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Final clinical
Question | Answer |
---|---|
how should you introduce yourself | hi I am Grace quinn and i am a student kinesiologist |
what do you need to confirm with client | first and last name and preferred pronouns/name |
rationale for 6 minute walk test | test that allows us to see what VO2 max, which is your body's ability to use oxygen |
when should client inform of symptoms? what symptoms should they inform? | any symptoms should report, any pain, shortness of breath, etc. |
alternatives to 6mwt | any other submax test, ex. astrand-rhyming cycle, single stage submax treadmill walking test |
what can client use in 6mwt that they can't in others | walking aids |
should a warmup be performed prior to 6mwt | no |
how long should client rest in chair before begining 6wmt | 10 minutes |
what should be checked during rest period of 6mwt | bp, hr, make sure clothes and shoes are comfortable, check contraindications |
contraindications for 6mwt | very high bp, recent heart attack |
client should rate what at end of rest period 6mwt | baseline breathlessness and fatigue on borg scale |
what scale should be rated on 6mwt | borg |
demonstration of what occurs in 6mwt | single lap around cones |
should you walk with client in 6 mwt | no |
what do you need to inform client of you will be doing during test | taking notes on clipboard/laptop |
what do you need to be careful of during 6mwt | encouraging tone |
should client finish their last lap | no, should mark it with a piece of tape |
what should be recorded post 6mwt | dysapnea and fatigue |
can client stop during 6mwt test | yes but they cannot sit down |
rationale for astrand rhyming/sub max cycle ergometry test | test that allows us to see what VO2 max, which is your body's ability to use oxygen |
alternatives to astrand rhyming | other submax tests, 6mwt, single stage submax treadmill walking test |
what should be checked before any submax test | contraindications for exercise testing and completed get active questionaire |
what conditions need to be met before any submax test | comfortable clothes and shoes, no alcohol, tobacco, caffeine before, adequate sleep, no strenuous exercise, hydrated |
explain borg RPE scale | scale from 6-20 of how hard you feel whole body is working. select 1 number at particular time, you can also use descriptors no right or wrong answer |
how long should client rest before astrand rhyming | 5 minutes |
what should record at end of rest period astrand rhyming | hr bp rpe |
where should hr bp and rpe be taken again for baseline in astrand rhyming | on bike in posture of exercise |
what cadence does client maintain in first stage | 50 rpm |
men first stage work output astrand rhyming | 300, 600, 900 |
women first stage work output astrand rhyming | 300, 450, 600 |
how often should hr be take in astrand rhyming | each minute after 2 minute mark |
when should bp be taken during astrand rhyming | after 3rd minute |
which hr minutes should be used for VO2 max calculations in astrand rhyming | 5th and 6th |
what is the max difference in HR for VO2 max calculations in astrand rhyming | 6 bpm |
how long are warmup and cool down astrand rhyming | 3 minutes |
what to do if difference is more than 6 bpm in astrand rhyming and sstwt | keep going for another minute and remeasure |
when should you take bp hr and rpe after main test period in astrand rhyming and sstwt | end of active and passive recovery |
how long is passive recovery astrand rhyming | 3 minutes |
rationale for sstwt | tests vo2max, measure of how well body uses oxygen |
alternatives to sstwt | astrand rhyming, 6mwt, any of submax test |
when should you first measure hr, bp and rpe for sstwt | end of 5 minute chair sit at beginning |
second time for baseline hr, bp and rpe sstwt | before beginning walk in posture of exercise |
what do you need to remember to attach to client sstwt | safety device |
what hr do we want to see in sstwt | 50-70% of HRmax |
HRmax | 220--age |
recommended walking speed sstwt | 3.4-4 |
what should you do after first minute if HR is not in proper range sstwt | increase speed |
how long is warmup before 3rd measure of vitals sstwt | 4 minutes |
how much should you increase grade after warmup sstwt | 5% |
should you increase speed after warmup sstwt | not if HR is in proper range |
when should you measure HR after grade is increased sstwt | each minute |
Which minute hrs are used for vo2max sstwt | 3rd and 4th |
what does active cooldown look like sstwt | 0% grade, less than 3.2 speed |
what should clients be reminded of before starting a submax test | tell me if any discomfort or symptoms, want to stop |
can you stop during astrand rhyming or sstwt | no, terminates test |
