BAB 2

PRINSIP DAN PRESKRIPSI EVALUASI KECERGASAN(DKK 3104)

PENYARINGAN AWAL KESIHATAN DAN KLASIFIKASI RISIKO

Department of Sport & Exercise Science

Khairul Azlan TaibBSc .(hons) UiTM

Sebelum membuat penilaian terhadap kecergasan fizikal individu, klasifikasi status kesihatan dan gaya hidup individu tersebut mestilah dilakukan.

Mesti mempunyai pengetahuan daripada penilaian kesihatan dan kecergasan fizikal individu untuk menjalankan percubaan kecergasan fizikal.

Bab ini akan membincangkan komponen secara menyeluruh penilaian kesihatan, termasuklah faktor risiko profil koronari,soalan tentang sejarah perubatan, penilaian gaya hidup dan persetujuan pengetahuan.

Tujuan penilaian kesihatan adalah untuk ketahui penyakit dan menilai klafikasi risiko penyakit seseorang individu.

Untuk menilai status kesihatan individu, ketahui melalui questionnaires dan data dari ujian dan analisis klinikal.

Untuk pra-test kesihatan individu untuk ujian senaman dan program penglibatan senaman, perlu:

1. memberikan Physical Activity Readiness Questionnaire (PAR-Q)2. senaraikan tanda dan simpton penyakit3. analisis profil risiko koronari4. kelaskan risiko penyakit seseorang individu yang akan buat penilaian.

Component PurposeQUESTIONNAIRES/SCREENING FORMS

PAR-Q To determine client’sreadiness for physical activity

Signs and symptoms To identify individualsof disease and medical in need of medical clearance referral and to obtain

evidence of physicianapproval for exercisetesting and participation

Coronary risk factor To determine the numberanalysis of CHD risk factors for

client

Disease risk To categorize clients classification as low, moderate or

high riskMedical history To review client’s past

and present personaland family health history, focusing on conditions requiring medical referral and clearance

Lifestyle evaluation To obtain information about the client’s livinghabits

Informed consent To explain the purpose, risks,and benefits of physical fitness testsand to obtain your client’s consentfor participation in these tests

CLINICAL TESTSPhysical examination To detect signs and

symptoms of diseaseBlood chemistry profile To determine if client

has normal values forselected blood values;values of blood choles-terol are used in the coronary risk factor analysis

Blood pressure To determine if client’s assessment is hypertensive; these

values are also used in the coronary risk factorsanalysis

12-lead ECG To evaluate cardiac function and detect cardiac abnormalitiesthat are contrain- dications to exercise

Graded exercise tests To assess functionalaerobic capacity and to detect cardiac abnormalities due to exercise stress

Additional laboratory To provide a more in-depthtests (e.g., angiograms, assessment of client’s echocardiograms, health status, particularlypulmonary tests) those with known disease