PAR Q, Medical history, client’s hobbies, and lifestyle
examples of objective assessments
heart rate blood pressure body composition cardio static posture dynamic/movement assessments performance
What does PAR-Q stand for?
physical activity readiness questionnaire
If a client answers yes to one or more in the PAR Q, what do they need to do first?
Meet with their physician for further screening before starting an exercise
What are some common occupation traits in clients?
Extend period of sitting
Repetitive movements
Dress shoes
Mental stress
How does occupation help the PT?
Understand energy expenditure
Client musculoskeletal structure
potential health and limitations
What happens to the body after an ankle sprain?
decrease neutral control to glute max and medius
poor control on lower extremities
What happens to the body after knee injuries involving ligaments? (ACL)
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
What happens to the body after a low back injury?
decrease neutral control of the core to stabilize
What happens to the body after a shoulder injury?
alter neutral control of rotator cuff muscles - instability of the shoulder
What does surgery cause in the body?
trauma
List the chronic diseases
Cardiovascular disease Hypertension High cholesterol Diabetes Stroke Respiratory disease Obesity Cancer
Medication that decreases HR and blood pressure
beta-blockers
A fairly good indicator of overall cardio fitness
resting HR
strong indicator of how client cardiorespiratory is responding and adapting to exercise
exercise HR
Where is the radical pulse taken?
wrist
Where is the carotid pulse taken?
neck
What’s the typical resting HR and for men and women
70-80 bpm
70 bpm - men
75 bpm - women
What’s the straight % HR formula?
220-age
What’s the regression HR formula?
208 - (.07 x age)
What is the name of this formula? HR = ((MHR - RHR) x 0.70) + RHR
HRR - Karoven
How does the blood pressure formula position like?
Systolic/Diastolic
What does systolic measure?
pressure within the arterial system, measures AFTER the heart contracts
What does diastolic measure?
Pressure within the arterial system when heart is resting and filling with blood.
Which artery do you place the material to measure blood pressure?
Brachial artery
Bodyweight except for stored fat - include muscles, bones, water and connective/organ tissue
Fat Free
What is the recommended body fat for men and women?
15% men
25% for women
What is the durnin formula?
calculating body fat by using skinfold measurements
What are the measurements for the skin fold caliper?
Biceps
Triceps
Subscapular
iliac crest
Which side should all measurements be taken?
Right side
How do you measure the biceps and triceps?
Vertical fold
How do you measure the subscapular?
45 degree inferior to the scapula
how do you measure the iliac crest?
45 degree taken above the iliac crest
Who should you NOT use skin caliper on?
Extremely obese clients
What is a good systolic and diastolic number?
less than 120mm for systolic
less than 80mm for diastolic
You should do skin measurements AFTER exercise (T/F)
False! DO NOT MEASURE AFTER EXERCISE
What is the formula to calculate fat mass and lean mass?
body fat % x weight = fat mass
scale weight - fat mass = lean body mass
What can the circumference measurements be used for?
waist to hip ratio
on obese clients
comparison and progression
What is important when it comes to circumference measurements?
consistency
What waist to hip ratio will put women into risks for chronic diseases?
more than .80
What waist to hip ratio will put men into risks for chronic diseases?
more than .95
What is the BMI range with a low risk of diseases?
22-24.9
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.
What are the two ways to measure cardio assessment?
YMCA 3-min step test
Rockport mile test
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)
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)
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)
What are the 5 kinetic chain checkpoints?
Foot Ankles Knees LPHC Shoulders Head
What does the overhead squat assessment measure?
lower extremity
decreased hip abduction and external rotation
increase hip adductors
restrict ankle dorsiflexion
What does the single leg squat assessment measure?
lower extremity
balance
core strength
neuromuscular control
What does the pulling assessment measure?
movement efficiency of pulling movements
What does the pushing assessment measure?
movement efficiency of pushing movements
What are the 5 performance assessments?
- Push up
- Davies Test
- Shark skill
- Bench press assessment
- Squat strength assessment
What does the push-up assessment measure?
muscular endurance of the upper body
What does the davies test measure?
upper body agility and stability. (NOT FOR PEOPLE WHO LACK SHOULDER MOBILITY)
what does the shark skill test measure?
lower body extremity agility and neuromuscular control. (not suitable for ALL individuals)
what do the bench and squat assessment measure?
for more advanced clients who are looking to gain strength specific goals and find their 1RM.
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
what are the instructions for the davies test?
tape 36 inches apart and perform each side for 15 secs.
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
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
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
