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Fitness management 386 > Submax exs testing > Flashcards

Submax exs testing Flashcards

1
Q

submaximal exercise testing definition

A

one that requires the client to perform a fixed amount of work per unit of time

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2
Q

what is a submax test used for?

A

estimating VO2max

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3
Q

What are submax tests decisions are based on

A

reason for test, type of subject being tested, availability of equipment and personal, risk strat

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4
Q

Maximal exs test are more useful where

A

clinically aiding in diagnosis of CAD in asymptomatic patients

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5
Q

max exs esting not feasible for

A

assessing CV endurance for vast majority of health/fitness practitioners

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6
Q

What is the purpose of YMCA bike ergometer lab?

A

A cycle ergometer submax protocol for women and men was developed in 1989 (Goldings, Meyers, and sinning). This submaximal test uses 3 to 4 consecutive stages/workloads on the cycle ergometer with the intent to elevate heart rate to 110 bpm and 85% of one’s age-predicted HRmax for at least 2 consecutive workloads. The ensuing results are used to predict VO2max based on the assumption that HR and oxygen consumption are linear f(x) of work rate.

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7
Q

What is being assessed and recorded on data sheet for lab 5 before starting test?

A

resting bp and HR

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8
Q

What is the pedal rate for lab 5 and initial workload?

A

50 rev/min (set metronome to 50- 100) and the initial workload is 150kgm/min which is 25 watts or 0.5kg

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9
Q

When is HR measured during this ymca submax bike test?

A

Measure HR during the last 30 seconds of minutes 2 and 3 at each workload

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10
Q

What do you do if the HR varies more than blank?

A

IF these HRs vary by more than 5-6bpm continue the same workload for an additional minute until heart rate stabilizes

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11
Q

When is RPE and BP determined?

A

Determine the RPE and BP during the third minute of each workload.

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12
Q

When is BP measured?

A

Measure BP once per stage btwn the 2 HR measurements

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13
Q

When is RPE measured?

A

Measure rating of perceived exertion (RPE) during the last 10-15 seconds of each stage, after taking 2nd HR

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14
Q

How do you determine workload after first stage for YMCA protocol on leg ergometer?

A

Use the HR from last minute of the first workload/stage to determine the second and subsequent workloads

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15
Q

If HR is less than 80 bpm, set second workload to what?

A

750 kgm/min = 2.5 kg

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16
Q

If HR is 80-89 bpm, set second workload to what?

A

600 kgm/min =2kg

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17
Q

If HR is 90-100 bpm, set second workload to ?

A

450 kgm/min = 1.5 kg

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18
Q

If HR is greater than 100 BPM, set second workload to ?

A

300 kgm/min = 1 kg

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19
Q

How do you know when to terminate the test for lab 5?

A

IF the subject’s steady state HR exceeds 85% of the age-predicted HRmax during the third stage

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20
Q

Upon reaching 85% age-predicted HRmax, reduce workload ?

A

150 kgm/min (.5 kg) for 2 minutes and record the HR and BP during the last 30 seconds of the second minute

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21
Q

What is being calculated for lab 5 and for what?

A

calculate energy expenditure (VO2) for last 2 workloads

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22
Q

How is VO2 max determined from lab 5?

A

determine the M of HR vs workload relationship by plotting steady state HRs to last 2 workloads and connect these 2 data points with straight edge, extending the line so that it intersects the predicted HRmax line.

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23
Q

When is steady state HR obtained in submax testing?

A

Steady state HR is obtained for ea exs work rate

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24
Q

What kind of relationship exist btwn HR and O2 uptake?

A

a linear relationship

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25
Q

HRmax at given age is

A

uniform

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26
Q

Mechanial efficiency is the blank

A

same for everyone, but different for trained people

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27
Q

Traditional Method for measuring HRmax (FOX eqn)

A

220-age=HRmax +/- 10bpm

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28
Q

Gellish eqn for HRmax

A

206.9-(0.67x age)= HRmax +/- 2bpm

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29
Q

Tanaka eqn for HRmax

A

208-(0.7xage)=HRmax

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30
Q

Londeree & Moeschberger eqn

A

206-(.7age)=HR max

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31
Q

What are the 5 objectives of submax exs testing? Your study method breakdown

A 
Determine
Develop
Document
Motivate
Information

(DDDMI)

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32
Q

The first D in DDDMI, stands for determine what?

A

Determine the level of CRF and est fitness program goals and objectives

33
Q

The second D in DDDMI, stands for develop what??

A

Develop safe, effective exercise prescription to improve CRF

34
Q

The third D in DDDMI, stands for document . . . ?

A

Document improvement due to intervention (baseline and then document change for insurance reasons)

35
Q

The m stands for motivate . . . ?

A

Motivate individuals to intiate and comply with program (feedback helps ppl)

36
Q

I stands for information …?

