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Fitness Testing General Considerations

Fitness Testing General Considerations. Purpose. Education Exercise Prescription Evaluation of progress Motivation Risk stratification. Risks. Peak or symptom limited testing Risk of death – 1/10,000 Risk of MI – ½,500 Risk of hospitalization – 1/500. Risks. Submaximal testing

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Fitness Testing General Considerations

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  1. Fitness TestingGeneral Considerations

  2. Purpose • Education • Exercise Prescription • Evaluation of progress • Motivation • Risk stratification

  3. Risks • Peak or symptom limited testing • Risk of death – 1/10,000 • Risk of MI – ½,500 • Risk of hospitalization – 1/500

  4. Risks • Submaximal testing • None reported

  5. Safety • Site • Posted emergency plans • Posted emergency numbers • Announced and unannounced drills • Safe & expeditious exits

  6. Safety • Equipment • Written maintenance procedures • Maximal visual supervision • Written cleaning procedures

  7. Safety • Personnel • Certification • Training

  8. Test Order • Resting measures • Body composition • Cardiorespiratory fitness • Muscular fitness • Flexibility

  9. Test Termination • Desired end points • Signs & symptoms • Equipment failure • Subject asks to stop

  10. Indications for Stopping an Exercise Test in Low-Risk Adults • Angina-like symptoms • Drop (20 mmHg) in systolic BP or a failure to rise • Excessive rise in BP • systolic pressure > 260 mmHg • diastolic pressure > 115 mmHg • Signs of poor perfusion • light-headedness, confusion, ataxia, pallor, cyanosis, nausea, or cold & clammy skin

  11. Indications for Stopping an Exercise Test in Low-Risk Adults • Failure of HR to ↑ • Noticeable Δ in heart rhythm • Subject requests to stop • Physical or verbal manifestations of severe fatigue • Failure of the testing equipment

  12. Interpretation of Results • Data Reduction • Test & client specific • Normative data • Test, age, gender, Hx • SEE • Repeated assessments • Consistent procedures • Adequate time b/n tests

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