Professional Documents
Culture Documents
Case Study
Total../20
Student Name:
LUCIAN ACARU
Student Number:
Office only:
Date received
IN14815
1st:
Re-sub:
Evidence
Introduction
Client profile
Unit 1:
Client screening
Pre-exercise questionnaire
(Form 1)
Lifestyle questionnaire
(Form 1)
Stress questionnaire
(Form 2)
Unit 1 answers
Unit 2:
Fitness assessments
Unit 3:
Exercise prescription
Unit 4:
Adherence and
motivation
Client profile
Gustavo Pires is a 23 years old chef working 8 to 10 hours a day in a
restaurant from Monday to Friday. At work he spends a lot of time standing
and walking whilst cooking and performing other specific tasks. He declares
to feel stressed and anxious by the working environment and would like to
have more energy left after a day at work.
He enjoys skateboarding, swimming and surfing which he likes to perform in
the summer as well as walks in the park and playing racquet sports with his
friends. He declares that during the past year and a half has reduced the
level of exercise involvement. Previously he was going to the gym 2-3
times/week and was performing resistance training exercises which he likes
more than the aerobic He dislikes jogging outdoor because it puts too much
stress on the body and he feels pain in the joints and muscles of the legs
afterwards. When in his teens he was involved for almost a year in boxing
classes. He says that in the past was more active and felt better about
himself and had more energy.
He had no surgery operations and has no major muscle imbalances. After
long days at work sometimes though he feels pain in his shoulders and
sometimes some tightness in his neck.
He wants to get stripped, lose body fat and toned to show the six packs
abs, increase lean body mass and be overall fit. On the long term he wants
to bulk up muscles and get strong. He is committed to train 3 times per week
and 1 hour per session to achieve these goals.
2.
Jogging: because he declared that he dislikes jogging outdoor this activity was
kept out of the program for the first months and replaced with walking on the
treadmill and rowing which he considered more tolerable
3.
Boxing: because he was involved in boxing classes and enjoyed them when
he was in his teens elements of boxing routines were introduced in the
program
2.
Age: the age of the client is 23 years old. As age determines the condition the
body is in, obviously his age makes him more likely to sustain easier higher
demands placed on the body by the exercise.
3.
Smoking: the client has no smoking history which potentially makes his
cardiovascular system fairly efficient and healthy.
Question 2 factor
Work: because work was a matter of concern regarding the time left available
for relaxing and leisure activities it influenced the training program structure
and frequency. As a result the duration of the training session was kept to no
longer than one hour with a frequency of tree times per week.
Smoking: the client has no smoking history which potentially makes his
cardiovascular system fairly efficient; this was later confirmed by the related
fitness result of VO2MAX test which placed in the Good category regarding
the maximum uptake of oxygen.
Advice
As he scored high particularly on the questions related to work and anxiety I
advised him to not bottle up his problems and not to over valuate them. Also I
advised him to use deep breathing and focus as a relaxation technique.
Ive included the above tests in the initial assessment to provide a starting
basis from where to design the program and choose the selection of
flexibility, core, cardiovascular and strength exercises.
2.
The measurements for blood pressure were in the normal limits and because
there was no heart and vascular disease the exercise prescription included
rhythmic moderate exercises as well as resistance exercises.
3.
Body fat percentage at the initial assessment was 18% which is at the upper
limit of Normal classification for males of his age. In conjunction with the
agreed primary objective of fat loss this result served as a starting point and
influenced the exercises and the routine chosen.
4.
VO2Max: the score for this parameter using the Rockport Walk Test at the
initial assessment was 54 ml/kg/min which placed him in a category of fairly
cardio vascular conditioned individual. This measurement was set as a
starting point from where to progress and was used to set the training zone
intensity.
2.
VO2Max: at the end of the 12 weeks program the VO2max value using the
same Rockport walk test measured 62; a positive difference of 8 points was
registered which means that his cardiovascular capacity increased by 14%.
This happened as a result of the cardio and circuit training and the
progressive manner in which the training program was structured as his lungs,
heart blood vessels and muscles adapted to be more efficient in utilizing
oxygen and removing waste products.