A

regarding health status

37
Q

What are the general indications for stopping Exs test? Your style study

A 
S
O
S
E
F double
C
S
P
38
Q

The first S stands for

stopping test

A

significant drop (20 mm Hg) in SBP or failure to rise with increase in intensity since normally it is a linear increase of 10 mm Hg/stage

39
Q

The O stands for

stopping test

A

onset of angina or angina-like symptoms

40
Q

The second S after O stands for

stopping test

A

signs of poor perfusion such as light-headedness, pallor, and nausea

41
Q

The E stands for

stopping test

A

Excessive rise in SBP greater than 260 mm Hg or DBP greater 115 mm Hg

42
Q

F double stands for

A

Failure of HR to increase with increased exs intensity and failure of testing equipment including tester

43
Q

C stands for

A

Change in heart rhythm felt by palpating radial pulse, taking BP

44
Q

The third S stands for

A

subjects request to stop

45
Q

P stands for

A

Physical or verbal signs of severe fatique?

46
Q

Power=

A

Force X Distance/Time

47
Q

Force=

A

Kg or Kp on flywheel

48
Q

distance for standard Monark cycle is

49
Q

what is Rev/min set to for YMCA test?

A

standard is 50 RPM via metronome

50
Q

Distance/min = D/T which is

A

6m/rev x 50 rev/min

51
Q

units for power setting

A

kg*m/min, which can also be divided by 6 kgm/min/ W to get watts

52
Q

How to calibrate cycle ergometer?

A 
Zero
Participant
Belt and Flywheel (B&F)
Check 
Add
Reattach
53
Q

The first step in calibrating cycle ergometer is zero what?

A

Zero cycle ergometer by unfastening resistance belt (weight use wingnut)

54
Q

The second step in calibrating cycle ergometer is participant ?

A

sits on cycle no feet on pedals

55
Q

The third step in calibration of cycle ergometer?

A

Belt and flywheel should be clean

56
Q

Fourth step in calibration of cycle ergometer is check ?

A

check side R scale should read zero if not adjust

57
Q

fifth step in calibration of cycle ergometer is add?

A

Add a known weight of 1 kg or more

58
Q

Last and 6th step of calibration of cycle ergometer is reattach what?

A

belt and pull belt somewhat tight

59
Q

YMCA submax cycle ergometer test procedures

A

Discuss
Take
Adjust

60
Q

Discuss in YMCA submax cycle ergometer test procedures

A

Discuss abilities of test site to handle emergencies & RPE scale

61
Q

Take in YMCA submax cycle ergometer test procedures

A

Take baseline or resting measures (HR and BP) in position to be used in test

62
Q

Adjust in YMCA submax cycle ergometer test procedures

A

Adjust seat height, knee should be flexed 5-10 degs in the pedal down position with toes on pedals; heals on pedals, leg should be straight; or in line seat up with greater trochanter and there should be no rocking of the hips, check from behind

63
Q

What should be measured during CRF test sequence and measures?

A

Minimum of HR, BP, and subjective sysmptoms (RPE, dyspnea, and angina) should be measured during exs tests

64
Q

After initial screening process, . . . .

A

selected baseline measurements should be obtained prior to the start of the exs test

65
Q

how is HR measured in CRF testing seqeucne?

A

HR can be determined using several techniques including radial pulse palpation, ausculation with a stethoscope, or use of HR monitors

66
Q

Pulse palpitation method for HR

A

The pulse palp technique involves feeling the pulse by placing the second and third fingers (index and middle fingers) most typically over radial artery

67
Q

Ascultation method for HR

A

bell of stethoscope should be placed left of the sternum just above the nipple lvl

68
Q

How is BP measured in CRF test sequence?

A

BP should be measured at heart level with the subject’s arm relaxed and not grasping a handrail (treadmill) or handlebar (cycle ergo)

69
Q

What aspect of BP can be used as indicators to stop test?

A

SBP and DBP measurment

70
Q

Start of Test YMCA submax cycle ergometer test procedures

A

Freewheel with 0 kg R at 50 RPM 2-3 minutes, may be hard for client to maintain cadence help them

71
Q

First workload for YMCA submax cycle ergom test

A

warm up 150 kgm/min

72
Q

What kind of protocol is YMCA test?

A

branching protocol based on HR

73
Q

How long is each stage in YMCA cycle test?

A

3 minutes/ stage

74
Q

When is HR measured in YMCA cycle test?

A

W/in each stage measure HR during minutes 2 an 3

75
Q

When is BP and RPE measured in each stage of YMCA test?

A

third minute of stages

76
Q

Box 4.5 is what

A

General Indications for Stopping an Exercise Test

77
Q

box 4.5 assumes what?

A

Assumes that testing is nondiagnostic and is being performed without direct physician involvement or ECG monitoring.

78
Q

Box 5.2 is for?

A

For clinical testing, Box 5.2 provides more definitive and specific termination criteria.
BP, blood pressure; ECG, electrocardiogram; HR, heart rate; SBP, systolic blood pressure.

79
Q

Box 4.5, 4 aspects

A

Noticeable change in heart rhythm by palpation or auscultation
Subject requests to stop
Physical or verbal manifestations of severe fatigue
Failure of the testing equipment

Fitness management 386 (6 decks)

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