during rockport fitness test can you walk, jog or run | only walk |
rationale for rockport fitness | test vo2max |
alternative to rockport fitness | any other submax test |
what does client need to be taught how to during field testing | take radial pulse |
teach client to take radial pulse | take first two fingers, put on wrist underneath thumb, may take some trial and error to find exactly where the artery is. count beats for 30 secs and multiply by 2, norm should be between 60-100 bpm at rest |
baseline data for field testing | age, weight, height, hr, rpe |
describe warmup for field testing | 5 min general, 5 min dynamic stretching |
general warmup includes | jogging, jumprope, cycling |
dynamic stretching includes | high knees, walking lunges, inchworms, walking knee tucks, butt kicks |
rockport fitness records | how long it takes for client to walk 1 mile to hundredth of a second |
what should be checked immediately following completion of field testing | rpe and hr |
what is cooldown for field testing | 5 minutes active walking |
what should you reasses after field testing cooldown | rpe and hr |
rationale for beep test | asses vo2 max |
alternative to beep test | any submax test |
when should participant stop beep test | when they are unable to keep pace with audio recording or miss 3 meter mark 3 consecutive times |
overview beep test | run back and forth between outer cones, will hear beeps, signalling when to go, start when hear level 1, 1, keeping pace with audio recording, will be taking some vitals before and after |
overview rockport fitness | walk as fast as you can 1 mile/1.6 km around track, will be taking some vitals before and after |
overview astrand rhyming | multistage cycling test, start w a warmup, then increase resistance, then do cool down, will be taking some vitals throughout |
overview sstwt | walk on treadmill, will increase grade at one point, will be taking some vitals throughout |
rationale maximum handgrip strength test | tests upper body strength, important for adls |
overview maximum handgrip strength test | give you this called dynamometer, squeeze as hard as you can, do twice on both hands |
what should you make sure to specify when doing maximum handgrip strength test | breath out when squeezing and look straight ahead |
how much rest between each hand maximum handgrip strength test | 1 minute |
which value should you use for results maximum handgrip strength test | highest |
1-RM leg extension rationale | test lower body strength |
overview 1-RM leg extension | gonna extend knees, starting with weight you believe you can lift 6-10 times, increase if you successfully complete 10 reps |
1-RM leg extension set up | clients back against back rest, leg pad on shins just above ankle, knees at 90 degrees |
initial weight 1-RM leg extension | within clients perceived capacity |
if 10 reps completed, increase by how much 1-RM leg extension | 10-20% |
when is 1-RM leg extension terminated | if client cannot complete 10 reps or have tested 4x |
how long between trials 1-RM leg extension | 3 minutes |
push up test rationale | tests muscular endurance |
overview push up test | start in push up position (depending on gender), do as many push ups as you can w/out breaking form, meaning keep back straight, stomach does not touch mat and return to straight arms a top |
when should you terminate push up test | when client needs to rest or breaks form for 2 consecutive repitions |
static and countermovement jump test rationale | help test muscular power |
overview static and countermovement vertical jump test | gonna do a warmup, then 2 types of jumps 3x that i will demonstrate before we do them |
describe warmup static and countermovement jump test | 5 minutes general, 5 minutes dynamic stretching, 5 minutes vertical jump specific |
describe how to get baseline height measure static and countermovement jump test | set up vertical challenger, have client reach with dominant hand with both feet on floor, highest vein they can reach is base measure |
describe static jump | stand with feet hip width apart, squat so thighs are parallel w floor, hold for 3 secs, jump as high as you can, extending entire body, swinging arm up to hit highest vein you can |
how many static and countermovement jumps | 3 w/ 2 minute rest period |
describe countermovement jump | stand w feet hip width apart, instead of holding for 3 secs like in previous, bend down to that position from before and swing arms back before extending as you did in static jump |
one leg stance rationale | helps asses balance, ability to control com in relation to base of support, crucial for adls |
overview one leg stance | cross arms over chest, pick up one leg without touching other ankle, try to balance up to 45 secs or as long as can, we will do both legs and eyes open/closed trials |
