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Mission Statement The mission of repscanada is to increase the credibility of the fitness profession by providing a centralized location where consumers and employers can identify and verify fitness certifications and standards. www.repscanada.com Acknowledgments • Human Kinetics (USA and Canada) • Primal Pictures Ltd. (UK) Principles of Fitness, Health and Wellness Foundations of Professional Personal Training Chapter 1 Components of Fitness Primary Components – – – – Cardiorespiratory capacity Muscular capacity Flexibility Body composition Secondary Components – – – – – – – Balance Coordination Agility Reaction time Speed Power Mental capability Health and Wellness Benefits of Physical Activity • What are they? Activity Guidelines Health Canada – – – – 60 min. of activity every day Endurance – 4-7 days a week Strength – 2-4 days a week Flexibility – 4-7 days a week ACSM – Endurance – 30 min. or more most days of the week – Strength – perform 1 set of 8-12 repetitions for the entire body – Flexibility – performed daily canfitpro Training Principles • • • • FITT Individualization Specificity Progressive overload • • • • • Recovery Structural tolerance All-around development Reversibility Maintenance Nutrition Concepts for Personal Trainers Foundations of Professional Personal Training Chapter 2 Nutrition Nutrition is the study of food and how the body uses it. Nutrients are chemical components of foods that are essential for energy, growth, cellular repair and regulation of metabolic functions. Scope of Practice - Defined • Scope of Practice → is a term used to set boundaries for various professions that define the procedures, actions, and processes they are permitted to practice • The Scope of Practice is limited to that which the individual has received education and experience, and in which he/she has demonstrated competency Scope of Practice and Personal Training • With regard to nutritional counseling – Personal trainers should develop a referral system (dietician, naturopathic, medical doctor) – Gain additional education (Nutrition & Wellness Specialist) – Only offer general nutritional advice and information based on Canada’s Food Guide Scope of Practice and Personal Training con’t • Personal Trainer’s are not permitted to: – Prescribe or recommend supplements of any kind – Perform a client diet analysis Essential Nutrients • • • • • Carbohydrates Fat Protein Vitamins Minerals Carbohydrates • What is a carbohydrate and it’s function? • 2 categories of carbohydrate – Simple (sugars → jam, syrup, honey, fruit) – Complex (bread, pasta, cereal, potatoes, vegetables) – What are the best sources of carbohydrate? Carbohydrates and Calories • One gram of carbohydrate = 4 calories – One granola bar contains 23 g of carbohydrate. What is the total amount of calories from carbohydrate for one bar? – One cup of Cheerios breakfast cereal contains a total of 80 calories from carbohydrate. How many grams of carbohydrate are in one cup of cereal? » 45% to 65% of total caloric intake » No more than 25% from simple sugars Carbohydrates and Exercise • The higher the intensity of exercise, the greater the reliance on carbohydrate – Relates to anaerobic metabolism which uses only glucose as fuel • Even lower intensity exercise uses carbohydrate but to a lesser extent because fat can also be used • Ideally, active people should consume complex and simple carbohydrates during and immediately after exercise. Fat • What is fat and it’s function? • 3 types of lipids in food – Triglycerides (represents 95% of fat we eat) • Chain length determines digestion, absorption and function – Phospholipids – Sterols – What are the best sources of fat? Fat and Calories • One gram of fat = 9 calories – One granola bar contains 3 g of fat. What is the total amount of calories from fat for one bar? – One cup of Cheerios breakfast cereal contains a total of 18 calories from fat. How many grams of fat are in one cup of cereal? » 20% to 35% of total caloric intake Fat and Exercise • How are lipids used in exercise? – The lower the intensity of exercise, the greater the proportion of fat burned to satisfy energy needs – As exercise intensity increases the proportion of fat burned decreases and the proportion of carbohydrates increases – As exercise intensity increases the total number of calories burned increases – Although the proportion of fat burned decreases to satisfy the energy needs of the higher intensity activity, the total energy requirement increases and therefore the total volume of fat burned is greater Protein • What is protein and it’s function? • Made up of amino acids – Complete protein – Incomplete protein – What are the best sources of protein? Protein and Calories • One gram of protein = 4 calories – One granola bar has 2 g of protein. What is the total amount of calories from protein for one bar? – One cup of Cheerios breakfast cereal contains a total of 12 calories from protein. How many grams of protein are in one cup of cereal? » 10% to 35% of total caloric intake » 0.8 g / kg of body weight Protein and Exercise • If protein is being used to fuel exercise then not enough carbohydrate has been consumed • It’s best suited for other body functions • It takes longer to digest and therefore not recommended immediately before or during exercise. Vitamins • What are vitamins and their function? • 2 categories of vitamins – Water soluble • Vitamin B complex, vitamin C – Fat soluble • Vitamins A, D, E, K – How can you maximize your vitamin intake? Minerals • What are minerals and their function? • Examples: – – – – Sodium, potassium → regulate body fluid Calcium, phosphorus → bone health Iron → carries hemoglobin which transports oxygen Iodine → regulates metabolism Water • How important is water intake? • What is the function of water? • Water and exercise – – – – Consume 8-16 ounces one hour before 8 ounces 20 minutes before 4-8 ounces every 10 to 15 min. during 16 ounces for every pound of weight lost after exercise Ergogenic Aids Designed to improve physiological or psychological functions. • As a personal trainer – Respect the scope of your abilities and refer clients to a nutritionist – Your responsibility is to help clients by offering general nutritional advice and info – You should not recommend any sport supplements or ergogenic aids and refer clients to appropriate professional A Plan for Good Nutrition How can we help clients to eat better? What are 4 guidelines for developing a healthy diet? Nutrition Mix and Match Function Nutrient A) B) C) D) E) F) Carbohydrate Water Minerals Protein Vitamins Fat 1. 