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Canadian

Fitness
Safety
Standards ©

3rd edition
Published by Ontario Association of Sport and Exercise
Sciences Inc. (OASES)

Copyright © 2006 by Ontario Association of Sport and Exercise Sciences Inc.
All rights reserved.
Unaltered or unedited reproduction of the CD for personal use is permitted. All sample forms in the
Appendix may be reproduced at any time, providing the source is cited with permission of the
Ontario Association of Sport and Exercise Sciences, Canadian Fitness Safety Standards©.
For any other purposes, reproduction of this work in whole or in part is forbidden without advance
written permission of the publisher.
ISBN: 978-0-9687941-1-1

Ontario Association of Sport and Exercise Sciences Inc.
P.O.Box 1166
Shelburne Ontario, Canada
L0N 1S0
Email:info@oases.on.ca or info@canadianfitnessmatters.ca
Web site: www.oases.on.ca and www.canadianfitnessmatters.ca

OASES gratefully acknowledges the financial support of the Ontario Trillium Foundation, an agency
of the Ministry of Tourism, Culture, and Recreation. With $100 million in annual funding from the
province’s charitable gaming initiative, the Foundation provides grants to eligible charitable and not-
for-profit organizations in the arts, culture, sports, recreation, environment and social service sectors.

Canadian Fitness Safety Standards, 3rd ed. i

Table of Contents Guests Log Sign In
PARmed-X for Pregnancy
101
102
Editors and Contributing Editors to the Canadian Fitness Safety Standards© 3rd ed. iii X-AAP pour femmes enceintes 106
Preface iv Information Required for a Medical Form 110
Introduction vi Information Required for an Incident/Accident Report Form 110
Members of the 1987 Fitness Safety Standards Committee (FSSC) vii
2004 Canadian Fitness Safety Standards© 1 C – Articles & Research Papers 111
Executive Summary 1 Summary of Fitness Injury Survey (1988) 112
Canadian Fitness Safety Standards©and Recommended Guidelines 2 Historical Overview (1987) 118
Industry Compliance Survey Results (2002) 124
Chapter 1 On-line Survey Sample Questionnaire 132
The Standards in the Making Historical Overview 8 Canadian Certification Organizations 133
Benefits of Compliance 15 Article – Safe Exercise 155
Article – Fitness Related Personnel 158
Chapter 2 Article – Pre-screening and Informed Consent 159
Fitness Related Personnel 19 Article – Training Special Populations 160
Article – Emergency Procedures 161
Chapter 3 Article – Communicable Diseases – The New Normal 162
Pre-Screening and Informed Consent 23 Article – Fitness Environment 165
ACSM & AHA Joint Position Statement -
Chapter 4 Automated External Defibrillators in Health/Fitness Facilities 166
Special Exercising Populations 28 VO2peak Prediction & Exercise Prescription for Pregnant Women 170

Chapter 5 D – Legislation 177
Emergency Procedures 31 Health Protection and Promotion Act 177

Chapter 6
Communicable Disease Prevention 36

Chapter 7
Editors and Contributing Editors to the
Fitness Related Environments 41
Canadian Fitness Safety Standards© 3rd ed.
A – Supplements 49
Glossary of Definitions 50 Editor: Contributing Authors:
National Contacts for Emergency Care and First Aid 52
First Aid Kit Recommendations from St. John’s Ambulance 53 Patricia Clark Patricia Clark
A Training Document for a Communicable Disease Strategy 55
Provincial Offices for Building Codes 66 Paul Compton
Illumination Measurements 70 Contributing Editors:
DIN Floor Standards 71 Diane Dodds
Daniel Clark
B – Forms 72 Blake Ferris
Facility Recognition Application Form
©
73 Blake Ferris
Canadian Fitness Safety Standards Facility Audit 82 Bob Grisdale
Choosing a Quality Fitness Centre 86 Cathy McNorgan
Choisir un bon centre de conditionnement physique 87 Beau Kent
PAR-Q and You 88 Norm Naisbitt
Q-AAP et VOUS 90 Andy Popadopoulos
PARmed-X 92
X-AAP 96 Editorial Assistant: Richard Thomas
Sample 100
Informed Consent Agreement 100 Jennifer Logan Larry Wolfe

Canadian Fitness Safety Standards, 3rd ed. ii Canadian Fitness Safety Standards, 3rd ed. iii

Development of Fitness Safety Standards in Canada
Injuries and possibly death are always a potential risk whenever people engage in exercise. chosen for their expertise in each of the areas. The Moderators were directed to obtain con-
In most instances, such injuries and fatalities can be averted when precautionary measures are sensus based on the relevance and feasibility of each statement. They continued to revise the
in place. With the exception of spas and pools, there is no legislation that demands safety stan- Standards and Recommended Guidelines until consensus was reached from over 300 regis-
dards be met; however, the law does dictate that facility owners must provide due diligence tered participants across Canada. The Moderators then presented their recommendations to
with respect to offering a safe environment for their members. the Fitness Safety Advisory Council, who in turn presented their report for approval to the
Between 1980 and 1987 there were six deaths in fitness facilities that required a Coroner’s OASES Board of Directors. The final document was approved in August 2004.
Inquest. Deaths occurred due to the following situations: OASES was successful in obtaining a four-year grant from the Ontario Trillium Foundation
• a drowning in a pool to conduct this third revision, and provide ongoing promotion for the new Standards. A web
• a drowning in a whirl pool site was developed, www.CanadianFitnessMatters.ca which lists facilities across Canada, and
• a bar bell fell on an individual in an unsupervised weight room highlights those that are in compliance with the Canadian Fitness Safety Standards© through
• heat prostration in sauna the facility recognition program entitled Safety Matters! More information on this program
• cardiac arrest with no staff qualified in CPR on site may be found in the section of this book entitled “Historical Review of the 2004 Canadian Fit-
ness Safety Standards©”, and the facility recognition application form is copied in Forms Ap-
1987 pendix B-1.
Throughout its work, the FSSC, FSAC and OASES have assumed a common law duty to all
In some instances these deaths could have been prevented; therefore on August 28th, 1987, who will use the standards, that the Report has not been negligently prepared. The contents
an agreement was reached between the Ministry of Tourism and Recreation (MTR), now the of the document are based on sound and confirmable scientific and technical data both from
Ministry of Health Promotion, and the Ontario Association of Sport an historical and experience-related perspective. Every reasonable attempt has been made to
Sciences (OASS), now the Ontario Association of Sport and Exercise Sci-

Preface
assure the completeness and accuracy of the major sections up to the time of approval by the
ences (OASES). OASS was to establish a Fitness Safety Standards Com- OASES Board of Directors.
mittee (FSSC) to develop safety standards for the fitness industry so that Notwithstanding the care taken in the preparation of the report, FSSC, FSAC and OASES
the fitness community could conduct its activities in a safe and orderly hereby claim that the document is based upon the scientific, technological, and professional
environment. opinions of the moment, and that it is not to be taken to be applicable and appropriate for an
At various stages during the deliberations, the FSSC considered related legal issues which unlimited period of time. Accordingly, the Standards and Recommended Guidelines con-
are summarized in this book. The original report contained Standards, Guidelines and Recom- tained in this report were deemed to be applicable for not more than five years (i.e. January
mendations for each of the areas. A major research project was commissioned to determine 2010).
the nature, incidence and severity of injuries experienced by participants in fitness related ac-
tivities in Ontario’s fitness facilities. The researchers were asked to correlate the injuries with
potential contributing factors and propose standards and guidelines to reduce the incidence
and/or severity of fitness injuries. The research findings may be found in Articles & Research
Papers Appendix C -1. The original document was submitted to the Ministry of Tourism and Recreation in February 1990 by:

1997 Norman Gledhill, Ph. D. Greg W. Poole, M. Sc.
Chair, Chair,
The second revision to the Fitness Safety Standards was completed in 1997. The document Fitness and Safety Standards Committee Ontario Association of Sport and Exercise Sciences
was revised by OASES using the Delphi Technique; a process by which twenty-six experts in
the field provided input into the validity of the information in the document and obtained The second document was submitted to OASES Board of Directors in February 1997 by:
consensus amongst the panel with respect to their suggested revisions. The Fitness Safety
Standards document was then revised by OASES to reflect the opinions of the panel of ex- John Frittenburg Patricia Clark Norm LaVoie, Ph.D.
perts. Consultant Executive Director Chair
The three levels of Standards, Guidelines and Recommendations were subsequently revised J.F. Group OASES OASES
into Standards and Recommended Guidelines for each of the major operating components of
the fitness industry. The third document was submitted to OASES Board of Directors in August 2004 by:

2004 Blake Ferris, Ed.D. Tracy Gedies, Ed.D.
Chair, Chair,
OASES created a new Fitness Safety Advisory Council (FSAC) who would be responsible Fitness Safety Advisory Council Ontario Association of Sport and Exercise Sciences
for the process of this third review of the Standards and Recommended Guidelines. The Del-
phi Method was used again to ensure consensus within the industry; however, this review Reference
was conducted via the Internet with an on-line survey and forum that was posted on the
OASES web site. This three-month process was controlled by five Moderators, who were Clark, P., Safe Exercise, Fitness Business Canada, Nov/Dec, 28-30, 2004.

Canadian Fitness Safety Standards, 3rd ed. iv Canadian Fitness Safety Standards, 3rd ed. v

Safety Advisory Council (FSAC) in fashioning the document that follows. encourage greater awareness and compliance of them within a much more diversified fitness Ottawa Ontario Medical Association industry. Northern Ontario. This 20-year process Toronto Ontario Council of University Physical Education represents a successful and dedicated effort by OASES to promote exemplary safety practices Administrators and Ontario Community College within a widely diversified fitness industry. Initiatives Section Larry Vezina infections and other health related trauma. OASES Canadian Fitness Safety Standards. D. fitness educators Toronto and industry service providers. Toronto Thunder Bay The entire process has involved a rigorous. Employee Lifestyle Management. Mississauga The highly interactive and industry-wide consultative process employed in the develop. then known as the Ontario Association of Sport Sciences. Ontario Fitness and Racquet Group. as now. Chatham Education Association. Richard Thomas. vi Canadian Fitness Safety Standards. Art Salmon. Ontario Physical and Health Directors. Ontario Association of Sport Associations. ences (OASES). Recognizing the importance of Managers Association. Dale Wood directory of Canadian fitness facilities and services from our innovative public website. vii .D.D. They can also browse an extensive online YMCAs of Ontario. 3rd ed.canadianfitnessmatters. www. Barbara Elson Fitness Administrators. Ottawa Parks and Recreation Federation of Ontario. supported a four year OASES initiative to review and revise an earlier ver- Blake Ferris. Ed. This reasoning has guided OASES and its Fitness Ministry of Tourism and Recreation. The Canadian Club vices industry. Toronto Members: Cathy Beaumont Allan Scott YWCAs of Ontario. in 2003. It is my sincere hope that the Ministry of Tourism and Recreation. Bert Taylor. Members of the 1987 Fitness Safety Standards Committee (FSSC) Chair: Norm Gledhill. content of this book will serve the best safety interests of fitness consumers. Ed. Ph.D. Ph.ca. York University. M. Ph. io Ministry of Tourism and Recreation and the Ontario Association of Sport and Exercise Sci.D. Barb Dickson Mike Sharratt. 3rd ed. The resulting Canadian Fitness Safety Standards© had Cathy McNorgan Paula Wagar to meet strict criteria for both relevance and feasibility before approval by the OASES Board of Ontario Fitness Council. ment of the Canadian Fitness Safety Standards© establishes an efficient and community-based Fitness Section method for future fitness safety standard reviews and updates. public safety and health protection within the Toronto Physically and Mentally Challenged Introduction fitness industry. Confederation College. OASES Fitness Safety Advisory Council Past Chair. Committee on Accidental Injuries. Chair. Ph. injuries.D. Standards of ‘best practice’ are still of vital importance to ensure that the health benefits Marj Keast Midland associated with participation in fitness programs and services offered to the public are not Community and Safety threatened or compromised by exposure to unnecessary risks of accidental incidents.D. The result has led to the creation of a unique fitness industry safety standards compliance Peterborough recognition program called Safety Matters! Consumers can now look for and find clubs that Don Noble comply with the standards described in this book. Blake F. London sion of the fitness safety standards as well as to and Exercise Sciences. promote and encourage voluntary compliance with Prestige Athletic Clubs & Waterloo/Kingston ‘best practices’ or standards for enhancing fitness safety within a broadly oriented fitness ser. the Ontario Trillium Founda- tion. Toronto Toronto This third edition of the Canadian Fitness Safety Standards© Book represents an important continuation of a pioneering health protection initiative that began in 1987 between the Ontar. was to create. Larry Wolfe. open and thorough consultation with represen- tatives of the Canadian fitness industry. in which fitness safety is prominently featured. The goal then. Ferris.D. Ph.

Loyalist College. Orangeville Ottawa Belleville Employee Fitness Private Fitness Club Public Health Representative Members: Representatives Representative Course Conductor Representative Larry Stinson Athletic Therapist Cheryl Finn / Doug Weaver Allan Scott JoAnn Rutledge Peterborough Representative Fanshawe College.g. 3rd ed.D. Fanshawe College Members of the 2002 – 2006 London Fitness Safety Advisory Committee (FSAC) Directors: Community College Representative OASES Executive Director Chair: Doug Lafreniere Patricia Clark Blake Ferris. Jack Smith / Carole Deavey OASES Executive Director Warren Watson University of Ottawa Canada Safety Council Orangeville YMCA Representative Centennial Fitness Centre Ottawa Ottawa Cathyann White / Markham Police Fitness Personnel of Ida Thomas YMCA Representative Community College Ontario Representatives YMCA Ontario Ida Thomas Representative Marion Reeves Toronto Toronto Norm Naisbitt Peel Police. Ed. Ryerson University cil” exercise using the Delphi Method to gain consensus. Hamilton Canadian Fitness Safety Standards. Ottawa Toronto Ottawa Ottawa Ottawa Markham Pierre Chartier John Griffin Allan Scott Ron Weese Ottawa Toronto Toronto Aurora Doug Cowan Mississauga Ruth Hanton Toronto Marc Stupp Mississauga OASES Board of Directors 2002. ix . The following individuals participated in the “paper and pen. 3rd ed.2006 Barb Dickson Jay Kell Cheryl Tensen Chair: Toronto North York Toronto Tracy Gedies. fitness directors). DC working in the field (e.Members of the 1997 Expert Panel Moderators for the 2004 Review The panel was not to exceed thirty members.D. Municipal Employee’s Active Living Club.D. CPHI(C) Georgetown Ottawa London Thunder Bay Diane Dodds School of Occupational Public Health Department of Recreation and Athletics Ryerson University John Campbell Norm Gledhill Greg Poole Warren Watson Carleton University. Ed. Co-ordinator. Toronto Active Home Rehab/ Toronto Canadian Safety Council OASES Representative Health Fit Services University Representative Representatives Patricia Clark Waterloo Municipal Fitness Representative Glen Kenny. MBA. LifeMark Health. Mississauga Fanshawe College Gary Goguen London Hamilton Police. London Cambridge Club Newmarket Kelly Parr Toronto Private Fitness Representative Ontario Athletic Therapist Municipal Representative Employee Fitness Representative Allan Scott Association Kevin Smith Rehabilitation Representative Adrienne Sutton Cambridge Club Toronto Town of Ajax. Toronto Bob Bowes George Dickson Olga Labaj Richard Thomas City of Ottawa Ottawa Toronto Pickering Midland Ottawa Professor Beau Kent George Brown College Tony Brenner Rick Dominico Cathy McNorgan Stephanie Todd Paul Compton Toronto London Unionville Hamilton Hanmer Area Recreation Manager City of Vaughan Consultant: Laurie Burns Blake Ferris Don Paterson Larry Vezina Andrew Popadopoulos. Ajax Cathy McNorgan Tri Fit Inc. and they were to represent both “experts” and those Bob Bowes Bob Grisdale. viii Canadian Fitness Safety Standards. Ph.

FSAC and OASES hereby claim that the report is based upon the scientific. and the CanadianFit- nessMatters. and that it is not to be taken to be applicable and appropriate for an unlimited period of time.ca website. (i. a program which recognizes facilities for their compliance with the Canadian Fitness Safety Standards©. use of. Canada’s first on- line fitness facility directory. 3) a) The creation of the CanadianFitnessMatters. These three goals have been achieved through the following methods: 1) On-going marketing and promotion of the revised standards in national fit- ness trade magazines. the Standards and Recommended Guidelines contained in this document are deemed to be appli- cable for not more than five years.e. b) The creation of Safety Matters!. Notwithstanding the care taken in the preparation of this document. Accordingly. and voluntary compliance with the Canadian Fitness Executive Safety Standards©. technological. Summary 3) To create a revenue generating mechanism which would allow OASES to continue to advocate and advance fitness safety standards and practices in the Province of Ontario. 2) To create an on-going review mechanism to keep the Canadian Fitness Safety Standards© current.2004 Canadian Fitness Safety Standards© The Fitness Safety Standards Advisory Council (FSAC) was established by OASES in 2002 to fulfill three broad goals: 1) To promote a greater awareness of. and professional opinions of the moment. Canadian Fitness Safety Standards. newspapers.ca website. 3rd ed. consumer magazines. 1 . January 2010). 2) The development of the on-line survey and forum on the OASES web site.

or procedure (e. aerobic classes. personal training. 3rd ed. 2 Canadian Fitness Safety Standards. people with disabilities).g. PAR-Q or appropriate signs). Fitness Related Personnel Recommended Guideline #5 Fitness service providers should encourage new or renewing members/clients to complete an Informed Consent Agreement before engaging in the programs and Standard #1 services offered. medical clearance using the PAR Med-X should be obtained before he/ Fitness personnel shall be certified in the area with which they are providing she takes part in physical activity. seniors. participant education and the risk of injury during physical activity. fitness personnel working with special their current level of fitness. b) are males over 40 years of age. pregnant women. Canadian Fitness Safety Standards. Fitness service providers shall recommend that individuals 70 years of age and over receive medical advice before initiating a physical activity program or increasing their physical activity. Facility operators and other fitness service providers shall inform participants of the risks inherent in physical activity participation and fitness facility use.) Recommended Guideline # 7 Facility operators should post public signs which encourage participants to Recommended Guideline #1 exercise caution if they are unfamiliar with either the activity to be undertaken. or Where certification is not available. Pre-Screening & Informed Consent Standard #7 Standard #3 Maximal testing of individuals who: Fitness service providers shall provide or require a pre-activity screening a) are not accustomed to regular strenuous exercise. supervision and monitoring of high risk Standard #6 activities or areas. Standard #5 Fitness service providers shall recommend that pregnant women obtain medical advice regarding their participation in physical activity. 3rd ed. been screened for medical risks by the PAR-Q or a physician. or c) are females over 50 years of age shall be conducted under the supervision of either a physician or personnel with Standard # 4 current appraisal certification and ACLS (Advanced Cardiac Life Support). unsupervised maximal tests may be conducted.Canadian Fitness Safety Standards© Recommended Guideline #4 and Recommended Guidelines Individuals planning to engage in physical activity should. All fitness facility personnel and other fitness service providers shall be qualified in first aid and CPR. at a minimum.g. be screened by the PAR-Q (physical activity readiness questionnaire) and/or the PAR Med-X (physical activity readiness medical exam). Recommended Guideline # 6 When an individual is screened out by the PAR-Q from taking part in physical Standard #2 activity. fitness appraisal. Special Exercising Populations Recommended Guideline #2 Training programs for fitness personnel should include information on participant screening. Recommended Guideline # 8 For all other individuals (not identified in Standard #7). provided participants have. Recommended Guideline #3 Training programs for fitness personnel should emphasize the important safety role of fitness personnel. exercising populations should participate in training programs specific to that population (e. 3 . aqua fitness classes etc. at a minimum. program services (e. in instruction.g.

(Ontario Building Code 3. Receptacles located in wet areas of a building or limitations 2) advise EMS or hospital personnel when providing treatment.g. ambulance/ hospital emergency phone numbers) must also be posted and phones readily accessible in all high risk/injury areas (e. and/or maintenance awareness. 3rd ed. such as a locker and change room. Standard #10 Standard #16 A designated complement of First Aid equipment shall be readily available in All fitness testing equipment shall be checked. and free from hazards. and/or fire code regulations.* * or existing provincial/territorial code or regulations as applicable Standard#12 Recommended Guideline #12 Fitness service providers shall provide employee training pertaining to the Staff are required to carry out ongoing inspection.2. Standard #8 Standard #14 Access to a clean drinking water supply is required at or near all physical activity Facilities and other environments in which fitness related activities are offered areas. Standard #15 Standard #9 The number of participants in an exercise class is based on the square footage that allows each participant unrestricted and safe movement in various types of All injuries. Recommended Guideline # 9 Fitness-Related Environments The PAR-Med X for Pregnancy questionnaire should be utilized in pre-exercise medical consultations with pregnant women. spas and tubs shall comply with the Recommended Standards for the Operation of Public Spas (Ministry of Health & Long term Care Act . the participants should have the option of Standard #19 completing a pre-exercise Medical Information Form to 1) recognize potential risks Electrical panels shall be covered. Standard #11 Standard #17 Floors in wet areas shall have a non slip surface with adequate drainage to Immediate access to in-house first aid services must be available from qualified prevent the pooling of water. of all areas and equipment. and associated with the pool. shall have in place an Emergency Action Plan which shall be practiced twice per year and reviewed with all NEW staff at the commencement of their employment. fitness testing. Contact information for external medical services (e. 4 Canadian Fitness Safety Standards. 5 . prevention and control of communicable diseases. well maintained. Standard #13 Emergency Procedures All fitness related environments and equipment shall be clean.2. accidents or emergencies in fitness facilities and other fitness related exercises. A fire alarm system shall be installed in a building as determined by building code Communicable Disease Prevention requirements.4. Participant numbers may also be defined by building code restrictions environments shall be documented in writing and retained. Recommended Guideline #10 In combination with the PAR-Q.5. Canadian Fitness Safety Standards. Recommended Guideline #11 Safety signs indicating emergency procedures should be posted in all activity Standard #20 areas.17).1)* Portable fire extinguishers shall be installed in all buildings (Ontario Building Code 3. and weight Standard #18 training areas) Whirlpools. personnel. fitness facilities and other fitness related environments. cleaned and calibrated as required. as part of their day-to-day activities. reporting.g. require ground fault circuit interrupters of the Class A type. pools. 3rd ed. June 2001).

free weights. gymnasium and weight training areas) should be provided at all times by qualified personnel (e. Recommended Guideline #20 All equipment. Canadian Fitness Safety Standards. Recommended Guideline #24 To promote good hygiene and safety. Air temperature. squash courts) should be monitored hourly and/or have signs informing participants of appropriate Recommended Guideline #17 precautions (e.g.g.) should comply with national sport governing body regulations and/or manufacturers safety regulations. playing fixtures. Signs are to be posted in weight lifting areas. areas should be a safe distance from playing surfaces so as to avoid collisions with participants. water temperature. properly instructional sessions by qualified staff in order to ensure they can use the exercise graded for adequate drainage. and air circulation in all indoor areas should be monitored and properly controlled. 3rd ed. humidity. etc. certified in First Aid.g. with detailed instruction. sprung wood. equipment safely. ballistic rubber overlay) that reduce the potential of repetitive impact injury.) should be placed in a logical sequence to maximize efficient traffic flow and allow safe and effective use of the equipment. and badminton participants should wear appropriate eye guards approved by the Canadian Standards Association. Recommended Guideline #25 Shower (wet) areas should not be directly connected to exercise areas (pools Recommended Guideline #16 excluded). (cardio.g. 6 Canadian Fitness Safety Standards. doors. participants are to wear appropriate Recommended Guideline #15 footwear and apparel. but should be accessible by emergency vehicles. should exist throughout indoor and outdoor areas of the facilities. Recommended Guideline #18 All squash. strength conditioning). including emergency lighting. Recommended Guideline #21 Direct supervision in high risk/injury areas (e. Adequate lighting.g. racquetball. Recommended Guideline #19 Group exercise floor areas should be constructed with materials (e. 3rd ed. Spectator and safety precautions to guide participants in proper use of the equipment. proper footwear and clothing). Participants (particularly beginners) should be provided with one or more They should be free from obstructions to participants. markings etc. floor surfaces. protective eye equipment.g. 7 . Recommended Guideline #13 Recommended Guideline #22 The surface for all recreational areas should be appropriate for the intended use(s). Recommended Guideline #14 Recommended Guideline #23 Sport or recreational playing areas should be separated from roadways by a fence. pictures wall or buffer zone. All sports court areas (e. CPR. and if outdoors. Recommended Guideline #26 Activity areas that are typically unsupervised (e. resistance machines.

