Exercise Testing

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Exercise Testing

  1. 1. Exercise Science Exercise Testing
  2. 2. Exercise Testing <ul><li>Why Perform Exercise Testing? </li></ul><ul><ul><ul><li>Assess current levels </li></ul></ul></ul><ul><ul><ul><li>Aid in prescription </li></ul></ul></ul><ul><ul><ul><li>Identification of need </li></ul></ul></ul><ul><ul><ul><li>Establish goals </li></ul></ul></ul><ul><ul><ul><li>Evaluate progress </li></ul></ul></ul>
  3. 3. Exercise Testing <ul><li>What Should Be Tested? </li></ul><ul><ul><ul><li>Cardiovascular (resting & exercise) </li></ul></ul></ul><ul><ul><ul><li>Muscular Endurance </li></ul></ul></ul><ul><ul><ul><li>Muscular Strength </li></ul></ul></ul><ul><ul><ul><li>Flexibility </li></ul></ul></ul><ul><ul><ul><li>Body Composition </li></ul></ul></ul>
  4. 4. Exercise Testing <ul><li>Cardiovascular (resting) </li></ul><ul><ul><ul><li>Resting Heart Rate (RHR) </li></ul></ul></ul>
  5. 5. Exercise Testing <ul><li>Cardiovascular (resting) </li></ul><ul><ul><ul><li>Resting Blood Pressure </li></ul></ul></ul>
  6. 6. Exercise Testing <ul><li>Cardiovascular (exercise) </li></ul><ul><ul><li>All Field Test Sub-maximal (85% Heart Rate Reserve) </li></ul></ul><ul><ul><li>Rating Perceived Exertion (RPE) </li></ul></ul><ul><ul><ul><li>3 Minute Step Test </li></ul></ul></ul><ul><ul><ul><li>Bike Tests </li></ul></ul></ul><ul><ul><ul><li>Treadmill Tests </li></ul></ul></ul><ul><ul><ul><li>1 ½ Mile Walk/Run </li></ul></ul></ul><ul><ul><ul><li>12 Minute Walk Run </li></ul></ul></ul><ul><ul><ul><li>Rockport Walking Test </li></ul></ul></ul>
  7. 7. Exercise Testing <ul><li>The Karvonen Method </li></ul><ul><li>Step 1: Figure out Predicted Maximum Heart Rate </li></ul><ul><li>220 - Your Age =__________ </li></ul><ul><li>Example: Joe, 25 years old </li></ul><ul><li>220 - 25 = 195beats/minute </li></ul>
  8. 8. Exercise Testing <ul><li>Step 2: Determine your Resting Heart Rate </li></ul><ul><li>Seated, find your pulse either using the carotid artery in the </li></ul><ul><li>neck or the radial artery in the lower arm. </li></ul><ul><li>Count the number of beats you feel in one minute. </li></ul><ul><li>Resting Heart Rate __________ </li></ul><ul><li>Example: Joe </li></ul><ul><li>60 beats/minute Resting Heart Rate </li></ul>
  9. 9. Exercise Testing <ul><li>Step 3: Insert both of the above results in the Karvonen formula. </li></ul><ul><li>Predicted Maximum Heart Rate - Resting Heart Rate (.85) + Resting Heart = </li></ul><ul><li>___________ Sub-max Cut off </li></ul><ul><li>Example: Joe </li></ul><ul><li>[195-60](.85)+60 =Sub-max Cut off </li></ul><ul><li>Sub-max Cut off: </li></ul><ul><li>195 - 60 = 135 135 (.85) = 114.75 </li></ul><ul><li>114.75 + 60 = 174.75 or 175 beats/min </li></ul>
  10. 10. Exercise Testing <ul><li>Borg Scale of Perceived Exertion </li></ul><ul><li>Maximum Exertion (maximal) </li></ul><ul><li> 10 Very Very Hard (strong) </li></ul><ul><li>9 . </li></ul><ul><li>8 . </li></ul><ul><li>7 Very Hard (strong) </li></ul><ul><li>6 . </li></ul><ul><li>5 Hard (strong) </li></ul><ul><li>4 Somewhat Hard (strong) </li></ul><ul><li>3 Moderate </li></ul><ul><li>2 Light (weak) </li></ul><ul><li>1 Very Light (weak) </li></ul><ul><li> 0.5 Very Very Light (weak) </li></ul><ul><li>0 No Exertion (Not </li></ul>