2. 3. 4. 5. 6. Needed for healthy body functions; individual needs and requirements Major fuel source; essential for hormone production, healthy skin, transport some vitamins Growth and repair of tissue Makes up 60% of body; used for all body functions Water and fat soluble Fuel for brain and nervous system Bioenergetics Foundations of Professional Personal Training Chapter 3 Bioenergetics Bioenergetics is the study of how energy flows in the human body. Bioenergetics • Key terms – Energy – Homeostasis – Metabolism Adenosine Triphosphate (ATP) • What is ATP? – Adenosine - P ~ P ~ P • How is ATP created? – Anaerobic metabolism • ATP-CP phosphagen system • Glycolytic or lactic acid system – Aerobic metabolism • Aerobic or oxidative energy system ATP-CP Phosphagen System • ATP-CP Phase 1 – Uses stored ATP (1-2 seconds at maximal effort) – ATP (splits) → ADP + P + energy • ATP-CP Phase 2 – Split of CP to create more ATP (10 seconds of intense effort) – ADP + CP → ATP + creatine ↑ creatine kinase Glycolytic System • Provides fuel for up to 2 min. at maximal intensity • Breakdown of carbohydrate in the form of glycogen stored in the muscle cell – Glycogen → 3ATP • Breakdown of carbohydrate in the form of glucose stored in the blood – Glucose → 2ATP + 2LA (lactic acid) + heat • As more glucose is metabolized, more lactic acid is produced • ↑ lactic acid in the cell = ↑ cell acidity = ↓ muscle contraction speed and strength Aerobic Glycolysis • Provides fuel for more than 2 min. at moderate intensity • Breakdown of glucose or glycogen (with oxygen present) – Glucose + O2 → 38ATP + CO2 + H2O + heat • Mitochondria is the site of aerobic metabolism • System is limited by ability of cardiorespiratory system to deliver O2 Fatty Acid Oxidation • Provides fuel for over 2 min. during low-intensity exercise • Breakdown of fatty acids (with oxygen present) – Fatty acid + O2 → 100ATP + CO2 + H2O + heat • Fatty acids are high energy fuel but they require large amounts of oxygen for reaction to take place • System is virtually unlimited, but few people exercise for extreme durations; those that do use up a great deal of body fat Lactate Threshold • One concept that is important to understand regarding strenuous exercise is the lactate threshold (LT) • The LT is the point at which the aerobic system cannot supply enough ATP for the needs of the body, forcing the anaerobic systems to increase their contribution of ATP. Lactate Threshold con’t • When does this occur? • What is the resulting by-product? • What does this mean for more conditioned/fitter clients? Interaction of the Systems • • • • • At rest At the beginning of exercise During steady-state exercise During strenuous exercise During recovery Oxygen Demands • Oxygen deficit – The volume of oxygen missing in the first few minutes of exercise • Oxygen debt – When we stop exercising we still have an elevated oxygen delivery and this extra oxygen is used to rebuild needed supplies of CP and ATP as well as to assist the liver in the breakdown of left over lactic acid Developing the Energy Systems with Interval Training • Program variables – Work-to-rest ratio – Type of relief • ATP-CP, glycolytic, oxidative – Level of intensity – Arranging work and rest times • Important considerations Cardiorespiratory Concepts Foundations of Professional Personal Training Chapter 4 Cardiovascular System • Heart • Arteries • Veins Cardiovascular System Functions • Transportation of nutrients, oxygen, carbon dioxide, metabolic waste and hormones • Maintaining core temperature of the body Cardiovascular Anatomy Circulation of Blood Through the Body • • • • Veins carry blood towards the heart Arteries carry blood away from the heart Right side before left Atrium before ventricle Blood Pressure • Systolic pressure • Diastolic pressure • Average resting BP is 120/80 What happens to blood pressure during exercise? Heart Rate • Resting HR = approximately 72 bpm • Pulse - felt at arteries close to the skin – Carotid artery – Brachial artery – Radial artery • Max HR = 220 – age • ↑ in oxygen demands ↑ in HR Stroke Volume • Amount of blood that the left ventricle ejects in one beat • Typical male has a SV of around 70 ml/beat • As client becomes fitter = SV increases Cardiac Output • Q = SV x HR How does Cardiac Output change during exercise? Respiratory System • Made up of left and right lungs and air passage way • Allows gas exchange between blood and the environment Respiratory Anatomy Exercise Response • Cardiovascular system – ↑ in HR, SV, Q – Vasoconstriction, Vasodilation – BP • ↑ in systolic pressure • Diastolic remains same or slightly decreses • Respiratory System – ↑ Rate of respiration • Pulmonary ventilation – at rest = 10 L/min – First few minutes of exercise it can ↑ to 45 L/min – After 2 min, once client has reached homeostasis it can ↑ to 60 L/min Physiological Benefits • Summary – ↑ SV – ↑ blood delivery – ↑ red blood cells – ↑ capillary density – ↑size and number of mitochondria – ↑aerobic enzymes System Integration Aerobic fitness • Efficiency of the cardiovascular, respiratory and