2. each statement. Canadian Fitness Safety Standards. among the members on the key elements related to the issue under consider- • investigate the nature and incidence of injuries in the fitness industry including ation. knowledge and experience • represent a cross-section of the fitness service delivery community including relative to all major operating components of the Ontario fitness industry. The final document contained 17 Standards and 82 Recommended Guidelines. The Ministry of Tourism and Recreation recommended that the number of panel members should not exceed thirty indi- directed the Committee to specifically: viduals. Overview • coordinate the development of safety 2) Feedback – the panel members received a chart of the responses to the first standards for the fitness industry in- questionnaire and could compare their ratings and rationales with that of the cluding standards relating to equip- rest of the group. training and experience required 3) Repetition – the panel members went through three rounds of questionnaires by professional staff working in the fit- with each successive round narrowing the focus until there was agreement ness industry. and thirty-two Recommen- dations. She safety standards for the fitness industry. • recommend a means by which those individuals participating in fitness activities Panelists were asked if the Standard. incidence and sever- ity of injuries that had occurred in fitness related activities. then it can be anticipated that the standards developed by the FSSC will be recog- nized as the acceptable standards of safety in matters concerning fitness related safety issues. at the University of Waterloo. answers were based on their independent view of the presented issue. ment. • whereas the constituencies which are represented on the FSSC were identified by of which 43 of the Guidelines related to the fitness environment. and the research findings may be found in the Articles & Research Papers Appendix C. and operating standards that will ensure the safety of participants. Development of the Original 1987 Ontario Fitness Safety Standards 2000 Fitness Safety Standards Expert Panel Review The original Fitness Safety Standards Committee (FSSC) was established in 1987 Information on the Delphi Method was obtained from Olga Malott. The first survey asked for the cies. a senior to advise the Government of Ontario on matters pertaining to the development of researcher at the Centre for Applied Health. the MTR as being representative of the fitness community. Between meetings the committee members were asked to contact members within their represented sector and provide feedback at the following meeting. the 1987 Standards document. In addition. Participants were selected for their expertise. A major research project was commissioned to determine the nature. 3rd ed. 8 Canadian Fitness Safety Standards. or The FSSC attests that the above conditions were attended to properly. 9 . the collection of research on the frequency. Full details of the historical development of the original Fitness Safety Standards Committee. The final document contained twenty Standards. They also provided a written rationale for their decision on respond to a variety of concerns.Chapter 1 The FSSC held fourteen meetings to develop the contents of the final report. ii) be downgraded. there was to be two most information while each subsequent version had fewer questions based on the members from the Ministry. iii) be upgraded In each case. The FSSC had been advised that. and • whereas many other major fitness related groups were invited to become corre- sponding members and were sent periodic updates informing them of the work of the FSSC and requested to provide feedback on FSSC proposals. twenty-four Guidelines. 3rd ed. type and cause of injuries. including The Standards in the Making one representative from the Fitness Sec- consensus that had been reached previously. The three key elements in the process were: Historical tion and one from the Community and Safety Initiatives Section of the Sports 1) Anonymity – the panel members did not know who was on the panel and the and Fitness Branch. legal council was sought to press their opinion. and • whereas the members of the FSSC who represent the various constituencies were named by those constituencies and involved their constituency fully in establish- ing the safety standards. Three both for-profit and not-for-profit agen- surveys were mailed out to the panel members. Guideline or Recommendation should: can be assured that reasonable care has been taken to ensure their safety and an i) continue to receive its original emphasis indication of the acceptability of such recommendations by the fitness industry. a 9-point scale was provided to allow members to effectively ex- During the development of the original standards.

Current Review Leading to the 2004 Canadian Fitness Safety Chronology of Events Leading to the 2004 Canadian Fitness Safety Standards©
Standards© Date Activity

October 2001 Initial meeting to discuss project
Patricia Clark November 2001 Grant submission to MCzCR for base line survey
Preamble January 2002 Creation of the Fitness Safety Advisory Council
The Fitness Safety Advisory Council (FSAC) was formed in 2002 as an ad hoc April 2002 Baseline survey conducted for awareness and compliance of the 2nd ed.
committee of the OASES Board of Directors. The mandate of the Council was: of the Safety Standards
May 2002 Grant submission to Ontario Trillium Foundation (OTF)
1) To promote a greater awareness of, use of, and voluntary compliance with the June 2003 Marketing strategy developed
Canadian Fitness Safety Standards©. March 2003 Four-year grant received from OTF in the amount of $354,000
2) To create an on-going review mechanism to keep the Canadian Fitness Safety December 2003 Development of Facility Recognition process
Standards© current. January 2004 Tomahawk Technology received tender for development of the on-line forum
3) To create a fitness safety revenue generating mechanism to allow OASES to con- May 7-13, 2004 First live Survey and Forum open
tinue its intention to advocate and advance fitness safety standards and practices May 25-28, 2004 Second live Survey and Forum open
in the Province of Ontario. June 3-12, 2004 Third live Survey and Forum open - consensus reached
June 22, 2004 Recommendations for revised Standards presented and approved
To achieve the mandate of the Council, the following tasks were completed: by Forum Moderators
June 23, 2004 Moderator’s recommendations presented to Fitness Safety Advisory Council
1) Conducted an industry base-line survey for awareness and compliance with the for approval
second edition of the Fitness Safety Standards, funded by the Ministry of Citi- August 2004 FSAC recommendations presented and approved by OASES Board of Directors
zenship, Culture and Recreation (MCzCR). August 2004 New Canadian Fitness Safety Standards© launched with CanadianFitnesMatters.ca
2) Applied to, and received, a four-year grant from the Ontario Trillium Founda- web site and Safety Matters! program
tion. March 2007 Second awareness and compliance survey to be completed.
3) Created the Fitness Safety Advisory Council.
4) Developed a thorough and transparent review process via an on-line survey
and forum.
Safety Standards Awareness and Compliance in the Fitness Industry (2002)
5) Recruited Forum Moderators.
6) Created a marketing strategy to increase awareness and compliance with the A survey, funded by the Ministry of Citizenship, Culture and Recreation (MCzCR), was
revised Canadian Fitness Safety Standards© through the development of conducted with the industry. the purpose was to obtain baseline data with respect to the
www.canadianfitnessmatters.ca. industry’s awareness and compliance with the second edition of the Fitness Safety Standards
7) Developed and implemented a facility safety recognition program, known as and Recommended Guidelines.
Safety Matters! A telephone survey was conducted with fitness practitioners across Ontario. The survey
8) Conducted a second survey to determine the increase of awareness and compli- sample was taken across all sectors and all regions in the province. There were 340 success-
ance with the Canadian Fitness Safety Standards© (to be completed in 2007). ful surveys conducted between April, 1 – 12, 2002. Fifty-two percent of the respondents were
aware of the Standards. Compliance varied from forty percent to eighty-six percent, depend-
ing on the specific standard. There was no significant regional deviation in the results. The full
summary of the survey may be found in the Articles and Research Papers Appendix C-3.
The results of that survey were used to justify a grant submission to the Ontario Trillium
Foundation in 2002. The objective of the grant proposal was to increase both awareness and
voluntary compliance with the Safety Standards. OASES was successful in receiving a four-
year grant in the amount of $354,000 to review, revise and promote the new Standards.

Choosing the Review and Revision Methodology (2004)
The Fitness Safety Advisory Council (FSAC) agreed to revise the Standards and Recom-
mended Guidelines using the Delphi Method. This Method had been used previously in 1999,
when the second edition of the Fitness Safety Standards was reviewed. At that time, a panel of
twenty-six experts participated in a “paper and pencil” process. Internet technology has made
significant advancements since 1999, and the Council decided to develop an on-line survey
and forum which allowed for input from fitness practitioners from across the country.

Canadian Fitness Safety Standards, 3rd ed. 10 Canadian Fitness Safety Standards, 3rd ed. 11

The Delphi Method The following questions were asked for each Standard. A sample of a survey
questionnaire may be found in the Articles and Research Papers Appendix C-4.
We would like to acknowledge the assistance and advice that was provided by
Dr. Murray Turoff, Hurlburt Professor of MIS, Information Systems Department 1. How IMPORTANT/RELEVANT is the Standard as a fitness industry safety
at the New Jersey Institute of Technology (NJIT). Since 1974, Dr. Turoff has been practice?
involved in the development and evaluation of Computer Mediated Communica- 2. How FEASIBLE/WORKABLE is the Standard as a fitness industry safety prac-
tion Systems and associated investigations of group processes using the Delphi tice?
and Group Decision Support systems. Dr. Turoff has been the designer of a signifi- 3. NOW WHAT? Should the Standard be:
cant number of successful Delphi studies and is responsible for the development 4. SUGGESTED CHANGES: What change(s) would you suggest for the Standard?
of the Policy Delphi structure. He also developed the first Computerized Confer- 5. NEW PROPOSAL: If the Standard has prompted you to suggest a new, but
encing System. closely related Standard or Recommended Guideline in this topic area, it would
Fitness Safety Standards Review Process Using the Delphi Method be to create:
The Delphi Method used in the 2004 Standards Review was a written com- Survey/Forum Respondent Demographics
munication process that employed a series of surveys (with discussions between With the exception of fitness suppliers, all occupational focus categories were
surveys), to help arrive at a consensus decision within a group of interested stake- represented in the survey and forum respondents.
holders. The survey questions were tailored specifically to two principal criteria
for reviewing each standard and recommended guideline. These criteria were: The “Occupational Sectors” represented were as follows:
1) relevance as a safety issue • Commercial
2) feasibility as either a required “duty of care” or recommended industry practice. • Charitable
• Education
The Delphi methodology also provided survey response options for keeping, • Hospitality
changing, or retiring a standard, as well as provisions for creating new standards. • Martial arts
A series of up to three surveys on each standard or recommended guideline al- • Municipal
lowed groups with a common interest to eventually arrive at consensus, or deter- • Workplace
mine that more work was needed before consensus can be reached. For a detailed
description of the Delphi Process go to: The “Occupational Focus” within each sector represented were as follows:
http://www.is.njit.edu/pubs/delphibook/index.html#toc.
• Facility manager/administrator
Forum Moderators, with expertise in specific areas were recruited to facilitate • Program manager/administrator
the survey and forum process. The six areas for the survey and forum were: • Fitness consultant/personal trainer/coach
• Fitness industry supplier
• Fitness Related Personnel • Group fitness instructor
• Emergency Procedures • Educator/researcher
• Communicable Diseases • Allied health professionals
• Fitness Environment
• Pre-screening and Informed Consent The majority of members participating in the on-line survey and forum were
• Special Exercising Populations from Ontario; however, there was representation from both western and eastern
Canada. There were numerous comments posted on the forum for members to
Four surveys were originally scheduled between May and June 2004, however read and respond to prior to the next round of survey questions. A consensus was
consensus was reached with the stakeholders after three surveys were completed. reached where there was a minimum of 30 votes on a particular question, with
At the close of the first survey there were 308 registered members in the survey 67% agreement on that question.
database. The surveys received a varied number of responses ranging from one to Following each survey and forum, the Moderators met with the FSAC Chair-
over fifty replies. The results of the surveys and forum comments may be viewed man, and the OASES Executive Director. Each Standard and Recommended
at http://forum.oases.on.ca/users/login.aro. The login and user password are Guideline was discussed, and based on the forum comments and the survey re-
the same. Simply type in the word “Demo” in both fields, and the Forum Archives sults it was determined which questions had reached consensus and which ques-
and Survey Results may be viewed. tions needed to be posted again and/or revised.

Canadian Fitness Safety Standards, 3rd ed. 12 Canadian Fitness Safety Standards, 3rd ed. 13

Makes Good Business Sense
Three Reviewing Filters Employed
Prudent operators are already providing safe fitness environments. They are meeting the
The on-line forum and surveys took place over a period of three months. This safety needs of customers and staff while balancing economic and operation resources.
was the first “filter” or level of the standards review process. The second “filter” Beyond meeting the moral commitment to provide a safe environment to consumers, they
took place when the forum was adjourned. In late June 2004, the forum modera- know that looking out for the welfare of their clients makes good business sense. By planning
tors met to review and synthesize the results for each of the six areas. This was ahead and adopting a comprehensive safety target based on voluntary compliance, they will
followed by a meeting with the Fitness Safety Advisory Council to vet their rec- be better prepared to prevent injury, and the organization can benefit as well.
ommendations and obtain approval. The third “filter” took place in August 2004
when the FSAC recommendations were presented, vetted and eventually ap-

Benefits of
proved by the OASES Board of Directors. Meet Consumer Expectations
Major Differences between the 2nd and 3rd editions of the Fitness Safety Standards Consumer expectations are changing. The public

Compliance
expects more from fitness facilities and programs.
At the completion of this process there were two significant changes to the docu- The issue of safety is growing in importance in
ment: the minds of fitness consumers. With more and
more public information available about how to
1. The name changed from the Ontario Fitness Safety Standards to the Canadian choose a safe fitness facility or program, these expectations will only increase. Members are
Fitness Safety Standards©, as input to the revisions was received from across the now concerned about staff qualifications, emergency procedures, the spread of communicable
country. diseases, exercising in a safe and clean environment, and being screened for health risks.
2. Previously there were eight sections, with a total of eighteen Standards and
eighty-two Recommended Guidelines. Of those eighty-two Guidelines, forty-
three were in the area pertaining to the construction, operation and maintenance Market Safety Strategy
of fitness related environments. In the third edition there are now six categories
with a total of twenty Standards and twenty-six Recommended Guidelines. An effective safety strategy can help to develop confidence and foster loyalty among clients
Many Recommended Guidelines were combined together, and some no longer and staff. By ensuring that the facility’s strategy is visible, and that the actions of the staff
applied and were therefore removed. Any building codes that were previously during an emergency are appropriate to the situation, the negative effect upon the victims and
Recommended Guidelines automatically became a Standard. bystanders will be lessened. React appropriate, and goodwill will be fostered – a valuable tool
in marketing the services of the facility to current and future clients. Act inappropriately and
The revised six categories are: the facility and staff will stand to lose the confidence of the members.

• Fitness Related Personnel
• Pre-Screening and Informed Consent Enhance Public Image
• Special Exercising Populations
• Emergency Procedures By establishing safety standards and developing a strategy that will help put these standards
• Communicable Disease Prevention in place, the facility will stand apart from those that are not consumer focused. To assist
• Fitness Related Environments with this promotion, a program entitled Safety Matters! was designed to recognize facilities
across Canada for their compliance with the Canadian Fitness Safety Standards© . Further
2007 Survey information on this recognition program is within this document, and a facility application
form may be found in the Forms Appendix B-1.
A final on-line safety standards awareness and compliance survey of the fitness
industry will across Canada will be completed by March 2007. The purpose of the
second survey is to determine if awareness of, and compliance with, the Canadian Meet Legal Responsibilities
Fitness Safety Standards© has increased. The results of the survey will be posted
on the CanadianFitnessMatters.ca web site. The Canadian Fitness Safety Standards© are not legislated. However, in so much as they are
current and reflect accurate safety measures needed to protect clients, staff and others, it is
likely they will be used to gauge safety operating practices in legal proceedings. Liability can
best be avoided by taking all practical precautions in the design and operation of a facility or
program.
The proactive approach of including safety in an overall operating strategy will better serve
the customers, improve public image, protect clients, staff and guests from injury and in
doing so meet legal and moral responsibilities.

(adapted from Fitness Safety Standards Workshop Workbook , 1990)

Canadian Fitness Safety Standards, 3rd ed. 14 Canadian Fitness Safety Standards, 3rd ed. 15

000 square foot family fitness and sports cente offering personal training.000 fitness and health related facilities fitness service providers assist in determining how compliant a facility is with the across Canada. the facility may then apply for recognition of compliance with the Ca. 17 .e. Annual memberships are available. Website: www. A retail store.ca Your club is a 25.ca. “Smoothie” Bar. and babysitting services are on site. 3rd ed. A Voluntary Approach to Increase Awareness and Compliance with the Standards The Safety Matters! facility application form may be found in the Forms Appen- dix B-1. facility. poster and door decal promoting their recognition Consumer Education: How to Choose a Quality Fitness Facility • The preferred placement on the web site would look similar to this sample A checklist brochure was developed to assist consumers in choosing a quality fit- listing: ness facility. and then determine which facility they wish to join. and then adds up the score at the end. Facilities that are recognized for their a starting point to work towards compliance. but are not used when applying for the Safety Mat- Safety Matters! is a program that recognizes facilities that are in compliance with ters! facility recognition. however. It is also available on the web site at www. with a rating as follows: nadian Fitness Safety Standards©. basketball. There are four sections in the checklist. about important fitness matters. (i. which highlight specific quali- ties in a fitness facility. When consumers are shopping on CanadianFitnessMatters. fees). free of charge. and Recommended Guidelines. and provide recommended guidelines.ca B-4 (French). This comprehensive tool lists the current twenty safety standards and twenty-six It allows owners or directors to register their facility. they would also be able to offer recommendations on how to achieve com- • Safety recognition icon. Once ty identifying the degree of compliance to the Canadian Fitness Safety Standards© registered. The Canadian Fitness Safety Standards© Facility Audit has been designed to help This web site houses a registry of over 10. Visit us for a tour of our facility. The owners/opera- tors/ directors and staff must be committed to the process and value the impor- 1) The New Web Site: CanadianFitnessMatters.CanadianFitnessMatters. those facilities that are recognized for their compli- ance with the Safety Standards will be at the top of page. The audit process includes a full inspection of the facili- information on the services and amenities that are offered at their facility. weight. Email: info@your club. group fitness classes. designating the facility is recognized for their pliance where necessary. Two new products were developed by FSAC to encourage voluntary compliance with the new Canadian Fitness Safety Standards. A sample of the checklist may be found Your Club Someplace 424-222-222 on the web site at www. relating to that section. staff. and cardio rooms and group programs. compliance receive many benefits: A staff person may complete the audit process. designed to help consumers make informed choices a trained auditor. programming. compliance The Facility Audit tool may be found in the Forms Appendix B-2. Canadian Fitness Safety Standards. 1) SM = Standard met 2) WT= Working towards standard 3) NP= No plans to practice standard 4) NA= Standard not applicable to facility The auditor simply checks the appropriate box beside each standard as it relates 2) The New Facility Recognition Program: Safety Matters! to the facility. The recommended guidelines are also included as a reference. Consumers will more than likely pursue membership at a “rec- ognized” facility over one that is not compliant with the safety standards.CanadianFitnessMatters. • A web link to their facility’s website • A 50-word ad to promote their facility • Certificate. through the Safety Matters! program.ca for a fitness facil- ity in their geographical area. It is a shop. Canadian Fitness Safety Standards© Facility Audit Commitment is the first step in moving towards compliance.yourclub. 3rd ed. tennis. When the audit is completed it will provide the staff with the Canadian Fitness Safety Standards©. Canadian Fitness Safety Standards©. The consumer may simply ask these questions to the staff member. It is Canada’s first online fitness facility directory. if an auditor were • Premium placement on the web site hired.ca tance of providing a safe environment for their clients. 16 Canadian Fitness Safety Standards. with a large ad promot- ing their facility. The audit may be done by in-house staff or by ping guide to fitness facilities.ca or in the Forms Appendix B-3.

and many do not. and society. to clients. 3rd ed. Z. iv) Some certification agencies have included practical tests. The issues noted in an article entitled “Computer Criticisms” also relate to the fitness industry. 3rd ed. and believes that profession- Private Fitness Clubs als must have the following: Resorts and Spas i) a code of ethics. Canadian Fitness Safety Standards. In the early 1980’s there were many excellent models devel- Fitness oped in North America for the training and certification of fit- ness related personnel by organizations such as. by which they follow Sport Specific Studios (karate. References • American College of Sports Medicine Related • Canadian Society for Exercise Physiology Turoff. In the early 2000’s the committee re- formed under the name of National Fitness Leadership Alliance (NFLA). Y. etc.njit.. S.R..) ii) a commitment to life-long learning. Standards Are Relevant to a Variety of Facilities One of the objectives in the all three of the review processes was to establish safety standards that would pertain to a variety of fitness related services. iii) Exams are available on the Internet.njit. i) There is a tremendous growth in the number of related certifications. there was a national standard for the basic fitness leader and specialty fitness leader. ii) There is relative ease to obtain many of these certifications which has led to their “devaluation” in the minds of many people working in the field. We are not alone with our concerns of ensuring that qual- ity certifications are being offered to fitness practitioners. 18 Canadian Fitness Safety Standards. Computer Based Delphi Processes. which may allow an individual to obtain a certification without the necessary knowledge or understanding. Examples of such facilities. Some require a university degree. In the mid 1990’s. Hiltz.K.. Citizen Centres Master’s Athletic Programs Preamble Golf and Country Clubs Colleges & Universities Youth Clubs Personal Fitness Consulting The issue of certification has been discussed since the early 1900’s with respect Hotels and Motels Pre-Natal and to creating professionalism in the area of leisure services. 2003 services that are required in the fitness industry. H. Cho. fairness and truthfulness iii) an attitude of respect and accountability. M. eLearning Enhancement through the Delphi Method. 19 . but not all of the www. services and programs Chapter 2 are noted below. as noted in an article by Not-for-profit Agencies Post-Natal Classes Markham-Starr in 2005. Personnel The certifications are very specific to some. not just the fitness industry. based on the work of the now defunct National Fitness Lead- ership Advisory Committee (NFLAC).. M. and many more. S. Wang. Pre-Schools Church Halls Clinical Exercise Programs Apartments & Rentals Elementary Schools Community Centres Employee Fitness Programs Corporate Fitness Ctres Secondary Schools Rental Facilities Holistic Health Offerings Patricia Clark Dance Studios Private Schools Sr. The orga- nization is a group of provincial not-for profit organizations within Canada. Li. colleagues.R... This is an issue for all professions. There has been an exponential growth of certifications developed over the past ten years in Canada and the United States. tae kwon do. Hiltz. The knowledge and com- petences required to be awarded certification also varies considerably from one agency to another. Public/Private/ Educational Institutions Community Facilities Fitness Services & Pro- grams Commercial Centres Condominiums. The criteria for entry into such programs are not consistent. • National Strength and Conditioning Association http://web. But what exactly does “professionalism” mean? Boone Public Fitness Clubs Wellness Programs discusses the importance of understanding this term.edu. but are not limited to only those noted in the chart.. who are dedicated to developing national certification standards for fitness leaders. Turoff.edu/~turoff/ • YMCA and YWCA of Canada.

