Screening Lab Questions - Simon Fraser University

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Kin 343 Laboratory Manual
Logbook #1
Stay up to date with your entries, as I will check
logbooks occasionally.
NAME:
MASS (lbs):
MASS (kg):
AGE (yrs):
GENDER:
M
F
1
LAB GROUP:_________________________
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Note on the use of this logbook and CPFLA tools.
Included in this first logbook are some scanned CPAFLA forms. The idea is not to mark
up your good copy of forms in your manual as you may use them many times.
The forms in the pre-screening and counselling labs are mostly tools to help you in the
counselling and motivation of your clients. Some are more useful than others. However,
each counsellor has his or her own style and each client is an individual. So although no
fitness counsellor should be using all of these tools with one single client, there is no
doubt that some will find different forms fit their needs/styles better than others.
For each Lab please read and sign the consent forms for the
tests you have agreed to participate in as a subject.
Screening Lab
Fill out the required forms and answer the questions in this logbook. These questions
will be discussed in the lab. Enter your own blood pressure and heart rate readings on
the CPAFLA client information sheet. If two or more people have recorded you blood
pressure and/or heart rate, average the results.
Muscular Fitness Assessment
All students will meet briefly at the regular lab room prior to being split into groups.
Students will be expected to move quickly to and from Pipers Gym in order to
accomplish all the testing that is scheduled in this lab session. Every student will
perform the tests in this lab. Only the YMCA tests are optional.
Anthropometry Lab
Consult your CPAFLA manual for the protocols. The lab handout on this topic does not
cover the CPAFLA protocols. The client information sheet does not scan very well so
you may want to photocopy your “good” copy and submit that. Note the client
information sheet in your manual is two sided (equations are on reverse).
Bicycle Ergometer
We will utilize the bicycle ergometer to perform an aerobic (YMCA) and an anaerobic
test (Wingate). We will require several volunteers per lab group to participate as
subjects in these tests.
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Simon Fraser University
School of Kinesiology
Pre-Exercise Medical History Form
Name: ____________________________
Age: ____
Height: ______
Course: _______________
Weight: ______
Date: ____________ Telephone #: ___________
Present Address: __________________________________________
CHECK (X) IF ANSWER IS YES:
PAST HISTORY
PRESENT SYMPTOMS
Have you ever had?
Have you recently had?
Rheumatic fever
High blood pressure
Heart murmur
Any heart trouble
Disease of arteries
Varicose veins
Lung disease
(
(
(
(
(
(
(
)
)
)
)
)
)
)
Operations
( )
Injuries to back
Epilepsy
Spells of severe
dizziness
Diabetes
( )
( )
( )
Chest pains
Shortness of breath
Heart palpitations
Cough on exertion
Coughing of blood
Back or neck pain
Swollen, stiff, or
painful joints
Muscle or tendon
injury
(
(
(
(
(
(
(
)
)
)
)
)
)
)
Are you pregnant?
( )
( )
( )
EXPLAIN: _________________________________________________________
__________________________________________________________________
__________________________________________________________________
Have you ever noticed yourself, or been told by someone else, that you have an
irregular heart beat? _______________________________________
Do you have any allergies? ________. If your answer is "Yes", describe.
__________________________________________________________________
__________________________________________________________________
__________________________________________________________________
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Are you currently taking any prescription medications? _______.
If your answer is "Yes", describe. ____________________________________
__________________________________________________________________
__________________________________________________________________
Do you smoke? _________. How much?_______________________________
Is there a good reason not mentioned here why you should not participate in certain
types of physical activity, even if you wanted to?
__________________________________________________________________
__________________________________________________________________
Do you engage in sports? ______.
What? ____________________________
____________________________________________________________________
____________________________________________________________________
How often? __________________________________________________________
____________________________________________________________________
In case of illness of accident, whom should we notify?