muscular systems • Measured as aerobic capacity = VO2max – Maximum amount of O2 the body can extract and use in the process of energy production Cardiorespiratory Recovery • After exercise stops, O2 consumption remains elevated (EPOC) • Light activity = recovery period that is short and unnoticeable • Intense activity = recovery period lasting many hours, even days • Active recovery How can a personal trainer assist their clients with cardiorespiratory recovery? Benefits of Cardiorespiratory Training • What are they? Exercise Prescription • Cardiorespiratory Training – FITT – Considerations • Number of sessions client is able to commit to • Clients current fitness level • Clients goals for cardiorespiratory training Cardiorespiratory Guidelines Monitoring Intensity • HR • Rate of Perceived Exertion (RPE) • Talk test Target HR Zone Calculation Maya is a 25 year old beginner with a resting HR of 75. Calculate her training zone. Answers Lower target heart rate = (220 – 25) x .55 = 195 x .55 = 107 bpm Upper target heart rate = (220 – 25) x .64 = 195 x .64 = 125 bpm Heart Rate Reserve Calculation Nolan is a 30 year old intermediate with a resting HR of 70 bpm. Calculate his training zone. Answers Lower target heart rate = {[(220 – 30) – 70] x .65} + 70 = [(190 – 70) x .65] + 70 = (120 x .65) + 70 = 78 + 70 = 148 bpm Answers Upper target heart rate = {[(220 – 30) – 70] x .74} + 70 = [(190 – 70) x .74] + 70 = (120 x .74) + 70 = 88.8 + 70 = 159 bpm Rate of Perceived Exertion • Borg Scale • Modified Borg Scale Case Study Howard is a 35 year old investment advisor who wants to increase his lean muscle mass, improve his VO2 max as well as drop the 20 pounds he has gained from too many business lunches. Howard plays golf in the summer and hockey in the winter. He worked out in university but has not be in a gym in 5 years. His resting HR is 78 bpm and his resting BP is 122/84. He is 6 feet tall and weighs 210 pounds. Howard is able to work out for 1 hour 5 days a week. Skeletal Anatomy and Flexibility Foundations of Professional Personal Training Chapter 5 Skeletal Overview • Human adult skeleton has 206 bones • Born with 270 bones – fuse to 206 by age 20-25 • Minor differences between men & women – Men → generally larger and heavier – Women → larger pelvic capacity for childbirth Skeletal Overview con’t • Four essential functions of skeleton – Protect vital organs and soft tissue – Factory where red blood cells are produced – Serve as reservoir for minerals – Provides attachment for muscles to produce movement The Human Skeleton Classification of Bones Parts of the Skeleton • Axial Skeleton – Includes 80 bones • • • • Skull Spine Ribs sternum • Appendicular Skeleton – Includes 126 bones • Shoulders • Pelvis • Bones in limbs Anatomical Position What is anatomical position? Anatomical Terminology • • • • • • Anterior/Posterior Medial/Lateral Superior/Inferior Supine/Prone Dorsal/Plantar Proximal/Distal Joint Movement Terminology • Joint = place where bones meet – Flexion / Extension – Hyperextension – Abduction (protraction) / Adduction (retraction) – Circumduction Joint Movement Terminology con’t – Medial Rotation / Lateral Rotation – Supination / Pronation – Inversion / Eversion – Elevation / Depression Joint Classification Classification Description Examples Fibrous Connect bones without allowing any movement Skull, Pelvis, Spinous processes and vertebrae Cartilaginous Bones attached by Spine, Ribs cartilage; allow for only a little movement Synovial Freely movable; enclosed by articular capsule that holds synovial fluid Shoulder, Hip, Knee, Elbow, Wrist, Ankle Types of Synovial Joints Flexibility • FITT – Frequency – Intensity – Time – Type Flexibility Techniques Static Stretching • What is it? – Goal – Example – Advantage/Disadvantage Dynamic Stretching • What is it? – Goal – Example – Advantage/Disadvantage Flexibility Guidelines • What are they? Stretches for all Major Muscle Groups • Refer to Appendix B, page 253 - 264 Muscular Concepts Foundations of Professional Personal Training Chapter 6 Sliding Filament Theory Types of Muscle Contractions • Isotonic → concentric • Isotonic → eccentric • Isometric Nervous System • Basic Organization – To perform coordinated and skilled movements, you must have coordination between the muscular & nervous system – 2 parts to the nervous system • Central Nervous System (CNS) • Peripheral Nervous System (PNS) Organization of the Nervous System CNS • Composed of the brain and spinal cord • Control centre PNS • Composed of nerves that connect the extremities to the brain • Delivers information about all body parts to the brain (CNS) for processing Organization of Nervous System Muscle Fibre Types • Slow twitch • Fast twitch Muscle Anatomy and Action • Muscles pull on bones to create movement at a joint • Prime movers/agonists • Antagonists • Synergists Major Muscles of the Body • More than 600 muscles in the human body • Skeletal muscles produce movement by exerting force on tendons which pull on bones • Most muscles cross a joint and attach to the articulating bone that forms that joint Major Muscles of the Body con’t • Origin → where a muscle begins (proximal) • Insertion → where a muscle ends (distal) • When a muscle contracts it pulls the insertion towards the origin Shoulder: Girdle Trapezius Upper Trapezius Middle Trapezius Lower Trapezius Trapezius con’t Muscle Trapezius •1, 2 upper fibres •3 middle fibres •4 lower fibres Origin Base of skull Vertebrae C1 to T12 Insertion Clavicle Scapula (upper medial and medial surface) Function 1, 2: elevation 3: adduction or retraction 4: depression and upward rotation and stability of scapula Levator Scapulae Levator Scapulae con’t Muscle Levator Scapulae Origin Vertebrae C1 to C4 Insertion Scapula (upper medial surface) Function Elevation of scapula Exercises: Trapezius and Levator Scapulae • Dumbbell Trap