Chapter 2: Preparticipation Physical Activity Screening Guidelines Flashcards
(25 cards)
Why is it important to screen clients for participation in PA
To identify those with PA contradictions for performing PA
To identify those with medical/physical evaluation/exam and clearance prior to performing PA
To identify who should participate in a medically supervised physical activity program
Levels of Screening are
Performed by the individual without direct input from an exercise professional (self-guided)
Interaction with exercise professional (supervised)
Has been recommended as a minimal standard for entry into a moderate-intensity exercise program
Physical Activity readiness Questionnaire for everyone (PAR-Q+)
Developed as tool that physicians can use to refer individuals to a professionally supervised PA program and to make recommendations for that program (for individuals that answer YES to anyone of the 7 questions in the PAR-Q+)
ePARmed-X+ Physician Clearance Follow up Questionnaire
The first step when working with a new client
Complete the Informed Consent
Purpose of the Informed Consent
To inform the participant of any personal and confidential information that will be collected and how it will be stored as well as the purposes of, and risks involved with, any of the exercise testing and exercise program participation
All reasonable efforts should be made to protect the privacy of individuals health information as described by
Health insurance portability and accountability act (HIPPA)
Purpose of the Health History Questionnaire (HHQ)
To establish his or her medical/health risks for participation in a physical activity program
The HHQ may include
Family history of CMR disease
Personal history of various diseases or illnesses
Surgical history
Past and present health behaviors/habits
Current use of medical drugs
Signs and symptoms of CMR disease
Light intensity exercise is defined as
30-39% HRR
2-2.9 METS
RPE of 9-11
Moderate intensity exercise is defined as
40-59% HRR
3-5.9 METS
RPE of 12-13
Vigorous Intensity exercise is defined as
60% or higher HRR
6 or more METS
RPE of 14 or higher
Signs or symptoms of CMR disease
Pain or discomfort in chest, neck or jaw
Dyspnea
Syncope
Orthopnea
Ankle edema
Palpitations
Intermittent clauditation
Heart murmurs
Unusual Fatigue
Dyspnea is
Shortness of breath (abnormal to exertion)
Syncope is
Fainting and dizziness during exercise which indicates poor blood flow to the brain
Orthopnea is
Trouble breathing when laying down
Paroxysmal nocturnal Dyspnea is
Difficulty breathing when asleep, begins 2-5 hours after the onset of sleep
Ankle edema is
Swelling which is suggestive of heart failure, blood clot, or lymph system blockage
Palpitations or tachycardia are
Rapid or fluttering of the heart
Intermittent Claudication is
Severe calf pain when walking
Heart murmurs are
Unusual sounds caused by blood flowing through the heart
Atherosclerosis Cardiovascular Disease risks factor assessment and defining criteria
Meeting one or none of the factors indicates low risk
Meeting two or more indicates an increased risk for disease
Only negative factor for CVD risk factor criteria
HDL-C of 60 mg/dl or higher (reverses cholesterol transport and may lower risk of CVD)
CVD positive (bad) risk factors
Clients age of 45 or older for men and 55 or older for women
First degree relatives are biological parents, siblings and children with specific cardiovascular events (heart attack, sudden cardiac death)
Sedentary lifestyle
Hypertension (resting bp > 130 mmhg systolic or > 80 mmhg diastolic
Dyslipidemia (LDL-C > 130 mg or HDL-C < 40 mg or total cholesterol less than 200 mg (HDL + LDL + 20% of triglycerides)
Diabetes (fasting blood glucose > 126 mg or 2-hour plasma glucose values in oral glucose tolerance test > 200 mg
