Fitness can be measured by the volume of oxygen you can consume while exercising at your maximum capacity. VO2max is the maximum amount of oxygen in millilitres, one can use in one minute per kilogram of body weight.
Numerous studies show that you can increase your VO2max by working out at an intensity that raises your heart rate to between 65 and 85% of its maximum for at least 20 minutes three to five times a week.
Aerobic fitness is primary for most sports. It is important to think carefully about the fitness level of the individual and choose the test that is most appropriate for their sport or activity.
Although muscular strength is the more frequently tested and celebrated, muscular endurance is a critical ability in many sports and jobs such as basketball and firefighting. The pushup test measures the endurance of the chest and triceps muscles, while the crunch test measures the endurance of the abdominal muscles. Jul 02, 2015 The aim of this study was to examine the sit up test to exhaustion as a field test for muscular endurance evaluation in a sample of sedentary people of both sexes.A cross-sectional study was performed. Three-hundred-eighty-one participants volunteered.
The objective of these tests is to measure and monitor the development of a individual’s general endurance (VO2max).
2 Minute step testPurpose of test:
To assess aerobic endurance and lower body muscle endurance.
Equipment required:
• Stopwatch
• Tape measure
• Masking tape or marker
Test procedure:
Step 1: Establish the knee height
• Mark a point on the participant’s thigh, halfway between the participant’s patella and iliac crest
• Measure from this point to the ground with a tape measure
• Place a mark on the wall with masking tape at the height from the ground to the participant’s mid-thigh position.
Step 2: Give the participant these instructions
• On the instruction to start, step up and down on the spot.
• Lift your knees to the indicated mark on the wall.
• Continue to step as fast as you can for 2 minutes.
• If you tire, slow down or stop and rest.
6 Minute walk testProcedure
The 6MWT should be performed indoors, along a long, flat, straight, enclosed corridor with a hard surface that is seldom travelled. If weather permits, the test may be completed outdoors. The walking track must be 30 metres in length and marked every 3 metres, with the turn-around points marked with a cone. Mark the start and finish lines with brightly coloured tape.
Instructions:
Note: If pulse oximeter is to be worn throughout the test, clinician is not to walk with the client. The pulse oximeter must be lightweight (less than 1 kg or 2 pounds), battery operated, and held in place so that the client does not have to hold or stabilise the pulse oximeter and therefore stride is not affected.
5. Have the client stand and rate their baseline dyspnoea and overall fatigue using the Borg Scale.
6. Set the timer to 6 minutes, assemble all necessary equipment and move to the starting point.
7. Instruct the client as follows:
The object of this test is to walk as far as possible for 6 minutes. You will walk back and forth in this hallway. Six minutes is a long time to walk, so you will be exerting yourself.
You will probably get out of breath or become exhausted. You are permitted to slow down, to stop and to rest as necessary. You may lean against the wall while resting but resume walking as soon as you are able.
You will be walking back and forth around the cones. You should pivot briskly around the cones and continue back the other way without hesitation. Now I’m going to show you.
Please watch the way I turn without hesitation.
Demonstrate by walking one lap yourself. Walk and pivot around the cones briskly without hesitation.
Are you ready to do that? I am going to use this counter to keep track of the number of laps you complete. I will click it each time you turn around at this starting line. Remember that the object is to walk AS FAR AS POSSIBLE for 6 minutes, but don’t run or jog. “Start now, or whenever you are ready”.
8. Do not talk to anyone during the test.
9. Use a standard tone of voice during encouragement:
Alert the first minute:
You are doing well. You have 5 minutes to go.
Alert 2 minutes:
Keep up the good work. You have 4 minutes to go.
Alert 3 minutes:
You are doing well. You are halfway done.
Alert 4 minutes:
Keep up the good work. You have only 2 minutes lefting.
Alert 5 minutes:
You are doing well. You have only 1 minute to go.
Note: Do not use other words of encouragement (or body language) to encourage the client to walk faster.
If the client stops walking or needs a rest during the test, say: You can lean against the wall if you would like; then continue walking whenever you feel able. Do not stop the timer.
If the client stops before the 6 minutes are up and refuses to continue (or the clinician decides that they should not continue), allow the client to sit down and note the distance, the time stopped and the reason for stopping prematurely.
When the timer is 15 seconds from completion, say: In a moment I’m going to tell you to stop. When I do, just stop right where you are and I will come to you.
At the completion, say Stop!
10. Post-test: Record the post-walk Borg and fatigue levels and ask: What, if anything, kept you from walking further?
11. If using a pulse oximeter, measure oxygen saturation (SpO2) and pulse rate on the oximeter and then remove the sensor.