Shrug (seated) – Page 209 Rhomboids Rhomboids Minor Rhomboids Major Rhomboids con’t Muscle Rhomboids •Major •Minor Origin Insertion Vertebrae C7 to T5 Scapula (medial surface) Function Adduction or retraction of scapula Exercise: Rhomboids • Cable Lat Row (seated with V-bar) – Page 205 Pectoralis Major Pectoralis Major – Clavicular head Pectoralis Major – Sternal head Pectoralis Major con’t Muscle Origin Pectoralis Major Clavicle, sternum, •Clavicular (upper) upper 6 ribs •Sternal (lower) Insertion Upper humerus Function Flexion, adduction, medial rotation, horizontal adduction Exercise: Pectoralis Major • Barbell Chest Press – Page 197 Deltoid Medial Deltoid Anterior Deltoid Posterior Deltoid Deltoid con’t Muscle Deltoid •Anterior •Medial •Posterior Origin Clavicle, scapula (spine of scapula) Insertion Upper humerus Function Abduction, external rotation, assists in flexion, extension, horizontal adduction Exercise: Deltoid • Dumbbell Shoulder Press (seated) – Page 211 Latissimus Dorsi Latissimus Dorsi con’t Muscle Latissimus Dorsi Origin Vertebrae T6 to S5 Insertion Upper humerus Function Extension, adduction, medial rotation Exercise: Latissimus Dorsi • Cable Lat Pulldown (wide grip) – Page 203 Rotator Cuff Supraspinatus Infraspinatus Rotator Cuff Teres Minor Subscapularis Rotator Cuff con’t Muscle •Supraspinatus (posterior) •Infraspinatus (posterior) •Teres Minor (posterior) •Subscapularis (anterior) Origin Scapula Insertion Upper humerus Function Rotation and stabilization of shoulder joint Exercise: Rotator Cuff • Tubing Rotator Cuff External Rotation (standing) – Page 215 • Tubing Rotator Cuff Internal Rotation (standing) – Page 217 Elbow: Biceps Brachii Biceps Brachii con’t Muscle Biceps Brachii •Long head •Short head Origin Scapula Insertion Radius Function Elbow flexion, supination of forarm Exercise: Biceps Brachii • Dumbbell Biceps Curl (seated, with supination) – Page 221 Brachioradialis Brachioradialis con’t Muscle Brachioradialis Origin Humerus Insertion Radius Function Flexion Exercise: Brachioradialis • Dumbbell Biceps Curl (seated, hammer grip) – Page 223 Triceps Brachii Triceps Brachii – Lateral head Triceps Brachii – Long head Triceps Brachii con’t Muscle Triceps Brachii •Lateral head •Long head Origin Upper humerus, scapula Insertion Ulna Function Extension of elbow Exercise: Triceps Brachii • Cable Triceps Extension (standing, V-bar) Torso: Rectus Abdominus Rectus Abdominus con’t Muscle Rectus Abdominus Pubis Origin Insertion Ribs 5 to 7, sternum Function Spinal flexion, posterior pelvic tilt Exercise: Rectus Abdominus • Partial Abdominal Curl-up – Page 249 External/Internal Oblique External Oblique Internal Oblique External/Internal Oblique con’t Muscle Origin Insertion Function External Oblique Lower 8 ribs Pelvis Spinal rotation, lateral flexion, posterior pelvic tilt Internal Oblique Pelvis Lower ribs Spinal rotation, lateral flexion, posterior pelvic tilt Exercise: External/Internal Oblique • Shoulder To Knee Curl-up – Page 247 Erector Spinae Erector Spinae Erector Spinae con’t Muscle Erector Spinae Origin Lower thoracic vertebrae, lumbar spine Insertion Cervical and thoracic vertebrae, ribs, base of skull Function Spinal extension Exercise: Erector Spinae • Back Extension (prone, upper body) – Page 245 Hip: Adductor Group Pectineus Gracilis Adductor Magnus Adductor Group Adductor Brevis Adductor Longus Adductor Group con’t Muscle Origin Adductor longus Base of pelvis Adductor magnus Adductor brevis Gracilis Pectineus Insertion Function Length of femur (medial edge) Adduction Exercise: Adductor Group • Cable Hip Adduction (standing) – Page 239 Psoas Major And Iliacus Psoas Major And Iliacus con’t Muscle Origin Insertion Function Psoas Major Thoracic (bottom few) and lumbar vertebrae Femur Hip flexion Iliacus Pelvis (iliac crest) Femur Hip flexion Muscles Of The Knee - Hamstrings Biceps Femoris Semitendinosus Semimembranosus Hamstrings con’t Muscle Hamstrings •Biceps femoris •Semitendinosus •Semimembranosus Origin Base of pelvis Insertion Upper tibia, fibula Function Knee flexion Exercise: Hamstrings • Machine Leg Curl (prone) – Page 237 Quadriceps Vastus Intermedius & Vastus Lateralis Rectus Femoris Vastus Medialis Quadriceps con’t Muscle Quadriceps •Rectus femoris •Vastus lateralis •Vastus medialis •Vastus intermedius Origin Pelvis (rectus femoris only), upper femur (all others) Insertion Function Patella and patellar tendon (to tibia) Knee extension Exercise: Quadriceps • Machine Leg Extension – Page 235 Exercise: Hamstrings, Quads, Adductors • Barbell Squat – Page 233 • Dumbbell Lunge – Page 234 Ankle: Gastrocnemius Gastrocnemius con’t Muscle Gastrocnemius Origin Base of femur Insertion Function Heel (Achilles tendon) Knee flexion, plantar flexion Soleus Soleus con’t Muscle Soleus Origin Top of tibia and fibula Insertion Heel (Achilles tendon) Function Plantar flexion Exercise: Gastrocnemius and Soleus • Dumbbell Heel Raise (standing) – Page 243 Tibialis Anterior Tibialis Anterior con’t Muscle Tibialis Anterior Origin Top 2/3 of tibia Insertion Metatarsal Function Dorsiflexion, inversion Benefits of Resistance Training • What are they? What to Train for? • Muscular strength • Muscular power • Muscular endurance Exercise Prescription • Resistance Training – FITT – Considerations • Number of sessions client is able to commit to • Clients current fitness level • Clients goals for resistance training Intensity of Resistance Training Muscle Fibre Recruitment Resistance Training Guidelines Types of Resistance Training • Isotonic Training • Isometric Training • Isokinetic Training Isotonic Training – Concentric and eccentric muscle contractions – Constant resistance → arm curl with DB – Variable resistance → Nautilus equipment (cams), Universal equipment (leverage) Isometric Training – Static muscle contraction – Muscle length does not change when force is