PHRE 1033 – Fitness Evaluation – Fitness and Health Promotion

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	Smooth and assured consent during the session \| 1 Client feet flat on floor, ear pieces forward in stethoscope \| 1 Stethoscope over sternum or second intercostal space on left OR index and middle finger on wrist at base of thumb \| 1 Use 15s count to obtain correct reading (+/- 1 of examiner) \| 1 Multiply reading to obtain correct HR in bpm \| 1 Correctly identify ceiling value for postponing exercise (after second reading) \| 1 Cuff on bare left upper arm, 2-3 cm above elbow crease \| 1 Cuff tight enough so that two fingertips can be slipped under edge but it isn't falling down \| 1 Arrow/line at brachial artery \| 1 Index and middle finger on radial pulse, inflate cuff 20-30 mmHg above the point where pulse is gone \| 1 Place stethoscope over brachial artery, completely in contact with skin, not tucked into cuff \| 1 Fully release pressure at appropriate pace (2mmHg/second) \| 1 Record blood pressure to the nearest 2 mmHg (+/- 4 of examiner) \| 1 Correctly identify ceiling values for hypertension >140/90 \| 1 Correctly identify ceiling values for postponing exercise (after second reading) >160/90 OR <80/50 \| 1
Movement Screen: Overhead Squat, Wall Slide, Plank	Have the client stand tall with feet shoulder-width apart and toes pointed forward \| 1 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 Have the client press the dowel so that it is directly above head \| 1 Instruct the client to maintain an upright torso, keep heels and dowel in position, and descend into a squat as deeply as possible \| 1 Instruct the client to hold the bottom position for a count of one, and then return to the starting position \| 1 Make appropriate corrections to set-up between movement reps. Eventually may need to regress to elevating client's heels \| 1 Screen for pain (score of zero) and provide an appropriate score for movement \| 1 Stand with head, upper back, and tailbone pressed firmly against a wall \| 1 With shoulders depressed and scapula retracted, place forearms against the wall at 90 degrees \| 1 Have client press arms overhead until they reach full extension or forearms come off wall \| 1 Screen for pain (score of zero) and provide an appropriate score for second movement \| 1 Assisst client into pushup position with forearms on ground \| 1 Have client squeeze glutes, tighten abdominals, keep a neutral neck and spine \| 1 Instruct client to keep that strong line from head to toe for as long as possible \| 1 Screen for pain and provide an appropriate score for movement \| 1
Movement Screening: Inline Lunge, Hinge, Plank	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 Help client get both toes facing forward and balanced in position \| 1 After client's feet are in place, assist them in holding dowel with contralateral elbow (to forward leg) high \| 1 Instruct the client to have the dowel along the spine so it touches the back of head, upper back and tailbone \| 1 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 Make appropriate corrections to set-up between movement reps \| 1 Screen for pain (score of zero) and provide an appropriate score for movement \| 1 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 Instruct client to perform hip hinge with dowel remaining in contact (at locations) as far as possible \| 1 Record loss of contact, readjust between trials, coach hinge if necessary \| 1 Screen for pain (score of zero) and provide an appropriate score for second movement \| 1 Assisst client into pushup position with forearms on ground \| 1 Have client squeeze glutes, tighten abdominals, keep a neutral neck and spine \| 1 Instruct client to keep that strong line from head to toe for as long as possible \| 1 Screen for pain and provide an appropriate score for movement \| 1

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Lab Schedule

Course: PHRE 1033 - Fitness Evaluation	Movement Pattern:	Target: Quadriceps	Synergist(s):
Exercise
Regressions:		Progressions:

*Key Teaching Points*	Expectation: [if 456 equals="Supervised Practice"]Supervised Practice [/if 456][if 456 not_equal="Supervised Practice"]Independent Learning[/if 456]	[579]

Description:	Pre-Exercise Complete client prescreening Strap a heart rate monitor on your client Explain purpose of test Discuss your client’s current experience with CV training to determine a starting speed for the treadmill. Explain that the warm-up will be 3-4 minutes at no incline, followed by a short exercise session of jogging at no incline. Explain that both the warm-up and jogging speed will be at a self-selected pace. Explain the purpose of the BORG scale and let the client know that you will ask for that information a couple of times Orient the client to the equipment Remind your client that you will be watching for their safety, but they should let you know if they feel pain or if they need to stop the test for any reason Start the treadmill at a comfortable speed for warm-up and have the client step on after the belt is moving. During Exercise Monitor client Properly encourage client Accurately obtain heart rate each minute during the warm-up and every 30 seconds during the workload Record RPE once during the warm-up and once during the workload Have your client warm-up to a HR of 50-70% of this HRmax After the client feels warm, increase the speed to a self-selected jogging pace between 4.3 mph – 7.5 mph Continue to monitor heart rate every 30 seconds for at least three full minutes of running If the client has not reached a steady state heart rate after three minutes continue until SSHR is achieved. Post-Exercise Provide active recovery for 3-5minutes Provide a passive recovery Collect HR and BP information as necessary Two equations, which for young adults tend to yield similar results, have been developed to predict aerobic fitness using this assessment: VO2max (mL/kg/min) = 54.07 + (7.062 × gender) − (0.1938 × kg) + (4.47 × mph) − (0.1453 × HR) gender = 0=female and 1=male, kg = body mass, mph = self-selected jogging speed, HR = steady-state heart rate (bpm) while jogging at level grade at the self-selected jogging speed VO2max (mL/kg/min) = 58.687 + (7.520 × gender) + (4.334 × mph) − (0.211 × kg) − (0.148 × HR) − (0.107 × Age) gender = 0=female and 1=male, mph = self-selected jogging speed, kg = body mass, HR = steady-state heart rate (bpm) while jogging at level grade at the self-selected jogging speed age = age in years
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