The document outlines an agenda for a FUNfitness Training that includes an overview of Healthy Athletes, leadership and communication, schedules, uniforms, the FUNfitness station breakdown, and next steps. It provides details on the purpose and impact of Healthy Athletes screenings, the leadership team, work schedules, uniforms and credentials, the FUNfitness screening stations which assess flexibility, strength, balance and aerobics, and how to complete the Healthy Athletes Software form.

1. FUNfitness Training
June 2015

2. Agenda
Healthy Athletes Overview
FUNfitness
Leadership and Communication
Schedules, Uniforms, & Credentials
FUNfitness Station Breakdown
Checkout
What’s next?
Contact Information

3. HONORED GUESTSMedical Services Scope

4. HONORED GUESTS
Purpose
• Healthy Athletes is a Special Olympics program that provides free health screenings in
a fun, welcoming environment that removes the anxiety and trepidation, to people with
intellectual disabilities.
• The impact on the health and well-being of Special Olympics athletes around the world
is great, in some cases saving lives by discovering unknown health issues or providing
health care that otherwise would not be available.
• Increase health care professionals’ knowledge and compassion for people with
intellectual disabilities who then go back to their practices to spread the knowledge.
• Special Olympics Healthy Athletes is the largest global public health organization
specifically for people with intellectual disabilities, providing more then 1.3 million
screenings to Special Olympics athletes worldwide.
BRAND
STANDARDS
Healthy Athletes
I promise to give of the time in my life, so that Special Olympics athletes can have the time of their lives.
I promise to support Special Olympics not just as an expression of charity, but as a form of respect for my
fellow human beings.
I promise to spread the word of volunteerism because in giving, I receive so much more in return.
- Volunteer

5. HONORED GUESTSHealthy Athletes Disciplines
Location of all Disciplines:
University of Southern California, McCarthy Quad
Sunday, July 26th – Saturday, August 1st
11am to 7pm

6. Overview of Healthy Athlete Disciplines
• Fit Feet: Volunteers work with athletes to evaluate problems of the feet,
ankles and lower extremity biomechanics.
• FUNfitness: Volunteers improve an athletes flexibility, functional strength,
aerobic capacity and balance.
• Health Promotion: Volunteers use educational tools and literature to
heighten the awareness of athletes, reinforcing the need to improve and
maintain wellness and self-care.
• Healthy Hearing: Volunteers provide ear screenings.
• Opening Eyes: Volunteers provide eye assessments and corrective lens
or sunglasses to athletes.
• Special Smiles: Volunteers provides dental screenings, personal oral
hygiene instruction, sport mouth guards, and fluoride varnish treatment.
• MedFest (Sports Physicals): Volunteers offer physical exam to who
haven’t completed one yet prior to participating in LA2015.

7. Overview of the Healthy Athletes FUNfitness
Objective
• Improve athletes’ ability to train and compete in Special Olympic and
improve the overall fitness of people with intellectual disabilities.
• Train health care professionals, students and others about the needs and
care management of people with intellectual disabilities.
• Collect, analyze and disseminate data on the health and fitness status and
need of people with intellectual disabilities.
Expected Traits of the Team
• Reliable
• Knowledgeable
• Remain calm under pressure
• Detail Orientated
• Intuitive

8. HONORED GUESTSBRAND
STANDARDS
Leadership and Communication
Vicky Tilley
Global Clinical Advisor
Donna Bainbridge
Global Clinical Advisor
Dan Farwell, PT
Lead Clinical Director
Yuki Kubo, PT
Director of Healthy Athletes
Janet Rodriguez
Director of Healthy Athletes

9. Work Schedules & Uniforms & Credentials
• PLEASE PLAN AHEAD AND ARRIVE ON TIME! Screenings cannot start without
volunteers. Late arrivals will have a negative impact on the athlete experience and
our operation.
• All volunteers should arrive 75 minutes prior to the daily 11AM start time. This
will allow you time to park and travel to the McCarthy Quad from the designated
parking structure. Upon arriving, all volunteers must check in at the Workforce
Check-in station by 10:15AM and attend a mandatory daily discipline briefing, which
will begin at 10:30AM sharp.
Volunteer ID, Credential, Uniform and Parking Pass pick-up:
• You will get an email with additional information and day/time options to pick up your
credentials, uniforms, parking passes.
• Volunteers must pick up their credentials, uniforms and parking passes during their
assigned day. These materials must be picked up at the UDAC (Uniform
Distribution and Credentialing Center) located at:
HERBALIFE
18431 Wilmington Ave
Carson, CA, 90746
• You must wear your uniform and credentials at all times during your volunteer duties.

