Rapport/Investigation lecture

Using ACE fitness website: Search: examination prep 66 Click: how to use TTM article (3rd one down)

Fill in the 5 stages of the TTM

Write your clients ‘stats” Age Family history Smoker Sedentary lifestyle Weight BP Cholesterol: HDL/LDL glucose:

Is this: rapport, investigation, planning or action???

Ask your client to fill out the readiness to change questionnaire

After they fill it out: Identify what stage of the TTM they could be in Is this: rapport/investigation/planning/action?

Motivational Interviewing

Can be used by personal trainer to facilitate behavioral change

Helps client feel like they are in control Helps determine the client’s level of readiness or

current stage of change Use a readiness to change questionnaire

Health Risk Appraisal In general moderate levels of exercise and physical activity

to not provoke cardiovascular or musculoskeletal, but if client is unhealthy or have pre-existing disease they are at risk

Purpose pf pre-participation screening Identify presence or absence of CV, pulmonary or

metabolic disease Medical contraindication Detect at risk individuals who should first undergo

medical exam Questionnaires should be client led with little input from

personal trainer PAR-Q is a good example as a minimal, yet safe pre-exercise

screening measure

PAR-Q

Have your client fill out the sample PAR-Q example

Risk Stratification Someone with only one positive risk factor will be

treated differently than someone with several risks Categorized as low, moderate or high

Identify CAD risk factorsPerform risk stratification based on CAD risk factorsDetermine need for medical exam clearance

1. Using the statistics from your client use table 6-1 to tally their risk #

2. Using figure 6-4 Risk stratification determine if they are low, moderate or high risk

3. Circle that risk, Explain to your client what they need to do

Evaluation forms: Informed consent: “assumption of risk”

Client acknowledges the risks associated with activity

Limitations: not a liability waiver, doesn’t provide legal immunity

Used to communicate dangers of the exercise program or test procedures, verbally review it with client

Liability waiver: used to release personal trainer from liability for injuries, client voluntarily abandon right to file suit Does not protect against negligence

Health history questionnaire: more detailed than PAR-Q and CAD screen

Evaluation forms

Exercise history and attitude questionnaire: background of client’s exercise historyImportant when developing goals,

program design, attitude about exercise Medical Release: medical information and

explains limitations and guidelines as outline by MD

Testing forms: used to record testing and measurement data

Cardiovascular

Respiratory Musculoskeletal

Metabolic Other conditions

Athersclerosis (CAD)  MI  Possibly no S/S Hypertension

Asthma Bronchitis COPD:

Forms will help identify old and new injury SprainsStrainsOveruse“Shin splints”ITBSHerniated discsBursitisTendinitisarthritis

Diabetes Hyperthyroid  hypothyroid

Hernia:    Valsalva maneuver   Pregnancy   

Medications:

Fill in your chart using page 161