Brainscape's Knowledge GenomeTM


Top Flashcards (Certified)
All Flashcards

NCSF CPT > Pre-exercise Screening And Testing Considerations > Flashcards

Pre-exercise Screening And Testing Considerations Flashcards

1
Q

Pre-exercise screening

A

Information must be collected prior to physical activity to identify factors that increase the clients overall risk for injury or negative outcomes.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
2
Q

Pre-exercise screening should include:

A

Physical limitations
Medical conditions
Lifestyle behaviors

Provision of education for the client concerning their relative health risks based on their lifestyle, daily behaviors and history.
Identification of current health status.
Provision of data that can be used to create the needs analysis and most appropriate program for the client.
Establishments of starting points
Identification of particular interests, attitudes, or possible training limitations.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
3
Q

4 parts of screening

A

Informed consent
Par Q
Health risk appraisal
Health status questionnaire

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
4
Q

Informed consent:

A

Provides the opportunity to understand the risks, benefits, rationale, and expectations associated with the program.

Should include:

Explanation of the background and purpose for the service being rendered.
The potential risks associated with exercise participation
Explanation of program and testing procedures
Normal physiological expectations
Opportunity for inquiry
Right of refusal of service
Statement of client data confidentiality

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
5
Q

Informed consent is a ____________ _____________ document protecting against claims that the client was unaware of protocol and risks related to an exercise program or test.

A

Legally defensible

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
6
Q

Informed consent does _______ prevent the client from taking legal action, but provides legal defensibility when procedures in question have been performed correctly.

A

Not

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
7
Q

Par Q

A

Physical activity readiness questionnaire
Presents seven questions that serve as red flag indicators for clients age 15-69 who may require medical clearance before engaging in physical testing or advice.
Practical for groups, easy to interpret, minimal expertise is required.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
8
Q

Disadvantages to par q

A

Limited when evaluating risk to low, moderate level intensity exercise
Should never be used as a single clearance for for vigorous activities
Little value beyond medical referral identification

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
9
Q

Health risk appraisal

A

Health tool consisting of a questionnaire, formulas for estimating health risk, advice database, and means for generating reports.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
10
Q

Health status questionnaire

A

Structures, self reported questionnaire that generates scores for physical functioning, limitations due to physical or emotional issues, bodily pain, general health perceptions, vitality, social functioning, and overall mental health

It should be used in an interview format to allow for probing questions.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
11
Q

Trainers should pay close attention to:

A 
Cardiovascular and metabolic disease
Smoking history
Sedentary lifestyle 
Obesity
High BP
Blood Lipid profile
Impaired glucose tolerance
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
12
Q

Warning signs for client risk

A 
Chronic pain
Dizziness or breathlessness
Heart plantations
Edema 
Unusual fatigue
Frequent thirst
Infrequent urination
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
13
Q

Behavior questionnaire

A

Recognize program obstacles and health status areas requiring improvement.
Educate clients with regards to their lifestyle behaviors and dietary practices
Implement behavioral management strategies identify factors correlating to current health status.
Basically the BQ allows the trainer to find the correlating factors related to the issues found on the health status questionnaire

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
14
Q

If the client is cleared of red flag medical concerns, the trainer should then identify and implement:

A

A resting battery of tests.

RHR
Resting BP
Body Compostition
Height/ weight and/or BMI
Waist circumference
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
15
Q

A high RHR

A

Is associated with cardiovascular inefficiency and an increased risk for arrhythmias.

Healthy <75 RHR

Reduce RHR by
Aerobic exercise
Weight management
General physical activity

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
16
Q

Resting Bp

CO x PR

A

Cardiac output x peripheral resistance

Vascular damage
Stroke
Kidney damage
Congestive heart failure

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
17
Q

BP ranges

A

Normal <120/<80
Pre-Hypertensive 120-139/80-89
Stage 1 140-159/ 90-99
Stage 2 >160/ >100 * requires MA (medical approval/release).

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
18
Q

Mmhg

A

Millimeters of mercury

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
19
Q

Obesity Percentages

A

Male: >25% morbidly >30%

Female: >32% morbidly >40%

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
20
Q

BMI

A

Height and weight measurements to predict body density
Does not directly assess body composition

27 high risk
30 obese / disease risk

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
21
Q

Waist circumference

A

Reference of sub-q and visceral fat

> 40 male
35 female

High risk👆🏻

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
22
Q

Dyslipidemia

A

Poor blood lipid profile

Elevated risk for cardiovascular disease while high fasting blood glucose is a red flag indicator for diabetes

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
23
Q

Medical Referral Criteria

A 
LDL-C >135mg/dl
HDL-C >40 mg/dl
Total blood cholesterol: >240 mg/dl
Cholesterol ratio > 5
Total blood triglycerides: 200mg/ ml
Fasting blood glucose: 110mg /dl
24
Q

Fitness test should be:

A

Valid, reliable, objective, and appropriate for the client.