Name: ______________________________
Address: ____________________________
Telephone #: __________
City or Town: _________
Attending or Family Physician: _________________________________
Address: _____________________________
Telephone #: ___________
City or Town: ________________
I declare that the information given here by me is true and correct to the best of my
knowledge. Any health problems that would prevent me from engaging in physical
activities or make it potentially dangerous or harmful for me to engage in such activities
have been described here by me.
Student's Signature: _________________________
Student Number: ____________________
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7
8
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Screening Lab Questions
1. What are you supposed to do as a fitness appraiser if a client answers "yes" to one
or more of the questions on the PAR-Q?
2. It has been reported that 25% of the population to whom the PAR-Q is administered
will answer, "yes" to one or more of the questions. If you have very low % of your
applicants responding "yes", what might explain this. Suggest at least three reasons.
3. What are the advantages and disadvantages of using a detailed medical history form
versus just the PAR-Q?
4. Describe three considerations not covered by the PAR-Q form alone that you would
consider the most important aspects of Health Screening. Briefly justify your
choices.
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5. According to the CPAFLA Manual:
a) how long is resting heart rate measured for?
b) what is the cut-off value for resting heart rate?
c) what is the cut-off value for resting blood pressure?
6. You are taking a client’s resting heart rate. Write out an answer to the question of
what effect each of the following would have on this heart rate? Explain each of the
effects in physiological terms, i.e. what is the mechanism for each?
a) Standing up from the seated posture (what is the almost immediate HR
response?).
b) A high room temperature of 27oC (normal room temperature is 21-22oC).
c) Drinking caffeinated beverage 20 minutes before measurement.
d) Smoking a cigarette 5 minutes before measurement.
e) Eating a large meal 30 minutes before measurement.
f)
Finishing a hard exercise session an hour before measurement is made.
11
Informed Consent for Dynamic Muscular Strength and
Muscular Endurance Tests (Laboratory)
I, ____________________, give my consent to Ryan Dill to administer the following
procedure as part of a laboratory in Kinesiology 343, Active Health: Assessment and
Programming.
The Hand Grip Strength test is a static maximal strength test performed for several
seconds. I will do this test twice with each hand.
The push up test is an endurance test in which I will perform consecutive push ups to to
my maximum with no time limit. It is important that I perform the push ups with proper
technique. Push ups performed with incorrect technique will not be counted. The test is
stopped when I am seen to strain forcibly or am unable to maintain the proper push up
technique over two consecutive repetitions. I should avoid breath holding, and exhale
on effort.
The partial curl up test is an endurance test in which I will perform partial curl ups to a
set rhythm of 25 per minute. The test will be terminated if I experience undue discomfort,
if I am unable to maintain the required cadence, or technique. The test will last for a
maximum of one minute, which is 25 partial curl ups.
I understand that the potential risks of these procedures are:
- muscle strain from overexertion
- muscular fatigue, and possibly some soreness in these muscles for a day or two
after exercise.
- rare occurrences of dizziness, chest pain, fainting, or - very rarely - cardiac arrest
- accidents associated with the use of the apparatus, or muscular sprain or strain due
to over-exertion or due to slipping during an exercise.
- Discomfort or significant rise in blood pressure due to breath holding during active
phase of exercise.
I understand that the potential benefits of my participation are:
- learn how the subject/client/patient feels during fitness testing
- help other students practice the procedure for administering fitness test
- obtain results of my own muscular endurance
I understand that I may withdraw my consent to participate at any time, and that I may
stop at any time during the test for any reason. I further understand that if I have any
complaint about these procedures that I my address this complaint to the Director,
School of Kinesiology.
Signature
____________________
Date
_________________
Witness
____________________
Date
_________________
12
Informed Consent for Dynamic Muscular Strength and
Muscular Endurance Tests (Gym)
I, ____________________, give my consent to Ryan Dill to administer the following
procedure as part of a laboratory in Kinesiology 343, Active Health: Assessment and
Programming.
