Exam 3: Fitness Assessments

Subjective Information

• what the client tells us

• includes the Par-Q and health history

• the purpose is to identify if an exercise program would be beneficial 

  • it also helps with shaping the exercise program 

Objective Information

• data we observe and measure

• includes physiologic measurements, body comp, posture/movement assessments, cardiorespiratory tests, and performance 

Heart Rate 

• purpose is to determine cardiovascular health

• feel pulse at carotid or radial artery and count beats for 15 seconds and then multiply by 4 

  • normal values for RHR is 60-80 bpm 

Davies test 

• purpose is to measure baseline upperbody stability and agility 

• the procedure is arms are 36 inches apart and feet together then alternate tapping hands for 15 seconds, AMAP

• Values: healthy college aged student scored between 20 and 30 touches

plank

• purpose: core stability

• procedure: Hold plank for as long as possible keeping ear, shoulders, and hips in line. 2 corrections or falling is the end of the test.

• Values:

y-balance

• purpose: lower body stability (balance)

• procedure: 3 reaches (anterior reach, posterolateral, posteromedial), measure them all and determine the difference of anterior reach

• values: bigger the number the better dynamic postural control they have

  • when comparing anterior reach if there is greater than a 4 cm differece there is increased risk for lower extremity injury

  • if composite score is less than 0.89 they are at risk for injury

    • how to do composite score?

Push-ups 

• purpose: test local muscle endurance

• procedure ACSM standard: women on knees and men on feet, chest coming down to fist height or foam roller/water bottle for women

  • no breaks, AMAP

• Values:

  • women: fair (10-14) excellent (30+)

    • men: fair (17-21) excellent (36+)

Triple hop 

• purpose: determine lower extremity injury risk (unilaterally) and power 

• Procedure: on one leg hop 3 times covering as much distance as possible

  • values: when comparing legs take the smaller number and put it over the bigger number, you want the value to be over 85%

Overhead squat

• purpose: looking at dynamic flexibility and postural strength

• procedure: tell them to squat 5 times with their feet inline and arms up with elbows next to their ears 

• values: [positive or negative] testing for feet out (MTP and medial malleolus), knees in (ASIS, patella, medial malleolus) excessive forward lean (shins and back must be parallel), low back arch (increasing angle of vertebrae), anterior pelvic tilt (bucket spilling water) 

Single leg squat 

• purpose: testing flexibility and strength 

• procedure: put hands on hips, balance on one leg, squat down 5 times 

• values: [positive or negative] knee in (asis, patella, medial malleolus), loss of balance (touch down with another foot), uncontrolled trunk (extra movement) 

Heel elevated modified OH squat

• purpose: when it is possible an ankle problem

• procedure: squat like normal with heels elevated

  • What it means: if the shins and spine stay parallel when fixing the heels then increasing dorsiflexion will also help

Hands on hips modified OH squat 

• purpose: use when someone has lower back arch 

• procedure: squat 5 times with hands on hips 

• Value: if the squat is improved then the problem is the shoulder extenders (lat dorsi/scapula) or glenoid humeral joint 

what to do when testing positive for foot out

• tibial ER

  • overactive: lateral hamstring

  • underactive: medial hamstring

• Restricted DF (stuck in PF)

  • overactive: gastroc/soleus

  • underactive: tibialis anterior

knees in compensation 

hip adduction 

• overactive: adductors

• underactive: glute med

hip IR