Posted: March 16th, 2023
CLIENT SUMMARY: Tony is a 56-year-old male client. He has come to you with the goal of improving his general fitness levels, being able to keep up with his new grandson easier and minimizing disease risk as he has family history of chronic conditions in older relatives. He states he often gets tired when chasing his active young grandson around and has noticed that over the last few years he has had a decrease in strength when doing chores around the house. He has been cleared to begin a moderate-level intensity program based on the ACSM pre-participation algorithm. When he was younger, he was an athlete but states it has been awhile since he has consistently been active. Below are the results collected during his initial assessments:
Height: 5’10” Weight: 195 Body Fat % (3 – site skinfold): 23%
Resting HR: 72 bpm BP: 132/80 Waist-hip- Ratio: 0.92
Estimated VO2max (Rockport Walk Test) = 35.7 (Average)
Estimated 1-RM (Using a Multiple Rep Max assessment) = 150lb
Push Up Test: 12 reps, below average
Flexibility/ROM:
Sit & Reach = Poor
ROM = Right side – Under normal limits for hip flexion & extension. All others within normal limits
Left side – Under normal limits for shoulder flexion, hip flexion & extension. All others within normal limits
Overhead Squat Assessment: Noted slight arms falling forward and excessive arch in low back.
This assignment will demonstrate your ability to develop an exercise prescription using the FITT-VP principles that is appropriate for the client based on their assessment results and goals.
SOLUTION
Reasoning: Flexibility exercises are important for maintaining joint range of motion and reducing the risk of injury during physical activity. Low-intensity stretching exercises are safe and effective for individuals with Tony’s level of fitness, and 2-3 sessions per week will provide sufficient stimulus for improvements in flexibility. Overall, the focus of the program is to improve general fitness levels, enhance cardiovascular health, build muscle strength and endurance, and increase joint flexibility. The program is designed to be safe and effective for a 56-year-old male client who has been cleared for moderate-intensity exercise, and will help Tony achieve his goals of keeping up with his active grandson and minimizing disease risk.
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