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Fitness management 386 > Submax exs testing > Flashcards

Submax exs testing Flashcards

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1
Q

submaximal exercise testing definition

A

one that requires the client to perform a fixed amount of work per unit of time

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2
Q

what is a submax test used for?

A

estimating VO2max

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3
Q

What are submax tests decisions are based on

A

reason for test, type of subject being tested, availability of equipment and personal, risk strat

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4
Q

Maximal exs test are more useful where

A

clinically aiding in diagnosis of CAD in asymptomatic patients

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5
Q

max exs esting not feasible for

A

assessing CV endurance for vast majority of health/fitness practitioners

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6
Q

What is the purpose of YMCA bike ergometer lab?

A

A cycle ergometer submax protocol for women and men was developed in 1989 (Goldings, Meyers, and sinning). This submaximal test uses 3 to 4 consecutive stages/workloads on the cycle ergometer with the intent to elevate heart rate to 110 bpm and 85% of one’s age-predicted HRmax for at least 2 consecutive workloads. The ensuing results are used to predict VO2max based on the assumption that HR and oxygen consumption are linear f(x) of work rate.

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7
Q

What is being assessed and recorded on data sheet for lab 5 before starting test?

A

resting bp and HR

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8
Q

What is the pedal rate for lab 5 and initial workload?

A

50 rev/min (set metronome to 50- 100) and the initial workload is 150kgm/min which is 25 watts or 0.5kg

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9
Q

When is HR measured during this ymca submax bike test?

A

Measure HR during the last 30 seconds of minutes 2 and 3 at each workload

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10
Q

What do you do if the HR varies more than blank?

A

IF these HRs vary by more than 5-6bpm continue the same workload for an additional minute until heart rate stabilizes

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11
Q

When is RPE and BP determined?

A

Determine the RPE and BP during the third minute of each workload.

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12
Q

When is BP measured?

A

Measure BP once per stage btwn the 2 HR measurements

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13
Q

When is RPE measured?

A

Measure rating of perceived exertion (RPE) during the last 10-15 seconds of each stage, after taking 2nd HR

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14
Q

How do you determine workload after first stage for YMCA protocol on leg ergometer?

A

Use the HR from last minute of the first workload/stage to determine the second and subsequent workloads

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15
Q

If HR is less than 80 bpm, set second workload to what?

A

750 kgm/min = 2.5 kg

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16
Q

If HR is 80-89 bpm, set second workload to what?

A

600 kgm/min =2kg

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17
Q

If HR is 90-100 bpm, set second workload to ?

A

450 kgm/min = 1.5 kg

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18
Q

If HR is greater than 100 BPM, set second workload to ?

A

300 kgm/min = 1 kg

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19
Q

How do you know when to terminate the test for lab 5?

A

IF the subject’s steady state HR exceeds 85% of the age-predicted HRmax during the third stage

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20
Q

Upon reaching 85% age-predicted HRmax, reduce workload ?

A

150 kgm/min (.5 kg) for 2 minutes and record the HR and BP during the last 30 seconds of the second minute

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21
Q

What is being calculated for lab 5 and for what?

A

calculate energy expenditure (VO2) for last 2 workloads

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22
Q

How is VO2 max determined from lab 5?

A

determine the M of HR vs workload relationship by plotting steady state HRs to last 2 workloads and connect these 2 data points with straight edge, extending the line so that it intersects the predicted HRmax line.

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23
Q

When is steady state HR obtained in submax testing?

A

Steady state HR is obtained for ea exs work rate

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24
Q

What kind of relationship exist btwn HR and O2 uptake?