The dynamic muscular endurance test is a battery of seven test items: arm curl, bench
press, lat pull-down, triceps extension, knee extension, leg curl, sit-ups. For the first six
items, I will perform as many repetitions as possible, up to a maximum of 15 repetitions.
The load will be set as a fraction of my body mass. The sit-ups are done without any
external load. The tests will be done in the S.F.U. weight room, and will be administered
by one of my classmates in KIN 343.
The strength tests are a bench press and leg press performed to momentary muscular
failure. I will choose a weight that I consider to be close to the maximum I can lift. I will
then attempt to lift this weight as many times as possible.
I may also perform the YMCA bench press test whereby I will lift a set weight (males
press 80 lbs and females press 35 lbs) as many times as possible. A metronome
controls the cadence of these lifts and I will continue to lift until I either am unable to
maintain the up-down cadence of 30 lifts per minute or I am unable to lift the weight in
the correct manner.
I understand that the potential risks of these procedures are:
- muscle strain from overexertion
- muscular fatigue, and possibly some soreness in these muscles for a day or two
after exercise.
- rare occurrences of dizziness, chest pain, fainting, or - very rarely - cardiac arrest
- accidents associated with the use of the weight-lifting apparatus, including dropping
a weight on myself, pinching a finger in the apparatus, or muscular sprain or strain
due to over-exertion or due to slipping during an exercise. The risk will be minimized
by using Universal Gym equipment where possible, and by having a spotter.
I understand that the potential benefits of my participation are:
- learn how the subject/client/patient feels during fitness testing
- help other students practice the procedure for administering fitness test
- obtain results of my own muscular endurance
I understand that I may withdraw my consent to participate at any time, and that I may
stop at any time during the test for any reason. I further understand that if I have any
complaint about these procedures that I my address this complaint to the Director,
School of Kinesiology.
Signature
____________________
Date
_________________
Witness
____________________
Date
_________________
13
Muscular Function Testing Data Sheet (Lab)
Subject Name:
Grip Strength
Right Hand (kg)
Trial 1 ______
Trial 2 ______
Left Hand (kg)
Trial 1 ______
Trial 2 ______
Combined R and L Maximum (kg) _______
Rating: ___________
Push Ups
Number:________________
Rating: ___________
Partial Curl Ups
Maximum 25 _________
Rating: ___________
Vertical Jump
Measure difference between standing mark and jump mark in cm.
Jump Trial 1 (cm) _________
Jump Trial 2 (cm) _________
Jump Trial 3 (cm) _________
Maximum Jump (cm) ________
Rating: ___________
Leg Power (Watts) ____________
Rating: ___________
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Muscular Function Testing Data Sheet (Gym)
Subject Name:
Age (yrs):
Mass (lbs):______
Muscular Strength
Bench Press:
Weight Lifted:________
Repetitions:____
Leg Press
Weight Lifted:________
Repetitions:____
One-Repetition Maximums and Classification (see lab notes)
1-RM = (weight lifted) / [1.0278 - (RM x 0.0278)]
Bench Press
Leg Press
Weight lifted =
Repetitions =
Calculated 1-RM =
Percentile (absolute) =
Relative Strength (1RM /body mass)
=
Classification (relative) =
N/A
Muscular Endurance Test Battery
Exercise
Triceps Extension
Leg Curl
Lateral Pull-Down
Knee Extension
Bent-Knee Sit-Up
Bench Press
Arm Curl
% body
mass
(F / M)
25 or 33%
33%
50 or 66%
50%
Weight as a %
of body mass
Actual weight
Lifted
Repetitions
(max=15)
50 or 66%
25 or 33%
Total Repetitions =
Fitness Category
__________________
YMCA Bench Press Test
Name of Subject:_________________
Number of lifts:________________
Classification:_____________________
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Anthropometry Laboratory Data Sheet