applied against a fixed resistance – Limbs are not required to move – Strength gains limited to the joint angle at which the exercise takes place Isokinetic Training – Needs specialized equipment that controls speed of movement through ROM – Accommodating resistance → resistance matches strength of muscle and accommodates changes in mechanical advantage Injury Recognition Foundations of Professional Personal Training Chapter 7 Scope of Practice and Personal Training Personal trainers are: • NOT permitted to diagnose injury or illness • NOT permitted to diagnose source pain • NOT permitted to suggest therapies in the absence of direct communication with an appropriate health care practitioner (ie. physician, physiotherapist) • To refer to an appropriate health care practitioner Common Scenarios for Personal Trainers • What do I do if my client comes to me… – With undiagnosed pain – With diagnosed pain – Asking for my opinion about treatment they are getting from a health professional – Wanting to start training while being treated for an injury – Suggesting we ignore their health professionals advice on resuming exercise Pain Pain is there for a reason and indicates a lack of normal tissue function or homeostasis in the body. Two Types of Pain Mechanical Pain • Result of damage to musculoskeletal system by mechanical action or motion – Example → falling, tripping Systemic Pain • Result of a disease, infection, or medical condition – Example → rheumatoid arthritis, heart disease Two Types of Musculoskeletal Injury Acute Injuries • Result from single force application creating tissue damage and immediate pain and dysfunction – Example → broken bone, sprain, contusion Overuse Injuries • Result from repeated stress resulting in gradual onset of pain and dysfunction over days or weeks – Example → stress fracture, ITB, bursa inflammation Injury Signs and Symptoms • Symptom is usually described by the client as what they feel • Sign is the result of what they were feeling – Therefore a client may say: “I feel a tightness in my hamstring.” (symptom) Then they run and the hamstring tears and swells (sign). Immediate Management of Acute Injuries • Goals → minimize tissue damage and the inflammatory response – First 72 hrs very important – Undiagnosed pain should be referred to a health professional – RICE principle applies • Rest, Ice, Compression, Elevation Prevention of Acute Injuries Intrinsic Factors • Psychological and physical characteristic status of your client – Examples → muscle weakness, muscle imbalances, joint laxity, cognitive function Extrinsic Factors • External factors your client must deal with – Examples → environmental factors such as temperature, humidity, fitness apparel, exercise equipement Steps to Preventing Acute Injuries • • • • • • Intake interview Par Q & Assessment Start with lighter loads and lower intensity Perform warm-up and cool down Educate on proper technique and equipment set-up Ensure maintenance of equipment and safe training area Immediate Management of Overuse Injuries • • • • Don’t downplay chronic pain First 72 hrs is very important (RICE) Decrease or limit volume and intensity Pain lasting longer than 3 days or undiagnosed pain should be refer to a health professional Steps to Preventing Overuse Injuries • • • • • • Identify intrinsic and extrinsic risk factors Ensure proper biomechanics are followed Par Q & Assessment Follow the FITT principle at safe levels Develop a balanced training approach Education about rest and cross training benefits Pre-exercise Screening Foundations of Professional Personal Training Chapter 8 Pre-exercise Screening To identify clients who have medical conditions that leave them at risk for injury or death when performing moderate to vigorous physical activity the following should be done – Be professional and fulfill legal responsibilities – Identify a possible need to refer client to other health professionals – Understand client better and establish good communication – Identify areas of strength or weakness based on previous injury – Develop a precise, individualized exercise program – Determine safe and effective exercises Pre-exercise Screening • Key Terms – Duty of Care – Known Disease – Signs and Symptoms – Cardiac Risk – Health Risk Stratification Duty Of Care • Obligation of personal trainer and fitness facility to ensure client is reasonably safe • Any breach of Duty of Care may result in negligence • Negligence may leave trainer and/or facility liable for damages • Therefore, every personal trainer and fitness facility must screen clients first. Known Disease • People with a known disease must have medical clearance for exercise • Their medical practitioner should provide guidelines Signs And Symptoms • • • May be well established prior to diagnosis by a medical practitioner Act as early warning signals Examples that should prompt medical referral include: – Pain and discomfort in chest, lower jaw, or left shoulder – Ankle swelling – Feelings of rapid, throbbing HR – Severe pain in leg muscles when walking – Unusual fatigue and general feelings of lethargy – Difficulty breathing when standing or at night – Shortness of breath at rest or during light activity – Feelings of dizziness or fainting Increased Cardiac Risk • Personal Trainers should be aware of CV risk factors and be able to screen clients – Age (men > 45 yrs and women > 55 yrs) – Family history of heart disease – Smoking – High BP or hypertension (>139 / >89) – High cholesterol (total over 200 mg/dl) – Diabetes – Sedentary lifestyle Age Risk • Men > 45 yrs and women > 55 yrs are encouraged to have a medical exam before starting an exercise program – Should be mandatory if: • previously sedentary or beginning a new exercise regimen • or combine an age risk with any other risk factor Physical Activity Readiness Questionnaire (PAR-Q) • • • • Who should