10. Work Schedule
PLEASE REFERENCE THE DAILY SCHEDULE:
9:45 AM – Park at designated parking structure.
10:15 AM – Volunteers must first visit the “Workforce Check-in” station, which is located to the
south of the Doheny Library stairs. Volunteers will receive their meal vouchers and other required
materials here.
10:25 AM – Check-in with lead clinical directors at the discipline tent and attend the mandatory
daily discipline briefing, which will prepare you for your daily tasks and duties and allow you to
meet your Clinical Director for that day.
11:00 AM – All volunteers must be in position to begin their daily duties/assignments. Athletes will
begin to arrive for screenings at 11AM sharp.
12:00 PM Lunch Break - Volunteers will begin to rotate lunch breaks; the order of these rotations
will depend on your particular assignment and clinical circumstances.
Lunch breaks will be 45 minutes in duration. Your lunch can be picked up at the Workforce Dining
Area, located in Founders Park; be sure to have your meal voucher ready to present at the dining
area. Volunteers must also eat their meal at the Workforce Dining area and are NOT permitted to
eat their meal in the Healthy Athletes screening area.
7:00 PM – All screenings are schedule to be completed by 7:00 PM and the clinical director will
hold a quick debriefing before adjuring volunteers.

11. HONORED GUESTSBRAND
STANDARDS
FUNfitness Screenings
(Check-In)
• Functional Status-Altitude
• Disease or Injury
• Flexibility
• Functional Strength
• Balance
• Aerobics Fitness Test
• Physician Recommendation
• Education Station
(Check-Out)

12. HONORED GUESTSHAS Form
• Each athlete will have a HAS (Healthy Athletes
Software) form.
• This form is used to capture screening data across all
Healthy Athletes disciplines.
• Personal details at the top of the form will be filled out
by general volunteers on check in to Health Promotion.
• You will fill out the form for your own section then pass
the form to the athlete when moving on.
• Do not give the form back to athlete at check out
station.

13. HONORED GUESTSBRAND
STANDARDS
Functional Status-Altitude
• Functional Status may affect outcomes
• Altitude may impact O2 Saturation
Questions:
1. Uses Wheelchair
2. Uses Assistive Device
3. Wears Splint to Brace
4. Altitude

14. Disease or Injury
• May impact outcomes or ability to perform
• May indicate referral to Primary Care Provider
Questions:
1. Problems with breathing, heart, circulation, pain, sprain, strain,
skin
2. Have you fallen in your home in the last year?

15. Flexibility
Exams:
1. Hamstring Muscles
- Passive Knee Extension
2. Calf Muscles
- Passive Dorsiflexion
3. Anterior Hip Muscles
- Modifies Thomas Test
4. Shoulder Rotator Muscles
- Apley’s Test

16. Flexibility
Hamstring Muscles
• Position athlete supine on table
• Position one leg flat on table
• Bend other leg to 90°hip and 90° knee
• Hold hip at 90° flexion
• Perform passive knee extension
• Measure angle formed by lateral femur and fibula using
goniometer
• Record both sides on HAS Score Sheet
• Education” is a professional decision
- Is the ROM acceptable for age and task or sport?
• Check Education Box if:
- Between -90 and -16° or
- Asymmetry

17. Flexibility
Hamstring Muscles
• Full extension = 0 degrees.
• Less than full extension is NEGATIVE degrees (tightness) (ex: -
20°)
• More than full extension is POSITIVE degrees (hyperextension)
(ex: +5°)
• Measure/record both sides on HAS form:
HAMSTRING - supine (passive) knee extension
Left ____ degrees Right ____ degrees
 Unable to test because athlete:
O Refused to perform O Unable to perform O Unable to understand
 Education
Between -90 and -15 or asymmetry

