PHRE 1033 – Fitness Evaluation

This course focuses on learning the various assessments required for the CSEP exam: blood pressure, heart rate, handgrip, & mCAFT.

Target population: Adults (18-65), healthy

  • Course Instructor: Lyndsay Fitzgeorge
  • Lab Instructors: Lyndsay Fitzgeorge
  • Lab Technician:
  • Semester: Two

Lab Sections:

  • Section 1:
  • Section 2:
  • Section 3:
  • Section 4:

Practical Assessment Schedule

N.B. During the weeks involving practical assessments, students will continue to have lab class as scheduled and are expected to attend.

Week Skills Assessed
Week 8 Blood pressure, heart rate, height, weight & waist circumference
Week 9 – 12 mCAFT, YMCA cycle test, single-stage treadmill
Week 13 – 14 Grip strength, sit and reach, push up, single-leg balance, vertical jump & back extension
Lab Competencies
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Competency Teaching points (The value of each point can be found at the end of each line.)
RHR and RBP
  1. Smooth and assured consent during the session | 1
  2. Client feet flat on floor, ear pieces forward in stethoscope | 1
  3. Stethoscope over sternum or second intercostal space on left OR index and middle finger on wrist at base of thumb | 1
  4. Use 15s count to obtain correct reading (+/- 1 of examiner) | 1
  5. Multiply reading to obtain correct HR in bpm | 1
  6. Correctly identify ceiling value for postponing exercise (after second reading) | 1
  7. Cuff on bare left upper arm, 2-3 cm above elbow crease | 1
  8. Cuff tight enough so that two fingertips can be slipped under edge but it isn't falling down | 1
  9. Arrow/line at brachial artery | 1
  10. Index and middle finger on radial pulse, inflate cuff 20-30 mmHg above the point where pulse is gone | 1
  11. Place stethoscope over brachial artery, completely in contact with skin, not tucked into cuff | 1
  12. Fully release pressure at appropriate pace (2mmHg/second) | 1
  13. Record blood pressure to the nearest 2 mmHg (+/- 4 of examiner) | 1
  14. Correctly identify ceiling values for hypertension >140/90 | 1
  15. Correctly identify ceiling values for postponing exercise (after second reading) >160/90 OR <80/50 | 1
Single Stage Treadmill Walking Assessment (Ebbeling)
  1. Chose appropriate fitness assessment for client | 1
  2. Gather all necessary data to predict VO2max (for equation of chosen assessment) and use data collection sheet properly | 1
  3. Calculate85%, 50%, 70% of HRmax | 1
  4. Explain intensity of warm-up and workload | 1
  5. Have an effective conversation to determine a suitable starting speed for client's warm-up and workload | 1
  6. Ensure client is wearing a HR monitor, explain when and how HR will be collected | 1
  7. Orient client to the equipment, ensure comfort with equipment (how to stop, proper set- up) | 1
  8. Explain the RPE scale and collect RPE data when appropriate throughout assessment | 1
  9. Prior to starting test, ensure client understands protocol and remind him/her to let you know if they feel pain or want to stop at any time | 1
  10. Change intensity when appropriate (for and in warm-up) | 1
  11. Change intensity when appropriate (for and in workload) | 1
  12. Stop test when appropriate (i.e., sign of intolerance or able to get accurate aerobic fitness data from test) | 1
  13. Provide appropriate recovery for client, taking HR when necessary | 1
  14. Monitor client throughout assessment, provide appropriate encouragement, ensure client comfort | 1
  15. Gather enough information to draft starting CV training program for client | 1
YMCA Cycle Test
  1. Chose appropriate fitness assessment for client | 1
  2. Gather all necessary data to predict VO2max (for equation of chosen assessment) and use data collection sheet properly | 1
  3. Calculate 85% of HRmax | 1
  4. Explain progressively challenging 3 minute stages | 1
  5. Ensure client is wearing a HR monitor, explain when and how HR will be collected | 1
  6. Orient client to the equipment, ensure comfort with equipment (how to stop, proper set- up) and instruct client to maintain cadence of 50 RPM | 1
  7. Explain the RPE scale and collect RPE data when appropriate throughout assessment | 1
  8. Prior to starting test, ensure client understands protocol and remind him/her to let you know if they feel pain or want to stop at any time | 1
  9. Start assessment at appropriate intensity | 1
  10. InIncrease intensity within 15s of appropriate minute for each stage (i.e., SS after 3 minutes or after 4th minute and maintain test time) | 1
  11. Use correct intensity for each stage | 1
  12. Stop test when appropriate (i.e., sign of intolerance or able to get accurate aerobic fitness data from test), did not lose time in the test (i.e., client was not on bike for longer than necessary) | 1
  13. Provide appropriate recovery for client, taking HR when necessary | 1
  14. Monitor client throughout assessment, actively help them maintain cadence, provide appropriate encouragement, ensure client comfort | 1
  15. Gather enough information to draft starting CV training program for client | 1
Movement Screen: Overhead Squat, Wall Slide, Plank
  1. Have the client stand tall with feet shoulder-width apart and toes pointed forward | 1
  2. Have the client grasp the dowel in both hands and place it on top of head so shoulders and elbows are at 90 degrees | 1
  3. Have the client press the dowel so that it is directly above head | 1
  4. Instruct the client to maintain an upright torso, keep heels and dowel in position, and descend into a squat as deeply as possible | 1
  5. Instruct the client to hold the bottom position for a count of one, and then return to the starting position | 1
  6. Make appropriate corrections to set-up between movement reps. Eventually may need to regress to elevating client's heels | 1