10
11
12
Sets
13
14
b) intensity
The intensity of the resistance workout was progressed throughout the 12
week period. Thus more weight was added progressing from 60% of 1RM to
70 then 75% of 1RM while decreasing the number of reps from 15-20 to 12-15
then 10-12. The number of sets performed per each exercise was 2.
c) duration
The duration of the traditional resistance workout was kept to 10-12 min
throughout the 12 weeks program. This phase did not constitute the major
portion of the training session because the program was designed for specific
fat loss, toning and cardiovascular improvement. These objectives were better
served by the other components of the program like the cardio with resistance
elements circuit.
d) mode of exercise
The mode of exercise of the resistance phase remained free weights for the
advantages that offered:
Overall higher caloric expenditure due to increased stabilization
muscles engaged
Increased range of movement and versatility
Familiarity and compliance with the client
15
2.
Muscle increase was registered when compared with initial results. Thus
initially the upper arm circumference, arm relaxed, measured at the start of
the program 32 cm and increased by 3.5 cm at the last measurement.
16
17
Timings (seconds)
The duration of the preparatory stretches was set to 10-15 seconds and that
of the post stretches to 30 seconds.
18
Short-term goal 2
Improving core and legs strength and be able to dead lift 110 kg 1RM at the
end of the 12 weeks program was another short term goal agreed.
Long-term goal 2
Decreasing body fat percentage under 10% of total body mass after 18
months of training was also set as a long term objective.
19
2.
Lack of motivation: the planning ahead and the insertion of the physical
activity sessions into the weekly schedule calendar helped to overcome this
barrier and treat the sessions as an important event to attend. Most of the
times that it was possible we attended the sessions together and after a
couple weeks he enlisted a friend to train at the same gym.
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2.
By keeping the training session enjoyable through selecting exercises that he
was familiar with and performed in the past
21
22
Gustavo Pires
DOB
07/09/1986
Age:
23
Ht:
1,68m
Wt:
76 kg
Phone:
(home)
(work)
(mobile)
GPs name:
gustavopires@hot
mail.com
Daniel Corn
GPs address:
Email Address:
Occupation:
Phone
07523234657
Chef
020800997
safety
rehabilitate an injury
nutrition education
X
motivation
increase flexibility
23
Other health issues (place an X in the appropriate box if the answer is yes)
you have diabetes
you have asthma or other lung disease
you have burning or cramping sensation in your lower legs when walking a short distance
you have a musculoskeletal problem that limits your physical activity
you have concerns about your safety during exercise
you take prescription medication(s)
you are pregnant
If you marked 2 or more of the statements in this section, you should consult your GP or other appropriate
healthcare provider before engaging in exercise.
24
6. Do you have any negative feelings toward, or have you had any bad experience with exercise? (If yes
please give details)
Not really.
7. If you have been unable to exercise regularly, what are the reasons?
Missing motivation or time.
9. Does your occupation involve much physical activity (i.e. lifting, walking)?
The job that Im doing involves walking and always standing whilst cooking and preparing dishes which put
a lot of toll on the energy levels.
Yes
No
Yes
No
How much?
Yes
No
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10
10
10
10
10
X
17. What is your current cardiovascular capacity?
1
X
18. What is your current muscular strength?
1
X
19. What is your current flexibility capacity?
1
X
20. What is your current co-ordination (motor skill) capacity?
1
10
10
10
10
X
22. How motivated are to perform exercise (with a partner or group)?
1
X
23. How motivated are you to achieve your goals (individually)?
1
24. How motivated are you to achieve your goals (with a partner or group)?
1
2
3
4
5
6
7
8
X
26
10
10
10
X
26. Improve cardiovascular fitness
1
X
27. Reshape or tone my body
1
X
28. Improve performance for a particular sport
1
10
10
10
10
10
10
X
29. Improve moods and ability to cope with stress
1
X
30. Improve flexibility
1
5
X
X
32. Increase energy levels
1
7
X
33. Enjoyment
1
X
34. How much time are you willing to devote to exercise?
60
27
weight loss
improved health
body shaping
building muscle
developing strength
39. How long have you been thinking about getting fitter?
Since I realised I became less fit than my brother and friends.
28
Became strong and ripped with a low body fat percentage as well as bulk.
