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