18. Flexibility
Calf Muscles
• Position athlete supine on table, have athlete take shoes off
• Perform passive dorsiflexion by applying downward force on
heel, then moving foot into dorsiflexion
• Measure degree of actual dorsiflexion, not forefoot motion
• Goniometer arms on fibula, and parallel to 5th metatarsal
• Measure/record both sides
• Education is a professional decision
• Acceptable for age and task or sport?
• Check Education Box if:
• Less than +10°or
• Asymmetry
CALF - supine (passive) ankle dorsiflexion
Left ____ degrees Right ____ degrees
 Unable to test because athlete:
O Refused to perform O Unable to perform O Unable to understand
 Education
Less than +10o or asymmetry

19. Flexibility
Calf Muscles
• Neutral is 90° angle – this is noted as 0°
• Range into dorsiflexion is positive (+)
• Less than neutral position equals negative (-)
- They are plantarflexed
• Educate if less than +10° of dorsiflexion

20. Flexibility
Anterior Hip Muscles
• Position athlete supine.
• Bend both knees toward the chest into bilateral hip flexion
• Hold one hip flexed to 90° degrees
• Passively lower the other leg until pelvis begins to rotate anteriorly
• Measure angle between table and lateral femur
• Record measurement on both sides
• Full extension to table = 0
• Any Flexion = negative (-)
• Measure/record both sides

21. Flexibility
Anterior Hip Muscles
• Education is a professional decision
- Acceptable flexibility for age and task or sport?
• Check Education Box if:
- Greater limitation than - 10 degrees, or
asymmetry
ANTERIOR HIP - Modified Thomas Test
Left ____ degrees Right ____ degrees
 Unable to test because athlete:
O Refused to perform O Unable to perform O Unable to understand  Education
Between -90 and -10o or asymmetry

22. Flexibility
Shoulder Rotator Muscles
Measure distance:
• Between INDEX fingers
• To nearest ½ cm
• If fingertips touch, score is“0”
Fingers do not touch:
Record distance between fingers
as a NEGATIVE number
(i.e. –15 cm)
Fingers Overlap:
Distance between index fingertips
is recorded as POSITIVE number
(i.e.+5 cm)

23. Flexibility
Shoulder Rotator Muscles
• Can be done standing or sitting
• Upper arm (Left or Right) is the reference side
• Measure distance between index fingertips
• Instruct the athlete to “try to touch your index fingers together”
• Measure and record BOTH sides whether:
• Fingertips are separated by a distance
• Fingertips touch each other, or
• Fingertips overlay each other
• Education is a professional decision
• Acceptable flexibility and symmetry for age and task or sport?
• Check Education Box if:
• Limitation is > 15 cm, or
• Asymmetry

24. Functional Strength
Exams:
1. Leg Muscles
- Timed - Stands Test
2. Abdominal Muscles
- Timed Partial Sit-up Test
3. Forearm and Hand Muscles
- Grip Test
4. Triceps, Shoulder and Scapular Muscles
- Seated Push-Up Test

25. Functional Strength
Leg Muscles = Timed - Stands Test
• Athlete sits in straight-back chair
– Arms flexed 90° at elbow
• Instruct the athlete to “stand from sitting, then sit down
again, without using your arms. Repeat 10 times as quickly
as possible”
• Record time to do 10 sit-to-stand maneuvers
• Record time to nearest ½ second
– <20 seconds is acceptable.
– ≥ 20 seconds or inability to complete 10stands = Check
Education
LEG MUSCLES - Timed Stand Test (Functional Leg Strength)
Time _________ seconds
 Unable to test because athlete:
O Refused to perform O Unable to perform O Unable to understand  Education
>20 seconds

26. Functional Strength
Abdominal Muscles= Timed Partial Sit-Up Test
• Athlete lies supine
– legs on bench/chair or exercise ball
– arms extended in front of body
• Time sit-ups for 60 seconds or until athlete completes 25
• Scapulae must clear the mat
• Head must go back to mat with each try
• 25 curl-ups is acceptable
• <25 curl ups = Check Education Box
ABDOMINAL MUSCLES - Partial Sit-up Test
Number_________
 Unable to test because athlete:
O Refused to perform O Unable to perform O Unable to understand Education
< 25 in 1 minute

