Preliminary Health Screening Flashcards
The role of a fitness appraiser:
conducts physiological assessments as they relate to the spectrum of “health” and “performance”
Purposes of pre-participation health screening:
- ID and exclude individuals with medical contraindications to exercise
- ID individuals at increased risk for disease
- ID those with clinically significant disease who should participate in medically supervised exercise program or that you are not qualified to work with
Individuals at increased risk for disease include:
- because of age, symptoms, and/or other risk factors
- those who should undergo a medical prior to testing or starting an exercise program
Old CSEP guideline:
- CPAFLA
- The Canadian Physical Activity, Fitness & Lifestyle Approach
Most recent CSEP guideline:
- CSEP - PATH
- Physical Activity Training for Health
2002 screening:
PAR - Q & you
2011 screening:
PAR - Q+
2017 screening:
Get Active Questionnaire
PAR - Q stands for:
Physical Activity Readiness Questionnaire
PAR - Q and you is for ages:
15-69 (roughly adult population)
Describe the PAR - Q & you and its uses:
- self assessment
- simple 1 page
- can be used for initial self-assessment
- used world-wide
- still the pre-screening tool used by ACSM
- still highly utilized
- not a blanket clearance
Describe the questions in PAR - Q & you:
- questions considered broad and perhaps ambiguous
- probing conditions that might suggest a condition
PAR - Q & you is valid for how long?
only valid for 12 months
Yes to any question in the PAR - Q and You means…
you require medical clearance (PARmed-X)
PARmed - X aids in the identification of….
contraindications or special considerations if proceeding with an assessment
PARmed - X stands for:
Physical Activity Readiness Medical Examination
PARmed - X must be completed by …
a physician
3 stages of PARmed - X:
- absolute contraindications
- relative contraindications
- special prescriptive conditions
Absolue contraindications:
permanent restriction or temporary restriction until condition is treated, stable, and/or past acute phase
Relative contraindications:
- highly variable
- value of exercise testing and/or program may exceed risk
- activity may be restricted
- desirable to maximize control of condition
- direct or indirect med. supervision of exercise programs
Special prescriptive conditions:
- individualized prescriptive advice generally appropriate (limitations, special exercises)
- may require medical monitoring and/or initial supervision in exercise program
Problem with the PARmed - X:
- poor uptake and utilization by physician groups
- recommendations previously based on expert opinion
- call for evidence based criteria
PAR - Q & you + PARmed = X =
PAR - Q+
PAR - Q+ is a ___ page form for pre screening prior to PA participation and includes additional questions on _____ _____ for …
- 4 page
- chronic conditions
- chronic conditions
- further probing by the qualified exercise professional
What is different in the PAR - Q+?
- based on systematic reviews of the literature (evidence based screening tool)
- removes age guidelines, inclusive of youth and elderly
- wording changed in the 7 questions to remove confusion or misunderstanding
- if client answers yes they proceed to page 2 or 3 to answer additional questions more specific to their condition
- no longer a self assessment (fill it out with a qualified professional)
What replaces the PARmed - X in the PAR - Q+?
- further questions
- additional info is obtained by the fitness assessment prior to making recommendation for medical assessment
Why is the PAR - Q+ potentially better than the PARmed - X?
- after completing the additional questions ~85% of people are screened back in for PA
- should reduce the number of individuals referred for medical clearance
- valid for 12 months
PAR - Q+ is based on…
stratification of risk
Who is considered apparently healthy and what is the minimum qualification needed to work with them?
- all no answers on page 1 of PAR - Q+
- CSEP - CPT
Who is considered to have a stable health condition (low risk) and what is the minimum qualification needed to work with them?
- yes answers on page 1 but no answers on pages 2-3 of PAR - Q+
- CSEP - CPT
Who is considered to have a unstable health condition (moderate/high risk) and what is the minimum qualification needed to work with them?
- yes answers on page 1 and pages 2-3 of PAR - Q+
- CSEP - CEP
CSEP - PATH must be completed by…
an M. D.
CSEP - PATH identifies ….
positive answer indicated on PAR - Q+ and provides physicians with more detail upon referral