what should client be during one leg stance and y balance | bare foot |
how many trials per leg one leg stance | 4, 2 for open and closed eyes |
what terminates one leg stance test | uncrossing arms, moving base or raised leg, max time reached |
berg balance scale rationale | helps assess balance, evaluate response to treatment, screen for functional independence, walking aid necessity, fall risk |
berg balance scale overview | do 14 different tasks, ill give specific directions before each, will be doing some scoring to help assess risk |
y balance rationale | helps assess dynamic balance, ability to control center of mass as it moves outside base of support |
y balance overview | do a warmup, stand in the center of this, push the block as far as you can in each direction on each foot, ill give you some practice trials |
hand should be ___ y balance | on hips |
how many pratice trials per foot per direction y balance | 4 |
how many tests per foot per direct y balance | 3 |
what results in failed attempt y balance | foot being placed down before returning to starting position, foot leaving reach indicator or touching top of block |
sit and reach rationale | helps asses hamstring and lower back flexibility |
sit and reach overview | short warmup, put feet against this with legs extended, hands one on top of the other extended and reach as far as you can without bending knee, lean head down while doing it and exhale |
how many times should you do sit and reach | 2 times |
30 second arm curl rationale | helps assess upper body strength that is crucial to everyday activities, such as lifting groceries |
30 second arm curl overview | sit in chair, with dominant hand have a dumbbell, do as many bicep curls as you can in 30 seconds, fully flexing and extending, i will count |
30 second arm curl client position beginning | sit in chair without arm rests, back straight, feet flat on floor, dumbbell in dominant hand, fully extended |
where should you be positioned 30 second arm curl | kneeling next to client's hand with dumbbell, 2 fingers on bicep (get permission) |
why do you put fingers on bicep 30 second arm curl | to make sure the client is fully completing bicept curl |
2 minute step in place rationale | assess aerobic endurance, which is crucial to independent function |
2 minute step in place overview | take a measurement to see the steping height for you, then just gonna step as many times as you can in 2 minutes, both knees must go above the taped line, i will be counting |
2 minute step in place tape height measurement | measure between iliac crest and patella, halfway between is step height |
can the client rest during 2 minute step in place | yes |
what terminate 2 minute step in place | client asks to stop, cannot maintain height, client cannot keep balance |
what should client do after 2 minute step in place | 5 minute cooldown |
should there be a pratice test 2 minute step in place | yes, before testing day |
timed up and go test rationale | assess agility and dynamic balance, important for functional independence |
timed up and go test overview | start sitting in chair, get up, walk to marker, turn around, walk back to chair and sit down, i am going to time you, go at normal pace |
should you demonstrate timed up and go test | yes |
why should you stay close to client during timed up and go test | if they lose balance |
what do you need to be careful of during timed up and go test | not setting the clients pace while staying close by |
can client us gait aid during timed up and go test | yes |
should client be barefoot during timed up and go test | no, wearing normal shoes |
30 second sit to stand rationale | assess lower body strength and functional balance |
describe chair 30 second sit to stand | chair without arm rests, against wall |
30 second sit to stand overview | start seated in chair, arms crossed across chest, legs shoulder width apart and a bit staggered, stand up fully and sit down fully without using hands as many times as you can in 30 seconds |
sitting to rising test rationale | assess flexibility, balance, trunk strength and mobility |
sitting to rising test overview | start standing w feet hip width apart, sit down on the ground criss cross applesauce, stand back up using least amount of support you believe is necessary, do not worry about speed |
should you demonstrate sitting to rising test | yes |
does client get pratice trials in sitting to rising test | yes |
should the client be barefoot in sitting to rising test | yes |
a loss of one point sitting to rising test because of | using hand, forearm, knee or side of leg |
a loss of half a point sitting to rising test because of | loss of balance |
6mwt what should be checked after | spo2, hr, bp |