1. Rapport/Investigation lecture

2. 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

3. Write your clients ‘stats”
Age
Family history
Smoker
Sedentary lifestyle
Weight BP
Cholesterol: HDL/LDL
glucose:
Is this: rapport, investigation, planning or action???

4. 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?

5. 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

6. 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

7. PAR-Q
Have your client fill out the sample PAR-Q example

8. 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 factors
Perform risk stratification based on CAD risk factors
Determine need for medical exam clearance

9. 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

10. 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

11. Evaluation forms
Exercise history and attitude questionnaire: background of client’s exercise history
Important 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

12. 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
Sprains
Strains
Overuse
“Shin splints”
ITBS
Herniated discs
Bursitis
Tendinitis
arthritis
Diabetes
Hyperthyroid
hypothyroid
Hernia:
Valsalva maneuver
Pregnancy

13. Medications:
Fill in your chart using page 161