– Do they require recertification. the respondents to the survey wanted the certi- to be aware of who they are hiring on as staff. and abilities For this reason. at what cost.continued learning requirements cide which certification will best fit those needs. particularly in the area of personal trainers.academic achievement requires extensive national consultation and eventual consensus among various It is quite important that the elements of a certification program include: Canadian training agencies currently offering professional fitness certifications. that should be considered by a fitness practitioner when choosing an organization With all the concerns and issues that have been raised about certification. achieve success it involves a unified effort by all stakeholders. 20 Canadian Fitness Safety Standards. which is that the “commitment to validate what we are do- – Are the costs reasonable? ing through a certification program is critical to enhancing the profession. achievement In an article in Fitness Business Canada in 2004. This complex issue still . the em- It is very important that the certification program include: ployer must look at the certification required by the individual job. entitled “An Ex.promotes successful performance on the part of the practitioner McDougall wrote an article in Men’s Health Magazine in 2005. DuBois wrote an article entitled “Certification: How to Spot the Real Nogradi wrote about the impact of certification for Parks and Recreation. This .work experience ing the variety of certifications available to practitioners. .provides liability insurance incidents where people have been hurt. 3rd ed. .protects jobs for those who are certified needs to be an awareness of what makes a good certification.provides evidence that a certified person is competent Canada. v) Some organizations may simply raise their fees for certification. skills. . in the certifications available in their areas. and then de- . Clark suggests specific criteria and effort. in an effort to It is quite important that the certification: reduce the number of re-writes. and increase their profit with each participant. and what coverage? visors.demonstrates to others the need for specialized skills the programs that they offer. This is by no means an exhaustive list of all organizations in Canada. 3rd ed. The Thing.competencies in terms of specialized knowledge. .clearly stated primary purpose and mandate for the profession ners. The 2006 publication lists 61 organizations across . employees/practitioners.” He discusses the issue that there are thousands of unqualified .” He believes that employers need to educate themselves on the difference results from his survey of practitioners. The – Is the exam process validated? benefits of certification according to this author are: ii) Certifying Agency – What is the history of the organization? i) to continue to learn in the profession with continuing education – Do they offer national or provincial certification? ii) to professionally better oneself – What are the qualifications of their instructors/trainers? iii) to increase employability – Are they not-for-profit or for-profit? iv) to have the ability to interact with other professionals in the same field – Do they administer both the training and certification? of interest. iii) Certification Process The author continues to write that in addition to personal benefits. has it for their certification: been worth it and have we improved the industry? Humble.” But to – Do they provide insurance for members once certified. In 1995. For a price. But his point of the article is that there . and employers need Of most importance however. any one can Valued Key Elements in a Certification Program: become certified. the role of the employer when hiring certified staff. educators. in his article “Certifi- ably Worth It. – Do they offer continuing education opportunities? The sentiments of Humble are echoed by an article published by Anderson. He states that there have been many . Canadian Fitness Safety Standards.promotes continued learning publication may be found in the Articles & Research Papers Appendix C-5. FSAC and OASES determined that it was neither feasible nor .clearly defined scope of practice within their review mandate to set and apply a comprehensive certification cri- .” and that i) Program Quality – Are there pre-requisites for the course? all stakeholders must participate in the promotion of the certification process. Some certifications stay current and tion and the benefits associated with the certification process.objective measurement of competence terion that defined a personnel selection safety standard applicable across the . Although certification adds credibility to any program. fication to provide them with the recognition for their competence.guides employers regarding hiring practices ercise in Insanity. breaks down the key elements in certifica.provisions for limiting entry to the profession to those certified is an industry-wide issue that the FSAC and OASES hopes will be resolved by the industry itself so that a strong safety standard can be offered in a future edition. and associations/agencies. where he believes that a collaborative effort is needed to define examination stan- and if so what is the process? dards and the scope of practice. Valued Benefits associated with the Certification: Fitness Business Canada annually publishes a list of Certification and/or Training It is very important that the certification: Organizations in Canada. which includes information about each organization and . there is also – Are the courses accessible? an external benefit. and the issues surround- . are well-respected requiring the individuals to have a high level of competence and skill in order to become certified with that agency.” comments that the “benefits of certification are endless. The . who include super- and if so. 21 .provides legal support individuals working as personal trainers.standards for acceptable performance and ethical practice The literature clearly validates the need for the certification of fitness practitio- .penalties and sanctions for violating standards diverse range of services offered with the entire Canadian fitness industry.

participant education and the risk of injury during physical activity. C. P. S. 20 (7) 166-207. protecting the safety of consumers who intend to engage in formal individual/ 23-40. Taylor. For example. 46-48.. M. The Fitness Safety Advisory Council Nogradi. 1995. Men’s Health Magazine.g. 2005.. people with disabilities).g. Dailey. people whose ability to participate in physical activity is limited due to illness. 1994. K. An Exercise in Insanity. 2005.. 19 (1). 2003. Risks to health are minimal and benefits typically far exceed any harmful conse- quences when exercise is pursued within the skill and tolerance capacities of the Recommended Guideline #3 average person.. In fact. S. Standard #2 Fitness personnel shall be certified in the area with which they are providing program services (e.wikipedia. For example. given types and amounts of physical activity. Thus perceptions of common Markham-Starr. 2006./Oct. etc. 2 (1). screening. sponsible than others when personal risk is at stake. No. dis- Canadian Fitness Safety Standards. skier who chooses to ski on a trail marked for those with advanced skills is not ex- Computer Criticisms. March 2005 Clark. Jan 38 (1) 34-39. group fitness programs and other fitness related services offered by the industry.. Sept Regardless of an individual’s responsibility. What certifications are needed to work in the fitness industry? Fitness Business Consent an individual may accept personal risks that are beyond those that another person would safely tolerate. Ashburn VA. Boone. Sept. aqua fitness classes. 9. 11. The Journal of Applied Recreation Research. 3rd ed. the benefits of certification are endless: or physiology. pregnant women. American Society of Exercise Physiologists 18 (3). Waterloo. Certification Confusion: Present Practice. one who has been sedentary for months Dubois.. G. it could be argued that the risks of sedentary living are considerably greater than those associated with a regular and moderately active Training programs for fitness personnel should emphasize the important safety lifestyle. McDougall.org. aerobic classes. P. beyond the functional reserve permitted by the fitness of that person’s anatomy Humble. among people. sense and moderation as well as personal safety practices can vary considerably Professionalizing Leisure Services. supervision and monitoring of high risk activities or areas. fitness service providers have an 2005.. The Importance and Impact of Certification for Parks and Recreation recommends that pre-activity screening is a necessary and reasonable first step in Practitioners in Ontario. fitness appraisal. Similarly. or years is at increased risk to health when beginning an exercise program that is Vol. Fitness Management Magazine. a beginning Canada. Fitness Business Canada. G. some participants will be less knowledgeable and re- Parks and Recreation. Recommended Guideline #2 Preamble The Fitness Safety Advisory Council (FSAC) recognizes that regular participa- Training programs for fitness personnel should include information on participant tion in leisure time physical activity is a relatively safe behaviour for most people. Certification: How to Spot the Real Thing. www. obligation to attempt to identify individuals who may be at a risk of injury for National Fitness Leadership Alliance brochure. 15 – 16. personal training. The use of pre-activity screening procedures can help to identify people who may need medical clearance before exercising as well as those who would benefit from direct supervision or more specialized classes or programs. and Informed bility in order to prevent injury. Professionalism of Exercise Physiology online. T. The relative safety of exercise and role of fitness personnel in instruction. 22 Canadian Fitness Safety Standards.) Recommended Guideline #1 Where certification is not available. 23 . seniors. 2004. 3rd ed. ercising reasonable judgement. Early Efforts to Professionalize Leisure Services in Canada. Pre-Screening the considerable free choice people can em- ploy when doing various types of physical activity implies a degree of personal responsi- References Anderson. Certifiably Worth It. Blake Ferris. pp. Chapter 3 Standard #1 All fitness facility personnel and other fitness service providers shall be qualified in First Aid and CPR. Ont. Indeed.. D. Regrettably.. Accidents can easily result from a careless or cavalier approach to participation. Ed. USA. fitness personnel working with special exercising populations should participate in training programs specific to that population (e.

3rd ed. This information should be available to participants at any time upon For general screening purposes. adaptable by fitness consultants who independently offer pro- ence. the Physical Activity Readiness Questionnaire. a weight-lifting club should set out the types the PAR-Q and for those individuals who are pregnant and wish to exercise. the recommended that a consent form be administered which incorporates the follow- Physical Activity Readiness Medical Examination. 3rd ed. no diagnostic intent is implied … only the identifica. Although it has • Honest — specifies the intent and responsibility of the service provider and the never been tested on a physician population as to its validity and practicality.begin a membership in facilities offering physical activity/fitness programs or 3. and any general policy that might exist with respect to General Screening that facility. In addition. choices. Notwithstanding . health enhancing behaviour. or PAR Med-X. pregnancy and medication. short and simple. 2. Description of Event — The description should be a concise statement about the were designed to expedite physician referrals for those with positive response(s) to nature of the activity. it is or PAR-Q. .plan to have a physical fitness appraisal are available to assist if required. the above. courses in exercise physiology. Informed Consent — In this area the participants will acknowledge that they services are aware of the nature of the activity and the risks involved. grams or services that are appropriately matched to the functional fitness of the This section would also indicate that they possess no known health reason for participant. Participants should be aware of the fact that rules and reg- dividuals who: ulations will be posted in locations throughout the premises. is responsible and realistic. reation facilities. these safety standards and recommended guidelines for the screening of partici- Standards Related to Pre-Activity Screening pants planning to engage in fitness related activities should be widely circulated to consumers. and the PAR ing principles: Med-X for Pregnancy were developed to complement the original PAR-Q. As such. Canadian Fitness Safety Standards. For example. By following such judgments. General screening to detect the presence of symptoms that warrant a medical evaluation before participation in activity. exercise testing and prescription grams or services to the public. the risk of client injury should be minimal. physicians to use in situations where more specific pre-activity screening is indi- The following standards are meant for application in those situations where risk cated. ability. For more specific screening. For new clients enrolling for the first time in a program or service. In addition. A sam- Two levels of pre-activity screening are proposed: ple of the PAR Med-X may be found in Forms Appendix B7. that person’s basic rights. to participate in the activity. are not necessarily included in medical training programs. and that instructors . machines. Recognizing that physicians often require a variety of tools in making clinical would be considered at higher risk than those not so affected. is one one’s choice to participate in fitness oriented activities. and have the ability to agree. At the very least. administration of a simple questionnaire before admittance to a formal program It is therefore recommended that the PAR Med-X be widely available to fit- of physical activity. the FSAC recommends that the PAR Med-X be widely available for procedures. of weights. they should be implemented by the person to engage safely in physical activity. 25 . B8 (French version).enroll as non-members in individual or group physical activity/fitness pro. staff and/or volunteers. ness service providers and encouraged for referral use by physicians in situations tion of potential conditions that could influence safe and enjoyable participation in where specific. recent surgery. 1. special medical condition. regarded by the FSAC as a reasonable guideline to consider. the fitness industry and medical and allied medical personnel. pre-activity screening is indicated either from a positive response physical activity. the following considerations should be taken into account in con- structing the Informed Consent Document: Specific Screening • User friendly and easy to read and understand by the average person. and types of instruction that are available. It is the intention of the FSAC to encourage physicians to promote and prescribe • Ethical — does not intimidate the end-user nor require a voluntary surrender of physical activity as a legitimate. informa- tive but not cluttered with legal or medical jargon. to one or more PAR-Q questions or from other referral mechanisms. A sample of the PAR-Q may be found in Forms Appendix B-5. request. Risk Warning — This section should address some of the risks that might be in- The PAR-Q should be routinely administered by fitness service providers to in. Specific screening for clinical use by medical and allied medical practitioners for people who require special advice or precautions concerning their intention to The FSAC believes that consumers of the programs and services provided by the undertake physical activity. age. This acknowledgement encourages a guideline for practice without restrict- of participation in physical activity can be influenced by the general health and ing physicians from using other acceptable methods to evaluate the capacity of a fitness of the participant. When indicated. Informed Consent 2. fitness industry be informed of the various risks associated with pursuing their Two standardized forms are recommended for these two levels of screening. possible tool to assist physicians in assessing individuals at risk. (French version). B-6 not participating in the activity. For example. has been in use for over three decades. herent in the activity. they agree. • User focused — clearly states the general responsibilities and risks inherent in The Physical Activity Readiness Medical Examination. They 1. physicians can encourage and guide their patients to engage in regular physical • Widely applicable — can easily be used as a model for clubs or community rec- activity even though they may not have extensive medical training in exercise sci. it is potential limitations or capacities of the organization. 24 Canadian Fitness Safety Standards. instructors if they are to be available. or PAR Med-X.

K. I also acknowledge that I have had the oppor. Recommended Guideline #7 Facility operators should post public signs which encourage participants to exercise caution if they are unfamiliar with either the activity to be undertaken. Website Info: http://www. 3rd ed. Recommended Guideline #5 cility managers ensure that public signs are displayed that encourages new. etc. N. Guidelines for Exercise Testing and Prescription.cfm?cid=574&nid=5109 Chisholm. Collis. It may be used as a model from which to develop more specific consent documents for more widespread use Standard #4 in the Canadian fitness industry.. 1984. Individuals planning to engage in physical activity should. It is also advisable to have a sign-in system complete an Informed Consent Agreement before engaging in the programs and for all guests or a walk-in user that includes a paragraph at the top of each page in services offered. Clearly. References American College of Sports Medicine. it Med-X (Physical Activity Readiness Medical Exam). Par-Q or appropriate sign).net/Store/Other/ACSMGuidelinesExTestingRx. For those activities where risks specific to the activity can be detailed (e. Human Kinetics. 1988. A sample of an informed consent procedure (e. Canadian Home Fitness Test and Exercise Screening Alternatives. “Physical Activity Readiness”.g. Sev- enth Edition. Website Information: http://www. 1999.J.. Shephard. Lea and Febiger. maximal exercise testing.exrx. is not administratively reasonable to do this for “pay as you play” customers who may not be members of a facility.” Sports Medicine. The Canadian Physical Activity.M.J. M. T. 3rd ed. 17:375-378. “Can We Identify Those for Whom Exercise is Hazardous. 1:75-86.L.”PAR-Q. 26 Canadian Fitness Safety Standards.L. martial arts. This Guest Sign-In Log form may also be found in Forms Appendix B-10. be The FSAC recognizes the administrative difficulties associated with presenting screened by the Par-Q (Physical Activity Readiness questionnaire) and/or the Par consent forms to clients every time they want to engage in an activity.. as a standard. British College of Medicine Journal...com Shephard. L. medical clearance using the Par Med-X should be obtained before he/she I may knowingly or unknowingly have. Standard #3 SCUBA. 3rd edition.com/main. agreement may be found in the Forms Appendix B-9. the risks inherent in physical activity participation and fitness facility use. or their current level of fitness. casual and regular users to exercise caution if they are unfamiliar with either the activity Fitness service providers should encourage new or renewing members/clients to or their current ability or fitness level. at minimum. Pre-Exercise Health Screening Guide. R. 27 .humankinetics. Kulak. I acknowledge and accept the risk of injury or Recommended Guideline #6 medical problem that could arise from my participation in the programs and services pro- vided or from any other use of the facilities. Fitness & Life- style Approach (CPAFLA): CSEP-Health & Fitness Program’s Health-Related Appraisal and Counseling Strategy. Canadian Society for Exercise Physiology. fa. It is important to point out that individual orga- nizations should develop their own Informed Consent Documents specific to the Facility operators and other fitness service providers shall inform participants of activities they offer. Olds. Davenport. Website Info: https://www.) it is recommended that these risks be made known to clients in advance of their first experience by writing an Fitness service providers shall provide or require a pre-activity screening appropriate clause in the consent agreement. the sign-in log stating: As a guest or casual user of this facility. Norton. Canadian Fitness Safety Standards.g. The FSAC recommends that.html British Columbia Ministry of Health..confmanager. R. When an individual is screened out by the Par-Q from taking part in physical tunity to undergo more detailed screening (the PAR-Q for example) for potential risks that activity. I freely choose not to participate in such screening takes part in physical activity. It is important to state that the adoption or use of this form should in no way absolve a fitness service provider or agency from their responsibility to identify Recommended Guideline #4 the more common risks and related consequences associated with client participa- tion at their facility.” Sports Medicine. Gruber. 1975. “Par-Q Validation Report” 1978. and hereby register with my full assumption of any such risks. 2003. D. 5:185-195. 2005. W.

it is essential that enough maternal physical reserve exists to satisfy the needs of both. Although maximal tests are more accurate. and in particular strenuous exercise. the FSAC recommends using the current version of the PAR Med-X for Preg- nancy. rate of self-paced walking). It is based on the currently available scientific literature pertaining to exercise in pregnancy. conventional methods for fitness testing and exercise prescription may be invalid because of the considerable metabolic and cardio-respiratory adap- tations that accompany pregnancy. Moreover. and individuals involved in quently subjected to activities which require maximal performance. older adults. Since the fetus and the mother’s exercising muscle may compete for blood flow and oxygen delivery. Special Considerations for Maximal Exercise Testing of Pregnant Women Exercising Women who are pregnant represent a unique popu- Apparently Healthy Individuals Populations lation with special needs for exercise participation Use of maximal exercise tests to evaluate the fitness of apparently healthy indi- due to the following conditions: viduals is generally not necessary. ii) The possibility of competition between exercis- ing maternal muscle and the fetus for oxygen deliv- ery. There are certain groups such as pregnant Children up the age of 12. are fre- women. alternative methods should be explored for the evaluation of fitness and prediction of training intensities in the elderly (e. Ph. their physicians and their fitness professionals. A sample PAR-Med-X for Pregnancy may be found in the Forms Appendix B-11. Canadian Fitness Safety Standards. 3rd ed. beyond the age of 60 years. 3rd ed. Therefore. For example. 29 . and healthy women with uncom- plicated pregnancies should be able to exercise. A medical evaluation with specialized counseling pertaining to exercise during pregnancy is strongly recommended for pregnant women considering an exercise program. involve greater risks than submaximal tests. some physicians prefer that their patients take a very conservative approach to exercise. 28 Canadian Fitness Safety Standards. Adapted from the original work of L. they i) Their low incidence of Coronary Artery Disease. In addition. Special and require more intensive screening. it is prudent for women in poor health. Preamble Children and Youth Many people need guidance to help prevent possible injuries related to exercise.Chapter 4 Many pregnant women would like to exercise. The information concerning exercise and pregnancy provided in this screening document is designed for expectant mothers. in the absence of specialized guidelines regarding exercise during pregnancy. heat dissipation and glucose availability.g. and youth between the ages of 13 and 18. that are known to be a higher risk information is available concerning their pre-exercise screening. Since there is no other screening device for pregnant women who wish to exer- cise.D. The PAR Med-X for Pregnancy was developed to address this need. or with a history of obstetric problems to forgo strenuous exercise. Older Adults Older adults represent a large population with special needs for exercise par- ticipation. yet very little maximal testing. it appears that the maximal heart rate varies markedly and the use of age-predicted maximal heart rate may result in a predicted sub-maximal workload being maximal.Wolfe. Thus. B-12 (French version).

c) are females over 50 years of age It is important. • There must be a “Charge Person” in control of the situation. and surveillance. P. 38. pp. Fitness Canada. NOTE: For the purposes of the above considerations. Hall. L. 8. Chapter 5 Standard #5 Fitness service providers shall recommend that pregnant women obtain medical advice regarding their participation in physical activity. Vol. Prescription of number of these basic care providers may vary markedly.A. Goodman. unsupervised maximal ity and equipment and to have plans in place to deal tests may be conducted. Monga and M. May/June: 56. 3rd ed.H. S. Special Exercising Populations. the aggravation of a chronic problem. M. be tailored to the requirements of each individual facility. the following are some for example whirlpool baths. Webb. KA. CAHPER Youth beverages. Philadelphia. etc. Physiological interactions between Within the EAP. in facility design. This individual must take charge and assess the severity of the emergency. Exercise and Sport Science Reviews 17: 295-351. 3rd ed.. sponsibility of the fitness facility operator and fitness personnel. provided participants have. that offers fitness related activities should have in place an Emergency Action Plan Prescription of aerobic exercise during pregnancy. 1989. at a minimum. and in the type of fitness equip- Emergency ment employed. Inglis.1389-1395.D. M. ics. For this to be done in an efficient and effective manner. Thomas. the Wolfe. Charlesworth. tion. McGrath. LA. Guidelines for Exercise Testing and Prescription. education. operator and/or employees of a fitness facility to be Recommended Guideline #8 aware of the specific risks associated with their facil- Procedures For all other individuals (not identified in standard #7). Depending on the Canadian Fitness Safety Standards. that appropriate procedures be in place to deal with po- shall be conducted under the supervision of either a physician or personnel with tential emergencies. 2006. M. M. The Par Med-X for Pregnancy questionnaire should be utilized in pre-exercise The creation of a safe environment for fitness related activities is the legal re- medical consultations with pregnant women.D. However. L. acute injury. 2003. Sopper. appropriate equipment. McGrath. Lea and Fabiger. be carried out to ensure that the victim obtains appropriate care as quickly as pos- VO2peak Prediction and Exercise Prescription for Pregnant Women. Maximal testing of individuals who: Preamble a) are not accustomed to regular strenuous exercise Inherent in the physical nature of the fitness revolution are the possibilities of an b) are males over 40 years of age or. or even a life-threatening event. the EAP must aerobic exercise during pregnancy.. Medicine & Science in sible. 273-301. Fitness Business Canada. (EAP). A Leaders Manual. Creating a safe environment can be done through organization. the roles of the individuals providing the basic care should be pregnancy and aerobic exercise. both Fitness Test. Therefore. As well. Furthermore.F. Wingate Cycle Test. documenta- Third Edition. 1989. “Joint Clinical Guidelines: Exercise in Pregnancy and Postpartum Period. Brun. 1989. It is recognized that within different fitness environments. tanning beds. Fitness and Pregnancy. Ohtake.R. M. there are some common points that should be included in every EAP. Wolfe. M. al- though they must be knowledgeable about emergency procedures and equipment. 2006. and lounges serving alcoholic examples of maximal exercise tests: Cooper 12 minute run. P. therefore. 1986. Standard #7 Adapted from the original work of R. Standard #6 Fitness service providers shall recommend that individuals 70 years of age and over receive medical advice before initiating a physical activity program or increasing activity. it is essential that an orderly progression of events Mottola. No.F. it is the responsibility of the owner. Mottola and M. However. within the fitness industry there are many non-physi- current appraisal certification and ACLS (Advanced Cardiac Life Support). Sports Medicine 8. 1982. 30 Canadian Fitness Safety Standards. Organization Compton. saunas. cal activity factors which could predispose people to a need for emergency care. Because there are major differences among fitness environments. Davenport.. References it is not the intention to require these individuals to become emergency paramed- American College of Sports Medicine. Sports Medicine 8. 31 . been screened with emergency situations. C.J. P. clearly defined. In any emergency situation. many spe- cial needs groups are becoming involved in fitness activities and fitness personnel must be sensitive to the particular needs of these Recommended Guideline #9 various groups. with the for medical risks by the Par-Q or a physician. any environment Sports & Exercise. Treadmill Test.J. ever-growing societal interest in exercise.” Dec. S.J. 273-301. M. Canadian Society for Exercise Physiology (CSEP) and Journal of Obstetrics and Gynecology of Canada (JOGC).

