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
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
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Lab Schedule
Course: PHRE 3040 - Resistance TrainingMovement Pattern: Target: Synergist(s):
Exercise
Regressions:Progressions:

Key Teaching PointsExpectation: [if 456 equals="Supervised Practice"]Supervised Practice [/if 456][if 456 not_equal="Supervised Practice"]Independent Learning[/if 456][579]
Description:

Before beginning the test, make sure the Vertec pole is locked at one of the height markings on the pole (they go up in 6 inch increment).

Take the standing height of the subject with one arm fully extended upward, then have the subject jump up and touch the highest possible vane. After each jump, move the vanes below the highest point reached out of the way before allowing the next attempt.

  • N.B. When using this device, it is very handy to have a pole for resetting the vanes without lowering the unit, and you should place weights on the base to avoid tipping.

Each vane is in 1/2 inch increments (cm increments may be available). A client's vertical jump is the difference between standing height and jumping height.

  • N.B. Alternatively, you can adjust the lowest vane to be at the point of the arm fully extended with both feet on the ground, then the jump height is simply the highest vane reached. This approach is only suitable for subjects with smaller vertical jump capabilities.

The Vertec allows measurements from a low of 6 feet to a high of 12 feet.

Test Instructions

  1. Have the client stand erect with feet flat on the floor.
  2. Ask the client to reach as high as possible on the Vertec with the arm and fingers fully extended, feet remain flat on the floor. Record this stand and reach height to the nearest 0.5 inch.
  3. Next, ask the client to move a safe distance away from the Vertec.
  4. Have the client bring the arms down and back, bending the knees into a balanced semi-squat. The client should pause (1-2 seconds) in the semi-squat position and then jump as high as possible with the arms moving forward and up to touch the vanes at the highest point they can reach.
  5. Instruct the client to concentrate on the Vertec as they jump as high as possible.

Allow the client three trials, with a rest period of 10-15 seconds between each. No run up, step up or pre-jump is permitted (feet flat on the floor to start). Record the highest of the 3 jumps.

Scoring and Recording

Subtract the stand and reach measurement from the best of the three jump and reach trials to get the maximum difference.

Calculate Peak Leg Power in watts (W) using the formula (recall 1 in = 2.54 cm):

Peak Leg Power (W) = [60.7 x jump height (cm)] + [45.3 x body mass (kg)] - 2055

Record the Peak Leg Power and the associated Health Benefit Rating on the Client Information Sheet.

Rating LEG POWER (Watts)
15-19 20-29 30-39 40-49 50-59 60-69
M F M F M F M F M F M F
Excellent ≥4644 ≥3167 ≥5094 ≥3250 ≥4860 ≥3193 ≥4320 ≥2675 ≥4019 ≥2559 ≥3764 ≥2475
Very Good 4185-4683 2795-3166 4640-5093 2804-3249 4389-4859 2550-3192 3700-4319 2288-2674 3567-4018 2161-2558 3291-3763 1717-2474
Good 3858-4682 2399-2794 4297-4639 2478-2803 3967-4388 2335-2549 3242-3699 2101-2287 2937-3566 1701-2160 2848-3290 1317-1717
Fair 3323-3857 2156-2398 3775-4296 2271-2477 3485-3966 2147-2334 2708-3241 1688-2100 2512-2936 1386-1700 2383-2842 1198-1316
Needs Improvement ≤3322 ≤2155 ≤3774 ≤2270 ≤3484 ≤2146 ≤2707 ≤1687 ≤2511 ≤1385 ≤2382 ≤1197
Common Error(s):
Spotting:
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Tools

mCAFT Stepping Audio - Females

mCAFT Stepping Audio – Females

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mCAFT Stepping Audio - Males

Males

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