A

a linear relationship

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25
HRmax at given age is
uniform
26
Mechanial efficiency is the blank
same for everyone, but different for trained people
27
Traditional Method for measuring HRmax (FOX eqn)
220-age=HRmax +/- 10bpm
28
Gellish eqn for HRmax
206.9-(0.67x age)= HRmax +/- 2bpm
29
Tanaka eqn for HRmax
208-(0.7xage)=HRmax
30
Londeree & Moeschberger eqn
206-(.7age)=HR max
31
What are the 5 objectives of submax exs testing? Your study method breakdown
``` Determine Develop Document Motivate Information ``` (DDDMI)
32
The first D in DDDMI, stands for determine what?
Determine the level of CRF and est fitness program goals and objectives
33
The second D in DDDMI, stands for develop what??
Develop safe, effective exercise prescription to improve CRF
34
The third D in DDDMI, stands for document . . . ?
Document improvement due to intervention (baseline and then document change for insurance reasons)
35
The m stands for motivate . . . ?
Motivate individuals to intiate and comply with program (feedback helps ppl)
36
I stands for information ...?
regarding health status
37
What are the general indications for stopping Exs test? Your style study
``` S O S E F double C S P ```
38
The first S stands for | stopping test
significant drop (20 mm Hg) in SBP or failure to rise with increase in intensity since normally it is a linear increase of 10 mm Hg/stage
39
The O stands for | stopping test
onset of angina or angina-like symptoms
40
The second S after O stands for | stopping test
signs of poor perfusion such as light-headedness, pallor, and nausea
41
The E stands for | stopping test
Excessive rise in SBP greater than 260 mm Hg or DBP greater 115 mm Hg
42
F double stands for
Failure of HR to increase with increased exs intensity and failure of testing equipment including tester
43
C stands for
Change in heart rhythm felt by palpating radial pulse, taking BP
44
The third S stands for
subjects request to stop
45
P stands for
Physical or verbal signs of severe fatique?
46
Power=
Force X Distance/Time
47
Force=
Kg or Kp on flywheel
48
distance for standard Monark cycle is
6 m/rev
49
what is Rev/min set to for YMCA test?
standard is 50 RPM via metronome
50
Distance/min = D/T which is
6m/rev x 50 rev/min
51
units for power setting
kg*m/min, which can also be divided by 6 kgm/min/ W to get watts
52
How to calibrate cycle ergometer?
``` Zero Participant Belt and Flywheel (B&F) Check Add Reattach ```
53
The first step in calibrating cycle ergometer is zero what?
Zero cycle ergometer by unfastening resistance belt (weight use wingnut)
54
The second step in calibrating cycle ergometer is participant ?
sits on cycle no feet on pedals
55
The third step in calibration of cycle ergometer?
Belt and flywheel should be clean
56
Fourth step in calibration of cycle ergometer is check ?
check side R scale should read zero if not adjust
57
fifth step in calibration of cycle ergometer is add?
Add a known weight of 1 kg or more
58
Last and 6th step of calibration of cycle ergometer is reattach what?
belt and pull belt somewhat tight
59
YMCA submax cycle ergometer test procedures
Discuss Take Adjust
60
Discuss in YMCA submax cycle ergometer test procedures
Discuss abilities of test site to handle emergencies & RPE scale
61
Take in YMCA submax cycle ergometer test procedures
Take baseline or resting measures (HR and BP) in position to be used in test
62
Adjust in YMCA submax cycle ergometer test procedures
Adjust seat height, knee should be flexed 5-10 degs in the pedal down position with toes on pedals; heals on pedals, leg should be straight; or in line seat up with greater trochanter and there should be no rocking of the hips, check from behind
63
What should be measured during CRF test sequence and measures?
Minimum of HR, BP, and subjective sysmptoms (RPE, dyspnea, and angina) should be measured during exs tests
64
After initial screening process, . . . .
selected baseline measurements should be obtained prior to the start of the exs test
65
how is HR measured in CRF testing seqeucne?
HR can be determined using several techniques including radial pulse palpation, ausculation with a stethoscope, or use of HR monitors
66
Pulse palpitation method for HR
The pulse palp technique involves feeling the pulse by placing the second and third fingers (index and middle fingers) most typically over radial artery
67
Ascultation method for HR
bell of stethoscope should be placed left of the sternum just above the nipple lvl
68
How is BP measured in CRF test sequence?
BP should be measured at heart level with the subject's arm relaxed and not grasping a handrail (treadmill) or handlebar (cycle ergo)
69
What aspect of BP can be used as indicators to stop test?
SBP and DBP measurment
70
Start of Test YMCA submax cycle ergometer test procedures
Freewheel with 0 kg R at 50 RPM 2-3 minutes, may be hard for client to maintain cadence help them
71
First workload for YMCA submax cycle ergom test
warm up 150 kgm/min
72
What kind of protocol is YMCA test?
branching protocol based on HR
73
How long is each stage in YMCA cycle test?
3 minutes/ stage
74
When is HR measured in YMCA cycle test?
W/in each stage measure HR during minutes 2 an 3
75
When is BP and RPE measured in each stage of YMCA test?
third minute of stages
76
Box 4.5 is what
General Indications for Stopping an Exercise Test
77
box 4.5 assumes what?
Assumes that testing is nondiagnostic and is being performed without direct physician involvement or ECG monitoring.
78
Box 5.2 is for?
For clinical testing, Box 5.2 provides more definitive and specific termination criteria. BP, blood pressure; ECG, electrocardiogram; HR, heart rate; SBP, systolic blood pressure.
79
Box 4.5, 4 aspects
Noticeable change in heart rhythm by palpation or auscultation Subject requests to stop Physical or verbal manifestations of severe fatigue Failure of the testing equipment

Fitness management 386 (6 decks)

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