Subjects Name:_______________________ Age: ______ Gender: _____
Weight (kg):________
Height (cm): _________
Waist Circumference : ________ (cm) Hip Circumference : ___________(cm)
Skin Folds (mm)
Mean closest
Triceps
Biceps
Subscapular
Iliac Crest
Medial Calf
1st
_______
2nd
_______
3rd
_______
1st
_______
2nd
_______
3rd
_______
1st
_______
2nd
_______
3rd
_______
1st
_______
2nd
_______
3rd
_______
1st
_______
2nd
_______
3rd
_______
__________
__________
__________
__________
__________
Healthy Body Composition Assessment
B M I : _____(kg/m2) ______ Disease Risk (combined with waist circumference ACSM)
Waist to Hip Ratio :
___________
SO5S: Sum of 5 skin folds:
___________
Rating ________(ACSM)
CPAFLA – Healthy Body Composition Ratings
BMI, WC and SO5S:
Score (0-4) :___________ Rating _________
BMI and WC:
Score (0-4) :___________ Rating _________
BMI and SO5S:
Score (0-4) :___________ Rating _________
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Anthropometry Laboratory Data Sheet
Subjects Name:_______________________ Age: ______ Gender: _____
Weight (kg):________
Height (cm): _________
Waist Circumference : ________ (cm) Hip Circumference : ___________(cm)
Skin Folds (mm)
Mean closest
Triceps
Biceps
Subscapular
Iliac Crest
Medial Calf
1st
_______
2nd
_______
3rd
_______
1st
_______
2nd
_______
3rd
_______
1st
_______
2nd
_______
3rd
_______
1st
_______
2nd
_______
3rd
_______
1st
_______
2nd
_______
3rd
_______
__________
__________
__________
__________
__________
Healthy Body Composition Assessment
B M I : _____(kg/m2) ______ Disease Risk (combined with waist circumference ACSM)
Waist to Hip Ratio :
___________
SO5S: Sum of 5 skin folds:
___________
Rating ________(ACSM)
CPAFLA – Healthy Body Composition Ratings
BMI, WC and SO5S:
Score (0-4) :___________ Rating _________
BMI and WC:
Score (0-4) :___________ Rating _________
BMI and SO5S:
Score (0-4) :___________ Rating _________
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Informed Consent for YMCA Sub-Maximal Bicycle Test
If you were not a subject for this test, this form obviously need not be completed.
I, ____________________, give my consent to Ryan Dill to administer the following
procedure as part of a laboratory in Kinesiology 343, Active Health: Assessment and
Promotion.
The YMCA Submaximal Bicycle Test is a multi-stage aerobic test. It starts at a light
workrate and progresses every three minutes until a heart rate of about 150 beats per
minutes is achieved. This normally involves about 10 to 15 minutes of cycling. I will
wear a portable heart rate meter.
I understand that the potential risks of these procedures are:
- possible irritation of the skin of the chest from the elastic heart rate meter strap.
- muscular fatigue in the legs (especially quadriceps), and possibly some soreness in
these muscles for a day or two after exercise.
- rare occurrences of dizziness, chest pain, fainting, or - very rarely - cardiac arrest,
I understand that the potential benefits of my participation are:
- learn how the subject/client/patient feels during fitness testing
- help other students practice the procedure for administering fitness test
- obtain results of my own aerobic fitness
I understand that I may withdraw my consent to participate at any time, and that I may
stop at any time during the test for any reason. I further understand that if I have any
complaint about these procedures that I my address this complaint to the Director,
School of Kinesiology.
Signature
____________________
Date
_________________
Witness
____________________
Date
_________________
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Informed Consent for Wingate Bike Test
If you were not a subject for this test, this form obviously need not be completed.
I, ____________________, give my consent to Ryan Dill to administer the following
procedure as part of a laboratory in Kinesiology 343, Active Health: Assessment and
Promotion.
