ACSM CIFT- Health Appraisal, Fitness, &
Functional Assessment
ICF - ANS-International Classification of Functioning, Disability, and Health
Capacity - ANS-An individual's potential with or without facilitators
Performance - ANS-Current status with or without assistive devices
ICF Scale of Function (either capacity or performance) - ANS-0= No impairment, 2=
Moderate impairment, 4=Complete impairment, 5-point scale
ICF Scale of Facilitator or Barrier to participation - ANS-0= No barrier or No facilitator,
2= Moderate barrier or facilitator, 4= complete barrier or facilitator
Important factor in initial client consult to build rapport - ANS-Eye contact, Body
language (same level etc.), Vocal Tone & Rate of speech, Physical space, Time of
appointment, open & closed ended questions, paraphrase/restate/summarize (active
listening
Pre-Program Screening components - ANS-Access to the community, Function &
Mobility, level of Comprehension
Assessment Preparedness on Client's End - ANS-No vigorous activity 6 hours prior, no
alcohol 6 hours prior, no caffeine or nicotine 2 hours prior, no heavy meals 2 hours prior,
all forms filled and returned prior to assessment, wear loose/comfy clothing
What is the appropriate screening form for clients over 69 years of age? -
ANS-PARmed-X form completed by the client's physician
Common disorders that cause fatigue - ANS-MS, Fibromyalgia, Chronic Fatigue
Syndrome, and Post-Polio Syndrome
Common disorders causing thermodysregulation - ANS-MS, SCI (below the level of
injury unable to sweat)
Normal fasting glucose - ANS-60-99 mg/Dl
, Impaired Fasting Glucose - ANS-Typically seen in pre-diabetics & diabetics, 100-125
mg/Dl
Protocol for client with impaired fasting glucose - ANS-Wait 10-15 minutes, recheck
blood glucose.
Protocol for client having difficulty breathing at rest - ANS-postpone assessment and
refer to physician
Protocol for pregnant clients pre-assessment - ANS-obtain PARmed-X for Pregnancy
from physician
HR readings for clients with asymmetrical weakness - ANS-Take on stronger/more
functional side
IF HR is above 100 BPM during pre-assessment - ANS-Let client rest for 5 minutes and
reassess. If HR still above 100 BPM, refrain from musculoskeletal or cardiovascular
assessments, and refer to physician
HR measurement for clients with poor circulation - ANS-HR via palpation can be
problematic. Use wrist watch HR monitor without chest strap to gain HR reading
Which arm do you take BP from? - ANS-Left
When do you take BP on the right arm? - ANS-If left arm has significant impairment
such as contracture, muscle weakness, or paralysis
If neither arm is sufficient for BP readings, what do you do? - ANS-Take BP at popliteal
fossa artery on left leg using adult leg cuff. Systolic pressure may be 20-30 mmHG
higher in the thigh than arm
What if pre-assessment BP is high? - ANS-If over 160/100 mmHg, let client rest 5
minutes and reassess. If BP is still over 160/100, refrain from musculoskeletal and
aerobic portion of assessment, and refer to physician
What allergy is common in clients with Spina Bifida? - ANS-Latex Allergy
Modifications for taking weight measurements - ANS-standard scale with our without
assistive device (BW + Assistive Weight -Assistive Weight (measured separately) =
BW), Chair Scale (requires transfer), Wheelchair scale.
Functional Assessment
ICF - ANS-International Classification of Functioning, Disability, and Health
Capacity - ANS-An individual's potential with or without facilitators
Performance - ANS-Current status with or without assistive devices
ICF Scale of Function (either capacity or performance) - ANS-0= No impairment, 2=
Moderate impairment, 4=Complete impairment, 5-point scale
ICF Scale of Facilitator or Barrier to participation - ANS-0= No barrier or No facilitator,
2= Moderate barrier or facilitator, 4= complete barrier or facilitator
Important factor in initial client consult to build rapport - ANS-Eye contact, Body
language (same level etc.), Vocal Tone & Rate of speech, Physical space, Time of
appointment, open & closed ended questions, paraphrase/restate/summarize (active
listening
Pre-Program Screening components - ANS-Access to the community, Function &
Mobility, level of Comprehension
Assessment Preparedness on Client's End - ANS-No vigorous activity 6 hours prior, no
alcohol 6 hours prior, no caffeine or nicotine 2 hours prior, no heavy meals 2 hours prior,
all forms filled and returned prior to assessment, wear loose/comfy clothing
What is the appropriate screening form for clients over 69 years of age? -
ANS-PARmed-X form completed by the client's physician
Common disorders that cause fatigue - ANS-MS, Fibromyalgia, Chronic Fatigue
Syndrome, and Post-Polio Syndrome
Common disorders causing thermodysregulation - ANS-MS, SCI (below the level of
injury unable to sweat)
Normal fasting glucose - ANS-60-99 mg/Dl
, Impaired Fasting Glucose - ANS-Typically seen in pre-diabetics & diabetics, 100-125
mg/Dl
Protocol for client with impaired fasting glucose - ANS-Wait 10-15 minutes, recheck
blood glucose.
Protocol for client having difficulty breathing at rest - ANS-postpone assessment and
refer to physician
Protocol for pregnant clients pre-assessment - ANS-obtain PARmed-X for Pregnancy
from physician
HR readings for clients with asymmetrical weakness - ANS-Take on stronger/more
functional side
IF HR is above 100 BPM during pre-assessment - ANS-Let client rest for 5 minutes and
reassess. If HR still above 100 BPM, refrain from musculoskeletal or cardiovascular
assessments, and refer to physician
HR measurement for clients with poor circulation - ANS-HR via palpation can be
problematic. Use wrist watch HR monitor without chest strap to gain HR reading
Which arm do you take BP from? - ANS-Left
When do you take BP on the right arm? - ANS-If left arm has significant impairment
such as contracture, muscle weakness, or paralysis
If neither arm is sufficient for BP readings, what do you do? - ANS-Take BP at popliteal
fossa artery on left leg using adult leg cuff. Systolic pressure may be 20-30 mmHG
higher in the thigh than arm
What if pre-assessment BP is high? - ANS-If over 160/100 mmHg, let client rest 5
minutes and reassess. If BP is still over 160/100, refrain from musculoskeletal and
aerobic portion of assessment, and refer to physician
What allergy is common in clients with Spina Bifida? - ANS-Latex Allergy
Modifications for taking weight measurements - ANS-standard scale with our without
assistive device (BW + Assistive Weight -Assistive Weight (measured separately) =
BW), Chair Scale (requires transfer), Wheelchair scale.