This would expedite fitness related injuries. All fitness personnel should have training in basic first aid and Cardio-Pulmo- tions to help keep control over participants and spectators. may be found in the Forms Appendix B-14. Consent for the re-stocked and updated as necessary. whenever possible. organizations and resources that can be used to assist in the education of fitness more. as stated in section 4. a sample of which may be found in the Forms and non-emergency situations for use by qualified individuals. The confidentiality of such information cannot be understated and must be All equipment should be readily available in an easily accessible location known handled with great discretion. Ideally. 3rd ed. 32 Canadian Fitness Safety Standards. and the location of the facility. A list of successful defense against litigation where negligence is not involved. the possibility of preventing a serious injury or life-threatening event is personnel in the initial care and prevention of injuries and emergencies can be enhanced by prior knowledge and documentation. prepared list of numbers for the ambulance. and Privacy Act in the Freedom of Information Act is under provincial jurisdic- • If an ambulance or outside assistance is required. It is difficult to ob. With the increasing par- Practice usually increases efficiency and effectiveness. distance. release of information to medical or paramedical personnel. fire department 2) Incident Report Form: It is obviously also of great importance that all incidents. to all qualified personnel. This would allow recognition of potential of ambulance response time. and the form should be kept on record at the fitness facility. present in a fitness facility who are certified in basic CPR. For example around a pool. Another function of the Medical Information Form is to accompany the fitness The majority of the equipment has been chosen in order to give initial care for participant to a doctor or hospital in an emergency situation. This education process must be ongoing maintained for a minimum of one year. someone must be pre-assigned tion. Equipment 1) Medical Information Form: Pre-activity screening can be accomplished via the PAR-Q or the physician-completed PAR Med-X. nary Resuscitation (CPR). and signed by lance should be called. Knowledge of prevention strategies and basic initial care of Documentation these injuries must be part of the fitness personnel’s education. It must be easily transportable to the scene of the injury Based on the current privacy laws. Due to regional variations commencement of a fitness program. it is recommended to keep all with constant updating and re-certification. the sultant should review each participant’s Medical Information Form prior to the Public Health Act stipulates what equipment is needed. Further. 3rd ed. should stay with the client or member. Please refer to the following web site to ensure compliance with local laws as the “Call Person. ues. Model Code the fitness environment should be capable of assuming the responsibilities of the For The Protection Of Personal Information. A sample Incident/Accident Form is also important that relatives of an injured participant be notified as to the na. The “Control Education Person” should be prepared to keep spectators and participants from interfering with the Charge Person or the Call Person and recruit others in authority posi. equipment may be useful. Again. the professionals at the access entrance and directing them to the emergency site.justice. however. It is important that of contracting a communicable disease. tion of all available telephones within a facility. This should be filled out by the participant prior to engaging in mended and optional equipment for these situations can be found in the Supple- a fitness activity. ticipation in fitness activities. documents for a minimum of two years. This information should be used in number to call. or decide that an ambu. standards for equipment are already in place.gc. ture of the problem and the location of the individual. for basic CPR. proper documentation of an emergency event is the key to a lenged can also be addressed through education of fitness personnel. two individuals within Privacy Act – Principles Set Out In The National Standard Of Canada. Within the fitness environment documen- tation can be accomplished in a number of ways. A list of recom- Appendix B-13. It confidentiality of this information is important. 33 . and local conditions. the listed optional risks and/or limitations in certain fitness activities. Legally all documents must be found in the Supplement Appendix A-2. emergency. In most areas 9-1-1 is the emergency accidents or emergencies are documented. the Charge Person may utilize local assistance. Rubber gloves should be compulsory in all facilities deal- the need for obtaining medical and biographical information. The Charge Person. and police. The Information Charge Person at any time. severity. urine and feces. • Someone should be assigned the responsibility of controlling the crowd that may gather around the injured person during an injury situation. The Call Person has the duty of meeting the ambulance or other the ongoing evaluation of the emergency procedures and equipment. ing with body fluids such as blood. However. The special needs of the groups such as the physically and intellectually chal- In today’s society. should be obtained on the Medical Information Form. The ment Appendix A-3. or two (ideally) people All duties within the EAP must be carried out in a calm and organized manner. in the case of a future Canadian Fitness Safety Standards. Proximal to each phone should be an up-to-date.1 of the Access to Information and the victim until professional care is available.” The duties of the Call Person should be to know the loca. However. tial. The fitness leader or con. Note that despite the concern tain this information when a patient is unable to communicate.html).3. the use of an airway is not recommended all information on the Medical Information Form be kept up-to-date and confiden.ca/en/ps/atip/provte. and there should always be one. Can/Csa-Q830-96. there is also a need There is a minimum amount of first aid equipment that is required in emergency for a Medical Information Form. there has been an increase in soft tissue injuries and Sports Medicine Research has provided some insight into the prevention and treat- ment of such injuries. it would be necessary to have permission or accident within the fitness facility and it must be checked on a regular basis and from the client to release any medical information to a third party. it should be pointed out that for some fitness ven- form could be filled out at the same time as the PAR-Q. and commissions http://www.

year and reviewed with all new staff at the commencement of their employment. Standard #10 itate the monitoring. To facil. hospital emergency phone numbers) must also be posted and phones readily accessible in all high risk/injury areas (e. Standard #9 Surveillance All injuries. Recommended Guideline #10 In combination with the Par-Q. pools. accidents or emergencies in fitness facilities and other fitness related Even though a system of standards for emergency procedures and equipment environments shall be documented in writing and retained. Canadian Fitness Safety Standards. Facilities and other environments in which fitness related activities are offered cilities. standard reporting forms could be used in all fitness facilities. shall have in place an Emergency Action Plan which shall be practiced twice per mended guidelines. This would enable monitoring agencies to assess both positive and negative trends A designated compliment of First Aid equipment shall be readily available in in the fitness industry. fitness testing. 3rd ed. EADs were not necessarily “financially feasible” for all fa. Standard #8 ing and is certainly recommended for public facilities. Contact information for external medical services (e. There has to be one or more agencies that monitor the situation at both the local and provincial levels.g. at the time of the third edition revisions.g. 35 . is in place. ambulance. the participants should have the option of completing a pre-exercise Medical Information Form to 1) recognize potential risks or limitations 2) advise EMS or hospital personnel when providing treatment. Recommended Guideline #11 Safety signs indicating emergency procedures should be posted in all activity areas. one cannot assume that it is working well. Standard #11 Immediate access to in-house first aid services must be available from qualified personnel. However. fitness facilities and other fitness related environments. 34 Canadian Fitness Safety Standards. and therefore they were not included in the current standards and recom. 3rd ed. and free weight areas). The available use of Emergency Automatic Defibrillators (EAD) is ever increas.

MBA. also had to be realistic and economically feasible. MSc.. • coughing/sneezing Communicable • via environments in which micro organisms can thrive such as unsanitary locker rooms. First Step . The practice of good hygiene 2) the least common and more dangerous. the FSAC and OASES have set about to recommend the minimum steps necessary to maintain an acceptable communicable disease standard of “awareness. • through contact with blood. the issue of communicable diseases has presented a unique challenge to the delivery and consumption of public and private services. the FSAC recommends that individu- als use a common sense approach in conducting disorientation and collapse. Ministry of Correc. Personnel should be able Preamble to detect.Chapter 6 Given these changes it is not difficult to see how a sneeze at the gym can now be viewed in a very different context. general methods of infectious agent transmission should be part of a reasonable have up-to-date immunization booster shots in accordance with recommended program of awareness. adults and older adults who are either participants or employees. This is because. Adopted in part from: Communicable Diseases Policy. CPHI(C) indicate someone is ill and a possible source of infection. Canadian Fitness Safety Standards. 37 . 3rd ed. feces or other bodily fluids Straightforward signs and symptoms of illness which one can observe include • by air-borne droplets through coughing and individuals who are/or demonstrate: sneezing or. by definition a “new normal”. the transmission of infectious agents can be categorized into two gen- eral groupings: their fitness activities. identify sources and sites of infectious agent transmission or operating procedures rectly from one individual to another in the following ways: that could be a source of risk. Failure on the part of service providers to maintain adequate safeguards will undoubtedly have legal and monetary penalties to reflect the po- tentially devastating impact on public and individual health.Grisdale. 1989. In general. guidelines and operating procedures. 36 Canadian Fitness Safety Standards. the level and type of communicable diseases present in the fitness fitness facility environment and the proximity of fitness class participants to one facility environment could be characterized by the more common non-enteric another. (non-bodily fluid exchange) methods such as airborne-droplet spread and shar- priate procedures are followed by fitness facility employees. Ontario. If an employee or client is suffering from an illness. It is advisable for fitness service providers to re-evaluate their role in the management of communicable diseases in their fitness facilities.. During the past five years. ing facilities) is an important part of primary prevention. by us all. Nevertheless. Personnel should be aware of general signs and symptoms of acute disease that Revised by B. we have outlined below a two-step level of awareness and control that could assist in prevention of further disease dissemination and therefore constitute a reasonable and minimum set of procedures to meet the new Standard. DC. Due to the nature of the Clearly. they should excuse themselves from work or fitness 1) the most common. changes the context of standards. urine. such as sharing/touching) and airborne-droplet spread Most communicable diseases are preventable. Considering feedback from the fitness industry and experts in public health. • individuals who demonstrate signs of functional limitation up to and including Prevention diseases. prevention and control” to meet the requirements of the new standard in this document. through direct contact with blood and (from the simple practice of hand washing to more intensive tasks such as clean. 3rd ed. Rec- ognizing that the challenge to meet minimal standards of competence acceptable under the current legislative and public health framework. It is also important ing/touching amongst infectious individuals. health practices set out by the Ministry of Health. A. via person-to-person contact (common source exposures activities. prevention and control in fitness facilities. To safeguard the employees and clients of fit- ness facilities from the spread of communicable • those who are unusually lethargic or make frequent trips to the washroom etc. in the facility environment. individuals who are obviously unwell or A communicable disease is a disease which may be transmitted directly or indi. Operating procedures for communicable diseases have changed to the extent that a "new normal" now exists with regard to the duty and obligation on the part of service providers. bodily fluids. Popadopoulos. familiarity with both that adolescents. some communicable diseases have the potential to spread unless appro. and • skin discoloration • signs of distress that can be categorized as mild and manageable without need of intervention Disease damp towels.Awareness tional Services.

likelihood of exposure by changing the way a task is performed. chills infection control as provided by the Canadian Center for Occupational Health and 3. Personal Protective Equipment (PPE) – The purpose of PPE is to prevent blood and body fluids from reaching the workers’ skin. Health Canada and the U. Instructors should tell participants who are visibly sick to and any blood or other body fluids. These 7. universal precautions should be applied.fever. Clearance for such individuals should be given by a physician. Fitness Testing Precautions Fitness facilities should have reasonable PPE available (such as protective gloves) to ensure that an effective barrier between the person and the potentially hazardous sub- Fitness appraisals should not normally be conducted on participants known to stance can be established. Sneezing What follows is a review of standard guidelines and procedures with regard to 2. Blood samples for the purpose of a fitness appraisal. sneezed or coughed out of the nose or mouth 10. 5. 3rd ed. urine. Disorientation • skin-to-skin contact • sexual contact. It must create an effective barrier between the exposed worker cess to fitness programs. pleural fluid. tion bags. Standard Procedures for Infection Control Ten Signs and Symptoms of Acute Infectious Disease 1. Vomiting Safety. mucous membranes. Myalgia – (muscle pain not activity related) Infectious diseases are caused by viruses. Cleaning and sanitizing contaminated by blood. shoe covers. Universal precautions are infection control guidelines designed to protect work- Second Step – Control ers from exposure to diseases spread by blood and certain body fluids. and resuscita- everyone’s best interest. 4. glasses with side shields. The Laboratory Centre for Disease Control. 3rd ed. peritoneal fluid. Wounds. Use of appropriate barrier techniques as follows: when it is difficult to identify the specific body fluid or when body fluids are 3. Vision Changes • droplets breathed. saliva. Centers Personnel should demonstrate an awareness of a modified set of universal precau. Temperature -. vomitus. Not sharing personal items 6. Balance Difficulty • blood and other body secretions 9. Six Universal Precautions Specific details for Fitness Facilities may be found in the Supplement Universal precautions do not necessarily apply to materials that fitness facility personnel Appendix A-4. vaginal secre- in fitness facilities. Report exposures What are the Universal Precautions? Access to Programs 1. tears. tions. amniotic fluid). gloves. personal clothing. and have knowledge of the afore. open sores boxed text. Diarrhea A modified set of procedures suitable to fitness facilities are highlighted in the 5. for Disease Control have developed the strategy of “Universal Precautions” to tions (infectious disease control guidelines) that are specific to personnel working prevent contact with blood and body fluids— (specifically semen. 39 . should be con- ducted only by those who are qualified to do so. Hand washing sweat. Work practice controls – These refer to practical techniques that reduce the mentioned precautions. 38 Canadian Fitness Safety Standards. 6. Proper disposal techniques the safest approach. gowns. parasites and fungi. bacteria. lab remove themselves from participation and advise them that returning home is in coats. masks. goggles.S. synovial fluid. may more commonly come into contact with such as: feces. Examples of ac- tivities requiring specific attention to work practice controls include: • hand washing • handling of used needles and other sharp instruments • contaminated reusable sharp instruments • collecting and transporting fluids and tissues according to approved safe prac- tices. http://www. cerebrospinal fluid. but it not limited to.ccohs. When in doubt – take 4. 2. a reasonable and responsible approach is 2. which are clearly not typically a source of exposure in fitness facilities.html. or Regardless of health status. nasal secretions. Canadian Fitness Safety Standards. sputum. pericardial fluid. Numbness and Tingling (not injury related) organisms can be spread from person to person through: 8. Coughing. However. PPE includes. 1.ca/oshanswers/prevention/ppe/universa. have a communicable disease. participants should not unreasonably be denied ac.

conform to the Federal and Provincial Building Code as deemed by their classifica- The Physician and Sportsmedicine 2003: 31 – #2. section of this document to be an exhaustive coverage of safety issues related to the construction. R.html Canadian Fitness Safety Standards. Related Buildings References For the purpose of this section of the book. Fitness facilities should have a set of operating guidelines with regard to disposal of suspected contaminated materials. the FSAC does NOT consider this The purpose of the change was to improve the clarity of the Standard. For example. 32 (7 suppl): Environments term “fitness facility” is synonymous with fit- S431–S438 ness related environments. Fitness service providers shall provide employee training pertaining to the awareness. performing well: Patient Ad- instances not exclusively) used for fitness related activities. there was one Standard and three Recommended recommended guidelines for improving the safety of fitness related environments. recognition that a publicly available tissue dispenser or re-usable equipment “wipe-rags” that are not cleaned or regularly replaced could.B.on. it is recom- tion 3 pages 16.K.health.B. a more recent common practice of providing alcohol-based sanitizing gel dispensers is being used in many public/ private facilities. Avoiding infections. Routine infection control tasks are to be reviewed and altered to en- sure practices are using the best available techniques to protect fitness facility employ- Chapter 7 ees.ca/english/provid- ers/pub/pubhealth/ltc_respoutbreak/ltc_respoutbreak. This document Preamble may be found in the Supplement Appendix A-4. structures. http://www. the Beck C. Med Sci Sports Exerc 2000. Goodman. FSSC Guidelines 2000 developed for the training and education of fitness practitioners. 40 Canadian Fitness Safety Standards. Prevention of infectious disease transmission in tacts are referenced in the Supplement Appendix A-5. Guidelines. operation and maintenance of Standard #12 Fitness fitness facilities. Preventing infectious disease in sports. The construction and operation of these facilities should fol- Public Health Division and Long-Term Care Homes Branch Ministry of Health low the same general procedures as outlined for buildings and structures. These have been revised into one single Standard. standards. prevention and control of communicable diseases. Notwithstanding the recommendations below. This includes build- Howe W. Facilities should also conform to their Provincial Fire Code.. staying healthy. All facilities should viser . A Guide to the Control of Respiratory Infection Outbreaks in Long-Term Care Another facility that may be adjacent to a playing field is a field-house or dress- Homes ing room structure.28. Revised from Construction. tion. Infectious diseases in sports. 31:23-29. ironically. published by the Wellington Dufferin Guelph Public Health mended that every effort be made to upgrade facilities to meet presently existing Unit..A. playing fields and physical medicine 2003. Standards of practice in this regard should be regularly reviewed and corroborated with current clinical and public health standards. Operation and Maintenance of A “Training Outline for a Communicable Disease Management Strategy” was Fitness related Environments. in one sentence. Fitness facilities should have a set of general safety/infectious transmission manage- ment policies and emergency procedures that are available and periodically reviewed by facility personnel.. Provincial con- Mast E.gov. 3rd ed. Sports Med 1997. 3rd ed. for example.E.. plant annexes which are generally (but in some Howe W. sports. and Long-Term Care October 2004. be a source of infectious agent transmission. The Fitness Safety Advisory Council has developed the following standards and In the previous guide book. 24(1):1–7 Given that many facilities were constructed during a period of time when many The Kid’s Health Manual “Communicable Disease Exclusion Guidelines” sec- of today’s Building and Fire Code regulations were not yet in effect. 3. The Physician and Sports- ings. Engineering controls – refer to methods of isolating or removing hazards from the workplace.Practice Essentials. 41 . These guidelines are to be reviewed and altered to ensure practices are using the best available controls to protect fitness facility employees.

An average room temperature of 18-20 For additional information on illumination measurements. Air exchangers would be the ideal for keeping fresh air circulating ing it in order to provide the added stopping power of gravity by making the in court areas. at the discretion of the facility owner/operator. As such. please refer to the Supplement Appendix A-8. recommended guidelines apply equally to tracks. Providing a cover molding Gymnasiums and Exercise Rooms around the gap would prevent fingers from accidentally entering. Inspection should include the removal of debris such as is standard for lighting and lights need to be protected from ball impact. Each broken bottles. Routine cleaning also helps to ensure the floors the possibility of impact injuries. Racquets which are cracked. Owners of such fa. The temperature of a essential. Should a player’s hand be in the area of the enlarged gap. splinter or shatter under normal use related to racquet sports. order to minimize movements that create forceful impacts to feet and legs when sorption in mind. Eye guards are essential and must be approved Racquet Courts by the Canadian Standards Association. Playing Fields will not break. Walls The Deutsches Institut für Normung (DIN) suggest six criteria that should be The walls of a racquet court should be constructed of materials that can with. Partici- Due to the variety of activities that take place on such surfaces. knees. and other sharp objects. with the glass court door. The particu. racquet frame impacts) and Standards. foreign objects etc. enced by participants in exercise classes conducted in such facilities. racquet courts is not economically feasible. There is concern over proper ventilation and temperature conditions within • To design the playing field to have an upward graded embankment surround. and hips such as ballistic rubber overlay or sprung wood (1” thick plywood). inspection of pants must be able to see the ball clearly. crack. Flooring should be inspected before each use for retain a non-slip condition. For additional information on the DIN Floor stand high impact forces (body slams. degrees centigrade is the norm for court facilities. Doors to courts should open inward to avoid po. A sprung wood floor is preferable. they are to be considered only as an option field’s sideline area to any public or private thoroughfare. 3rd ed. There is a glass wall adaptor kit available which can fit most glass door openings. flooring is a primary quality is not adjustable to the above standard. met for multiuse exercise floor areas. the potential for pinch- ing fingers and possibly severing fingers does exist. loose material. Use of non-slip grips and lar hazard is found with the glass court doors. soft drink cans. The texture of the floor fin. 43 . or the improper use of equipment. Where floor being reported by participants in racquet games. or shattered should not be used. cilities should investigate and install an appropriate safety measure to protect the Flooring court player from such injuries. Individualized climate control of be illuminated for dusk and non-daylight use. air circulation can be Lighting accomplished with protected ventilation fans placed in the upper reaches of courts If activities are planned for dusk and non-daylight hours. chip. Footwear selection (specific to the activity involved) can also reduce proper footwear by participants. participants in the room. Flooring is a primary concern given the number of back and leg injuries experi- tential collision with a passer-by and allow for quick evacuation in an emergency. racquet courts. the gap between the door and the actual wall increases. stant illumination sufficient to allow safe exiting of a court. and must be covered or removed. or do not offer person run up a graded surface. Facilities that rent equipment should examine Potential hazards exist with some glass walls in racquet courts. along with the use of duce impact. as such. Fields used for football or court should also be equipped with an emergency lighting system to provide in- rugby may incur hazardous divots in the grassed surface. Professional expertise is usually sought when a facility is to to environmentally control multiple court areas. vita parcours and bicycle paths. it should allow for a run-off area from the playing ers may be prohibitive and. ment Appendix A-6. and court access cor- Proper grading ridors. 3rd ed. Canadian Fitness Safety Standards. The cost for air exchang- • In the case of a buffer zone. ball impact. All glass-backed Hazards court facilities should be examined regularly to determine the potential for injuries Fire extinguishers or electrical panels that pop open may be very hazardous for resulting from excessive gapping of glass doors upon impact. A minimum of 50 foot candles or higher the grounds is essential. When a body comes into contact proper grip sizing are recommended. 42 Canadian Fitness Safety Standards. Lighting Inspections Lighting is very important for an enclosed area such as a racquet court. Many of these standards and cedures. immediate access to a roof area for air duct installation. Where pos- Flooring sible. The grading of a field is necessary for many reasons: Ventilation • To allow for adequate drainage to run from a high centre to a low sideline. Regular inspections and repairs should be part of routine maintenance pro- Playing fields are usually multi-purpose in nature. However. high density foam should be employed to re- ish should limit the amount of slipping during normal use. Equipment Related to Racquet Sports Potential for injury exists as a result of participants using faulty equipment. exercise room floors should be constructed of a shock absorbing material There is a concern arising from the number of injuries to ankles. splintered. contacting hard floors. If possible. exercises should be structured in concern and the surface of racquet courts should be constructed with shock ab. however many courts are of a subterranean nature. refer to the Supple. Lighting intensity is measured in candle power. proper lighting is also where the ball would normally be considered out-of-play. and this intensity varies court area usually reflects the individualized preference of participants and a need depending on its use. equipment before it is given out and after it is returned.

but there is no consistency from one manufacturer to another. the amount of weight an individual attempts to displace. pendix D-1. 3rd ed. All showers should be designed with a back-flow safety less space per person than does a group exercise class. not only for the progressive work-out of body parts. Re-calibration a class also obstructs the instructor’s view of the participants. Too large of testing equipment perhaps due to lack of care and maintenance. Programming should be modified ap. pieces should be disposable or at a minimum sterilized between uses. Group Exercise Class Size Fitness Testing Overcrowding of classes is a major concern as it poses a major hazard to the per. The positioning of weight equipment in the facility should be considered care- fully. and misuse of equip. or washroom fa. The selection of equipment should be done in line with the needs of the users. spotter should always be used. All exercise rooms should be equipped with and that there is a variety of equipment that supports such activity. or a spinning class requires much code safety standards. Spas and Hot Tubs) crowding. the Ministry of Health & Long Term Care. The capacity of an should be carried out if variances are found to exist in the equipment. The space per person varies significantly depending on the type of exercise be. insufficient space. An example of this is the use of guards or shields around weight stacks. bottled water. faulty equipment. All change facilities should be equipped with a separate drying area which will minimize the amount of water being transported into the changing area. • The building code load restrictions and fire code regulations for the capacity of Potential for injury to patrons exists in shower and change areas. Ventilation Environmental control in exercise facilities is very important. in Ontario. Also. All types of injuries can occur in a weight lift. • The participant fitness level (i. Daily cleaning is es- Weight Equipment sential with particular attention to the prevention of communicable diseases. and inhibits safe enjoyment of the fitness activity. tion may lead to other complications. the number of participants should vary accordingly. In order to prevent pooling. beginner versus advanced). drain- fitness organizations recommend instructors teach with a maximum of 20 – 30 stu.e. The design of weight equipment has improved in terms of providing safety de- vices. Canadian Fitness Safety Standards. Compliance with provincial legislation is mandatory. For example. water structure. age systems should be designed to remove water from all areas of the floor at a dents per instructor. 3rd ed. Exhaustion due Weight Room Supervision to excessive sweating which causes body fluid depletion is a concern. A copy of the act may be found in the Legislation Ap- adequate supervision. especially when lifting heavy amounts of weight in propriately during conditions of extreme heat and high humidity. there appears to be tubs and spas. 44 Canadian Fitness Safety Standards. Cleanliness is a very • The availability of mirrors to assist the instructor in monitoring the movement of important prerequisite to running any type of testing operation. There does not appear to be a standard for the acts. rate greater than the flow of water coming from all available sources. Public Spas (Whirlpools. the Operation of Public Spas. Unaccus- exercise class should be determined based on the following factors: tomed participants should be spotted when using a treadmill. The legisla- a need to obtain some consistency in the design. lack of Ontario Regulation 428/05. One of the the room. Maximum temperature should sense rules should apply when using this equipment. There is a concern over the potential for injury resulting from the poor quality formance of exercise. common sense should prevail in cility with sinks) is also essential. In the case of free weights a not markedly exceed 20 degrees centigrade. however. is mandated through manufacture of weight equipment. equipment does not require spotters. a Yoga class. ing facility because of simple things such as improper lifting techniques. It is essential that temperature should be governed by a temperature valve limiting the range at each participant has unrestricted and safe movement within the class. This condi. most common accidents in facilities results from members slipping on wet floors. installation and tion may be obtained from the provincial government office which regulates such maintenance of such equipment. some common proper ventilation and air conditioning systems. 45 . ment. stationary versus dance routines). because reports have indicated that injuries to fingers have occurred in the use of stack-weights which do not have guards. but also to avoid over. Ideally mouth- participants. Health Protection and Promotion Act. The design of variable resistance and isokinetic Accessibility to a water supply (water fountain. Provincial which the water temperature can be adjusted. Floor surfaces should be constructed of a slip resistant material within building ing conducted. As an example. • The type of movements to be followed (low impact aerobic versus high impact aerobic. Given that weightlifting is something that is pursued on an individual basis. As each class is different in valve to prevent sudden surges of extreme hot or cold water. hot Busy weight rooms require top-of-the-line equipment. Provincial legislation regulates the operation and maintenance of whirlpools. manufacture. In addition. activities such as the bench press. Change Rooms • The qualifications of the instructor (experienced versus beginner).

resistance machines. Standard #17 Floors in wet areas shall have a non-slip surface with adequate drainage to prevent the pooling of water.) should comply with national sport governing body regulations and/or manufacturers safety regulations. A fire alarm system shall be installed in a building as determined by building code requirements. doors. certified in First Recommended Guideline #12 Aid. Standard #14 Access to a clean drinking water supply is required at or near all physical activity areas. Electrical panels shall be covered. Receptacles located in wet areas of a building and associated with the pool. and if outdoors. Recommended Guideline #19 Group exercise floor areas should be constructed with materials (e. Standard #18 Whirlpools. ballistic rubber overlay) that reduce the potential of repetitive impact Standard #19 injury. markings and/or fire code regulations. floor surfaces. Recommended Guideline #20 All equipment. racquetball and badminton participants should wear appropriate eye guards approved by the Canadian Standards Association. 47 . reporting and/or maintenance of all areas and equipment as a part of their daily activities. such as locker and change rooms. require ground fault circuit interrupters of the Class A type. Recommended Guideline #17 Air temperature. Standard #16 All fitness testing equipment shall be checked. properly graded for adequate drainage. strength conditioning).g. Standard #15 The number of participants in an exercise class is based on the square footage that allows each participant unrestricted and safe movement in various types of Recommended Guideline #16 exercises. water temperature. well maintained Sport or recreational playing areas should be separated from roadways by a fence. Staff are required to carry out ongoing inspection. Recommended Guideline #21 Direct supervision in high risk/injury areas (e. (cardio. spas and tubs shall comply with the Recommended Standards for the Operation of Public Spas (Ministry of Health & Long Term Care Act. Participant numbers may also be defined by building code restrictions All sports court areas (e. CPR. Recommended Guideline #18 All squash.g. Recommended Guideline #15 Adequate lighting. June 2001). and free from hazards. gymnasium and weight training areas) should be provided at all times by qualified personnel (e. free weights etc. Spectator areas should be a safe distance from playing surfaces so as to avoid collisions with participants. sprung wood. wall or buffer zone. 3rd ed.g. They should be free from obstructions to participants. 46 Canadian Fitness Safety Standards. Portable fire extinguishers shall be installed in all buildings. Recommended Guideline #22 Participants (particularly beginners) should be provided with one or more Recommended Guideline #13 instructional sessions by qualified staff in order to ensure they can use the exercise The surface for all recreational areas should be appropriate for the intended use(s). playing fixtures.g. humidity and air circulation in all indoor areas should be monitored and properly controlled. cleaned and calibrated as required. Canadian Fitness Safety Standards. but should be accessible by emergency vehicles. 3rd ed. *Please see existing provincial/territorial code or regulations as applicable. equipment safely. Standard #13 Recommended Guideline #14 All fitness related environments and equipment shall be clean. etc. including emergency lighting should exist throughout indoor and outdoor areas of the facilities.) should be placed in a logical sequence to maximize efficient traffic flow and allow safe and effective Standard #20 use of the equipment.