complete a PAR-Q? What is the purpose of the PAR-Q? When should clients fill this out? When should a personal trainer have their client seek medical clearance? Health History Questionnaire • Used to gather more specific information concerning a client’s health, in addition to the PAR-Q – Client details – Current medical conditions – Medication use and allergies – Current or past injuries – Treatment from other health care professionals – Cardiac risks Health History Questionnaire con’t – – – – Family health history Past and present exercise history Past and present nutritional information Past and present work history • Personal trainers can use a standardized form for all clients, or develop their own questionnaire Client Risk Stratification • Use the answers on the PAR-Q and health history questionnaire • Determine the risk that clients will put themselves in when starting a new exercise program • Determine what precautions should be taken – Place client in 1 of 3 categories: • Apparently healthy • Increased risk • Known disease Referrals • Personal Trainers should not work with people who have serious medical conditions • Any clients who have answered “Yes” to a question on the PAR-Q or have 2 or more CV risk factors with signs and symptoms should consult with their physician first Referrals con’t • Doctor must provide clearance for unrestricted physical activity before any exercise guidance is given • PARmed-X form is then used Fitness Assessment Foundations of Professional Personal Training Chapter 9 Why do Fitness Assessments? • Gives Personal Trainer a clear indication of client’s current health status and actual fitness level (using resting HR and BP) • Fine-tuning exercise prescription • Start with baseline information to help improve client’s health and wellness, and to measure future progress • Determining lifestyle factors that may be counterproductive Why do Fitness Assessments? Con’t • Goal setting and counseling • Isolating injuries or risk factors • Help develop a unique, individualized and accurate exercise prescription • Motivating clients, thus increasing adherence and compliance Testing Procedures • Pretesting must always precede tests and measures: – Client must be told what to wear – When and where? – Not to exercise or drink caffeine or alcohol for 12 hours prior to the test – Complete PAR-Q – Explain testing session – Sign informed consent document – Begin tests and measures Testing Procedures con’t – Follow logical and consistent order • Prescreening • Body composition • Light warm-Up • Cardiorespiratory fitness testing • Muscular strength and endurance testing • Flexibility testing Prescreening • Resting HR (RHR) – Must be < 100 bpm to continue testing – Normal 70 bpm for men; 75 bpm for women – As CV fitness ↑ RHR should ↓ Procedure for Resting HR Equipment – Wrist watch – HR monitor (optional) Procedure 1. Have client sit quietly. 2. Place index and middle finger on carotid or radial artery. 3. Begin counting first beat as zero and keep counting beats for 30 seconds. 4. Multiply number by 2 to determine bpm. Prescreening • Resting BP – Must be less then 140/100 mmHg to continue testing – Normal BP is 120/80 mmHg – As CV fitness ↑ elevated BP should decrease Procedure for Resting BP Equipment – Stethoscope and sphygmomanometer – Chair and table Procedure 1. Have client sit with left arm supported on table or by you. 2. Place BP cuff on upper left arm approximately 1” above the antecubital space. 3. Pump the cuff to over 200 mmHg and place the stethoscope over the brachial artery. 4. Slowly release pressure (2 mmHg/sec) and listen for the first tapping sounds – systolic pressure. 5. Continue to let air out until you no longer hear noise – diastolic pressure. Evaluating Body Composition • • • • Skin folds and girths Bioelectrical Impedance Analysis (BIA) Waist girth measurements Body Mass Index (BMI) Procedure for Waist Girth Measurements Equipment – Flexible tape measure Procedure 1. Have client stand with feet shoulder width apart and even weight on each foot. 2. Place tape measure around circumference of the waist, at the level of greatest narrowing. Do not indent skin by pulling to tight. 3. If noticeable narrowing is not apparent, take waist girth at midpoint between lowest floating rib and top of hip bone. 4. Normative data is measured in cm. Procedure for BMI Equipment – Pen and paper – Calculator Procedure 1. Obtain client’s body weight in kilograms. 2. Obtain client’s height in metres. 3. Use the equation (BMI = kg/m2) 4. BMI < 19 or > 25 puts client at risk 5. BMI > 30 often indicates obesity (exception : those with a large amount of muscle mass will fall above 30, so be careful in your interpretations) Evaluating Cardiorespiratory Fitness • Submaximal graded tests – Use steps, treadmill, stationary bike etc. • Rockport Walking Fitness Test – Measurement of VO2max Procedure for Rockport Walking Fitness Test Equipment – – – – Wrist watch Stop watch HR monitor (optional) 400 m track (inside lane) or premeasured 1 mile loop Procedure 1. 2. 3. 4. 5. Have client warm-up and actively stretch 5-10 minutes before the test. Instruct client to walk 1 mile (4 laps on 400m track) as quickly as possible. Record time in minutes it took client to finish. Record client’s radial pulse immediately at end of test for a 15 second count and convert to bpm. Use the equation on the following slide. Equation for Rockport Walking Fitness Test – VO2max (ml/kg/min) = 132.853 – 0.0769(BW) – 0.3877(age) + 6.315(gender) – 3.2649(time) – 0.1565(HR) *BW = body weight in pounds *Gender = 1 for males and 0 for females *Time = minutes Evaluating Muscular Strength • Normative strength tests – Grip strength – 10 repetition maximum • Non-normative strength tests – Percent improvement Procedure for 10 Repetition Maximum Equipment – May use any exercise that involves major muscle group – (i.e. bench press, leg press, squat, lat pull-down) Procedure 1. 