You are a physical therapist who works in a fitness center. Your client, Jill is a |40 yr. old woman who has noticed, a weight gain since the birth of her last child 5 yrs.

Case Study PTY 523 Lab

Fall 2022

You are a physical therapist who works in a fitness center. Your client, Jill is a |40 yr. old woman who has noticed, a weight gain since the birth of her last child 5 yrs. ago. Her current/weight is 83.64kg and her height 170.0 cm/ She recently saw her physician for a physical and it was suggested that she begin exercising and to lose weight. Her BP is 148/74/and 152/76 on two occasions Her resting HR is 80 and fasting glucose level is 98./ From the history you obtain the following information: nonsmoker,|no regular exercise/ but active with kids during the day, she likes to cook and sew. She is the mother of 2 children ages 8 and 5. She is an accountant who works part-time from home 2 days/week. Her father has type II diabetes/and her mother had a heart attack/at age 53.

What are her risk factors? (.5 pt)

Does she require medical clearance? Why or why not? (.5 pt)

What is her BMI? (show work) (.25pt)

You perform a percent body fat analysis and find her body fat is 30%. What is her classification? (.5 pt)

What is her fat mass? What is her lean mass? (5 pt)

The goal is for her to have 24% body fat. What is her goal weight? How much will she have to lose? (2 pts) /show work

Results of fitness tests:

Waist to Hip Ratio: 76

Rockport 1 mile Test:

Time: 18.45 (already converted to decimal)

HEART RATE is 120 bpm

 What is her VO2 Max? (2pts) (show your work)

 Results of other Fitness Assessments Trial 1 Trial 2 Trial 3 Hand R 40 L 23 R 40 L 22 R 38 L 22 grip Muscle Endurance: Push up test: 10 Sit up/Curl up in 1 minute: 13 Squat Test: 17 Flexibility: Sit/reach 32.1 cm 33.3 cm 33.9 cm Complete the following: (2.4 pts total) Test Value (.4 total) Classification .25 each BMI (see first pg) Waist to Hip Ratio (.25 pt) (disease risk) Sit/reach (.25pt) Muscle strength: grip (.25pt) Muscle endurance: push up (.25pt) Muscle endurance: sit up (.25pt) Muscle endurance: squat test (.25pt) Rockport 1 mile (V O2 from above) (.25pt)

Part 2:

Using information regarding fitness prescription and testing from both lecture and lab, design an exercise program for the patient incorporating aspects of physical fitness (flexibility, aerobic conditioning, muscle strength/muscle endurance). The purpose is to design a program for each of these aspects. DO NOT use circuit training as the method of training for strength and aerobic capacity since we are looking for you to be able to design individual types of exercise programming.

Make sure to include the following information:

What are his current strengths, weaknesses?

What do you think are appropriate fitness goals?

Current fitness level and possible medical precautions.

Design a detailed exercise program indicating mode of exercise, intensity, frequency and duration or FITT (frequency, intensity, type, time) based on goals, his current level and his specific lifestyle.

Education: you need the specific patient education that should be included in the exercise prescription

Grading Rubric Exercise Prescription

Strengths, Weaknesses.       .5 pts

Fitness Goals.                   .5 pts

Fitness level/precautions.     .75 pts

Exercise prescription: (14.05 pts)

You need to include the parameters for each of these following sections.

Warm up and cool down:      2.05 pts

Flexibility:                        3.0 pts

Aerobic:                          3.0 pts

Strengthening:                  3.0 pts

Education:                       3.0 pts

Organization, spelling         25 pts

16.05 pts