29
Gustavo Pires
Age:
23
Sex:
Male
When completing this questionnaire, be as honest as possible: if your answer is never, mark Option 1; if it
is always, mark option 4; and so on. (Place an X in the appropriate box)
1
1
X
1
X
1
4
X
4
X
1
2
X
2
X
2
1
X
1
2
X
2
X
2
3
X
3
3
X
3
X
3
X
3
X
3
X
3
X
30
4
4
4
4
4
3
X
3
3
X
3
4
4
X
1
2
X
2
2
X
2
I put off confronting and resolving difficult situations when they arise
1
People take advantage of me when I do not act assertively
1
2
X
2
X
2
X
2
3
X
3
1
X
1
X
1
4
X
4
3
X
3
4
X
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36
12 ?
73
Having completed the self-assessment, add your total score and check your stress level. Remember that
however low your stress level may be, there is always room for improvement.
Score Result
32-64:
You manage your stress level very well. Too little stress can reduce stimulation, so
strive to achieve the balance between negative and positive stress.
65-95: You have a reasonably safe level of stress, but certain areas need improvement.
31
96-128: Your level of stress is too high. You need to develop new strategies to help reduce it.
32
Name:
Gustavo Pires
Date:
22/09/2009
Reading
17/09/2009
70
bpm
nd
18/09/2009
73
bpm
rd
19/09/2009
68
bpm
19/09/2009
68
bpm
1st reading
Date
17/09/2009
Systolic
131
2nd reading
18/09/2009
125
82
mmHg
3 reading
19/09/2009
133
82
mmHg
Lowest reading
18/09/09
125
82
mmHg
1st reading
2 reading
3 reading
Lowest reading
Blood pressure
rd
Diastolic
80
mmHg
measurement
abdomen
102
cm
hips
104
cm
iliac
99
cm
waist
99
cm
height
76
Kg
BMI
167
27
Kg/m
hip
99
cm
classification
104
cm
0.9519
Skinfold measurements
Durnin and Womersley
biceps
3
triceps
mm
subscapular
mm
19
suprailiac
mm
18
18
abdomen
mm
thigh
mm
triceps
mm
suprailiac
mm
33
Cardiorespiratory Testing
Brigham Young University test
weight
time (mins)
heart rate
Kg
VO2max
bpm
time (mins)
Ibs
age
14.2
heart rate
23
107
VO2max
bpm
54
VO2max
VO2max
bpm
VO2max
bpm
Flexibility testing
Good
Fair
Poor
Trunk flexion
Trunk extension
Hip flexion
Hip extension
Shoulder flexibility
34
Name:
Gustavo Pires
Date:
14/12/2009
Reading
1st reading
01/12/2009
66
bpm
2nd reading
03/12/2009
71
bpm
07/12/2009
69
bpm
01/12/2009
66
bpm
1st reading
Date
01/12/2009
Systolic
123
2nd reading
03/12/2009
125
82
mmHg
3rd reading
07/12/2009
127
85
mmHg
Lowest reading
01/12/2009
123
80
mmHg
rd
3 reading
Lowest reading
Blood pressure
Diastolic
80
mmHg
measurement
abdomen
99
cm
hips
101
cm
iliac
98
cm
waist
96
cm
height
75
Kg
BMI
167
27
Kg/m
hip
96
cm
classification
101
cm
0.9504
Skinfold measurements
Durnin and Womersley
biceps
3
triceps
mm
subscapular
mm
12
suprailiac
mm
14
14
abdomen
mm
thigh
mm
triceps
mm
suprailiac
mm
35
Cardiorespiratory Testing
Brigham Young University test
weight
time (mins)
heart rate
Kg
VO2max
bpm
time (mins)
Ibs
age
12.0
23
heart rate
104
VO2max
bpm
62
VO2max
VO2max
bpm
VO2max
bpm
Flexibility testing
Good
Trunk flexion
Trunk extension
Hip flexion
Hip extension
Shoulder flexibility
Fair
Poor
36
37
Name:
Gustavo Pires
Date:
15/09/2009
Trainer:
Lucian Acaru
Week no:
1-6
Mode
Intensity
Circuit
training
Slow
medium
Duration Frequency
20 min
Notes:
Day 1
Load
60% 1RM
60% 1RM
60% 1RM
60% 1RM
Day 2
Load
Every
session
3/week
Sets
2
2
2
2
Reps
15-20
15-20
15-20
15-20
Day 3
Load
60% 1RM
60% 1RM
60% 1RM
60% 1RM
Day 4
Load
Day 5
Load
60% 1RM
60% 1RM
60% 1RM
60% 1RM
Day 6
Load
Day 7
Load
39
40
Name:
Gustavo Pires
Date:
15/09/2009
Trainer:
Lucian Acaru
Week no:
7-12
41
Circuit
training
Medium
fast
20 min
Notes:
Day 1
Load
75% 1RM
75% 1RM
75% 1RM
75% 1RM
Day 2
Load
Every
session
3/week
Sets
2
2
2
2
Reps
10-12
10-12
10-12
10-12
Day 3
Load
75% 1RM
75% 1RM
75% 1RM
75% 1RM
Day 4
Load
Day 5
Load
75% 1RM
75% 1RM
75% 1RM
75% 1RM
Day 6
Load
Day 7
Load
42
43
Identify the name of the phase of training for this period of time. For example is the aim of this section of the programme
based on improving endurance, strength, hypertrophy, power etc.