  11. 11. Exercise Testing <ul><li>Muscular Endurance </li></ul><ul><ul><ul><li>Push-up Test </li></ul></ul></ul><ul><ul><ul><li>1 Minute Sit-up Test </li></ul></ul></ul><ul><ul><ul><li>Abdominal Crunch Test </li></ul></ul></ul><ul><ul><ul><li>Bench Press Test – 60bpm, 35lbs (women) 80lbs (men) </li></ul></ul></ul>
  12. 12. Exercise Testing <ul><li>Muscular Strength </li></ul><ul><ul><ul><li>Isometric Strength Tests </li></ul></ul></ul><ul><ul><ul><li>Isokinetic Strength Tests </li></ul></ul></ul><ul><ul><ul><li>Dynamic Strength Tests </li></ul></ul></ul><ul><ul><ul><ul><li>1 Repetition Maximum </li></ul></ul></ul></ul><ul><ul><ul><ul><li>Predicted 1 Repetition Maximum </li></ul></ul></ul></ul>
  13. 13. Exercise Testing <ul><li>Flexibility </li></ul><ul><ul><ul><li>Sit & Reach Test </li></ul></ul></ul><ul><ul><ul><li>Straight Leg Test </li></ul></ul></ul><ul><ul><ul><li>Trunk Extension Test </li></ul></ul></ul><ul><ul><ul><li>Back Scratch Test </li></ul></ul></ul>
  14. 14. Exercise Testing <ul><li>Body Composition </li></ul><ul><ul><ul><li>Hydrostatic Weighing </li></ul></ul></ul><ul><ul><ul><li>Calipers </li></ul></ul></ul><ul><ul><ul><li>Bio-Impedance </li></ul></ul></ul><ul><ul><ul><li>Body Imaging </li></ul></ul></ul>
  15. 15. Exercise Testing <ul><li>Body Composition Cont… </li></ul><ul><ul><ul><li>Body Density (see Formula) </li></ul></ul></ul><ul><ul><ul><li>Body Mass Index (BMI) </li></ul></ul></ul><ul><ul><ul><li>BMI = Weight(kg) </li></ul></ul></ul><ul><ul><ul><li>Height(m 2 ) </li></ul></ul></ul><ul><li>Example: Joe </li></ul><ul><li>weight lbs: 165lbs ÷ 2.2 = 73kg </li></ul><ul><li>Height in: 68in x 2.54 ÷ 100 = 1.727 or 1.73m </li></ul><ul><li>73kg ÷ (1.73m) 2 BMI = 24 </li></ul><ul><li>73kg ÷ 2.99m 2 = 24.4147kg/m 2 Rating: Desirable </li></ul>
  16. 16. Exercise Testing <ul><li>Body Composition Cont… </li></ul><ul><ul><ul><li>Waist to Hip Ratio </li></ul></ul></ul><ul><ul><ul><li>Android Obesity = High Waist/Low Hips </li></ul></ul></ul><ul><ul><ul><li>Gynoid Obesity = Low Waist/High Hips </li></ul></ul></ul><ul><li>Example: Joe </li></ul><ul><li>Waist = 31in </li></ul><ul><li>Hips = 38in 31in ÷ 38in = .81578 waist/Hip </li></ul>High Risk 0.85+ 1.0+ Moderate Risk 0.81 to 0.85 0.96 to 1.0 Low Risk 0.80 or below 0.95 or below Health Risk Based Solely on WHR Female Male Waist to Hip Ratio Chart
  17. 17. Exercise Testing <ul><li>Body Composition Cont… </li></ul><ul><li>Ideal Body Weight = LBM . </li></ul><ul><li> 1-Desired %age Body Fat </li></ul><ul><li>Example: Joe </li></ul><ul><li>Weight = 175lbs LBM = 175lbs – 35lbs = 140lbs </li></ul><ul><li>% BF = 20% </li></ul><ul><li>Fat Mass = 35Lbs 140lbs = 164.7lbs (165Lbs) </li></ul><ul><li>D%ageBF = 15% 1 - .15 </li></ul>
  18. 18. Exercise Testing <ul><li>Consultation </li></ul><ul><ul><ul><li>Review Results </li></ul></ul></ul><ul><ul><ul><li>Needs </li></ul></ul></ul><ul><ul><ul><li>Wants </li></ul></ul></ul><ul><ul><ul><li>Goals </li></ul></ul></ul><ul><ul><ul><li>Availability </li></ul></ul></ul><ul><ul><ul><li>Prescription of Exercise </li></ul></ul></ul><ul><li>Follow-Up Testing – ACE : 4 to 12 Weeks </li></ul><ul><li>(8 to 10 weeks) </li></ul>
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