Categories: All - assessment - contraindications - fitness - testing

by Ahmad Hakim 3 years ago

192

CLINICAL EX TEST BODY AND ASSESSMENT

Clinical exercise testing evaluates an individual's fitness and cardiovascular health through various protocols and measurements. Significant indicators for halting an exercise test include a notable drop in systolic blood pressure, the onset of angina, or an excessive rise in blood pressure.

CLINICAL EX TEST BODY AND ASSESSMENT

CLINICAL EX TEST BODY AND ASSESSMENT

Skinfold

Procedures
Pinch should be maintained while reading the caliper
Caliper should be placed 1 cm away from the thumb and finger, perpendicular to the skinfold, and halfway between the crest and the base of The fold
All measurements should be made on the right side of the body
Skinfold generally ESTIMATE % fat within 3-5 % of underwater weighing

Hydrostatic Weighing

Expensive ◦ Time consuming ◦ Uncomfortable

Body composition

Minimal percent body fat - Males: 3% - Females: 12%
Average percent body fat - Males: 16% - 24% - Females: 22% - 31%

Assessment of body composition

Many people exercise for cosmetic and weight loss purposes
Obesity is a risk factor for CAD

Field Test for Aerobic Fitness

PRE TEST
Pedaling rate -50 rpm
Seat height - Five degrees of knee flexion
Pre-exercise blood pressure and heart rate
Shuttle runs
Time walk and ‘or run - 15 minute run - Rockport Walk Test - 6 minute walk
Step Tests

Calculation of BMI

Desirable < 25 kg/m2 Obesity ≥ 30kg/m2
BMI = Weight (kg) Height (m) x Height (m)

Clinical exercise testing

General Indication for stopping an Exercise Test in low risk adults
Excessive rise in blood pressure: systolic pressure > 250 mmHg or diastolic pressure > 115 mmHg
Significant drop (>10mmHg) in systolic blood pressure or a failure of the systolic blood pressure to rise with an increase in exercise intensity.
Onset of angina or angina-like symptoms

Contraindication to exercise testing

For certain individuals, the risks of exercise testing outweigh the potential benefits.
Relative: Patients with relative contraindications may be tested only after careful evaluation of the risk–benefit ratio
Absolute: Patients with absolute contraindications should not perform exercise tests until such conditions are stabilized or adequately treated.

COMPONENTS OF HEALTH RELATED FITNESS ASSESSMENT

Body composition - Height and weight -Skinfolds, circumferences ◦ Cardiovascular endurance -Sub-max Cycle Ergometer or Treadmill Test ◦ Muscular Endurance -Push-ups. Partial curl-ups Muscular Strength - Handgrip ◦ Flexibility -Sit and Reach Test