APA assessments Flashcards
(53 cards)
What is the Steadward Centre’s vision and mission?
- Vision: To facilitate Adapted Physical Activity and Para Sport opportunities for everyone.
- Mission: To foster community, and individual achievement and excellence in Adapted Physical Activity and Para Sport by applying innovative research, sharing our expertise, and delivering quality programs, with and for, individuals experiencing disability
What are the Steadward Centre’s core values?
- Embodied ways of knowing
- Connection
- Collaboration
- Leadership
- Learning
- Accessible
What are the 4 key program areas of the Steadward Centre?
- Adult Fitness and Recreation
- Free2BMe
- Athlete Development for Para Sport
- FES (Functional Electrical Stimulation) For people who have paralyzed muscles
Define impairment
The loss or reduction of functional ability and/or activity (WHO 2014). It is a condition that exists regardless of the environment and can be temporary or permanent.
Define disability
Any restriction to perform an activity caused by impairment. It is a social construct that people experience regardless of their environment
What is Adapted Physical Activity (APA)?
“Adapted physical activity (APA) is a professional branch of kinesiology/physical education/sport & human movement sciences, which is directed toward persons who require adaptation for participation in the context of physical activity…”
Who is APA for?
In many cases, APA involves individuals with disabilities, but its principles may also apply to including obese, aged, young individuals and any other individual difference that may restrict participation in regular (non-adapted) physical activity. Thus, APA is for anyone.
What are the key principles of Adapted Physical Activity?
- Individualizing instruction
- Matching personal strengths and interests with appropriate activities
- Adapting environments to promote full participation in physical activity, regardless of the population being engaged
- APA uses adaptation/modification.
- APA is based on strengths as opposed to deficits
What are some barriers to physical activity
- Physical barriers
- Social barriers
- Psychological barriers
- Physical environment (layout of facility)
- Energy levels (e.g., in M.S.)
- Time
- Financial constraints
What are Normative Referenced Tests? What are their characteristics?
Normative Referenced tests have normative data available to compare results to. Their protocol is standardized
What are Criterion Referenced Tests? What are their characteristics?
Criterion Referenced tests are more flexible, allowing the number of trials to vary to achieve the best result. Task Analysis or Active ROM is used to determine if the exercise is suitable.
What are some limitations of Normative Referenced Tests for individuals experiencing disability?
- Limited normative data to compare results with.
- Not many standard assessment protocols.
- Small body of research focused on assessment protocol for people experiencing disability.
What type of data is often collected when assessing individuals with disabilities?
Relative data - data that can be compared to the individual who is being assessed.
What are some considerations for fitness assessments for individuals experiencing disability?
- Level of Impairment/Mobility/Function
- Secondary Conditions
- Lower Extremity Swelling
- Medications
- Environmental Questions
- Cognitive Impairment
- Contraindications
List some contraindications for fitness assessments
- Atlantoaxial Instability
- Autonomic Dysreflexia
- Associated Effects of Brain Injury
- Seizure
- Allergies
- Shunts
- Pressure Sores
- Contractures
- Heat Sensitivity
- Orthostatic Hypotension
- Spasticity
What safety information should be obtained before an assessment?
- Consent to waiver form
- Allergies
- Seizures
- Medication
- Emergency Contact
What information is typically gathered in the “Get to Know You Form” for the Free2BMe program?
- Participant Information and EAP: Name, age, allergies, medication, seizures, emergency contact, individuals authorized for pick-up
- Likes and Dislikes: Likes, dislikes, goals
- Behavioural Needs: Environmental stimuli, behavioural expression/communication, support
- Additional Information
What initial information is gathered for Adult Fitness and Recreation (AFR) assessments?
- Specific fitness goals
- Past and present exercise
- Purpose of the exercise program
- Other health/safety information (GAQ used previously)
- What can we do to ensure a safe experience?
- How can we contribute to full, meaningful participation?
- Additional information
- Understanding their strengths and how to improve them
- What they want to get out of the program and what motivates them
What are the physical clearance requirements before an assessment?
- Resting heart rate
- Resting blood pressure
- If HR is >99 bpm, or BP is >160/90 mmHg, physician clearance is required.
What does Active Range of Motion (AROM) testing involve?
Assessing the able, limited, or unable range of motion for various joints and movements on both the left and right sides of the body. Visual guides and in-depth explanations can be helpful
What should be considered regarding range of motion variation?
Contractures
What are some components of the Functional Movement Screen (FMS) mentioned?
- Shoulder Mobility
- Active Straight Leg Raise
- Shoulder Clearing
- Hip mobility is important
- Active straight leg raise is important for walking
What is the purpose of cardiovascular testing?
To find a form of aerobic exercise suitable for the participant and their goals, and to find a workload they can safely exercise at. RPE can be taken every minute.
How do beta blockers affect heart rate, and what is recommended for RPE?
Beta blockers lower heart rate; therefore, the RPE scale will be more accurate for assessing exertion