4 – A Training Document for a Communicable Disease Management Strategy Recommended Guideline #26 5 – Provincial Offices for Building Codes Activity areas that are typically unsupervised (e. protective eye equipment. participants are to wear appropriate footwear and apparel. Recommended Guideline #24 Appendix A – Supplements To promote good hygiene and safety. 1 – Glossary of Definitions Recommended Guideline #25 2 – National Contacts for Emergency Care and First Aid Shower (wet) areas should not be directly connected to exercise areas (pools 3 – First Aid Kit Recommendations from St. pictures and safety precautions to guide participants in proper use of equipment.S. 49 .g. Recommended Guideline #23 A – Supplements Signs are to be posted in weight lifting areas. 7 – DIN Floor Standards References Ontario Fitness Council. Canadian Fitness Safety Standards. Peterson. Tharrett. 2nd ed. 3rd ed. Human Kinetics. Fitness Knowledge Training Program.A.. M. J. ACSM’s Health/Fitness Facility Standards and Guidelines. USA. John’s Ambulance excluded). 48 Canadian Fitness Safety Standards. proper footwear and clothing). 1997. squash courts) should be monitored hourly and/or have signs informing participants of appropriate 6 – Illumination Measurements precautions (e. with detailed instruction.g. 3rd ed.

administering. total body movement. The last aspects to be noted are those of satisfaction. Well-being reflects the overall quality of life collectively. mental and so. the development of personalized fitness programs. Physical activity refers to activity involving large muscle groups. 3rd ed. Canadian Fitness Safety Standards. seniors. or implement. in which participants clude. Recommended Guideline The delineation of fitness related qualifications and/or conduct which are deemed highly advisable and are strongly recommended to ensure participant safety in fitness oriented physical activities. The purpose of the activity is declaring a winner or simply for relaxation. It generally involves formal rules. ment. joyment. socially. Fitness Facility Personnel personal enjoyment. A standard is related to a “legal duty of care”. Examples of such groups would in- Any premise. neuromuscular skills. Glossary of Definitions Recreation All those activities a person or group chooses to do in order to make leisure time Fitness more interesting. Fitness Service Providers Individuals who are responsible for supervising. Such services may and acts as the standard of care in that instant. as well as with participation in physical activity. include personal consulting on fitness matters. indicating that recreational experiences ought to be physically. pregnant women. 3rd ed. in turn. psychologically. interest and en- and involves the optimum interaction of an individual’s physical. significant energy expenditure and pleasurable reinforcing activities typically pursued in recreation and sport. (e. the giving of instruction on the use of fitness equipment. and the monitoring of personal progress in relation to fitness matters. The safety standards will pertain specifically to the fitness related activities conducted in these facilities. procedures and requires tactics. but not limited to.) can engage in fitness activities. or implement- ing fitness related activities. 50 Canadian Fitness Safety Standards. satisfaction.g. ing fitness related activities. strategies and specialized Individuals who are responsible for supervising. organization or deemed essential to ensure participant safety in fitness oriented physical activities. Sport Fitness Facility Operator An activity which requires a significant level of aerobic or anaerobic involve- ment. It is a strong recommendation to take the action described even thought it may not always be feasible to implement as a common standard of business practice or legal duty of care. 51 . emotion- cial capabilities. the supervision of fitness activities. Legislation The act of making laws and passing acts by a legislative body. Special Exercising Populations Fitness Facility An individual or group of individuals who require advanced knowledge and expertise from the fitness facility personnel. and intellectually enriching. etc. The sec- Fitness is a functional quality of well-being that is influenced by and associated ond element is that recreational activities can be pursued individually. competition or non-competition. and participants may engage in either a structured or unstructured environ- The owner or agent of a facility at which fitness related activities are offered. people with disabilities. Standard Fitness Service The delineation of fitness related qualifications and/or conduct which are The activities. more enjoyable and more satisfying. Provincial Government). institution to people who choose to engage in individual or group physical activi. whether operated for profit or otherwise. ally. ties organized and conducted by the fitness service provider. The central element of this definition is that of choice which. programs and services provided by an individual. administering. it is the accepted approach in law. implies the freedom to choose.

medium-sized wounds. John’s Ambulance National Office 1900 City Park Dr. (613) 746.3 1 Triangular Bandage 12 Safety Pins For more information.ca 1 Knuckle Bandage experts@lifesaving.9 cm x 7. 3rd ed.ca 1 Fingertip Bandage 1 Adhesive Square 5 cm x 7.ca feedback@redcross. (613) 746.sja.9929 6 Adhesive Bandages 1. John’s Ambulance 170 Metcalfe St. Ontario K1A 1A3 Tel. (613) 740-1911 www.ca     clientservices@nhq. (613) 236-2425 www.. Suite 300 Ottawa. 3rd ed.sja. (613) 740-1900 Fax. 52 Canadian Fitness Safety Standards. (613) 236-7461 Fax.5 cm 1 Gauze Bandage 5 cm x 4..sja. Ottawa.lifesaving. visit www. 2 Gauze Pads 7.5 cm x 7. Contains the materials to tend to small and 287 McArthur Ave. National Contacts for Emergency Care and First Aid First Aid Kit Recommendations Red Cross National Office from St. Ontario K1L 6P3 Contents: Tel. Ontario K2P 2P2 Compact First Aid Kit Tel. Suite 400 Ottawa.5 cm x 4.perfect for the outdoors enthusiast.ca St.5 cm www.5 cm 1 Pair of Scissors 1 Pair of Tweezers 1 First Aid Pocket Guide 1 Adhesive Tape 1.25 cm x 2. 53 .5 cm Provincial offices may be found on their web sites.5 cm 1 Gauze Bandage 7.5694 3 Cleansing Wipes Fax.redcross.ca Light and compact enough to be tucked into a backpack or looped onto a belt National Office Lifesaving Society .ca Canadian Fitness Safety Standards.

The resultant standards and recommended guidelines are a refinement and clarification of those previously published in the Fitness Safety Standards Guide Book. Emergency Procedures. 55 . Recognizing that the challenge to meet minimal standards of competence acceptable under the current legislative and public health framework. Fitness Environment. The 6 categories (Fitness Related Personnel. by definition a new normal. 6 Cleansing Wipes 6 Adhesive Bandages 1.5 m Considering feedback from the fitness industry and experts in public health. by us all. 1 Elastic Gauze Bandage 5 cm x 4. respect to changes that have occurred since the 2000 Guide Book. During the past five years in Ontario. also had to be realistic and economically feasible. Canadian Fitness Matters Training Document for Communicable Diseases 1 February 2006 Canadian Fitness Safety Standards. prevention and control of communicable diseases. C     ommunicable Diseases: more responsibility for us all. Failure on the part of service providers to maintain adequate safeguards will undoubtedly have legal and monetary Small Wounds penalties to reflect the potentially devastating impact on public and individual health. 3rd ed. the issue of Communicable Diseases has presented a unique challenge to the delivery and consumption of public and private This kit is contains the essential materials to deal with large. It is advisable for fitness service 2 Knuckle Bandages providers to re-evaluate their role in the management of communicable diseases in 2 Fingertip Bandages their fitness facilities. 4 Gauze Pads 10 cm x 10 cm OASES has set about to recommend the minimum steps necessary to 1 Abdominal Pad 19 cm x 20 cm maintain an acceptable standard of communicable disease "awareness.9 cm x 7. Pre-Screening and Informed Consent. 2000. Please refer to Appendix A for a training outline for the awareness. changes the 2 Non-Adherent Pads 5 cm x 7. prevention and control" to meet the requirements of the new standard in the 2005 Canadian Fitness Safety Standards. medium and small. prevention and control of communicable diseases.5 cm Given these changes it is not difficult to see how a sneeze at the gym can now be 3 Adhesive Squares 5 cm x 7.5 cm viewed in a very different context. Awareness and control are core elements of prevention. This is because. which together form a communicable disease management strategy. Medium Wounds O 2 Cleansing Wipes ur Goal. The Canada Fitness Safety Standards & Recommended Guidelines were revised in 2004. services. we have outlined below a 2-step level of awareness and control that could assist in prevention of further disease dissemination and therefore constitute a reasonable and minimum set of procedures to meet the new Standard. A Training Document for a Communicable Disease Management Strategy Developed by Canadian Fitness Matters Sport First Aid Kit for The Canadian Fitness Safety Standards Communicable Diseases: Standard #1 Fitness service providers shall provide employee training pertaining to the awareness. 3rd ed. guidelines and operating procedures. Operating procedures for Communicable Diseases have changed to sized wounds as well as burns. and Special From splints to cold compresses this kit contains the necessary first aid supplies Exercising Populations) were also considered in terms of their current relevance with to deal with sports injuries. Coaches and trainers will appreciate its compact size – easy to add to a gym or sport bag. Communicable Diseases. the extent that a "new normal" now exists with regard to the duty and Contents: obligation on the part of service providers.5 cm context of standards. 54 Canadian Fitness Safety Standards.

These fluid exchange) methods such as airborne-droplet spread and sharing/touching organisms can be spread from person to person through: blood and other body amongst infectious individuals. saliva.S. as the level of illness becomes more severe. Disorientation body fluid or when body fluids are contaminated by blood. Vision Changes and responsible approach is as follows: when it is difficult to identify the specific 10. Canadian Fitness Matters Training Document for Communicable Diseases 2 Canadian Fitness Matters Training Document for Communicable Diseases 3 February 2006 February 2006 Canadian Fitness Safety Standards. 6 Universal Precautions Straightforward signs and symptoms of illness which one can observe include individuals who are/or demonstrate: coughing/sneezing. It must create an effective barrier between the exposed worker and any blood or other body fluids. 3rd ed. a reasonable 9. glasses with side shields. Proper disposal techniques In general. mucous membranes. chills synovial fluid. vaginal secretions. and finally. urine. Wounds. pericardial fluid. 1 st Step Awareness 2 nd Step Control Personnel should be aware of general signs and symptoms of acute disease that Personnel should demonstrate an awareness of a modified set of universal indicate someone is ill and a possible source of infection. PPE includes but it not limited to gloves. pleural fluid. shoe covers. prevention and control in fitness facilities. Diarrhea facilities. Coughing.The purpose of PPE is to prevent blood and body fluids from reaching the workers' skin. Report exposures 1) first and most common. Health Canada and the U. sweat. awareness. tears. 5. When in doubt – take the safest approach. individuals 2. skin discoloration. Numbness and Tingling (not injury related) personnel may more commonly come into contact with such as: feces. Nevertheless. universal precautions should be applied. masks. Personal Protective Equipment (PPE) . However. Infectious Disease The Laboratory Centre for Disease Control. of Acute. droplets breathed. 3. Sneezing contact with blood and body fluids— specifically (semen. Clearly. goggles. peritoneal fluid. vomitus. What are the Universal Precautions? 1. which are clearly not typically a source of exposure in fitness 4. sneezed or coughed out of the nose or mouth. bacteria. A modified set of procedures suitable to fitness facilities are highlighted in the boxed text. Temperature -. or personal clothing. Vomiting amniotic fluid). least common and more dangerous. 3. sources and sites of infectious agent transmission or operating procedures that could be a source of risk. individuals who are obviously unwell or identify working in fitness facilities. 3rd ed. Safety. Hand washing washroom etc. gowns. skin- of infectious agent transmission should be part of a reasonable program of to-skin contact. Myalgia – (muscle pain not activity related) Universal precautions do not necessarily apply to materials that fitness facility 7. 2. 56 Canadian Fitness Safety Standards. via person-to-person contact (common source exposures such as sharing/touching) and airborne-droplet spread and What follows here is a review of standard guidelines and procedures with regard to 2) secondly. parasites and fungi. 57 .fever. Centers for Disease Control have developed the strategy of "Universal Precautions" to prevent 1. open sores 6. through direct contact with infection control as provided by the Canadian Center for Occupational Health and blood and bodily fluids. familiarity with both general methods secretions. nasal 8. lab coats. Balance Difficulty secretions. Cleaning and sanitizing 4. Universal precautions are infection control guidelines designed to protect workers 10 Signs and Symptoms from exposure to diseases spread by blood and certain body fluids. and resuscitation bags. cerebrospinal fluid. sputum. showing For specific details for Fitness Facilities signs of distress that can be categorized as mild and manageable without need of (see Appendix A ”Prevention & Control”) intervention or those who are unusually lethargic or make frequent trips to the 1. the transmission of infectious agents can be categorized into two general 5. sexual contact. Personnel should be able precautions (infectious disease control guidelines) that are specific to personnel to detect. in the facility environment. the level and type of communicable diseases present in the fitness facility environment could be characterized by the more common non-enteric (non-bodily Infectious diseases are caused by viruses. Not sharing personal items groupings: 6. Use of appropriate barrier techniques can demonstrate signs of functional limitation up to and including disorientation and collapse.

are no complications or serious effects of this disease. 2. for example: recognition that a publicly available tissue dispenser or re- Awareness: usable equipment "wipe-rags" that are not cleaned or regularly replaced could. watery or bloody stools. Toronto Diarrhea 2) Mr. distinctive rash that begins with a ‘slapped cheek’ appearance. Fifth Disease (slapped face) (Low Risk for adults. Andrew Popadopoulos. Awareness training includes employee orientation to the following information on Communicable Diseases: 3. tiredness and loss of appetite followed by the appearance of small pink spots which change to blisters before crusts form. There is low risk of complications. The rash may become worse when exposed to sunlight or heat. as well as indirectly to disposal of suspected contaminated materials. Chicken Pox is recognized by fever. the person is no longer contagious. Canadian Fitness Matters Training Document for Communicable Diseases 4 February 2006 Canadian Fitness Matters Training Document for Communicable Diseases 5 February 2006 Canadian Fitness Safety Standards. It is contagious for the duration of the illness. Communicable Disease Management Strategy Fitness facilities should have a set of general safety/infectious Developed by Canadian Fitness Matters transmission management policies and emergency procedures that are for available and periodically reviewed by facility personnel. sheets and face cloths that have come in contact with the blister be reviewed and altered to ensure practices are using the best available fluid. The victim is no longer contagious Executive Director. DC items such as tissues. Bob Grisdale MSc. be a source of infectious agent transmission. but there is no need of antibiotics for common cases.refer to methods of isolating or removing Chicken Pox* hazards from the workplace. Fitness facilities should have reasonable PPE available (such as protective gloves) to ensure that an effective barrier between the person and the potentially hazardous substance can be established. Appendix A: Examples of activities requiring specific attention to work practice controls include: hand washing. It can be Director. It is spread by both direct and indirect contact with any contaminated 1) Dr. 3rd ed. High Risk during pregnancy as exposure can increase changes of unborn contracting Fifth Disease by 0. There are antibiotics for this disease as it Lecturer – School of Nutrition and School of Continuing Education – is not severe. Toronto fecally contaminated hands. a more recent common practice of providing alcohol-based Awareness. School of Occupation and Public Health spread by contact with contaminated food. Prevention and Control of Communicable Diseases sanitizing gel dispensers is being used in many public/ private facilities. 58 Canadian Fitness Safety Standards. MBA. LifeMark Assessments – LifeMark Health.3%). Canada when discharge discontinues from the eye. For example. water or soiled articles of clothing or Ryerson University. handling of used needles and other sharps and contaminated reusable sharps. Canadian Fitness Safety Standards and Recommended Guidelines 2005 Standards of practice in this regard should be regularly reviewed and corroborated with current clinical and public health standards. Canadian Fitness Matters wishes to thank and acknowledge the following individuals for their contribution to the development of this Communicable Disease Training Conjunctivitis (Pink Eye) Document: Pink Eye is recognized by runny. When blisters become dry. door handles and clothing. CPHI(C) Diarrhea is recognized by frequent loose. 59 . red eyes accompanied by a crusted discharge. It is spread by secretions from nose and throat and is contagious until rash disappears. Fitness facilities should have a set of operating guidelines with regard Chicken pox is spread by direct contact with the infected person. Ryerson University. HIV positive or immunosuppressed. Routine infection The Canadian Fitness Safety Standards control tasks are to be reviewed and altered to ensure practices are using the best available techniques to protect fitness facility employees. ironically. Generally there controls to protect fitness facility employees. 3rd ed. Fifth Disease is recognized by a low fever. Work practice controls – These refer to practical techniques that reduce the likelihood of exposure by changing the way a task is performed. changes to lace-like body rash on arms then legs. These guidelines are to through clothing. on chemotherapy. Engineering controls . but please notify your Health Unit if you are pregnant. but please notify your local health unit if you are pregnant. collecting and transporting fluids and A Training Outline for a tissues according to approved safe practices.

The person is no longer person or articles contaminated with discharge from nose. is contagious 5 days before onset of rash to 4 days after. Victim is to person or animal to person. Close contacts should be for Hepatitis B but not C. from contact with secretions from nose. especially if not adequately immunized for age. especially if you are pregnant or not immunized. Disinfection for surfaces exposed to body fluids that may be contaminate with eggs. irritability and sometimes secondary infection of cases there are no initial symptoms of the disease. Please call Health Unit immediately. spreading ring shaped area. examined by physician and treated if testing positive. not immunized. 60 Canadian Fitness Safety Standards. Physician may prescribe medication on a case by clothing from discharge of nose and throat. Measles are extremely infectious. 61 . Victim is contagious as long as lesions are present contagious for a week until antibiotics are given. moist or crusted. hairclips. Coughing occurs in spasms often Hep A is transmitted through the ingestion of food or water contaminated by with a high-pitched ‘whoop’. vomiting. arms and lower part of legs. Worms may be seen at anus. It is mainly seen in very Meningitis (viral)* young children. headache. Disinfection measures include proper sanitation methods treatment. and can be spread by contact with discharges of nose and throat or Same symptoms as bacterial meningitis and it is spread the same way. Impetigo Ringworm (scalp) (High Risk fungal infection) Infected lesions are superficial pustules that burst and form thick yellow Skin infection. mouth and throat. Canadian Fitness Matters Training Document for Communicable Diseases 6 Canadian Fitness Matters Training Document for Communicable Diseases 7 February 2006 February 2006 Canadian Fitness Safety Standards. Hep B and C are not. bedding. food or other articles rest of their lives. Spreads in the same way as scalp ringworm and is contagious for the same length of time. muscle aches and cough. red blotchy rash that lasts diarrhea and onset might be gradual or sudden. Influenza* Fever. small water spots on the palms. Pinworms Hepatitis B and C are transmitted through blood and body fluids. with special attention to hand washing. Victim contagious after the first week of the onset of jaundice. Inoculation is available contagious up to 3 weeks after antibiotic treatment begins. Fever. It is spread Recognized by lice in hair. There is now treatment available for Hepatitis C. fatigue. running eyes and dry hacking cough. Anyone with Hep B and C can be the scratched skin. stiff neck and back. Cough is often worse fecal matter. Victim is contaminated with B and C requires a bleach/water solution. when dealing with fecal matter and personal hygiene. It spreads easily through head to head through contact with infected person or articles soiled with discharge from nose. or immunized before 1st Symptoms can include chronic diarrhea. mildly itchy rings. weight loss. Giardisis immunosuppressed due to other reasons. It is spread through contaminated for at least 3 days. Please see Please call Health Unit immediately. Mumps* Head Lice Fever. It is contagious until 24 hours after starting proper antibiotics. swelling and tenderness of one or both sides of face. cough. physician for medicated treatment. appears on face first then spreads to rest of the body. throat and mouth. In most Anal itching. disturbed sleep. Eggs can survive up to 3 weeks in environment. Victim is contaminated as long as there are lice in the hair. Mouth Disease especially if you were exposed. mouth and throat. vomiting and sometimes seizures. white scales in centre. Hair breaks off leaving bald spot. spread through person contact with infected person or articles. eyes are red and sensitive to light. The victim is contagious for the duration of the symptoms. vomiting. It is difficult to prevent the spread of illness. Pertussis (Whooping Cough)* Hepatitis A*. Hand. It can be spread through Ringworm (body) (High Risk fungal infection) contact with secretions from nose. severe. Victim may have organism present but not have any symptoms. The onset of symptoms of Hep A are abrupt with at night and may last several weeks. and indirectly through sharing hats and clothing as well as brushes and mouth or throat. Fever. mouth. It is spread by direct transfer of infectious from weeks before a positive blood test confirms the disease and for the eggs from hands or indirectly through clothing. Please see physician for treatment. Victim is contagious until several spread by contact with infected person (coughing or sneezing). It is spread through spread by direct or indirect contact with skin or scalp leasion. birthday. Often around nose. Recognized by small ulcers in the mouth. Reddish around edges with for a week. It is spread by contact with contaminated food and water. contact. especially if you are pregnant. but fecally contaminated hands. or soiled articles of weeks after symptoms are over. It spreads Physician may prescribe medication on a case by case basis. weight loss. loss of energy. Please notify your Health Unit if you are immunosuppressed. B*. chills. Food Poisoning Measles* Food poisoning may include several symptoms such as nausea. malaise. 3rd ed. as it is not the period of contagion is variable and one must call Health Unit immediately. and often spread on hands. nausea and abdominal cramping. soles and between fingers and toes or buttocks. mild fever. It is spread through contact with infected fever. C Red. Foot. Victim case basis. It is crusts. contact with soiled articles and person to Meningitis (bacterial)* (low risk but very serious if exposed) person contact. Immune to the disease often is contagious from 7 days after exposure to 3 weeks after receiving antibiotic lasts for life afterwards. Treatment from physician is highly recommended. scaly. stomach pain. Please notify Health Unit. 3rd ed. and viable spores persist on contaminated materials. It is food or water or by person to person contact. headache. Victim is generally contagious Flat. Victim is contagious from 7 days before swelling to 9 days after. Please call Health Unit immediately for all victims. on chemotherapy. itchy scalp.