2. 3. 4. 5. Have client warm up for 5-10 min. Instruct client to perform 5-10 repetitions at 50% of perceived 10RM. After 1 min. rest and light stretching, the client performs 5 repetitions at 75% of perceived 10 RM. Increase the weight to the client’s perceived 10 RM. To calculate 1RM, divide the weight the client did for 10RM by 0.75. Evaluating Muscular Endurance • Push-up • Abdominal Curl-up Procedure for Push-up Equipment – Exercise mat or towel Procedure 1. 2. 3. 4. 5. 6. Instruct client to perform a couple of push-ups to observe proper form. Hands are pointing forward and under shoulders. Have client push up from mat and fully straighten elbows using toes as pivot and upper body in straight line Return to start position and let chin touch mat. Stomach and legs should not touch mat. If a full push-up can not be performed have client pivot from knees with tops of feet on floor. Perform as many reps as possible until technique breaks over 2 reps or client is straining. Evaluating Flexibility • Sit and reach test • Shoulder flexibility test Procedure for Modified Sit and Reach Test Equipment – Tape measure or metre stick – Masking tape (to hold measuring device in place) Procedure 1. Have client warm up for 5-10 min. and perform 2 modified hurdler stretches for 20 sec. on each leg. 2. Have client remove shoes and place heels at the top of the measuring device with inner soles within 2 cm of the measuring device. 3. Client reaches forward with both hands as far as possible, holding for 2 sec. Hands should be even. 4. Score the most distant point reached with the fingertips. Sources of Error in Testing • The validity and reliability can be affected by: – Client factors – Equipment – Personal trainer’s skill – Environment Program Design Foundations of Professional Personal Training Chapter 10 Four Elements of Good Program Design Periodization Periodization is a planned systematic approach to training that involves progressive cycling of various aspects of a training program during a specific period of time. Periodization as it Applies to Personal Training • The goal of periodizing an exercise program is to optimize training during both short (i.e. weeks, months) and long periods of time (i.e. years). • Using periodization, a competitive athlete is able to peak physical performance at a particular point in time. The same concept works if your goal is overall health and fitness. • The bottom line is…periodization will help maximize results in a minimal amount of time! Components of Periodization • Macrocycle – Largest component of periodization program – Usually consisting of several months to years (i.e. Olympic athlete’s 4 year program) Components of Periodization con’t • Mesocycle – This is the intermediate component of the periodized program – Usually consisting of 1 to several months Components of Periodization con’t • Microcycle – This is the smallest component of the periodization program – Usually consisting of 1 to several weeks, but not normally shorter than 1-2 weeks How it all Fits Together Elite Athlete vs. Fitness Client Differences in Periodization Models Elite Athlete – Periodization based on preparing for major competition peak – While fitness is a focus so are: mental prep, technical skills, specific training, competition and peaking phases, etc. Fitness Client – Periodization focused mostly on fitness as developed through: • Strength training • Cardiorespiratory training • Flexibility training – Goals are more focused to long-term health and wellness rather than competitive readiness Supercompensation Cycle Training Response Options Optimal Training Response (Sum of Training Effect) Overtraining Paradigm canfitpro’s Training Principles • • • • • • • • • FITT Individualization Specificity Progressive Overload Recovery Structural Tolerance All-around Development Reversibility Maintenance Program Design • While there are volumes of scientific research with regards to the “best” way to train, personal training is still an art as much as it is a science. • Your challenge is to take the science, meld it into your philosophy and apply it to an individualized program for your client that fits their goals! Five Steps to Successful Program Design • Step 1 → Information gathering • Step 2 → Prioritization of program goals • Step 3 → Creation and evaluation of program • Step 4 → Delivery of the program • Step 5 → Re-assessment Step 3: Creation and Evaluation • In creating a program, consider: – Why am I including this exercise? – Is this a balanced program? – Does it meet the SMART goals for the client? – Is it safe, effective, efficient and enjoyable? – Does it have strength, cardio and flexibility? Step 3: con’t • Include: – Basic components of a program – Use of proper terminology • Consider: – Strength training options • Type of equipment • Approaches to set performance • Common split training combinations Step 3: con’t • Consider: – Cardiorespiratory training options • Type of equipment – Flexibility training options • Equipment vs no equipment Developing Your Spiel • Demonstrations of new movements or equipment use must be delivered with confidence and clarity • Your knowledge and expertise are demonstrated by incorporating alternative cues or explanations Typical Personal Training Programs Foundations of Professional Personal Training Chapter 11 Critical Questions to Answer • Designing an effective personalized program requires understanding the client’s – Goals, health status and exercise history – Assessment results and fitness level – Workout location and equipment options – Number of session per week – Time allotted for each session Putting the Program Together (Other Considerations) • • • • • • • Beginner, intermediate, advanced Body building vs. performance athlete Aesthetics vs. functional