25
Considerations for fitness testing:
``` Gender Age Training status Capabilities Experience ``` Assess testing space and equipment and do a dry run with client
26
A "valid" test and "reliable" test
High validity: The test accurately quantifies what it is designed to measure Reliable: testing measures can be easily reproduced, or a test can be validated during later re-testing procedures
27
Factors that reduce test validity:
``` Improper body position Inexperience Inadequate techniques Poor biomechanics Momentum Compensatory actions ```
28
Factors that reduce the test reliability
Changes in the environment Changes in testing methods Using a different testing instrument Failure to implement identical testing protocol
29
Environmental factors influencing testing
``` Ambient temp Altitude Humidity Noise Toxins ```
30
Prior to test trainer should inspect:
The testing area The equipment Clients clothing Clients footwear-proper Provide clear instructions and a pre-during-post checklist Make sure client is hydrated -expose client to testing techniques and allow for skills acquisition prior to implementation: reduces anxiety/ boosts client performance.
31
Proper testing order
Tests should be performed on different days Tests that challenge nervous system (or immediate energy systems) should be conducted prior to endurance tests Non fatiguing tests can be conducted between assessments and serve as a rest period. ``` Resting Strength and power Muscular endurance Anaerobic capacity Aerobic ```
32
How to provide results: | Especially sub-par
Tact Layman terms Explain that results are starting points Avoid negative terms
33
Needs analysis
Refers to the organization of gathered data to identify the needs to be addressed within the exercise program Aka create a "to-do" list with each client
34
Goal setting
Daily objectives Short term goals Long term goals Focusing on reaching multiple short term goals is preferred over one long term goal, be micro-ambitious. Progress can be easily assessed. Adjustments can be made to program design.
35
Most common goal setting errors:
Developing unattainable or unrealistic goals Failing to emphasize daily objectives
36
Properly developed goals should:
Reflect controllable behaviors Be specific, measurable, meaningful, and rewarding Be Challenging but realistic And should consider: Clients capabilities and source of motivation Cycle necessary to reach the target objective Required effort on behalf of the client
37
______________are the most important measure of health related fitness.
Cardiorespiratory fitness Directly related to implications on disease and lifespan & direct influences on all other components of fitness. Vo2 max
38
Vo2 Max
The highest rate at which oxygen can be taken in and utilized by and individual during exercise The lungs Reflects efficiency for delivering o2 to working muscle via the lungs, heart, and blood) Can be estimated through predictive equations Assessments usually measure distance, time, or HR
39
Submaximal testing:
``` Reduced risk for injury Less skill involved Easier tests Reduce stress on client Can be widely applied ``` Performed for a planned duration, distance, or until a given HR or intensity level has attained.
40
Test examples: sub maximal
``` Walking Running Stationary Ass bike Step Swimming test ```
41
Ml x kg/ min-1
The performance measure derived from o2 converted into an expression.
42
Test stop indications
Client no longer comfortable performing test Skin becomes pale Fails to keep cadence for 20 seconds Inability to maintain focus. Faintness, dizziness, light headed Stomach pain, vomiting, chest pain, difficulty breathing Cramp, side stitch, strain, hardcore fatigue.
43
Assessment of muscular fitness
Muscular strength Muscular endurance Trainers should utilize a minimum of 3 different exercises to incorporate the upper body, lower body, and trunk
44
Muscle balance
Improves joint stability Reduces the risk for injury Improves the transition of force through the kinetic chain
45
Muscle balance ratio goals
``` Trunk flexors/extensors: 1:1 Hip flexors/extensors 1:1 Shoulder flexors/extensors: 2:3 Knee flexors/extensors 3:2 Elbow flexors/extensors 1:1 Plantar flexor/ dorsiflexor 3:1 ```
46
Potential strength testing issues include:
Risk of injury for deconditioned, unhealthy, inactive/sedentary lifestyle, unskilled lifters Identification of maximal load Improper movement mechanics with load Stability requirements for form Increased internal pressure (valsalva especially) must be correctly used
47
Testing novice clients:
Familiarize client with proper performance of mechanics/movements Side with the use of tests that utilize a higher volume test. (5-10)RM
48
Free weights are preferred to machines:
Identify joint stability deficiencies Measure force capacity outside of a fixed movement pattern. Provide data that more closely transfers to free-living, everyday conditions and activities.
49
Examples of muscular fitness testing
Isometric: chin hang Maximal reps in a fixed period of time: paced curl ups Til failure: push-ups Only count properly performed reps. Do not count falsely compensated exertion at the expense of form.
50
Endurance tests must be designed to use _____________ ______________ as the primary source of energy, not the phosphagen system.
Anaerobic glycolysis
51
Anaerobic capacity
Measures the rate of power decline; or the length of time a muscle can perform an activity using the glycolytic pathway to generate fatigue until failure.
52
Anaerobic capacity tests
15-90 seconds Better predictors of functional performance than strength tests Clients should have an appropriate baseline fitness level prior to test.
53
Inflexibility is linked to
Musculoskeletal injuries Acute and chronic low back pain Postural dysfunction
54
During flexibility tests the trainer should
Look for any compensatory actions and measure the terminal ROM if applicable. Each joint should be assessed individually (bilateral) Goniometer-document any pain, DO NOT DIAGNOSE
55
Skin fold measurements: Obese clients:
Mark x's and explain test/ make client comfortable and ask permission. BEI test or girth measurements
56
SEE
Standard estimate for error. Should use tests with a see no greater than 4%

NCSF CPT (8 decks)

Brainscape helps you reach your goals faster, through stronger study habits.
© 2025 Bold Learning Solutions. Terms and Conditions