  7. Screen for pain (score of zero) and provide an appropriate score for movement | 1
  8. Stand with head, upper back, and tailbone pressed firmly against a wall | 1
  9. With shoulders depressed and scapula retracted, place forearms against the wall at 90 degrees | 1
  10. Have client press arms overhead until they reach full extension or forearms come off wall | 1
  11. Screen for pain (score of zero) and provide an appropriate score for second movement | 1
  12. Assisst client into pushup position with forearms on ground | 1
  13. Have client squeeze glutes, tighten abdominals, keep a neutral neck and spine | 1
  14. Instruct client to keep that strong line from head to toe for as long as possible | 1
  15. Screen for pain and provide an appropriate score for movement | 1
Movement Screening: Inline Lunge, Hinge, Plank
  1. Have client step onto the center of the board with the right foot toe on the zero mark and left foot placed according to tibial measurement | 1
  2. Help client get both toes facing forward and balanced in position | 1
  3. After client's feet are in place, assist them in holding dowel with contralateral elbow (to forward leg) high | 1
  4. Instruct the client to have the dowel along the spine so it touches the back of head, upper back and tailbone | 1
  5. Instruct client to maintain an upright posture so the dowel stays straight and in contact on head, back, and tailbone, descend into a lunge position so knee touches the center of the board then return to starting position | 1
  6. Make appropriate corrections to set-up between movement reps | 1
  7. Screen for pain (score of zero) and provide an appropriate score for movement | 1
  8. Assist client in grasping the dowel with hand in lower back and hand behind neck. Dowel in tight contact with tailbone, upper back, and head | 1
  9. Instruct client to perform hip hinge with dowel remaining in contact (at locations) as far as possible | 1
  10. Record loss of contact, readjust between trials, coach hinge if necessary | 1
  11. Screen for pain (score of zero) and provide an appropriate score for second movement | 1
  12. Assisst client into pushup position with forearms on ground | 1
  13. Have client squeeze glutes, tighten abdominals, keep a neutral neck and spine | 1
  14. Instruct client to keep that strong line from head to toe for as long as possible | 1
  15. Screen for pain and provide an appropriate score for movement | 1
WFI treadmill protocol (submaximal)
  1. Chose appropriate fitness assessment for client | 1
  2. Gather all necessary data to predict VO2max (for equation of chosen assessment) and use data collection sheet properly | 1
  3. Calculate85% of HRmax | 1
  4. Explain progressively challenging 3 minute stages | 1
  5. Ensure client is wearing a HR monitor, explain when and how HR will be collected | 1
  6. Orient client to the equipment, ensure comfort with equipment (how to stop, proper set- up) | 1
  7. Explain the RPE scale and collect RPE data when appropriate throughout assessment | 1
  8. Prior to starting test, ensure client understands protocol and remind him/her to let you know if they feel pain or want to stop at any time | 1
  9. Increase intensity when appropriate for each stage | 1
  10. Use correct intensity for each stage | 1
  11. Give the 15s monitoring period when necessary | 1
  12. Stop test when appropriate (i.e., sign of intolerance or able to get accurate aerobic fitness data from test), recorded the correct time THR and TT | 1
  13. Provide appropriate recovery for client, taking HR when necessary | 1
  14. Monitor client throughout assessment, provide appropriate encouragement, ensure client comfort | 1
  15. Gather enough information to draft starting CV training program for client | 1
Single Stage Treadmill Jogging Assessment (George)
  1. Chose appropriate fitness assessment for client | 1
  2. Gather all necessary data to predict VO2max (for equation of chosen assessment) and use data collection sheet properly | 1
  3. Calculate85%,50%,70% of HRmax | 1
  4. Explain intensity of warm-up and workload | 1
  5. Have an effective conversation to determine a suitable starting speed for client's warm-up and workload | 1
  6. Ensure client is wearing a HR monitor, explain when and how HR will be collected | 1
  7. Orient client to the equipment, ensure comfort with equipment (how to stop, proper set- up) | 1
  8. Explain the RPE scale and collect RPE data when appropriate throughout assessment | 1
  9. Prior to starting test, ensure client understands protocol and remind him/her to let you know if they feel pain or want to stop at any time | 1
  10. Change intensity when appropriate (for and in warm-up) | 1
  11. Change intensity when appropriate (for and in workload) | 1
  12. Stop test when appropriate (i.e., sign of intolerance or able to get accurate aerobic fitness data from test | 1
  13. Provide appropriate recovery for client, taking HR when necessary | 1
  14. Monitor client throughout assessment, provide appropriate encouragement, ensure client comfort | 1
  15. Gather enough information to draft starting CV training program for client | 1
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Lab Schedule
Exercise Lab Week Teaching Notes Edit
Stationary Cycling [579] View Exercise
YMCA Submaximal Fitness Assessment [579] View Exercise
Single Stage Treadmill Walking Test [579] View Exercise
Resting Heart Rate Monitoring [579] View Exercise
Resting Blood Pressure Monitoring [579] View Exercise
mCAFT [579] View Exercise
One-leg stance balance [579] View Exercise
Back extension test [579] View Exercise
Vertical Jump Testing (Wall) [579] View Exercise
Single Stage Treadmill Jogging Test [579] View Exercise

 

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