training Machine vs. free weight Balanced vs. unbalanced Weight loss vs. weight gain Strength vs. endurance All these will significantly influence the type of program you develop and exercise you select. For example… Balanced vs. Unbalanced Training • Unbalanced training (i.e. training the back more than the chest) is an appropriate strategy for clients whom are dominant in one area and not another, especially when time is a factor • This is the same case for stretching where you should focus on the areas requiring increased mobility rather than having the client stretch all muscle groups Modifications to Program Designs • Modification = small manipulation of sets, reps, load, tempo, exercise • The body adapts (in 2-6 weeks) to the stimulus it is given (principle of adaptation) resulting in increased performance (overcompensation cycle) • If the stimulus is not changed further adaptation is inhibited • An entirely new program is not required to continue to improve and should probably be avoided in the case of a beginner who is just learning the exercise. As a personal trainer you need to have several different ways to change an exercise in order to challenge the body to continue to improve. Practice, practice, practice and continuing education are vital to increasing your knowledge and skill set. Recording The Program • The program card should include – – – – – – The client name Exercises to be performed Sets and set performance Reps and tempo Amount of rest between sets Cues/comments/reminders on how to perform exercises Psychology of Personal Training Foundations of Professional Personal Training Chapter 12 What qualities do effective personal trainer’s exhibit? Qualities Of Effective Personal Trainers – – – – – – – – – Knowledgeable Supportive Model healthy behaviour Trustworthy Enthusiastic Innovative Patient Sensitive Flexible – Self Aware – Ability to access resources and services – Ability to generate expectations of success – Able to provide timely and specific feedback – Able to provide clear and reasonable instructions and plans Behaviour Change • Stages of change – Pre-contemplation – Contemplation – Preparation – Action – Maintenance What Stage is your Client at? • The Physical Activity Stages of Change Questionnaire is used to determine what stage of change a client is at Intervention Strategies • How would you change your approach? 1. Client who has been a regular exerciser for the past 6 months. 2. Client who has never exercised and was just told by their doctor that they need to start. 3. Client who has failed at exercise in the past but is aware of the benefits. Motivational Strategies • How can personal trainer’s motivate their client’s toward success? What Determines Exercise Adherence? • • • • Demographics Cognitive and personality variables Behaviours Environmental factors – Social – Physical • Physical Activity Characteristics – Intensity and duration – Perceived effort – Group Programming – Leader Qualities SMART Goals • Client that wants to lose • Client that wants to weight. increase energy levels. Treatment Strategies for Different Personalities • Technical • Sociable • Assertive Client Fears and Perceptions • Lack of experience or negative experiences can lead clients to be fearful • Try to understand and address their experiences and perceptions toward exercise – Successful programming can only begin once this has been done! Business of Personal Training Foundations of Professional Personal Training Chapter 13 Career Opportunities • Working within – A fitness centre – A personal training studio – As a freelance/contract personal trainer Marketing your Services • • • • Product Price Promotion Place Product • Differentiation • Development • Positioning Price • High price/low price or mid level pricing • What makes the best sense for you? • Different ways of pricing personal training sessions • Alternatives to traditional package pricing Promotions • • • • • • • Direct mail Print or space ads Electronic media Networking Guerilla marketing Media outreach Referrals It is important to track your marketing efforts. Why? Place • Importance of location Selling your Services • • • • • • • Focus on the clients needs and wants Show how you can help Develop action plan Ask for feedback Present prices Overcome objections Follow up What should your professional image be? Client-Trainer Agreement Terminating the Relationship Risk Management • • • • Adhere to guidelines Insurance Litigious situations Policies and procedures Policies and Procedures • Can-Fit-Pro recommends that personal trainers follow these policies – Establish a fixed pricing policy and stick to it – Implement a 24 hour cancellation policy – Offer a money back guarantee The PTS Certification Path Where do I go from here? Steps to PTS Certification • 25 hour PTS course • Obtain adult CPR certification/renewal – Mandatory in order to obtain PTS certification certificate • PTS theory exam – Usually scheduled within 3-4 weeks from course end date • PTS practical exam – Must complete within 6 months of successful theory exam completion PTS Theory Exam Details • Theory exam (3-4 weeks after course) – 100 multiple choice questions and a client case study – Must obtain 80% average between the two components – Exam is scheduled for 3 hours – Exam marks will be given to individual candidates within one week of exam date by the PRO Trainer PTS Practical Exam Details • Practical exam (complete within 6 months of successful theory exam) – Upon scheduling practical exam date with PRO Trainer , candidate will be emailed a detailed hypothetical client and exam package – Candidate prepares a one hour program for client and comes prepared to show all required skills – Candidate is required to bring in their own test client – Practical mark will be given to individual candidates immediately following the examination