Identify the dates of the phase of training for this period. For example if the initial phase was based on hypertrophy it
may have run from 06/10/06 to 17/11/06 (6 weeks)
Cardio respiratory
Specify the intensity of CV exercise prescribed and the duration this was prescribed for this phase. For example the
intensity can be written as %HRR, %HR max, RPE rating etc.
Resistance
Specify the volume of resistance prescribed for this period. For example the client was prescribed 2 sets x 15
repetitions.
Flexibility
Indicate the modes of stretching employed. For example was this active, passive, or assisted. You will also need to
explain the techniques prescribed for this period. For example maintenance, developmental, PNF etc
Functional (ADL)
Explain how the programme demonstrates functionality and how activities of daily living (ADL) were incorporated.
Progressions
You will need to clearly explain how you have developed the programme over the 12-weeks. For example for the
resistance phase you could develop the prescription by increasing the repetitions within the rep range. The client started
the all exercise on 8 repetitions and built this up to 12 repetitions. At this point the load was then increased by 3%.
44
Mode
Frequency
Duration
Cardio respiratory
Resistance
Flexibility
Functional (ADL)
Intensity
70-75% VO2Max
15/09/2009 to 23/10/2009
Progression
Start with 60% for the first 4 weeks and progressed to 6570% on week 5 and week 6.
Start with 60% of 1RM and 2 sets of 15 reps for first 4
60 -65% of 1RM
10-12 min
weeks then increase 65% 1RM 2 sets of 12 reps for week
2sets of 15-20reps
5 and 6.
Active dynamic pre stretches and active static and PNF for the post stretches. Post stretches
performed as mostly as maintenance and for hamstrings, calf, hips and lower back
developmental.
20 min
Program involves the use of light weight dumbbells and standing position, multi joint and core strengthening exercises
which relate to surfing, skateboarding leisure activities and the daily job which involves long hours of standing.
45
Mode
Frequency
Duration
Cardio respiratory
Resistance
Flexibility
Functional (ADL)
Intensity
70-75% VO2Max
70 -75% of 1RM 2
sets of 10-12 reps
26/10/2009-11/12/2009
Progression
20 min
15 min
Active dynamic pre stretches and active static and PNF for the post stretches. Post stretches
performed as mostly as maintenance and for hamstrings, calf, hips and lower back
developmental.
Program involves the use of light weight dumbbells and standing position, multi joint and core strengthening exercises
which relate to surfing, skateboarding leisure activities and the daily job which involves long hours of standing.
46
Date
14/09/2009
14/09/2009
14/09/2009
14/09/2009
47
48
Gustavo Pires
Date
14/09/2009
What do you think keeps you from participating in physical activity or exercise? Is it work or family
commitments? Take 10 minutes to think about your barriers then list them down in order of
importance.
Select one of your barriers and come up with a way to reduce or remove the barrier
I am too tired to exercise after working all day I will balance my diet better and I will get more sleep
during the night
Once you have selected a strategy, implement it for a week. If you find this doesnt
work, then try another!