27. Functional Strength
Forearm and Hand Muscles = Grip Strength
Identify the Dominant Hand:
• Which hand do you write with, throw a ball with, etc?
• Test involves completing three grips on each side
• Test Procedure
– Elbow bent at 90°
– Alternate sides to allow rest between trials (left, right, left,
right, left, right)
– Record Kilograms of pressure
• Refer to NEW charts posted around stations
• Developed from our FUNfitness data for acceptable ranges of
hand grip.
FOREARM AND HAND MUSCLES - Grip Test Dominant Hand: O Left O Right
LEFT Trial 1. _____kg. 2. _____kg. 3. _____kg. RIGHT Trial 1. _____kg. 2. _____kg. 3. _____kg.
 Unable to test because athlete:
• Refused to perform O Unable to perform O Unable to understand
 Education
• see reference sheet

28. Functional Strength
Triceps, Shoulder and Scapular Muscles = Seated Push-Up Test
• Athlete sits on floor
• Legs are extended forward
• Position push-up blocks under shoulders so they will not tip, AND
stabilize blocks manually
• Athlete lifts buttocks off mat until elbows are as extended as
possible
• Athlete holds as long as they can or up to 20 seconds
• Athlete can practice before the test to perfect the push-up
– If they practice, give athlete rest period before testing
• Some athletes have complained of wrist discomfort while doing
this test. You should stop if pain is too great, and definitely after
20 seconds

29. Functional Strength
Triceps, Shoulder and Scapular Muscles - Seated Push-Up Test
• Check Education Box if athlete holds this position for less than 5
seconds
• Of Note:
– Need to hold 5 seconds to relieve pressure on buttocks
– Need to hold 20 seconds to do a transfer
UPPER EXTREMITY MUSCLES - Seated Push-up Test (Functional Strength) Push-up ____ seconds
 Unable to test because athlete:
O Refused to perform O Unable to perform O Unable to understand
 Education
< 5 seconds

30. Balance
Exams:
1. Single Leg Stance
‣ Eyes Open & Eyes
Closed
2. Functional Reach Test
‣ Standing or Seated

31. Balance
Single Leg Stance - Eyes Open
• Eye Open should be completed before Eyes Closed to acclimate
the athlete to the test
• Stand near a chair, table or wall
• Instruct athlete to “lift one leg and balance”
• Time until loss of balance, or 30 seconds
• Record time on HAS Score Sheet
• Repeat on opposite side
• If < 20 seconds on either side = Check Education Box
EYES OPEN Single Leg Stance Left_________ seconds Right ________ seconds
 Unable to test because athlete:
O Refused to perform O Unable to perform O Unable to understand  Education < 20 seconds

32. Balance
Single Leg Stance - Eyes Closed
• Eyes Closed should be completed after Eyes opened
• Athlete stands near a chair
• Close or cover eyes
• Instruct athlete to “lift one leg, close your eyes and balance”
• Time until loss of balance, or 10 seconds
• Record time on HAS Score Sheet
• Repeat on other side
• <10 seconds on either side = Check Education Box
EYES CLOSED OR COVERED Single Leg Stance Left________ seconds Right ________ seconds
 Unable to test because athlete:
O Refused to perform O Unable to perform O Unable to understand  Education < 10 seconds

33. Balance
Functional Reach Test- Sitting or Standing
• Stand (or sit) next to wall or partition
• Position tape/ruler at shoulder level
• Note the measurement at the longest fingertip at start of test
• Reach forward until loss, or potential loss, of balance
• Measure how far participant can reach forward without moving feet or
losing balance (note measurement at end of fingertip)
• Subtract end from beginning measurement
• Record distance to nearest ½ cm
• Range of 20-25 cm is acceptable
• Educate if:
– <20 cm
– Asymmetry
FUNCTIONAL REACH Left: ________ cm Right ________ cm
 Unable to test because athlete:
O Refused to perform O Unable to perform O Unable to understand
 Education < 20 cm

34. Aerobics Fitness Test
Exam:
• Determine the most appropriate Aerobic Fitness Test for each
athlete
• Choice is either:
‣ 2 Minute Step Test (for ambulatory athletes)
‣ 5 Minute Wheel Test (for non-ambulatory athletes, or
athletes who cannot functionally ambulate or balance).
• AEROBIC FITNESS
• On AVERAGE, how many days each week do you do some physical activity?
• O No Regular Program O 1-2 days O 3-6 days O Every Day
• On AVERAGE, how many days a week is your physical activity at a moderate level?(Moderate
means working hard enough to make your heart beat faster and possibly begin to sweat.Examples: fast
walk, swimming, bicycling)
• O No days O 1-2 days O 3-6 days O Every Day
• How much of this moderate physical activity is related to Special Olympics?
O None O Some O Most O All
O Could not elicit response:
O Refused to respond O Unable to respond O Unable to understand
• If you have no regular activity program, please tell us why?
•  No available exercise facilities  No transportation  No money  No interest  No fitness
person to help me  Not safe  Physically unable  No one to exercise with  No equipment
or clothes