The anaerobic Wingate bike test has a warm-up, then a single, 45-second bout of high
intensity cycling. It has been explained to me that volunteers for this test should already
be performing anaerobic exercise on a regular basis. Students engaged in sprint events
or playing sports such as soccer, rugby, volleyball, basketball, lacrosse, etc. would be
ideal.
I understand that the potential risks of these procedures are:
- muscular fatigue in the legs, and possibly some soreness in these muscles for a day
or two after exercise.
- possible feeling of nausea
- rare occurrences of dizziness, chest pain, fainting, or - very rarely - cardiac arrest,
- a very small risk of traumatic injury from falling off the bike.
I understand that the potential benefits of my participation are:
- learn how the subject/client/patient feels during fitness testing
- help other students practice the procedure for administering fitness test
- obtain results of my own anaerobic fitness
I understand that I may withdraw my consent to participate at any time, and that I may
stop at any time during the test for any reason. I further understand that if I have any
complaint about these procedures that I my address this complaint to the Director,
School of Kinesiology.
Signature
____________________
Date
_________________
Witness
____________________
Date
_________________
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YMCA Sub -Maximal Bicycle Test
Data Sheet
Subject’s Name______________
Seat height___________
Age______
Mass__________
Predicted maximum heart rate__________
RECORD ALL THE DATA below but remember to only plot heart rate/workrate
pairs where the heart rate is over 110 beats per minute. Average the heart rate
over the last two minutes (usually 2nd and 3rd minute).
Force Setting
(Kp)
Heart Rates
(steady state)
RPE
Blood Pressure
RPP
1st workrate
2nd workrate
3rd workrate
4th workrate
5th workrate
/
/
/
/
/
There are many ways to determine oxygen consumption from work-rate on a bike. The
following table shows the relationship between work-rate and oxygen uptake presented
with the YMCA protocol.
Work-rate (kg.m/min)
Oxygen uptake (L/min)
150
0.6
300
0.9
450
1.2
600
1.5
750
1.8
900
2.1
1050
2.4
Work-rate (kg.m/min)
Oxygen uptake (L/min)
1200
2.8
1350
3.2
1500
3.5
1650
3.8
1800
4.2
1950
4.6
2100
4.9
Plot the work-rate of your subject against his or her heart rate on the graph on the next
page. Try to use as much of the page as possible which will improve accuracy in
determining the predicted VO2 max.
The oxygen cost of stationary cycling can also be calculated from the following formula.
Note that to get VO2 max you will need to use the predicted maximum work-rate. You
can estimate the maximum workrate from the graph, this is not the highest workrate your
subject worked at, this is a sub-max test remember.
VO2 max from graph __________ l/min and _____________ml/kg/min
VO2 (ml/min) = {3.5 (ml/kg.min) x mass (kg)} + {2 (ml/kg.m) x workrate (kg.m/min)}
VO2 max from equation __________ l/min and _____________ml/kg/min
Fitness Classification (see table in lab manual) : ___________________
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Data Sheet for Wingate Bike Test
Name of Subject:____________________
Body Weight _______ kg X 0.075 = Prescribed Force Setting = _______ kp
Toe Clips: Yes or No ______________
Time Intervals (5s)
0-5
5-10
Actual Force Setting _________ kp
10-15
15-20
20-25
25-30
Total
Number of Pedal
Revolutions
Circle the maximum number of revolution from the 5-second intervals.
Refer to the lab manual about the Wingate test for an explanation on these equations.
Peak-AnP (Watts) = (Rmax in 1 sec) X D/r (m) X F (kg) X g (ms-2)
Peak Anaerobic Power
___________________
Watts
Relative Peak Anaerobic Power
___________________
Watts/kg
AnC (Watts) = (total Revs in 30 sec)/30sec X 6 (m) X F (kg) X g
Anaerobic Capactiy
___________________
Watts
Relative Anaerobic Capactiy
___________________
Watts/kg
FI (%) = Highest # of revolution - Lowest # of revolutions x100
Highest # of revolution
Fatigue Index
____________________
%
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