4.2 CLINICAL EXE TESTING💪
Contraindication to exercise testing
- specific condition that can lead to other consequences
Absolute:
Acute:
Recent significant change resting ECG
Unstable angina
Uncontrol cardiac dysrhythmias
Uncontrolled symptomatic heart failure
Pulmonary infarction
Pericarditis
Dissecting aneurysm
Acute systemic infection
Symptomatic severe aortic stenosis
Left main coronary stenosis
Moderate stenotic valvular heart disease
Electrolyte abnormalities
Severe arterial hypertension
Tachydysrhythmia
Hypertrophic cardiomyopathy
Rheumatoid disorders
High degree atrioventricular block
Ventricular aneurysm
Physical impairment
Bradydysrhythmia
Informed Consent
- ethical and legal consideration
Consists of:
- purpose and test explanation
- risk and discomforts
- participants responsibility
- benefits
- inquiries
- use of medical reports
- consent
- refrain from food/alcohol/caffeine/tobacco
- clothing/partners/medication usage
Stop exercise in low risk adult
- onset of angina
- significant drop in systolic BP
- excessive raise in blood pressure
- sign of poor perfusion
- noticeable change in heart rhythm
- subject request to stop
Pre-test instruction
- refrain from ingesting food, alcohol, caffeine
- rest from doing anything before test
- freedom movement of clothing
- participants should aware of fatigue while doing exercise
- bring list of medication
Component of health/fitness assessment
Beware of pre-test enxiety
- Heart rate and blood
pressure may be
falsely elevated
Body composition 🏋️♀️🏋️♂️
- hydrostatic weighing
- waist to hip ratio
- BMI
- skinfold
- BOD POD
- Bioelectrical Impedence
Cardiovascular endurance
- physical work capacity
- aerobic fitness test
- treadmill testing
Field test aerobic fitness 🏃♀️🏃♂️
- step test
- time walk and 'or run
- shuttle runs
Testing environment
- should be private
- telephone available
- CPR/BLS certified
- emergency plan
Muscular endurance
- push-ups
- partial curl-ups
Muscular strength
- Handgrip
Flexibility
- sit and reach test
Medication: 💊💉
- some medication have significant effect
be aware: - diuretics
- ace inhibitors
- vasodilators
- calcium channel blockers