Cleaning & Sanitizing Wear protective gloves and use paper towels to clean up all body fluid spills. fever. body fluids. redness and white spots on throat. Turn taps off with towel sandpaper. fatigue. -Sharps must be discarded in a non-breakable container with a lid. needles. hours after beginning antibiotic treatment. usually after 1-2 2. 63 . Use during procedures where splashing may occur. Victim is contagious from onset article before discarding in the garbage. including blood. nerve pathways. Shingles (Please see Chicken Pox) CPR: Masks and resuscitation bags should be available in a facility to prevent a Painful patch of blisters which may appear in crops in irregular fashion along possible body fluid exposure. Victim is contagious 1 5-Not sharing personal items week before onset of rash to 1 week after. 3. headache. secretions and excretions (except sweat). but you cannot contract shingles from someone who has shingles. nose and mouth. of symptoms to 1-2 weeks after treatment begins. bags for transport to laundry. especially if 6-Report exposures pregnant or not immunized. Use soap treatments. contact. Place in leak-proof advice. It is not as infectious as chicken workers in high-risk settings. Control and prevention training includes employee orientation to the following -Sharps containers should not be overfilled and must be disposed of through a information: hazardous waste disposal company. Avoid Sharing Personal Items Personal items such as razors. It is spread by contact 4-Proper disposal techniques with infected person or articles soiled by body secretions. contact with infected person. elbows. 4. bend or break used needles. Rinse Scarlet Fever* 5. white area around mouth. and weight loss. wrists. Change gloves after each contact with body fluid. pox. the mucous membranes of the eyes. sore throat. Please see physician for treatment. Fever. Infections can occur when infectious body fluids come in contact with Report to your employer all significant exposure to body fluids as you may need broken skin. 62 Canadian Fitness Safety Standards. Gloves: Should always be worn when there is potential for contact with body fluids. Eyewear and Protective Clothing: Generally intended for use by healthcare years is the nerve pathways in an inactive form. Victim is contagious until all mites are destroyed. It is bags tied at the top. Victim is contagious while fever is present. should not be shared. It is unknown how it spreads and 1-Handwashing it is not very contagious. flushing of cheeks. It is spread by direct Disinfect affected area with one part bleach to 9 parts water solution for 10 minutes. 3rd ed. skin folds. It is spread by direct contact with infected person. Please contact Health Unit for Laundry: Handle body fluid soiled laundry as little as possible. vomiting. Routine Practices replaces a combination of universal precautions and body substances 6. sore throat. cut or puncture the skin can be considered a “sharp”. Rinse in cold water using gloves and machine wash in hot water using regular laundry detergent. of buttocks. 3rd ed. toothbrushes. Canadian Fitness Matters 8 Canadian Fitness Matters Training Document for Communicable Diseases 9 Training Document for Communicable Diseases February 2006 February 2006 Canadian Fitness Safety Standards. It is spread by direct skin to Handwashing Techniques skin contact and through clothing only if infected person wore clothing immediately 1. Roseola 6 Steps of Routine Practices: Fever. Please notify Health Unit. Please see physician for treatment. cold symptoms. 3. Someone who has shingles can give a person chicken pox. swollen neck glands. double-bag the spread by droplets in the air from person coughing. Victim is contagious from onset of symptoms to 24 Use paper towels to absorb the bleach and residue. lower portion and after potential contact with body fluids and after removing gloves. *Vaccines Available. Report Exposures Immediately precautions. 2-Use of appropriate barrier techniques Rubella (German measles)* 3-Cleaning and sanitizing Mild fever. Dispose Strep Throat of paper towels appropriately. Please see physician for treatment. If the first bag is visibly soiled or leaking. Wash the area with soap and water and rinse. rash. Proper handling and disposal techniques must be used to avoid injuries Control & Prevention: from contaminated sharps. Routine Practices help protect against all infectious diseases. Wash your hands before Lesions around finger webs. Itching is more intense at night. or through sexual post-exposure treatment. Handwashing Scabies Handwashing is your best defense against any infection. Towel dry Fever. Wet hands beforehand. Routine Practices: 5. rash which begins as fever subsides. Routine Practices are used to prevent skin or mucous membrane contact with all They may have come in contact with infectious body fluids. armpits. Proper Disposal Techniques TB (Tuberculosis) Contaminated Waste: Dispose of articles soiled with blood or body fluids in plastic Coughing lasting more than 3 weeks. A reactivation of the chicken pox virus that can survive for many Masks. indicating very low risk. fine red rash that feels like 6. Lather 4. Victim is contagious until 24 hours after starting 2. etc. belt line. -Do not recap. Sharps: Any object that could break. Barrier Techniques antibiotic treatment. 1.

Intermediate Level of Disinfection: (1):1–7 1:100 dilution of bleach (1 part bleach to 99 parts water).gov. www/collegept. Patrons should take proper Web Sites precautions when using saunas. 65 . performing well: Patient Adviser - Use on semi-critical items. *Please note that Cedar wood used in most saunas have natural anti-bacterial properties but still need to be properly cleaned.Canadian Centre for Occupational Health and Safety 1-800-668-4284 Joanna Curtis joannac@ccohs. Canadian Fitness Matters wishes to thank and acknowledge Jennifer Logan. Household bleach suppl):S431–S438 solution is 5% sodium hypochlorite solution (50.html#_1_4 *please note that WHMIS for workers does not cover Communicable Diseases. sterilization is not possible.32 (7 The solution must be made fresh every day to preserve strength.org Includes listings. The Physician and Sportsmedicine 2003: 31 – #2.html Other Accredited Training Options: CCOHS. 3rd ed. CCOHS. items that come in contact but do not penetrate the skin.pdf Public Health Agency of Canada http://www. by using a towel while inside. items that may accidentally come in contact with blood or pages 16.1 tsp bleach with 2 cups water The Kid’s Health Manual “Communicable Disease Exclusion Guidelines” section 3 Use on semi-critical items. These items do not come into http://www.ccohs.ca 5 courses: Health & Safety Committees. October 2004 or those that do not ordinarily touch the client. published by the Wellington Dufferin Guelph Public Health Unit. The Physician and High Level of Disinfection: Sportsmedicine 2003.Canadian Centre for Occupational Health and Safety http://www. resources and contacts for each province and region as well as National and Federal resources. 24. CanOSH.31:23--9.canoshweb. Goodman RA: Prevention of infectious disease transmission in sports. Howe WB: Preventing infectious disease in sports. Use to clean surfaces following contact with blood or body fluids or where Mast EE. come into contact with blood or body fluids.28.1 tsp bleach with 10 Public Health Division and Long-Term Care Homes Branch cups water Ministry of Health and Long-Term Care Use on non-critical items.pdf washing floors or surfaces. 64 Canadian Fitness Safety Standards. items that may accidentally penetrate the skin and/or Practice Essentials. http://www. May be used for routine housekeeping.phac-aspc.ca/english/providers/pub/pubhealth/ltc_respoutbreak/ltc_ contact with blood or body fluids. such as respoutbreak. (For example.infectioincontrol. Office Ergonomics. containers for dirty instruments) Low Level of Disinfection: A Guide to the Control of Respiratory Infection Outbreaks in Long-Term Care Homes 1:500 dilution of bleach (1 part bleach to 499 parts water).do *Signs should be posted in order to educate the general public of these basic health precautions. and showering or Center for Disease Control and Prevention washing afterwards. 3rd ed. Health & Safety Training for Managers and Supervisors. only Hazardous Material and Waste Management.cdc.health. WHMIS for Workers Canadian Fitness Matters Training Document for Communicable Diseases 10 Canadian Fitness Matters 11 Training Document for Communicable Diseases February 2006 February 2006 Canadian Fitness Safety Standards. body fluids or penetrate the skin.ca/oshanswers/prevention/ppe/universa. Personal Services Disinfection References How to Prepare Disinfectant Using Household Bleach: Beck CK: Infectious diseases in sports. Sports Med 1997. for her College of Physiotherapists of Ontario work in collecting and collating the appendix information.ca/new_e.on. Heath & Safety for Managers & Supervisors in the Canadian Federal Jurisdiction. 1:10 dilution of bleach (1 part bleach to 9 parts water).gc. Med Sci Sports Exerc 2000.¼ cup bleach with 2 ¼ cups water Howe WB: Avoiding infections. staying healthy.gov/page.Canada’s National Occupational Health and Safety Website www.org/college/content/pdf/en/guide/B.000 ppm available chlorine).

Ontario Fax: (204) 948-2089 M2M 4J1 Toll Free: 1-800-282-8069 Telephone: (416) 325-3100 Email: firecomm@gov.ca Box 14 Cape Dorset. Confederation Building St. Ontario Tel. Box 9490 Telephone: 867-975-5300 Stn Prov Govt Fax: 867-975-5305 Victoria. Aboriginal and Nova Scotia Environment and Labour Women’s Services Public Safety Divison Housing and Building Policy P. Nova Scotia Stn Prov Govt NOVA SCOTIA B3J 2T8 Victoria. V8W 9R3 Telephone: (250) 356-9011 Tel: (902) 424-5721 Toll-free: 1-800-559-3473 Office of the Fire Commissioner Fax: (902) 424-3239 PO Box 9491 Stn Prov Govt NS amendments BRITISH COLUMBIA Victoria. Box 6000 Edmonton.O. Box 697 PO Box 9951 Halifax. V8W 9N7 Purchase amendments Community Government and Transportation Telephone: (250) 356-9000 NUNAVUT Office of the Fire Marshal Email: ofc@gem8. B. Alberta T5J 4L4 Fredericton. 67 . Northwest Territories Tel: 1-800-672-7990 X1A 2L9 Fax: (613) 952-7673 Telephone: (867) 873-0260 Ministry of Community. B. 3rd ed. 3rd ed. Floor: 4 Safety Services 16th floor.ab. (204) 945-3322 Tel.O.C. Public Safety Division Safety Services NEW BRUNSWICK Barker House. (250) 386-0221 E-mail: codeinfo@gov. Nunavut Safety and Standards X0A 0C0 P.bc. (780) 427-5775 Municipal and Community Affairs NORTHWEST Office of the Fire Marshal Fax: (780) 422-9750 TERRITORIES P.on. Box 8700.gov. 1320 CD: IRC Publications Yellowknife.102nd Street P. 66 Canadian Fitness Safety Standards. Provincial Offices for Building Codes Public Safety Municipal Affairs.C.mb. Johns. O. V8W 9N7 Municipal Affairs and Housing Telephone: (250) 387-4095 Building and Development Branch 2nd Floor.C. 10155 . B.O. Manitoba R3C 0P8 5775 Yonge Street. 7th Floor Telephone: (204) 945-3322 Toronto. New Brunswick E3B 5H1 Toll Free: 1 866 421-6929 Telephone: (506) 453-3992 Fax: (780) 427-8686 Fax: (506) 453-7481 NEWFOUNDLAND & Government Services and Lands ALBERTA E-mail: safety.services@gov.O.ca Fax: (416) 325-3126 Code amendments Purchase codes: Tel. Newfoundland A1B 4J6 Purchase codes: Book: Learning Resource Distribution Centre Tel.ca LABRADOR P. 777 Bay Street Purchase codes: Crown Publications Toronto. (250) 386-4636 M5G 2E5 Fax.ca Manitoba Labour Office of the Fire Commissioner ONTARIO Public Safety and Security 508-401 York Avenue Ontario Fire Marshal’s Office MANITOBA Winnipeg.: 1-888-361-0003 Fax: (416) 369-0600 Canadian Fitness Safety Standards.

gov. Saskatchewan S4P 3V7 Building Standards .ca Fax: (902) 368-5526 Régie du bâtiment du Québec Reference Direction de la normalisation http://www.qc.ca Canadian Fitness Safety Standards. 15 étage Québec. 3rd ed.sk.nationalcodes.SFC Telephone: (306) 787-3774 (Regina) or (306) 933-5063 (Saskatoon) Fax: (306) 787-9872 Purchase Fire Code & 1990 Plumbing Code: Tel. 3rd ed. 68 Canadian Fitness Safety Standards.ca Saskatchewan amendments to the NBC: Office of the Fire Commissioner . Department of Community and Community Services Cultural Affairs Consumer and Safety Services PRINCE EDWARD Planning and Inspection Services Division YUKON Box 2703 ISLAND P.1855 Victoria Avenue Regina.: (418) 644-4448 IRC Publications Tel: 1-800-672-7990 Fax: (613) 952-7673 Corrections and Public Safety Protection and Emergency Services 310 . Quebec G1R 5S3 Tél. Quebec G1V 2L2 Tél. Yukon 31 Gordon Drive Canada Y1A 2C6 Charlottetown. 6e étage Sainte-Foy. Box 2000 Whitehorse.gov.ca/prov_links_e. 69 .: (418) 643-8256 Télec.ca QUEBEC Ministère de la Sécurité Publique Direction de la Sécurité incendie 2525 boul Laurier.: (306) 787-6894 E-mail: qprinter@justice. Prince Edward Island Telephone: (867) 667-5811 C1A 5S3 Toll free (In Yukon): 1-800-661-0408 Telephone: (902) 368-5280 information@gov.O.: (418) 646-9280 normalisation@rbq.yk.SBC Telephone: (306) 787-4113 Fax: (306) 787-9273 SASKATCHEWAN Email: buildingstandards@cps.shtml 800.gouv.sk.: (418) 643-0067 Télec. place D’Youville.

measured with a sorption than a basketball court. footcandles can be produced as impact. Canadian Fitness Safety Standards. Shock absorption is important here.3 mm minimum Deflective indentation 15% maximum Sliding characteristics 0. light meter. poor sliding characteristics would be inappropriate for aerobics or basketball. Shock Absorption – a floor’s ability to reduce the impact of contact with the The work plane is an imaginary horizontal. The metric unit of measure for illuminance of a surface. 1. Standard vertical deformation – the actual vertical deflection of the floor upon lux is one lumen per square meter.5 to 0. Floors either initial or maintained quantities. These standards require that a floor meet six criteria: This is the amount of light measured on the work plane in the lighted space.0929 footcandles. Human Kinetics. A footcandle is defined as the at one spot will cause deflection at a distant point. A floor lumen per square meter. S. light levels are either calculated. Illumination Measurements DIN Floor Standards The flooring for a multiuse exercise area should adhere to Deutsches Institut für Luminous (Light Level) Normung (DIN) standards.meets both the sports and protective functions. 3. 2nd ed. the more the floor defects downward. The greater the indentation the more likely impact A footcandle is a measure of light intensity. An aerobic floor. amount of light received by one square foot of a surface that is one foot from a 4. Sliding characteristics – the surface friction of the finished floor. USA. Deflective indentation – the actual vertical deflection of the floor at a distance Footcandle: 50 cm from the point of impact. the more protective it is because it important tasks in the space are performed.. 3rd ed. 3rd ed. for example. ACSM’s Health/Fitness Facility Standards and Guide- lines. Protective function – reduces the risk of injury (e. J. would need more shock ab- metric).. with minimal deformation are not good at absorbing impact forces. Human Ki. 3rd ed. 3.7 range Ball deflection 90% minimum Rolling load 337.g. 70 Canadian Fitness Safety Standards. 1997. The greater the deformation. tilted or vertical line where the most floor surface. Like lumens. One lux is equal to one This DIN criteria are then used to evaluate the effectiveness of a floor. A footcandle is actually one lumen of light density per square foot. one 2. One lux equals 0. 5. Measured in footcandles (fc or lux in reduces impact forces.6 lb Reference: Tharrett. ACSM’s Health/Fitness Facility Standards and Guidelines. A floor with point source of light equivalent to one candle of a certain type. Peterson. Sports function – enhances athletic performance. Surface friction and ball re- References: flection are important. netics publ. with some sports function characteristics. or in existing spaces. 2. from a fall) during activity. In a health/fitness facility. A floor surface that has a material-technical function should meet the following DIN criteria: Shock absorption 53% minimum Standard vertical deformation 2. The greater the shock absorption. The aerobics floor is classified under protective functions. the gymnasium and multipurpose floors are classified under sports function or material-technical function. Material-technical function. 1992. 71 . Rolling load – a floor’s ability to withstand heavy weight without breaking or Lux: sustaining permanent damage. will have one of the three functions: 1.

06 1 Canadian Fitness Safety Standards. and excitement around your facility. 10 – Guests Log Sign In This application process has been designed for ease 11 – PARmed-X for Pregnancy of completion.ca web site. You will be demonstrating to your staff and 7 – PARmed-X members your commitment to quality and the importance of safety within your facility. ✸ The promotional materials that you receive support ✸ Consumers are provided with a direct link to your your recognition status. and will help create the look of a web site and information about your facility. 3rd ed. 73 . 12 – X-AAP pour femmes enceintes 13 – Information Required for a Medical Form 14 – Information Required for an Incident/Accident Report Form Benefits of being a recognized fitness facility ✸ The facility listing receives premium placement on ✸ You will reduce potential client injuries and other the CanadianFitnessMatters. your facility will then be one step closer 9 – Sample — Informed Consent Agreement to obtaining nationally recognized accreditation status.12. 72 Canadian Fitness Safety Standards. but with appropriate documentation to ensure compliance with the Canadian Fitness Safety Standards. Standards. safe. because you will be demonstrating that you care advertising and promotional contests to create awareness about the safety of your members. insurance costs. 3rd ed. Upon 8 – X-AAP completion and acceptance of your application form. and possibly lower your ad promoting your facility. accountability and pride it’s compliance with the Canadian Fitness Safety in the facility. ✸ You will attract new members and maintain current ✸ You will have the opportunity for co-operative ones.B – Forms Appendix B – Forms 1 – Facility Recognition Application Form 2 – Canadian Fitness Safety Standards© Facility Audit Fitness Safety means Business – For You 3 – Choosing a Quality Fitness Centre Fitness Facility Safety 4 – Choisir un bon centre de conditionnement physique Register Application Form 5 – PAR-Q and You Recognition of your fitness facility is an 6 – Q-AAP et VOUS excellent way of adding value to your centre. Canadian Fitness Matters Fitness Facility Safety Register. with a 50 word safety and health risks. ✸ The facility listing receives a safety icon designating ✸ You will boost staff morale. professional environment.

06 2 Canadian Fitness Matters Fitness Facility Safety Register. There is also a reduced fee for those institu.1. Matters office and mailed or faxed in with your application. 74 Canadian Fitness Safety Standards. minus the $25.00 City: _______________________________________________________________________________ Large 21 + $199. and mail or fax in the document. You have chosen to down load the application form. based on your facility and its i) Complete and submit the application form as required operating procedures. a refund will be made to the facility.12. and posters. Email address of contact: _________________________________________________________________ Email address of facility: __________________________________________________________________ Web site address of facility: ________________________________________________________________ Canadian Fitness Matters Fitness Facility Safety Register. There are also mandatory questions ii) Sign and submit the Memorandum of Agreement that follow for each Standard.ca Payment Procedures: Application fees must be paid in full prior to the review of the application.00 administrative charge. you have been provided with options in ensure you follow the process as outlined. decals.O. Small 1–5 $99. You only need to complete one of mission to the office. Position: ____________________________________________________________________________ requirements are met. part time& full time for Initial Recognition website. and certifications B.00 Medium 6 – 20 $149. that are owned or application has been approved. in addition to your certificate. and in some cases. Should the Postal Code: __________________________________________________________________________ facility not receive the recognition status. Box 1166 3) Injury reporting form Shelburne. 3rd ed. Name of Facility applying for recognition: the options in each section. If all part-time). the application will then be reviewed. On 4) Cleaning schedule ___________________________________________________________________________________ L0N 1S0 5) Equipment maintenance schedule Forms may be faxed to: 1-519-925-9853 3. Name of Parent organization/business if part of a franchise or chain: 1) Job descriptions for fitness-related staff OR provide the dates of first aid and CPR training.12.00/facility completion of the application form. Phone Number : __________________________________________________ ext. please Contact Information: fitness facilities. _________________ Renewal Fees: Annual renewal of your application will be necessary to maintain your recognition status.00 Should you have any questions regarding the Chains Not applicable $99. 75 . This additional information must be attached. tion form. with a $25 non-refundable administra- tive fee. operated by the same company and that abide by the same Address of facility: _____________________________________________________________________ A letter will be sent. Application Requirements Fitness Facility Safety Register Application Form Recognizing that there are a variety of sizes and types of To be able to complete the application process. and have the some of the areas to verify your facility’s compliance with documents listed below.06 3 Canadian Fitness Safety Standards. you (copy in application form) ___________________________________________________________________________________ are required to provide documentation verifying your iii) Send payment in full to OASES/Canadian Fitness procedures. based on the size of Fax Number: __________________________________________________________________________ your facility. the necessary documents and appropriate ity determined by the number of employees (full-time and payment. The renewal fee will be as noted above. Upon receipt of the Fitness Facility Safety Register The fee structure has been based on the size of the facil- Application. Forms may be mailed to: accepted at your facility ___________________________________________________________________________________ Canadian Fitness Matters 2) Emergency action plan P. 3rd ed. you will be notified that the tions that have two or more facilities. Fee Structure – Application & Renewal Fees Name of Contact: ______________________________________________________________________ C. ___________________________________________________________________________________ The following documents must accompany the applica- A. door policies and procedures. you may contact the 2 or more facilities OASES office at 1-888-942-2620 or via email at Province: ____________________________________________________________________________ info@canadianfitnessmatters. to include them with your sub- a specific Standard. Instructions will also be sent to you to allow you to add additional information to your listing Size of Facility Number of Employees Fee ___________________________________________________________________________________ in the on-line directory on the Canadian Fitness Matters incl. Application Procedures 2.

