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ACSM’s Guidelines For Exercise Testing & Prescription

ACSM’s Guidelines For Exercise Testing & Prescription. Chapter 4 Physical Fitness Testing & Interpretation. Purposes Of Fitness Testing. To educate the patient about their present fitness relative to health-related standards as well as age and gender matched norms.

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ACSM’s Guidelines For Exercise Testing & Prescription

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  1. ACSM’s Guidelines For Exercise Testing & Prescription Chapter 4 Physical Fitness Testing & Interpretation

  2. Purposes OfFitness Testing • To educate the patient about their present fitness relative to health-related standards as well as age and gender matched norms.

  3. Providing the data that is helpful in writing responsible and physiologically meaningful exercise prescriptions & which is matched with the patient’s pathologies.

  4. Collection of data over time which provides evidence of progress and training for the patient.

  5. To provide motivation to the patient by establishing reasonable and attainable fitness goals.

  6. Helps the exercise leader to evaluate intensity of the exercise program relative to the patient’s risk profile.

  7. Patient Pre-Test Instructions • The patient should have completed the PAR-Q before coming to the clinic for testing. • Wear loose fitting comfortable clothing for the test.

  8. Drink plenty of fluids 24-hours prior to coming for the test. • Avoid tobacco, alcohol, caffeine and food at least 3-hours prior to the test.

  9. Avoid exercise on the day of the test. • Make sure that they are adequately rested the night before the test.

  10. Body Composition • Hydrostatic Weighing • Plethysmography • Body Mass Index (kgbw/Hgtm2) • Waistc/Hipc Circumference • Waist Circumference • Skinfold Measurements • Bioelectrical Impedance

  11. For any method used to assess body composition, the patient should : • Avoid caffeine, ETOH, diuretics • Void completely before assessment • No food or drink x 4 hrs. before test • Avoid exercise x 12 hrs. before test

  12. Some Field Tests That Are Commonly Used To Assess Fitness • Astrand-Ryhming Ergometer Test • Cooper’s 1.5 Mile Run • Cooper’s 12-minute Test • Fisher-Fairbanks Walking Test • Sharkey’s Step test • Rockport One-Mile Walking Test

  13. Monitoring & Precautions • Heart rate • Blood pressure • RPE - Borg Scale • Subjective symptoms - SOB, diaphoresis, chest pain, unusual fatigue, nausea, changed vision, vomiting, etc.

  14. Reasons To StopAn Exercise Test • Onset of angina • Drop in systolic BP or failure to rise when load is increased • BP >260/115 mm Hg • Signs of poor perfusion - cyanosis, dizziness, confusion, light-headedness, ataxia, etc.

  15. Failure of HR to rise with increased workload • Noticeable change in heart rhythm • Subject requests to stop • Severe fatigue • Equipment failure

  16. Other Tests • Evaluations Of Muscle Strength • 1 RM • 6 RM • 10 RM • Muscular Endurance • Flexibility • Sit and Reach test

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