PHLT 1323 Fitness Assessment II PDF

PHLT 1323 - Fitness Assessment II Fitness Assessment Purpose, Screening & General Guidelines  Objectives I. Review the purpose and overall process of administering a fitness assessment II. Review necessary pre-exercise screening tools and meas...

PHLT 1323 - Fitness Assessment II Fitness Assessment Purpose, Screening & General Guidelines  Objectives I. Review the purpose and overall process of administering a fitness assessment II. Review necessary pre-exercise screening tools and measures III. Outline the primary components of fitness and discuss proper assessment order IV. Present general guidelines for assessment results interpretation V. Outline an appropriate general exercise assessment protocol Assessment (and Exercise) Screening Protocol (NSCA, 2022; Heyward & Gibson, 2014) Assessment Purpose & Overall Process  What is the Purpose of Assessing Fitness Level?  To obtain “physiological snapshot” of client’s current fitness status relative to health-related standards and age/sex- matched norms Enables… › Assess health risk › Identification of strengths/weaknesses › Realistic/attainable goals to be set › Accurate/precise prescription › Development of client profile (ie. pre-/post- testing)  Overall Assessment Process Involves:  Proper client consent and screening  Appropriate assessment choice and order › Consideration of validity, reliability, and objectivity of assessments  ASSESS (using an appropriate protocol)…then initiate re-assessment process! General Assessment Protocol Steps (Gibson, Wagner & Heyward, 2019) 1) Equipment should be calibrated and organized appropriately before use 2) Prepare recording sheets 3) Assessment area should be quiet, private, and at appropriate temp. (21 - 23oC) 4) Complete prescreening tools and measures  Pre-Screening Tools & Measures  Informed Consent (not a waiver)  Provides: assessment purpose, content details (ex. benefits/risks involved, assessment/exercise type procedures, etc.), client withdrawal policy, questioning encouragement, and client confidentiality assurance  Get Active Questionnaire, Reference Document & Health Screening Tool (endorsed by CSEP) › Physician Physical Activity Readiness Clearance Form or GAQ Pregnancy, Health Care Consultation Form, (when applicable)  Or, any other evidence-based screening tool (e.x. PAR-Q+)  Additionally… › Medical History Questionnaire and Pre-participation Screening Classification (ACSM) and/or Lifestyle Evaluations  Provides  insight into client well-being (personal and family history – to be discussed in Exercise Prescription) PAR-Q+ Physical Activity Readiness Questionnaire +(for Everyone) https://eparmedx.com/ (Or course manual)  Client answers determine if the client falls within a trainer’s Scope of Practice or if the client requires referral/needs clearance before participating in the active portions of the fitness assessment or starting an exercise program › Do NOT interpret how a client should answer any questions  The PAR-Q+ is valid for 12 months, or must be re-administered if the health condition changes  The PAR-Q+ must be signed in ink, dated, and witnessed by a 3rd party  Typically, a CPT (ex. CSEP-CPT) is sanctioned to work with those who are either apparently healthy, or possess no more than 1 stable health condition PAR-Q+: Classifying Client Risk Apparently healthy  Answers ‘no’ to ALL questions on page 1 Stable Health Condition (Low Risk)  One or more ‘yes’ answers to questions #1, #3, #4, #5 on page 1 of PAR-Q+, BUT ‘no’ answers to ALL follow- up questions on pages 2-3, AND…  Client also does not have a ‘yes’ response to any of questions #2,#6,#7 on page 1 Unstable Health Condition (Moderate/High Risk)  One or more ‘yes’ answers on page 1 of PAR-Q+ ; one or more ‘yes’ answers to follow-up questions on pages 2-3  PAR-Q+: Instructions (CSEP, 2013) ALL clients are to complete page 1 of the PAR-Q+ Eligible to work with Scenario Client’s Next Step CSEP-CPT? Complete page 1 and PG 1: All ‘no’ Appropriate for CSEP- sign/date/witness answers CPT declaration PG 1: Has ‘yes’ Have client complete answer to follow-up questions on See next slide questions #1, #3, chronic medical #4, and/or #5 conditions on pgs 2-3 PG 1: Has ‘yes’ answer to Refer client to physician questions #2, #6, or #7  PAR-Q+: Instructions…(cont’d) Chronic Medical Conditions (pgs 2-3)Completed ONLY if client has one or more yes answers to pg 1 of PAR-Q+ Eligible to work with Scenario Client’s Next Step CSEP-CPT? Client goes to pg 4 PGS 2-3: Has ‘no’ Appropriate for CSEP-CPT and signs/dates/ answers to ALL assuming client can witnesses follow-up questions exercise independently declaration PGS 2-3: Has one Client goes to pg 4 Refer to a CSEP-CEP or or more ‘yes’ and signs/dates/ appropriate health care answers to follow- witnesses professional up questions declaration  Class Activity Student PARQ+ and Scenarios Lab Manual  Screening Tools & Measures Pre-assessment screening measures performed › Rest HR (< 100 bpm) › Rest BP (< 160/90 mmHg) › If all is clear, go to step #5… Clinical intervention necessary? › Advise client that physician clearance will be req’d when applicable  Provide appropriate form (ex. CSEP “Physician Physical Activity Readiness Clearance” form)  Screening Tools & Measures Resting Heart Rate (HRrest)…2 primary forms of measurement (both are 15-sec counts): i. Auscultation (ie. stethoscope – over 2nd/3rd intercostal space to left of sternum) ii. Palpation a) Radial Artery (anterolateral aspect of wrist) – preferred! b) Brachial Artery (anteromedial aspect of arm above antecubital fossa) c) Carotid Artery (just lateral to larynx) d) Temporal Artery (along hairline @ temple)  Screening Tools & Measures Important reminders…  Ask permission to palpate  If palpating carotid site, do NOT apply heavy pressure as baroreceptors in carotid arteries detect pressure…may cause reflex slowing of HR  If starting stopwatch, 1st pulse beat is “0”; if stopwatch is already running, 1st pulse beat is “1”  Be aware of cut-offs associated w/ certifying body (may differ) Ex: CSEP requires < 100 bpm  Note: medically, Bradycardia = < 60 bpm; Tachycardia = > 100 bpm  Screening Tools & Measures Resting Blood Pressure (BPrest)…Follow proper BP assessment guidelines (ex. CSEP-PATH) , while listening for appropriate “Korotkoff” sounds › Ex: CSEP  Systolic (1st Korotkoff…1st perception of sound)  Diastolic (5th Korotkoff…sound disappears)  Be aware of cut-offs associated w/ certifying body (may differ) Ex: CSEP requires minimum of 80/50 mmHg and