g. fitness appraisal. Indicate the procedures used at your facility for pre-activity Method of Verification attendants. or All fitness facility personnel and other fitness service providers b) are males over 40 years of age. with qualifications. (e. Agency: Method of Verification ❑ Heart and Stroke Foundation ❑ Red Cross Conditioning Specialists Populations 1. ❑ St. pro shop. It does not ❑ AFAA Aerobics & Fitness Association Method of Verification include operational support such as cleaning staff. ❑ ACSM American College of Sports Medicine Fitness service providers shall provide or require a pre-activity shall be conducted under the supervision of either a physician or viders” refers to fitness appraisers. Fitness personnel shall be certified in the area with which they are ❑ NEPA National Exercise Prescription Accreditation Method of Verification Date _____________________________________________________ providing program services. John’s Ambulance ❑ Lifesaving Society ❑ MRC Mount Royal College Standard #5 ❑ NATABOC National Athletic Trainers’ Assoc. 3rd ed. What method do you use to inform pregnant women to aerobic classes. OR ❑ ISSA International Sports Science Associatio __________________________________________________________ Standard #8: Option #2 (if limited number of facility staff) ❑ Jazzercise Jazzercise __________________________________________________________ Facilities and other environments in which fitness related activities Provide date of CPR & First Aid and certifying agency. Consent a) are not accustomed to regular strenuous exercise. maintenance. locker room ❑ AFLCA Alberta Fitness Leadership Certification Association 1. weight room attendants). 2. etc. 76 Canadian Fitness Safety Standards.12. Standard #2 obtain medical advice regarding their participation in physical activity. Provide a copy of your Emergency Action Plan. If any of the above three statements in Standard #20 are __________________________________________________________ ❑ Can-Fit-Pro Canadian Association of Fitness Professionals relevant to the clientele that you test. How do you verify that all staff will maintain current cer. management.06 4 Canadian Fitness Matters Fitness Facility Safety Register. ❑ AFPA American Fitness Professionals & Associates screening. reception. leaders. facility Cardiac Life Support) supervisors. Do you provide maximal testing as a service at your facility? Method of Verification ❑ (A)SFA American Senior Fitness Association __________________________________________________________ ❑ Yes ❑ No 1. ❑ ACE American Council on Exercise Standard #3 c) are females over 50 years of age Note: “Fitness facility personnel and other fitness service pro.g. Submit sample of injury reporting form. personal training. How do your ensure new staff are orientated to the 1. are offered shall have in place an Emergency Action Plan (EAP) which shall be practiced twice per year and reviewed with all NEW Date: _____________________________________________________ ❑ MFC Manitoba Fitness Council ❑ AAHFRP Medical Exercise & Post Rehab Special Exercising staff at the commencement of their employment. aqua fitness classes. and what are their qualifications? 2.06 5 Canadian Fitness Safety Standards. consultants. accidents or emergencies in fitness facilities and other ❑ WaterART WaterArt Fitness Training and Certification fitness related environments shall be documented in writing and Method of Verification retained. Please indicate below if selecting Option #1 ❑ Other _______________________________________________ __________________________________________________________ ❑ Injury reporting form attached (to attach job descriptions. PAR-Q or appropriate signs). cal activity program or becoming much more physically active? 1. ❑ NSFLLA Nova Scotia Fitness & Lifestyle Leaders Association Emergency Action Plan? tifications in the areas with which they are providing program ❑ OFC Ontario Fitness Council __________________________________________________________ __________________________________________________________ services? __________________________________________________________ ❑ PACE Pro-Fit Enterprises __________________________________________________________ ❑ Second Wind Second Wind Pilates Standard #6 __________________________________________________________ ❑ SPI Sport Performance Institute Fitness service providers shall recommend individuals 70 years ❑ SPRA Saskatchewan Parks & Recreation Association Standard #9: of age and over receive medical advice before initiating a physical Complete either option #1 or #2 below ❑ STOTT Stott International Certification Centre activity program or becoming much more physically active. How do you maintain current CPR and First Aid for your ❑ BCRPA British Columbia Recreation and Parks Association __________________________________________________________ fitness-related personnel? ❑ CALA Canadian Aqua fitness Leaders Alliance 2. Option #1 ❑ CPTN Certified Personal Trainers Network Qualifications _____________________________________________ Submit job descriptions & qualifications of staff. Provide the last two dates whereby the Emergency Action ❑ NDEITA National Fitness Professional Training Association Plan was practiced. or shall be qualified in first aid and CPR. 77 . personal ❑ AEA Aquatic Exercise Association screening procedure (eg.) __________________________________________________________ 2. personnel with current appraisal certification and ACLS. and food servers. How long are your injury reporting forms retained? ❑ Job descriptions attached __________________________________________________________ ❑ Job descriptions attached as per Question #1 __________________________________________________________ Canadian Fitness Matters Fitness Facility Safety Register. ❑ CHEK Corrective High-Performance Exercise Kinesiology Facility operators and other fitness service providers shall inform Staff position _____________________________________________ participants of the risks inherent in physical activity participation and ❑ CIAR Cooper Institute for Aerobic Research fitness facility use. Option #1 ❑ YM/ YWCA Young Men’s or Young Women’s 1. 3rd ed. ❑ JPD Just Pilates & Dance Inc. You may answer either option #1 or option #2 below.12. All injuries. what staff position(s) is ❑ CCAA Canadian Centre for Activity and Ageing Standard # 4 responsible for the administering the test. ❑ NFPT National Federation of Professional Trainers 1. ❑ EAP attached ❑ Other ____________________ Fitness service providers shall recommend that pregnant women Board of Certification Inc.Fitness Related Personnel OR Option #2: Indicate which certifications are accepted by your Pre-screening and Informed Standard #7 Standard #1: Maximal testing of individuals who: organization. and program support staff (e. (Advanced trainers. 1. lifeguards. What method do you use to inform individuals 70 years of Submit job descriptions.) Date _____________________________________________________ ❑ NGA National Gym Association obtain medical advice regarding their participation in physical Method of Verification ❑ NSCA National Strength & Conditioning Association activity? __________________________________________________________ 3. indicating Christian Association Method of Verification age and over to receive medical advice before initiating a physi- certifications accepted. Indicate the procedures at your facility to inform your partici- Emergency Procedures ❑ IFPA International Fitness Professionals Association pants of the inherent risks in physical activity. ❑ CSEP Canadian Society for Exercise Physiology Method of Verification ❑ Job descriptions attached (please indicate if attaching) ❑ Miller Pilates Dianne Miller Pilates Centre 1.

cise classes? (OBC 3.Standard #10 Method of Verification Standard #16 Method of Verification A designated complement of First Aid equipment shall be readily All fitness testing equipment shall be checked. # ____________________________________________________ Method of Verification 1. while the fitness facility is open? ________________________________________________________ ❑ Yes 2. Is there adequate drainage to prevent pooling of water? Method of Verification __________________________________________________________ ❑ Yes ❑ No. explain Please make a copy of the application document to pro- Communicable Diseases square footage that allows each participant unrestricted and safe movement in various types of exercises.12. and free from hazards. All receptacles in wet areas have ground fault circuit inter- ❑ $99 (1 – 5 staff) ❑ $149 (6 – 20 staff) __________________________________________________________ Standard #15 rupters of the Class A type. prevention and control of communicable diseases. cleaned and 1. Phones are readily accessible in all high risk/injury areas. by building code requirements. card number expiry date 3. educational institutions. ❑ Yes ❑ No. Receptacles located in wet areas name on card ❑ Cleaning Schedule attached of a building and associated with the pool. and control of communicable diseases. also be posted and phones readily accessible in all high risk/injury 1. _________________________________________ __________________________________________________________ ❑ Not applicable. (Ontario Building Code 3. we comply with the provincial legislation as it applies to ❑ VISA ❑ MasterCard __________________________________________________________ __________________________________________________________ Whirlpools. 3rd ed.g. 3. There is a first aid kit in my facility ❑ Yes ❑ No 1. 1. or 4. 1. Contact information for external medical Listed below are the attachments that you must send with this services (e. How is your equipment maintained? If there is no equipment ________________________________________________________ Additional Requirements areas (e. tion. which will then allow __________________________________________________________ regulations as applicable). and control of communicable diseases. Portable fire extinguishers shall be installed in all buildings. explain __________________________________ ❑ Applicable ❑ Not applicable available. pools. list who. The documentation of the inspections is kept on file and is ❑ No. 79 . Is your employee training inclusive of the awareness. __________________________________________________________ ❑ fax ❑ mail site. Method of Verification __________________________________________________________ dures are in place to avoid potential hazards? ❑ Yes. Please indicate which method you have chosen. (The provincial act may be obtained from your provincial Ministry of Health). please indicate. ambulance/hospital emergency phone numbers) must Method of Verification ❑ Yes ❑ No. 2. spas and tubs. Congratulations! Standard #11 All fitness related environments and equipment shall be clean. cleaned and calibrated 2. explain Standards for the Operation of Public Spas (Ministry of Health & Long schedule.06 7 Canadian Fitness Safety Standards. Electrical panels are covered. explain ❑ N/A. explain ❑ N/A. such as a locker and ❑ No. ❑ N/A. Is there always a staff person qualified in CPR/First Aid on. If applicable. based on fee ❑ Maintenance schedule attached ❑ N/A. Standard #20 Fitness service providers shall provide employee training pertaining to the awareness. June 2001). Standard #12 may also be defined by building code restrictions and/or fire code regulations. explain ______________________________________ Access to a clean drinking water supply is required at or near all type. explain ________________________________________ Standard #14 change room.g. Fitness Facility Safety Register Application Form. It may be obtained on the website at www.17) — (or existing provincial/territorial code or ed that this be used to inform your staff. explain ❑ N/A.5. Method of Verification ________________________________________________________ p. explain ❑ N/A. (only accepted tted for municipalities. require ground fault circuit interrupters of the Class A ❑ Option #2: Cheque to be sent in mail payable to OASES ❑ N/A. ❑ No. preven. you to comply with this Standard. explain ________________________________________ Whirlpools. Provide a copy of your maintenance schedule. List the high risk areas in the facility. explain hospitals) phones? __________________________________________________________ __________________________________________________________ ________________________________________________________ Amount Paid 2. __________________________________________________________ ❑ Yes Electrical panels shall be covered. Location of first aid kit(s) in facility. calibrated as required. 78 Canadian Fitness Safety Standards.2. How is your facility kept free from hazards? What proce. ❑ Option #3: Purchase order physical activity areas. Date of last inspection of fire alarm system and/or fire extin- available in fitness facilities and other fitness related environments. __________________________________________________________ Canadian Fitness Matters Fitness Facility Safety Register.o. when and how the fitness testing 2.4. as we do not offer these services. spas and tubs shall comply with the Recommended Payment must be included with the application.1) from Public Health documents. Standard #19 4. List the locations where drinking water is available to members. Method of Verification Communicable Disease Management Training Document? Method of Verification (dd/mm/yy)______________________________________________ 1. explain ______________________________________ __________________________________________________________ Term Care Act. Provide a copy of your cleaning schedule. explain A signed copy of the Memorandum of Agreement sent to office: 1. __________________________________________________________ __________________________________________________________ Standard #17 Fitness Environment Floors in wet areas shall have a non slip surface with adequate __________________________________________________________ Standard #13 drainage to prevent pooling of water. and weight training areas).06 6 Canadian Fitness Matters Fitness Facility Safety Register. How do you ensure unrestricted and safe movement in exer. prevention 1. explain 2. Method of Verification A fire alarm system shall be installed in a building as determined Note: A training document has been developed by OASES. well Method of Verification You have now completed the Immediate access to in-house first aid services must be available maintained. Safety Resources tab. Option #1: Credit card ________________________________________________________ 2. explain document. ❑ $199 (21+ staff) The number of participants in an exercise class is based on the ❑ Yes ❑ No. What is the emergency contact information posted by the 1. explain ❑ N/A. 3rd ed. How do you practice compliance with this Standard? ❑ Yes __________________________________________________________ equipment is checked.ca.canadianfitnessmatters. and mail or fax to the OASES office. as identified in the guishers. fitness testing.2.12. If not appli. __________________________________________________________ ________________________________________________________ ❑ Yes ❑ No. It is strongly recommend. Indicate if the floors in wet areas have a non slip surface from qualified personnel. regarding awareness. Participant numbers ________________________________________________________ vide you with a reference for next year’s renewal. and explain. Standard #18 Payment Method: cable please indicate.

Canadian Fitness Matters Fitness Facility Safety Register.ca relies on the truthfulness of the submitted statements. __________________________________________________ ____________________________________________________ 3) The authorized officers or representatives signing this Memorandum of Agreement and the facility/organization submit. OASES. Section A. agents.ca.ca.ca. Box 1166 Shelburne ON L0N 1S0 4) In consideration of the acceptance of this application. 81 . Memorandum of Agreement I/We understand that failure to comply with any one or more terms of this Safety Matters! Memorandum of Agreement is adequate reason for the Ontario Association of Sport and Exercise Sciences to revoke the existing Canadian Fitness Safety Standards© Safety _____________________________________________________________________________________________________________________ Matters! compliance recognition and immediately remove the above named facility/organization from any materials published by the (name of facility/organization applying – please print) Ontario Association of Sport and Exercise Sciences and/or CanadianFitnessMatters. 3rd ed. its Fitness Safety Advisory Council and CanadianFitnessMatters. Ottawa. P.O. 6) The applicant expressly waives and releases the Ontario Association of Sport and Exercise Sciences. the annual fee or any unused pro-rated portion will not be agrees to abide by all terms of this Safety Matters! Memorandum of Agreement during the current annual term which expires one refunded. directors.ca deems it necessary. Ontario. 2) The facility/organization named above is warranting the truthfulness of all statements submitted in this application and especially its current compliance with all applicable Canadian Fitness Safety Standards© that it is claiming. Item 2. directors.ca in which previous Safety Matters! compliance by the above named facility was recognized or identified. servants and employees from and against any and all claims of any nature whatsoever. Chapter 55. agents. servants and employees from and against all losses. claims. its Fitness Safety Advisory Council and CanadianFitnessMatters.ca may require additional information from the applicant Please return this form to: when the Ontario Association of Sport and Exercise Sciences and CanadianFitnessMatters. It is understood however.ca together with each of Fax: 519-925-9853 their officers. a program of the Ontario Association of Sport and Exercise Sciences.12. It also agrees to provide supporting information that may be requested by the Ontario Association of Sport and Exercise Sciences. and/or their officers.06 9 Canadian Fitness Safety Standards. its Fitness Safety Advisory Council and CanadianFitnessMatters. actions. Monitoring Compliance 7) The applicant will permit random on-site visitation(s) of its facility/organization by an Ontario Association of Sport and Exercise Science representative to audit any matters pertaining to its practice of all applicable Canadian Fitness Safety Standards©.. that the Ontario Association of Sport and Exercise Sciences and CanadianFitnessMatters. suits or proceedings in connec- tion with loss of life.06 8 Canadian Fitness Matters Fitness Facility Safety Register. it would be illegal to dis- play decals and certificates should your centre no longer comply or fail to renew its recognition status.ca. personal injury and/or damage to or loss of property arising out of any occurrence in or about the applicant’s CanadianFitnessMatters. OASES Inc. As duly authorized officers or representatives of: ________________________________________________________________________________________________we hereby confirm that: __________________________________________________ ____________________________________________________ (name of facility/organization applying – please print) Name of Applicant (please print) Name of Authorized Witness (please print) must be in a management position 1) The authorized officers or representatives who sign below have the full authority to submit the Canadian Fitness Safety Standards© Safety Matters! Application on behalf of the facility/organization named above. year from notification of successful application and to any subsequent renewals in which _____________________________________________________________________________________________________ is recognized for (name of facility/organization applying – please print) __________________________________________________ ____________________________________________________ its compliance with the Canadian Fitness Safety Standards© by the Ontario Association of Sport and Exercise Sciences and Date Date CanadianFitnessMatters. Canadian Fitness Safety Standards © 9) The applicant acknowledges that according to the Business Practices Act. as well as to bind the applying facility/organization to the terms of this Memorandum of Agreement. directors. Inc. directors. suit or proceeding which may be brought against either the Ontario Association of Sport and Exercise Sciences.ca gratefully acknowledges the legal counsel of Rasmussen Star Ruddy LLP. its Fitness Safety Advisory Council and CanadianFitnessMatters. 3rd ed. agents. the facility/organization agrees to indemnify and hold harmless the Ontario Association of Sport and Exercise Sciences. together with each of their officers.12.ca to document the current fitness safety practices of the above named facility or organization. servants and employees aris- ing out of any alleged negligence or breach of compliance concerning the Canadian Fitness Safety Standards© that occurs in or about the applicant’s premises. Signature of Applicant Signature of Authorized Witness ting the application understand that the Ontario Association of Sport and Exercise Sciences. agents. its Fitness Safety Advisory Council and CanadianFitnessMatters. 5) The facility/applicant named above agrees to defend the Ontario Association of Sport and Exercise Sciences.ca. In such cases we agree to Facility Compliance Recognition remove the safety standards compliance recognition door decals and return the related compliance recognition certificate to the Ontario Association of Sport and Exercise Sciences office. premises which are attributable to the failure of the applicant to comply with the Canadian Fitness Safety Standards©. its Fitness Safety Advisory Council and CanadianFitnessMatters. 8) The applicant will immediately inform the Ontario Association of Sport and Exercise Sciences office should its facility or organiza- tion implement any policy or business practice changes that would result in being unable to maintain compliance with one or more of the applicable Canadian Fitness Safety Standards© as stated in this application. its Fitness Safety Advisory Council and CanadianFitnessMatters. including without limitation those that may arise from the Canadian Fitness Safety Standards© as currently published by the Ontario Association of Sport and Exercise Sciences. and/or their officers. 10) The applicant agrees to pay an annual renewal fee for recognition of ongoing compliance with the Canadian Fitness Safety Safety Matters! Standards©. servants and employees in any action. 80 Canadian Fitness Safety Standards. In such an instance. following a 24-hour notification.

NP= No plans to Practice Standard. program services (e. A Standard is related to a “legal duty of care”.g. WT= Working Towards Standard. and phones are readily accessible in all high risk/injury area (e.) Validated procedures through signs or informed consent forms. unsupervised Certifications verified . the PAR Med-X (physical activity readiness medical exam). current appraisal certification and ACLS (Advanced Cardiac Life Support). accidents and emergencies are documented in writing and Standard #3 retained. people with disabilities). pools. risk activities or areas. personal training. fitness appraisal. physical activity. Forms must be kept for a appropriate signs).S. Reviewed practice for orienting new staff to the EAP . WT= Working Towards Standard. Contact information for external medical services are posted Individuals planning to engage in physical activity are. provided participants have. Pre-Screening & Informed Consent SM WT NP NA Comments (cont’d) Recommended Guideline #6 Standards: The delineation of fitness-related qualifications and/or conduct which are deemed essential to ensure participant When an individual is screened out by the PAR-Q from taking part in safety in fitness-orientated physical activities. or responsible for supervising. NP= No plans to Practice Standard. medical consultations with pregnant women . supervision and monitoring of high was practiced. It is a strong caution if they are unfamiliar with either the activity to be undertaken. it is the accepted approach in law. Standard #11 Recommended Guideline #4 Immediate access to in-house first aid services is available from qualified personnel. and reviewed with all NEW staff at the commencement of their Recommended Guideline #3 employment. Where certification is not available. medical clearance using the PAR Med-X is obtained and acts as the standard of care in that instant.g. Standard #9 2. Validated procedures . Audit Conducted by: _________________________________ Date: __________________________________ Validated procedures. 3rd ed. Pre-Screening & Informed Consent All injuries. before he/she takes part in physical activity. (Note: Fitness personnel are individuals who are a) are not accustomed to regular strenuous exercise. signs visible. 3rd ed. minimum of one year . PAR-Q or Reviewed accident form and retention practices. 82 Canadian Fitness Safety Standards.) c) are females over 50 years of age Job descriptions reviewed and/or date of CPR & First Aid certifications are conducted under the supervision of either a physician or personnel with verified. free weight areas). Training programs for fitness personnel emphasize the important safety Emergency Action Plan reviewed. maximal tests may be conducted. validation of previous 2 dates the EAP role of fitness personnel. Standard #1 Standard #7 All fitness facility personnel and other fitness service providers are qualified Maximal testing of individuals who: in first aid and CPR. Participants are informed of the risks inherent in physical activity (Note: a designated list of first aid equipment may be found in the Appendix participation and fitness facility use. seniors. or recommendation to take the action described even thought it may not always be feasible to implement as a common standard their current level of fitness. 83 . in instruction. Recommended Guideline #7 Recommended Guidelines: The delineation of fitness-related qualifications and/or conduct which are deemed highly Appropriate signs are posted which encourage participants to exercise advisable and are strongly recommended to ensure participant safety in fitness-orientated physical activities. Special Exercising Populations Standard #5 Facility Name:______________________________ Facility Contact Person: _____________________________ Fitness service providers recommend to pregnant women that they obtain medical advice regarding their participation in physical activity.S. NA= Standard Not Applicable Canadian Fitness Safety Standards© Facility Audit 2. NA= Standard Not Applicable Fitness service providers recommend to individuals 70 years of age and Standards & Recommended Guidelines SM WT NP NA Comments over that they receive medical advice before initiating a physical activity program or increasing physical activity. A pre-activity screening procedure is provided or required (e.g. Validated coverage of facility by qualified staff (CPR & first aid training) Recommended Guideline #5 during all hours of operation. complete an Informed Consent Agreement before engaging in the programs and services offered. Standard #2 Reviewed Operating Policy and Procedures Manual. Fitness Related Personnel Validated procedures. Ontario Association of Sport and Exercise Sciences 2 Canadian Fitness Safety Standards© Ontario Association of Sport and Exercise Sciences 1 Canadian Fitness Safety Standards© Canadian Fitness Safety Standards.) For all other individuals (not identified in Standard #7).F. Standard #4 Inspected location and content of first aid kits and equipment. of the C. of business practice or legal duty of care. fitness personnel working with special Recommended Guideline #9 exercising populations have participated in training programs specific to The PAR-Med X for Pregnancy questionnaire is utilized in pre-exercise that population (pregnant women. Emergency Procedures Training programs for fitness personnel include information on participant Standard #8 screening. administering or implementing fitness-related b) are males over 40 years of age. 1. 3rd ed. aerobic classes. Scale: SM=Standard Met.e. A designated complement of First Aid equipment is readily available. PAR-Q forms filed Standard #10 (Note: Forms should be kept for a minimum of one year). Recommended Guideline #8 aqua fitness classes etc. been screened for medical risks by the PAR-Q or a physician. Inspected a ccess to phones in high risk Fitness service providers encourage new or renewing members/clients to areas and validated that emergency contact information is posted .g. at a Recommended Guideline #1 minimum. 3. screened by the PAR-Q (physical activity readiness questionnaire) and/or fitness testing rooms. Recommended Guideline #2 4. at minimum. participant education and the risk of injury during physical Facility has an Emergency Action Plan which is practiced twice per year activity . Standard #6 Scale: SM=Standard Met. Qualifications of staff Fitness personnel are certified in the area which they are providing confirmed. or activities.

racquetball. exercise equipment safely. squash courts) are building and associated with the pool. Emergency Procedures (cont’d) SM WT NP NA Comments 6. Communicable Diseases All sports court areas (e. well Group exercise floor areas are constructed with materials (e. and badminton participants are encouraged to wear appropriate eye guards approved by the Canadian Standards 6. water temperature. class. NP= No plans to Practice Standard.m/participant (40-60 sq ft) for an aerobic qualified personnel (e. Reviewed clea ning practices. there is proper grading for adequate drainage. strength conditioning). Recommended Guideline #15 Recommended Guideline #11 Adequate lighting. as part of their day-to-day activities . Validated procedures. Reviewed facility and equipment cleaning procedures. Recommended Guideline #22 Standard #16 Participants (particularly beginners) are provided with one or more All fitness testing equipment is checked. 85 . The surface for all recreational areas are appropriate for the intended use(s).g. Fitness Environment Association . areas. Direct supervision in high risk/injury areas is provided at all times by ACSM recommends 12-18 sq. spas and tubs comply with the Recommended Standards for Recommended Guideline #25 the Operation of Public Spas. Recommended Guideline #24 Participants are instructed to wear appropriate footwear and apparel. Total number of responses for Standard #20 Standards (maximum of 20) Appropriate fire alarm is installed.Scale: SM=Standard Met. certified in First Aid. wall or buffer zone. doors. Shower (wet) areas are not directly connected to exercise areas (pools Inspected areas to ensure compliance with provincial Standards. playing fixtures. and air circulation in all administering or implementing fitness-related activities). prevention and control of communicable diseases. protective eye equipment. All equipment (e. All squash.g. excluded). Abides by Fire Code. WT= Working Towards Standard. NA= Standard Not Applicable 4.g. precautions (e.g. potential risks or limitations 2) advise EMS or hospital personnel when Spectator areas are a safe distance from playing surfaces . NP= No plans to Practice Standard. Areas are free from obstructions to participants. such as a locker and change room. including emergency lighting. All fitness personnel have received training pertaining to the awareness. ballistic rubber overlay) that reduce the potential of repetitive impact Reviewed equipment maintenance procedures and cleaning log. humidity. WT= Working Towards Standard. Fitness Environment (cont’d) SM WT NP NA Comments Recommended Guideline #10 Recommended Guideline #14 In combination with the PAR-Q. (Note: Fitness Recommended Guideline #17 personnel are individuals who are responsible for supervising. Recommended Guidelines (maximum of 26) Verified alarm system and fire extinguishers. Recommended Guideline #23 Standard #17 Signs are posted in weight lifting areas. and free from hazards. resistance machines. proper footwear and clothing). and/or maintenance of all areas and equipment.g. Recommended Guideline #16 5. NA= Standard Not Applicable Scale: SM=Standard Met. Inspected electrical panels. 3rd ed. with detailed instruction. floor surfaces.g. sprung maintained. Portable fire extinguishers are installed. cleaned and calibrated as instructional sessions by qualified staff in order to ensure they can use the required. free weights) is placed in Inspected locations. Total number of responses combined Recommended Guideline #12 (maximum total of 46) Staff are required to carry out ongoing inspection. Ontario Association of Sport and Exercise Sciences Ontario Association of Sport and Exercise Sciences 4 Canadian Fitness Safety Standards© 3 Canadian Fitness Safety Standards© Canadian Fitness Safety Standards. Receptacles located in wet areas of a Activity areas that are typically unsupervised (e. wood. Validated that employee training is inclusive of the awareness. 84 Canadian Fitness Safety Standards. indoor areas is monitored and properly controlled. the participants have the option of Sport or recreational playing areas are separated from roadways by a completing a pre-exercise Medical Information Form to 1) recognize fence. providing treatment. If outdoors. prevention Recommended Guideline #18 and control of communicable diseases. cardio. is throughout indoor and Safety signs indicating emergency procedures are posted in all activity outdoor areas of the facilities. Standard #13 Recommended Guideline #19 All fitness related environments and equipment are cleaned. CPR. monitored hourly and/or have signs informing participants of appropriate have ground fault circuit interrupters. 3rd ed. injury . and are accessible by emergency vehicles. equipment. Standard #14 Recommended Guideline #20 Access to clean drinking water near all physical activity areas is available. markings) comply with national sport governing body regulations and/or Standard #12 manufacturers safety regulations. Standard #19 Recommended Guideline #26 Electrical panels are covered. Recommended Guideline #13 The Canadian Fitness Safety Standards© Facility Audit tool was developed for OASES by Julie Mitchell and Joanne McCourt. Standard #18 Whirlpools. Standard #15 The maximum number of participants in an exercise class is appropriate for Recommended Guideline #21 unrestricted and safe movement in various types of exercises. Inspected floors . pictures Floors in wet areas have a non slip surface with adequate drainage to and safety precautions to guide participants in proper use of the prevent the pooling of water. a logical sequence to maximize efficient traffic flow and allow safe and effective use of the equipment. reporting. Air temperature. Total number of responses for based on provincial/territorial code or regulations.

