PAR-Q

• • • Seven Questions Designed to identifiy those who need medical clearance.

If answer “yes” to any question should refer to physician for clearance.

Purposes of Health Screening

• • • • Identify and exclude those with contraindications Identify those at increased risk because of age, symptoms, and or risk factors, who need medical clearance Identify those who need a medically supervised program Identify those with special needs

Risk Factor Analysis

• • Used in making decisions about – Level of medical clearance – Need for exercise testing prior to program entry – The need for medical supervision for testing and exercise program May want to include more than those included on page 24 of ACSM guidelines but a good place to start

Coronary Risk Factor Analysis

• • • Assesses clients risk profile There are many different forms Assess the following: – Blood Cholesterol – – Blood Pressure Use A Risk Factor Test

Disease Risk Classification

• • Based on Results of Coronary Risk Analysis Classify as: – apparently healthy/low risk – at increased risk/moderate risk – known disease/high risk

Medical History Questionaire

• • • • • examine client’s personal illnesses, surgeries etc.

assess previous medical diagnoses assess signs and symptoms analyze client’s family history focus on conditions that require medical referral.

Physical Exam and Medical Clearance

• • • If: Male and over forty with 2 or more major risk factors Female and over fifty with 2 or more major risk factors have known CVD, pulmonary, or metabolic disease

Laboratory Tests

• • Usually used for Diagnosis, but these too sometimes used for functional testing – – Blood Lipid Profile fasting blood glucose level.

If know disease or if requested by physician include: – – – 12 lead ECG comprehensive blood chemistry chest x-ray – and pulmonary tests

ECG Recordings

• Used to measure heart rate • Used to measure electrical activity of the heart (i.e. rhythm)