Pre-exercise Screening And Testing Considerations Flashcards
Pre-exercise screening
Information must be collected prior to physical activity to identify factors that increase the clients overall risk for injury or negative outcomes.
Pre-exercise screening should include:
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.
4 parts of screening
Informed consent
Par Q
Health risk appraisal
Health status questionnaire
Informed consent:
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
Informed consent is a ____________ _____________ document protecting against claims that the client was unaware of protocol and risks related to an exercise program or test.
Legally defensible
Informed consent does _______ prevent the client from taking legal action, but provides legal defensibility when procedures in question have been performed correctly.
Not
Par Q
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.
Disadvantages to par q
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
Health risk appraisal
Health tool consisting of a questionnaire, formulas for estimating health risk, advice database, and means for generating reports.
Health status questionnaire
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.
Trainers should pay close attention to:
Cardiovascular and metabolic disease Smoking history Sedentary lifestyle Obesity High BP Blood Lipid profile Impaired glucose tolerance
Warning signs for client risk
Chronic pain Dizziness or breathlessness Heart plantations Edema Unusual fatigue Frequent thirst Infrequent urination
Behavior questionnaire
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
If the client is cleared of red flag medical concerns, the trainer should then identify and implement:
A resting battery of tests.
RHR Resting BP Body Compostition Height/ weight and/or BMI Waist circumference
A high RHR
Is associated with cardiovascular inefficiency and an increased risk for arrhythmias.
Healthy <75 RHR
Reduce RHR by
Aerobic exercise
Weight management
General physical activity
Resting Bp
CO x PR
Cardiac output x peripheral resistance
Vascular damage
Stroke
Kidney damage
Congestive heart failure
BP ranges
Normal <120/<80
Pre-Hypertensive 120-139/80-89
Stage 1 140-159/ 90-99
Stage 2 >160/ >100 * requires MA (medical approval/release).
Mmhg
Millimeters of mercury
Obesity Percentages
Male: >25% morbidly >30%
Female: >32% morbidly >40%
BMI
Height and weight measurements to predict body density
Does not directly assess body composition
27 high risk
30 obese / disease risk
Waist circumference
Reference of sub-q and visceral fat
> 40 male
35 female
High risk👆🏻
Dyslipidemia
Poor blood lipid profile
Elevated risk for cardiovascular disease while high fasting blood glucose is a red flag indicator for diabetes