Becca Jordre, PT, DPT Geriatric Certified Specialist Certified Exercise Expert for Aging Adults
Materials: ✓ Health History Form Health & Sport History
Health History •Follow all of the questions on the form when asking an athlete’s health history. • In general, a condition is only logged if it has been diagnosed by a health care professional. An athlete that isn’t sure or “thinks they might have” something is not valid for checking ‘yes’. • Athletes may choose to skip any question that makes them uncomfortable. • When estimating minutes/week of cardiovascular or strength training please use a ‘typical week’. •Do not count minutes of ‘being active’ such as yardwork or watching grandkids. • Do count taking a dog for a walk. Athlete Instructions •“I’m going to ask a few questions that will be useful when we analyze your SAFE screen results for research purposes.”
Materials: ✓ Electronic blood pressure unit ✓ Pulse oximeter VITALS Blood Pressure Heart Rate Pulse Oximetry
Blood Pressure • Take blood pressure in the left arm, with the electronic BP cuff. • Athlete should be seated with left arm supported on the table. Heart Rate • Taken from electronic BP cuff % O2 Saturation • Place O2 sat monitor on right hand, 4 th digit (ring finger). • This can be done while BP is taken. Athlete Instructions •“I’m going to wrap this cuff around your left arm for blood pressure. This (pulse oximeter) goes on your right ring finger. •Please sit quietly now while I take your blood pressure.”
Blood Pressure • Athlete blood pressures are often high due to the testing environment, recent eating, travel, dietary changes and recent (or pending) competition. • Remind athletes that this is just one snapshot of blood pressure for them and cannot (and should not) be used to diagnose hypertension. • If they are concerned about their reading you may take it again after one minute of rest or encourage them to start watching their blood pressure with more independent measurement. • If blood pressure is >160 mmHg/>100 mm Hg ask follow up questions regarding their usual blood pressure and if they are taking any prescribed medication. It may be appropriate to suggest they visit their doctor with the recorded pressure. O2 Saturation • If O2 sats are <95% remind the athlete to sit tall and take a deep breath. If O2 sats increase with this correction you should remind them of the influence their posture might have on getting good oxygen into their body. • If O2 sats are below 90% you should advise them that this value is not considered appropriate for exercise. Heart Rates • Heart rates are highly variable in this setting 60-100 beats/minute is considered normal. You may see some lower resting heart rates due to the athletic population being tested. Vitals – Athlete Feedback
Vi Vitals ls - Vi Video • Vitals
Materials: ✓ Stopwatch ✓ Standard chair without arms (approximately 43 cm high) Strength Grip Strength Five Times Sit to Stand Test
Grip Strength • Record athlete’s dominant hand. • Keep dynamometer set at position 2 for all athletes. • Athlete position: arm by the side, elbow bent to 90*. • Allow once practical trial and then record the right and left hand in kg. • Keep one hand under the dynamometer to prevent athletes from dropping it. • Show the athlete where they fall on the normative chart using the higher of the two hands for comparison. • The example dynamometer reading to the right would be recorded as 32 kg. Athlete Instructions •“I’m going to test your grip strength. Hold your arm by your side with your elbow bent. You’re going to squeeze this as hard as you can. I’m going to have you try it once and then we will record your next trial.”
Grip Strength GRIP STRENGTH (kg) Age Norms, dominant hand (mean in kg) • If the athlete’s grip is below the mean for Men Women their age and gender they should consider Athlete Comm. Athlete Comm. more resistance training in their week. 50-54 53 44 36 28 • Encourage them to meet with a trainer or a 55-59 52 39 34 25 PT for this. 60-64 49 41 32 24 • Weak grip strength is an indicator of 65-69 46 37 31 22 OVERALL strength and should not be 70-74 44 35 29 22 interpreted as a reason to work on hand 75-79 41 33 28 20 strengthening but, rather, overall strength 80-85 39 28 25 20 and resistance training. 86+ 33 NA 22 NA Grip Strength – Athlete Feedback
Five Times Sit to Stand Test • Explain and demonstrate the test. • athlete position: sitting, arms crossed over chest, feet flat on ground • Secure their chair by standing behind it and blocking it with your foot. • Record the time from the word “go” until the athlete sits after the 5 th stand. • Record exactly what is on the stopwatch. • The video test (upcoming slide) would be scored at 6.37 seconds. Athlete Instructions • “Stand and sit five times as quickly as you can. I will start timing on the word “go” and I’ll stop when you return to sitting after the fifth stand. Please stand up completely each time. You may sit on the edge of your chair but you do have to come to a full stand and sit back down each time.”