35. Aerobics Fitness Test
2-Minute Step Test
• Run tape measure from the iliac crest to the mid-patella
• Mark the midway point between hip and knee joints
• Mark this level on the wall OR use tape measure for feedback
• Athlete should lift their knee to this point with each step
• Count the number of times that the athlete’s RIGHT leg can reach
that height in 2 minutes (one step is the sequence of right and left
leg lifts
• Record Heart Rate and O2 Saturation:
– Pre-exercise
– End of exercise
– 2 minutes post-exercise

36. Aerobics Fitness Test
5-Minute Wheel Test
• Either flat course indoors or on smooth roadway of 50ft
(15m) or more
• Record distance able to push wheelchair in 5 minutes
• Record Heart Rate and O2 Sat
– Pre-Exercise
– End of exercise
– 2 minutes post-exercise

37. Aerobics Fitness Test
Record Heart Rate and O2 Saturation
• Registration person will indicate relative altitude on the top of the form,
as altitude can affect O2 Saturation
• Use the Decision Tree to determine what to do once the initial O2Sat is
measured
– Decision Tree developed with HA Medical Advisor and current
evidence
• How is HR being Measured
•  Manual (Pulse) MIO Heart rate monitor  Pulse Oximeter
• Heart Rate (beats/min): Pre-Exercise _____ End Exercise _____ 2 Minutes after ________
• O2 Saturation (%) O2 Sat _____ O2 Sat ______O2 Sat ________
• O Two Minute Step Test Number of Steps _________ Steps
• O Alternative Test: Three Minute Walk Test Distance ________________Meters
• O Five-Minute Wheel Test Distance ________________Meters
•  Unable to test because athlete:
• O Refused to perform O Unable to perform O Unable to understand  Education

38. Aerobics Fitness Test
Heart Rate and O2 Saturation Decision Tree

39. Aerobics Fitness Test
Criteria to Consider:
– Can athlete talk after the test?
– Is the athlete unusually SOB during the test?
– Does the athlete tire easily or stop before the test is
over?
– Does the athlete sweat excessively?
– Is the difference between post-exercise HR and the
2-minute or 5-minute post-exercise HR less than
24bpm?

40. Physician Recommendation
• Located at the end of the Score Sheet
• Use guidelines in Training Manual to determine if PT or PCP
referral is indicated
• Indicate if you feel the athlete would benefit from seeing a PT for a
rehab or fitness program
• Indicate if you would recommend referral to physician and give
reason
• PHYSICAL THERAPIST REFERRAL RECOMMENDED O Yes O No
• REASONS FOR RECOMMENDATION  Flexibility  Strength  Balance  Aerobic Fitness
• PRIMARY CARE PHYSICIAN REFERRAL RECOMMENDED O Yes O No
• REASONS FOR RECOMMENDATION: (brief outline of medical issue identified)

41. Education Station
• One-on-one or group education by PT, PTA, or
Student
• Goal is to improve performance.
• Demonstration followed by participant performance.
• Educate parents and coaches.
• Referral

42. HONORED GUESTSBRAND
STANDARDS
Check Out Station
• Collect HAS Score Sheets
• Determine that all tests and education have been
completed
- If athlete has to leave before completing all tests,
place HAS sheet in a separate box in case they
return
• Determine that participant has Athlete Fitness
Scorecard
• Give participant FUNfitness pin and gifts
• Direct family and coaches to the Community Corner

43. HONORED GUESTS
Congratulations! You have completed the FUNfitness
training!
What’s Next?
- Your schedule should be sent to you via email, please accept or decline your assigned
dates when received.
- You will receive information on parking and where to pick up your uniform & credentials
via email in the next few weeks.
If you have any questions, please don’t hesitate to ask!
Contact: HA.volunteers@LA2015.org
Thank you for all that you do!
BRAND
STANDARDS
Thank You!