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 5003 - High Performance TrainingMovement Pattern: Target: QuadricepsSynergist(s): Gastrocnemius, Hamstrings
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:

ASSESSMENT
The purpose of the Wellness Fitness Initiative (WFI) assessment is to estimate the VO2 max of each participant, using commercially available equipment (treadmill, heart rate monitor, stopwatch, height/weight scales).

Max HR (max heart rate) = (208 - 0.7 x age)
THR (target heart rate) = 85% of max HR; (208 - 0.7 x age) * 0.85

  1. The participant straddles the treadmill belt until it begins to move. When the treadmill reaches approximately 1 mph, instruct the participant to step on to the belt. Then increase the speed to 3 mph at 0% grade. Monitor the participant's heart rate continuously throughout the assessment.
  2. Start the stopwatch when the treadmill reaches 3 mph at 0% grade. Continue with this speed and grade for 3 minutes (steady state).
  3. After completing the 3-minute steady state interval, inform the participant that the speed will increase to 4.5 mph.
  4. Advise the participant that the assessment is a series of 1-minute intervals, alternating between speed and percent grade. All subsequent speed increases occur at 0.5 mph.
  5. At 4:01 minutes, increase the grade from 0% to 2%. At this time, inform the participant that all subsequent grade increases occur at 2% intervals.
  6. The assessment will continue until the participant’s heart rate exceeds the THR rate for 15 seconds, or the subject exhibits the medical criteria for early
    termination.
  7. Once the heart rate exceeds the Target Heart Rate (THR), note the time and continue the assessment for an additional 15 seconds. Do not make any changes to the assessment speed or grade during this time. If the participant’s heart rate remains above the THR for the full 15 seconds,then stop the assessment and proceed to the cool-down phase. Record the total time, including the 3-minute warm-up, at which point the participant exceeds the THR. If the participant’s heart rate exceeds the target, but then drops back to the THR or below within 15 seconds,then the assessment should continue. The assessment is not complete until the participant’s heart rate exceeds the THR for 15 seconds. If this does not occur within 18 minutes, then terminate the assessment and record the time.
  8. Once the assessment is completed, the time is recorded. The participant should perform a cool-down for a minimum of 3 minutes at 3 mph, 0% grade. Continue to monitor the heart rate during the cool-down. Record the recovery heart rate at 1 minute of cool-down.
Time Speed (mph) % Grade
Trial 0:00 - 1:00 3.0 0
1:01 - 2:00 3.0 0
2:01 - 3:00 3.0 0
3:01 - 4:00 4.5 0
4:01 - 5:00 4.5 2
5:01 - 6:00 5.0 2
6:01 - 7:00 5.0 4
7:01 - 8:00 5.5 4
8:01 - 9:00 5.5 6
9:01 - 10:00 6.0 6
10:01 - 11:00 6.0 8
11:01 - 12:00 6.5 8
12:01 - 13:00 6.5 10
13:01 - 14:00 7.0 10
14:01 - 15:00 7.0 12
15:01 - 16:00 7.5 12
16:01 - 17:00 7.5 14
17:01 - 18:00 8 14
Recovery 0:00 - 1:00 3.0 0
1:01 - 2:00 3.0 0
2:01 - 3:00 3.0 0

TERMINATE THE ASSESSMENT IF ANY OF THE FOLLOWING OCCURS:

  • The THR is exceeded for 15 seconds.
  • The THR has not been met after 18 minutes.
  • The participant asks to terminate the exercise.
  • The equipment malfunctions.
  • Medical conditions arise that prohibit completing the
    assessment.

Record the reason for terminating the assessment and the initial time the THR was exceeded (if applicable). Record time in minutes and convert second(s)into decimal. Use the test time (TT) the participant completed the assessment (i.e. exceeded the THR) along with the treadmill conversion formula to estimate VO2 max.

VO2 Max Calculation

VO2 max formula = 56.981 + (1.242 × TT) – (0.805 × BMI)
TT = time in minutes that THR was exceeded and test terminated
BMI = body mass index [body weight (kg)/height (m)^2]

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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