Five Times Sit to Stand Test • If the athlete’s time is higher than 9 seconds they should consider adding more strength training to their weekly routine. They should CHAIR STAND . also know that their score puts them at a Age Athlete Goal higher risk of falling as compared to other 60+ Less than 9 seconds Community Goal senior athletes. They should consider a fall Less than 12 seconds prevention program as well. • Encourage them to meet with a trainer or a PT for this. • The balance and strength handouts have good advice for these athletes. Five Times Sit to Stand – Athlete Feedback
St Strength- Vid Video • Grip Video • Five Times Sit to Stand
Materials: ✓ Retractable Tape Measure ✓ Calculator Anthropometrics Waist Circumference Waist to Hip Ratio
Waist Circumference • Have the athlete stand with their feet together and abdominals relaxed. • Place the tape around the most narrow aspect of the athlete’s waist. If there is no obvious waist use the umbilicus for reference. • Move to the side of the athlete with the tape at eye-level to record the waist measurement in cm, flip the tape to see this in inches. Hip Circumference • Inform the athlete that you are going to measure the widest aspect of their hips. • Maintain a position to the side of the athlete at eye level to the tape measure and hips • Measure around the widest aspect of the hips. • Use the measurement in cm to calculate the ratio below. Waist to Hip Ratio • Waist/Hip=waist to hip ratio Athlete Instructions •Waist "Please stand with your feet together and your stomach relaxed. I’ll be measuring the most narrow part of your waist.” or “Please point to your belly button and I’ll measure you waist from that reference point.” •Hips "Now I’m going to measure the widest part of your hips. Just continue to stand with your feet together.”
Waist Circumference • Waist circumference greater than 40” in men or 35” in women is associated with an increased risk of cardiovascular and metabolic disease Waist to Hip Ratio • Waist to hip ratio is a measure that takes body size into consideration when determining how narrow the waist should be. It has been shown to be a valid indicator of cardiovascular and metabolic disease risk. Ratios equal to or higher than 0.85 in women are indicative of risk while ratios equal to or greater than .90 are indicative or . risk in men. Waist Circumference & Waist to Hip Ratio – Athlete Feedback
An Anthropometri rics - Vid Videos • Height and Weight • Waist Circumference and Wait to Hip Ratio
Materials: ✓ Treatment plinth ✓ Large and small goniometers Flexibility Shoulder Flexion Ankle Dorsiflexion (AROM with knee straight) Thomas Test
Posture • If the athlete is unable to comfortably lie down (neck neutral) without a pillow, place an AirEx pad under their head and record the need for this under “posture” as “yes”. If AirEx is not needed enter “no”. If the athlete appears to need a pillow but refuses a pillow you can still record “yes”. Shoulder Flexion • Athletes knees should remain bend with feet flat on the mat. • Instruct the athlete to actively flex their arm overhead as far as they can. • Measure the amount of flexion with the fulcrum over the lateral aspect of the greater tubercle, the proximal arm parallel to the midaxillary line of the thorax and the distal arm along the lateral midline of the humerus. • Record both sides. Athlete Instructions • SHOES OFF PLEASE, they will stay off until the end of the screen. • Posture: Please lie on the mat with your knees bent and your feet flat. If the athlete is extending their neck to lie flat suggest, “would you like a pillow?” •Shoulder Flexion: “Raise your arm up overhead as far as you can go.”
Recommend
More recommend