12. Record the number of laps and any additional distance covered by using the markers on the wall. Calculate the total distance walked, rounding to the nearest metre.
Note: A practice test is not required in most clinical settings; however, it should be considered. If a practice test is completed, wait for at least 1 hour before the second test and report the highest 6MWD as the client’s baseline (ATS, 2002).
Note: Record the flow rate and the source of oxygen used by client. Note how the oxygen source was carried by the client (e.g. carried oxygen bottle, pushed or pulled cylinder) (ATS, 2002).
Note: The type of medication, dose and number of hours taken before test should be recorded.
Converting 6MWT results into exercise intensity
6-minute walk distance (6MWD)/6 = Distance in 1 minute
Distance in 30 minutes = 1-minute distance x 30
Note: The client would not be expected to keep up the same walking pace throughout the walking training session that they achieved in the 6MWT. Therefore, prescribe approximately80% of the calculated distance.
For example:
If the client walked 220 m in 6 minutes:
1-minute distance = 220/6 = 36.7 m
30-minute distance = 36.7 x 30 = 1100 m
80% of 1100 = 880 m target distance in 30 minutes
Normative data:
• The median 6MWD was approximately 580 metres for 117 healthy men and 500 metres for 173 healthy women (Miyamoto et al., 2000).
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• A mean 6MWD of 630 metres was reported by another study of 51 healthy adults (Stevens et al., 1999).
Cooper's 12 minute run testThe Cooper 12 minute run is a popular maximal running test of aerobic fitness, in which participants try and cover as much distance as they can in 12 minutes.
VO2max = (35.97 x miles) – 11.29
VO2max = (22.35 x kilometers) – 11.29
Purpose of test:
To assess cardio-respiratory endurance.
Equipment required:
• Treadmill with speed and grade of slope adjustment
• Rating of Perceived Exertion (RPE) Scale
• Scales
• Measuring tape
• Heart rate (HR) monitor (optional if the treadmill can monitor heart rate)
• Sphygmomanometer to measure blood pressure (BP)
Test procedure:
Record the baseline heart rate and blood pressure, as well as basic information including age, height, and weight. Calculate the predicted maximum heart rate and then 75% of the maximum heart rate. Allow the client to familiarise themselves with walking on a treadmill before conducting the test.
Note: See ‘Heart Rate’ test for calculations to predict maximum heart rate.
Set the initial treadmill speed at 3.3 mph (5.31 kph) and the gradient at 0%, and then instruct the client to start walking. Increase the gradient to 2% at the end of the first minute, and then increase by 1% at the end of every minute thereafter. At the end of every minute, record the heart rate and the RPE. If possible, measure blood pressure at the end of every 2 minutes. Continue to monitor the client’s appearance and expressions for the duration of the test (Maud & Foster, 2006). If the client reaches an incline of 25%, then gradually increase the speed by 0.2 mph (0.32 kph) per minute.
The test is terminated when the client reaches 75% of their maximum heart rate, when the client asks to stop, or when any of the indicators below are present.
Reasons for terminating the test include:
• Client experiences angina-like symptoms
• Client’s BP drops below 20 mmHg from the BP value recorded at rest or shows no increase in systolic BP with increased exercise intensity.
• Client has an excessive rise in systolic BP over 260 mm Hg and/or a diastolic BP over 115mm Hg.
• Client is not sweating; feels light-headed, confused, or unsteady; looks pale, or has blue lips.
• Client’s heart rate does not rise with increased exercise intensity.
• Client has a noticeable change in heart rhythm.
• Client requests to stop.
• Client shows physical or verbal signs of severe fatigue.
• Failure of the testing equipment.
Note: If the test is terminated due to any of the above the reasons, immediately remove the client from the treadmill.
Upon completion of the test, heart rate and RPE need to be recorded immediately and the grade of the treadmill returned to 0%. The client is then instructed to walk for a further 4 minutes, and heart rate and RPE are recorded at the end of each minute of recovery.
The following equation can be used to estimate VO2 max in millilitres per kilogram per minute (mL.kg–1.min–1) at the target heart rate (75 % of the predicted maximal heart rate):
VO2 max (mL.kg–1.min–1) = (0.1 x speed) + (1.8 x speed x grade) + 3.5
Note: Speed is expressed in metres per minute, and the grade is expressed as a decimal fraction, for example, 10% grade is 0.1 (Jones & Rose, 2005).
The following equation can also be used to determine VO2 max:
VO2 max (mL.kg–1.min–1) = 11.12 + (1.15 x time) (Neiman, 2007).
** make the test specific to the person, population and sport