      The Centre is nearby and convenient. Ask to see their certifications.       Tous les membres du personnel responsables du The Fitness Program Staff conditionnement physique ont reçu une formation en       The exercise area is always supervised. Communicable Disease maladies contagieuses. qui s’appliquent aux *The designation recognizes fitness facilities that comply with and practice the Canadian Fitness Safety Standards as domaines suivants : compétences du personnel responsable du conditionnement physique. en       évaluation de la forme physique ou comme entraîneur with which they are providing services to the members.       Line ups for equipment during times you plan to attend are minimal. □ □ □ □ □ □ où ils travaillent (par ex. □ □ □ □ □ □ physique avant que vous ne commenciez un programme de prior to beginning an exercise program. environnement sécuritaire et protection des membres dont les risques pour la santé sont plus élevés ou qui ont Prevention.       You may pay your yearly dues on a monthly basis □ □ □ □ □ □ Vous pouvez payer vos droits d’adhésion pour l’année sur as per the Prepaid Services Act. personal training. Fee Structure Policy Politique relative à la tarification The membership fees reflect good value. □ □ □ □ □ □ premiers soins et en réanimation cardio-respiratoire. □ □ □ □ □ □ Vous vous sentirez à l’aise d’utiliser les installations. □ □ □ □ □ □ Le centre fournit une grille tarifaire. □ □ □ □ □ □ Il y a peu de temps d’attente pour utiliser les appareils. □ □ □ □ □ □ Les droits d’adhésion constituent un bon rapport qualité-       prix. Pre-screening procedures are required. □ □ □ □ □ □ Le centre privilégie une approche équilibrée en matière de       conditionnement physique. Il n’y a pas trop de monde dans les cours de Emergency phones are readily available. The facility is recognized for their compliance with Le centre est à proximité et bien situé       the Canadian Fitness Safety Standards* □ □ □ □ □ □ Les installations sont propres et bien entretenues       Les membres ont accès à une source d’eau potable. 87 . □ □ □ □ □ □ Les téléphones d’urgence sont facilement accessibles. □ □ □ □ □ □ d’entraînement. to determine if there □ □ □ □ □ □ Un employé qualifié du centre de conditionnement peut may be any health-related risks to you exercising. Choosing a Quality Fitness Centre Choisir un bon centre de conditionnement physique ____________ ____________ Nom du centre Nom du centre ___________ _____________ facility name facility name Le centre de conditionnement Oui Non Je ne Oui Non Je ne sais pas sais pas The Facility Yes No Don’t know Yes No Don’t know Le centre est reconnu pour être conforme aux Directives       canadiennes pour le conditionnement physique*. (e. en aérobie. Emergency Procedures. □ □ □ □ □ □ pendant les périodes où on prévoit attendre. 3rd ed. Tous les membres du personnel responsables du All fitness staff are trained in first aid and CPR training. □ □ □ □ □ □ l’importance d’un mode de vie actif. □ □ □ □ □ □ conditionnement en groupe.       Group fitness classes are not too crowded. □ □ □ □ □ □ Le personnel responsable du conditionnement physique Il y a toujours quelqu’un qui supervise la salle The Centre has been open for more than one year.       The facilities are clean and well maintained. 3rd ed. conditionnement. 86 Canadian Fitness Safety Standards.) Demandez à voir leurs diplômes. procédures d’urgence. une base mensuelle. □ □ □ □ □ □ You will be comfortable using the facilities. □ □ □ □ □ □ conditionnement physique sont diplômés dans le domaine All fitness staff are certified in the areas. des besoins particuliers.       Le centre est ouvert depuis plus d’un an. Ask for details. comme le mentionne la Loi sur les       services prépayés. prévention des they apply to the following areas: Fitness Staff Qualifications. personnel). procéder à une évaluation complète de votre forme       A full fitness appraisal from a certified staff member is available. and Protecting Members with Higher Health Risks or Special Needs. aqua fitness. en aquaforme. aerobic.       Drinking water is accessible. Canadian Fitness Safety Standards.       A balanced approach to conditioning is emphasized . Le centre met l’accent sur la sensibilisation des gens à Ongoing active lifestyle education is emphasized. fitness assessment etc. N’hésitez pas à demander de plus amples renseignements. Other Criteria Important to You • □ □ □ □ □ □ Autres critères importants à vos yeux       • □ □ □ □ □ □       * C’est-à-dire qu’il respecte ou met en pratique les Directives canadiennes pour le conditionnement physique. The Centre provides a published fee schedule. Safe Club Environment. Sécurité et autres qualités des programmes Une présélection est exigée afin de déterminer si un Program Safety and Other Qualities programme de conditionnement peut avoir des risques       pour votre santé.g.

tell your fitness or health professional. (1994). • improved fitness • heart disease If YES to one or more questions Increase Increase Increase Reduce • • • better posture and balance better self-esteem weight control • • • obesity high blood pressure adult-onset diabetes • stronger muscles and bones • osteoporosis Talk with your doctor by phone or in person BEFORE you start becoming much more physically active or BEFORE you have a fitness appraisal. Active Living and Pregnancy." Thomas. 45:4 419-428. you may need to restrict your activities to answered A D A’ S Health Santé Canadian Society for AN those which are safe for you. more information: • Play actively with your kids. and you are not used to being to Healthy Active Living 4 -7 days a week very active. G. bending YES NO better – everyone can do it! and stretching activities to • Stretching • • Swimming Dancing • • Basketball Fast swimming keep your muscles relaxed • Water aerobics • Fast dancing 1. Online: www. Epidemiol. It has SIGNATURE _______________________________________________________________________________ DATE______________________________________________________ been revised by an Expert Advisory Committee of the Canadian Society for Exercise Canadian Society for Exercise Physiology Physiology chaired by Dr. (1992).continued from other side PAR-Q & YOU Physical Activity Readiness Questionnaire . Tell Endurance Activities Flexibility Activities Strength Activities Sitting for long periods • feeling more energetic • stroke you • relaxation and reduced stress • depression your doctor about the PAR-Q and which questions you answered YES.). If you are between the 30 minutes. T. . L. like watching TV. Health Canada. water pills) for your blood pressure or heart con. 3rd ed.T. Y. Is your doctor currently prescribing drugs (for example. However. Wolfe. 2. or • Choose to walk.PAR-Q (revised 2002) Regular physical activity is fun and healthy.A. Clin.. instead of the elevator. the PAR-Q will tell you if you should check with your doctor before you start. Mao. No changes permitted.ca/hppb/paguide/pdf/guideEng. and their agents assume no liability for persons who undertake physical activity.. Every Day–For Life! activities from these people. safe for most people. 88 Canadian Fitness Safety Standards. back. Talk with your doctor about the kinds of activities you wish to participate in and follow his/her advice.. Note: This physical activity clearance is valid for a maximum of 12 months from the date it is completed and Tel. Please read the questions carefully and answer each one honestly: check YES or NO. more often. Shephard. Or. • Do the activities you are doing now. ON K2P 0J2 . Wigle. 3rd ed. start becoming more active. Champaign. Very Light Light Effort Moderate Effort Vigorous Effort Maximum Common sense is your best guide when you answer these questions.. D. Wall (eds. Revision of the Physical Activity Readiness Questionnaire (PAR-Q). Arraix. FITNESS AND HEALTH PROFESSIONALS MAY BE INTERESTED IN THE INFORMATION BELOW: • start becoming much more physically active – begin slowly and build up gradually. Start slowly… and build up.hc-sc. you can be reasonably sure that you can: ➔ DELAY BECOMING MUCH MORE ACTIVE: • if you are not feeling well because of a temporary illness such as a cold or a fever – wait until you feel better. As Physical Act ivit y Guide C you progress to moderate activities you can cut down to If you are planning to become much more physically active than you are now. Fitness and Health. SIGNATURE OF PARENT _______________________________________________________________________ WITNESS ___________________________________________________ 202-185 Somerset Street West or GUARDIAN (for participants under the age of majority) Disponible en français sous le titre «Questionnaire sur l'aptitude à l'activité physique Ottawa. If you are over 69 years of age.. Gledhill (2002). Do you feel pain in your chest when you do physical activity? Activities against resistance You Can Do It – Getting started is easier than you think • at home to strengthen muscles and bones and improve posture. Do you know of any other reason why you should not do physical activity? Eating well is also important. Being more active is very safe for most Choose a variety of Get Active Your Way. Any questions I had were answered to my full satisfaction. Mottola. talk with your doctor any of the above questions. consult your doctor prior to physical activity. wheel or commitment. R. NAME ________________________________________________________________________ For more information. Can.Q-AAP (revisé 2002)». The following companion forms are available for doctors' use by contacting the Canadian Society for Exercise Physiology (address below): • take part in a fitness appraisal – this is an excellent way to determine your basic fitness so The Physical Activity Readiness Medical Examination (PARmed-X) – to be used by doctors with people who answer YES to one or more that you can plan the best way for you to live actively. © Canadian Society for Exercise Physiology Supported by: Canada Canada Canada Canada Canadian Fitness Safety Standards. 1978.. have to make a long-term 1-888-334-9769. Effort 60 minutes 30 -60 minutes 20 -30 minutes Effort Flexibility • Strolling • Light walking • Brisk walking • Aerobics • Sprinting Every little bit counts.PAR-Q (revised 2002) PAR-Q & YOU (A Questionnaire for People Aged 15 to 69) . Follow-Up Study..ca Health Santé Health Santé © Canadian Society for Exercise Physiology Supported by: continued on other side. Sci.com cycle for short trips. 2002. Source: Canada's Physical Activity Guide to Healthy Active Living. PAR-Q Validation Report. J. • continued independent living in later life • colon cancer • You may be able to do any activity you want — as long as you start slowly and build up gradually. 4 days a week. This is the • if you are or may be pregnant – talk to your doctor before you safest and easiest way to go. and increasingly more people are starting to become more active every day.pdf NO to all questions If you answered NO honestly to all PAR-Q questions. lungs Physical activity improves health.. It is also highly recommended that you PLEASE NOTE: If your health changes so that you then answer YES to questions on the PAR-Q. please contact the: The original PAR-Q was developed by the British Columbia Ministry of Health. L. Ask whether you should change your physical activity plan. 17:4 338-345. "I have read. Physical Activity Readiness Questionnaire . 89 . Guide Handbook and minutes every hour. Do you lose your balance because of dizziness or do you ever lose consciousness? • at play Starting slowly is very off the bus early. You are encouraged to photocopy the PAR-Q but only if you use the entire form. change in your physical activity? • Get up from the couch and • Observe a physical activity active living! For a copy of the stretch and bend for a few class to see if you want to try it.gc. 3. S. J.. knee or hip) that could be made worse by a Not sure? Consult your • Reduce inactivity for long periods. Permission to photocopy Physical Act ivit y Guide C Canada Canada Exercise Physiology this document in its entirety not required. IL: Human Kinetics. some people should check with their doctor before they start becoming much more physically active. AN A D A’ S three groups: Scientists say accumulate 60 minutes of physical activity every day to stay healthy or improve your health. Spt. Reading. In the past month. 1-877-651-3755 • FAX (613) 234-3565 becomes invalid if your condition changes so that you would answer YES to any of the seven questions. Range needed to stay healthy recommended by a doctor? build physical activity Strength 2-4 days a week into your daily life. Gauvin. British Columbia Ministry of Health. 7. If your reading is over 144/94. but more is even 4 -7 days a week • Dusting • Volleyball • Biking • Jogging • Racing • Easy gardening • Raking leaves • Hockey Gentle reaching.A. use the stairs gradually increase the time. Continuous activities Time needed depends on effort for your heart. Toward Active Living: Proceedings of the International NOTE: If the PAR-Q is being given to a person before he or she participates in a physical activity program or a fitness appraisal.. M. Do you have a bone or joint problem (for example. or © Reproduced with permission from the Minister of Public Works and Government Services Canada. Quinney.. • at work • Walk whenever you can – get • Start with a 10 minute walk – 4.. The Physical Activity Readiness Medical Examination for Pregnancy (PARmed-X for Pregnancy) – to be used by doctors with pregnant before you start becoming much more physically active. check with your doctor. start by answering the seven questions in the box below. • Try one class to start – you don t 6. understood and completed this questionnaire. have you had chest pain when you were not doing physical activity? • at school Physical activity doesn t have to be very hard. • Find out about walking and • on the way 5. Risk Assessment of Physical Activity and Physical Fitness in the Canada Health Survey No changes permitted. cycling paths nearby and use them. Follow Canada’s Food Guide Benefits of regular activity: Health risks of inactivity: to Healthy Eating to • better health • premature death make wise food choices. patients who wish to become more active. No. and circulatory system.paguide..J. In: A. Build physical activities into your daily routine. ages of 15 and 69. dition? www.that’s health professional. Cat. H39-429/1998-1E ISBN 0-662-86627-7 to Healthy Active Living • Find out which community programs are safe and helpful for you. Has your doctor ever said that you have a heart condition and that you should only do physical activity Get active your way – and joints mobile. Informed Use of the PAR-Q: The Canadian Society for Exercise Physiology. Health Canada. 1998 http://www. this section may be used for legal or administrative purposes. (1992). N.csep. and if in doubt after completing References: this questionnaire. Conference on Physical Activity. Add-up your activities in periods Endurance of at least 10 minutes each. have your blood pressure evaluated. J.

plissement pendant quelques cours d activité physique pour • dans vos minutes toutes les heures. pour une vie active saine Endurance diverses activités d au moins 10 minutes chacune. PAR-Q Validation Report. Le Q-AAP (questionnaire sur l’aptitude à l’activité physique) vise à mieux cerner les personnes pour qui un examen médical est recommandé. vous êtes dans une ➔ REMETTRE À PLUS TARD L'AUGMENTATION DE VOTRE PARTICIPATION ACTIVE : • si vous souffrez présentement de fièvre. 1. Si. assuré(e) que: affection passagère. Si vous êtes agé(e) de 15 à 69 ans. s’il vous faut modifier votre programme d’activités.J.A. Pour vous procurer un • Activez-vous en jouant avec vos enfants. Dans le mesure où le Q-AAP est administré avant que la personne ne s’engage dans un programme d’activités ou qu’elle fasse évaluer sa condition physique. Ressentez-vous une douleur à la poitrine lorsque vous faites de l’activité physique? votre vie de et les os. physiquement obtenir d autres choisissez la bicyclette. Epidemiol. Si vous avez plus de 69 ans et ne participez pas d’une façon régulière à faire travailler le cœur et Intensité Intensité légère Intensité moyenne Intensité élevée Intensité L’activité physique améliore la santé. J. commencez par répondre aux 7 questions qui suivent. pour activités physiques à vos occupations habituelles. vous pourrez EN CA réduire cet objectif à 30 minutes..gc. 3rd ed. vous devriez consulter votre médecin avant d’entreprendre ces activités. Références : Formule de consentement du Q-AAP: La Société canadienne de physiologie de l’exercice. Toward Active Living: Proceedings of the International Toute modification est interdite.A. Allez-y. Revision of the Physical Activity Readiness Questionnaire (PAR-Q). Nous vous encourageons à copier le Q-AAP dans sa totalité. voir si vous aimeriez y participer. C’est le meilleur moyen de connaître votre deviez répondre «OUI» à l’une ou l’autre des questions précédentes. T. veuillez consulter notre site web: Le Q-AAP original a été conçu par le ministère de la Santé de la Colombie-Britan- http://www. Au cours du dernier mois.Q-AAP (version révisée en 2002) Q-AAP et VOUS (Un questionnaire pour les gens de 15 à 69 ans) . s il y a lieu. 1998 http://www. (1994).suite Q-AAP et VOUS Choisissez quelques Soyez actif à votre façon. cyclables et les sentiers de risque. Formulaire conçu pour le médecin traitant de la personne ayant répondu “OUI” à au moins et le plus sécuritaire d’y arriver. Dans le doute. AUX PROFESSIONNELS DE LA CONDITION PHYSIQUE ET DE LA SANTÉ : certaine mesure. Combinez NADI un programme régulier d’activités physiques. ou • vous pouvez augmenter votre pratique régulière d’activités physiques en commençant lentement et • si vous êtes enceinte ou croyez l’être. Formulaire conçu pour le médecin niveau de condition physique de base afin de mieux planifier votre participation à un programme un professionnel de la santé ou de la condition physique.ca/formulaires. à long terme. Ajoutez des participer qu’aux activités physiques prescrites et approuvées par un médecin? physique au ou de résistances. Prenez 4 à 7 jours par semaine Si vous prévoyez modifier vos habitudes de vie pour devenir un peu plus actif(ve).30 minutes très élevée des activités physiques exigeantes. c’est extensions en douceur. Active Living and Pregnancy.60 minutes 20 .. Votre médecin vous a-t-il déjà dit que vous souffriez d’un problème cardiaque et que vous ne deviez Mettez l’activité 2 à 4 jours par semaine Activités à l aide de poids L activité physique n a pas besoin d être très difficile. Si vous • regain d énergie • dépression d’endurance d’assouplissement développement longtemps • détente et contrôle du stress • cancer du côlon de la force • plus grande autonomie au troisième âge Consultez votre médecin AVANT d’augmenter votre niveau de participation à une activité physique et AVANT de faire évaluer votre condition physique. les poumons. la section suivante constitue un document ayant une valeur légale et administrative. Wall (eds. G.Q-AAP (version révisée en 2002) activités qui vous Les scientifiques affirment qu il faut faire 60 minutes d activité L’exercice physique pratiqué d’une façon régulière constitue une occupation de loisir saine et agréable. tobus un peu plus tôt et utilisez puis augmentez-en la durée tous les jours 3. avez-vous ressenti des douleurs à la poitrine lors de périodes autres que celles où l escalier plutôt que l ascenseur. • au jeu consultez un professionnel • Observez le déroulement d un connaissance? de la santé. physiques que vous faites déjà. Sci. flexions et ou NON. 2002. Éprouvez-vous des problèmes d’équilibre reliés à un étourdissement ou vous arrive-t-il de perdre • au travail des gens. le Q-AAP vous l’escalier Activités soutenues. S. • vous pouvez faire évaluer votre condition physique. cardiaque (par exemple. Shephard.. en toute honnêteté. Site web : www. • Levez-vous de votre siège. 45:4 419-428. L. avez l occasion. un doute persiste quant à votre aptitude à faire une activité physique. vous en êtes capable. Gledhill Société canadienne de physiologie de l'exercice (2002). H39-429/1998-1F Guide d activité physique EN CA ISBN 0-662-82722-8 pour une v ie ac t i ve s aine NADI • Il se peut que vous n’ayez aucune contre-indication à l’activité physique dans la mesure où vous y allez lentement et progressivement. au dos. Follow-Up Study. Spt. Gauvin. Quinney. 5. D.. J.» NOM _________________________________________________________________________ Pour télécharger les copies additionnels. pour La durée recommandée varie selon l’effort. M. Risk Assessment of Physical Activity and Physical Fitness in the Canada Health Survey lors de l’activité physique. étirez- vous. L’Évaluation médicale de l’aptitude à l’activité physique (PARmed-X). 17:4 338-345. Wigle. à tout âge! Questionnaire sur l'aptitude à l'activité physique .csep. Les niveaux d’activité pour rester en santé OUI NON Force Soyez actif à votre façon..T. g u i d e a p . afin de déterminer dont les patientes enceintes veulent faire de l’activité physique. Conference on Physical Activity. Dites à avez votre médecin que vous avez complété le questionnaire sur l’aptitude à l’activité physique et expliquez-lui précisément à quelles questions vous avez répondu «OUI». offerts dans votre localité. mais plus • Épousseter • Jouer au • Ramasser des feuilles • Faire du jogging • Participer Lisez attentivement et répondez honnêtement à chacune des questions suivantes. Des médicaments vous sont-ils actuellement prescrits pour contrôler votre tension artérielle ou un problème active! renseignements : 1. indiquera si vous devez ou non consulter un médecin avant d’entreprendre votre nouveau programme d’activités. Wolfe.csep.). mieux on se porte! 4 à 7 jours par semaine volley-ball • Effectuer de • Nager • Danser • Jouer au hockey • Jouer au basket-ball à une compétition Étirements. la marche • Pratiquez plus souvent les activités 6. Le document peut être photocopié au complet sans autorisation préalable. Le simple bon sens sera votre meilleur guide pour répondre correctement à ces questions. Dans certains cas. en augmentant progressivement l’intensité des activités pratiquées. D’ailleurs. • Informez-vous quant aux programmes d’activités spécialisés les mieux adaptés à vos besoins.ca Avec l'appui de: Santé Health Avec l'appui de: Santé Health © Société canadienne de physiologie de l'exercice Canada Canada suite au verso… © Société canadienne de physiologie de l'exercice Canada Canada Canadian Fitness Safety Standards..– Cette autorisation de faire de l'activité physique est valide pour une période maximale de 12 mois à Ottawa (Ontario) CANDADA K2P 0J2 Tél. • Commencez par un cours.PAR-Q and YOU (revised 2002)" compter du moment où le questionnaire est rempli. légers travaux de jardinage • Suivre une classe d’aérobie aquatique • Nager ou danser à un rythme continu de course à pied • Faire des exercices pour tout le monde. Y. d’activités physiques. Mottola. SIGNATURE D'UN PARENT _____________________________________________________________________ TÉMOIN____________________________________________________ 202-185 rue Somerset Ouest or TUTEUR (pour les mineurs) Available in English under the title: "Physical Activity Readiness Questionnaire N. Par ailleurs. puis augmentez graduellement le rythme.hc-sc. In: A.ca/hppb/guideap/pdf/guidefre. physique par jour pour demeurer en forme ou améliorer sa santé. Elle n'est plus valide si votre état de santé change de telle sorte que vous répondez «OUI» à l'une des sept questions. «Je sous-signé(e) affirme avoir lu. après avoir complété le questionnaire ci-dessus. Avez-vous des problèmes osseux ou articulaires (par exemple. consultez votre médecin avant Les formulaires complémentaires suivants sont aussi disponibles. le fauteuil roulant.asp. programme de renforcer les muscles • Marchez chaque fois que vous en • Commencez par une promenade 2. Santé Canada. Connaissez-vous une autre raison pour laquelle vous ne devriez pas faire de l’activité physique? Il est également important de bien s alimenter. Mao. Veuillez consulter notre site web à l’adresse : http://www. R. Thomas. Il a été révisé par les membres d'un Comité consultatif d'experts de la SIGNATURE _______________________________________________________________________________ DATE______________________________________________________ Société canadienne de physiologie de l'exercice sous la direction du Dr N. il est cependant conseillé de passer un examen médical avant d’entreprendre Guide d activité physique de ces trois groupes. pour détendre les muscles d’étirement et demeurer souple.. (613) 234-3565 . pour la plupart comme lorsqu on regarde la télé. descendez de l au.pdf NON à toutes ces questions Si. Clin. 3rd ed. 1978. (sans frais) 1-877-651-3755 • Téléc. il est répondu possible que vous ne puissiez faire que certains types d’efforts adaptés à votre état de santé. British Columbia Ministry of Health. L..csep. consultez votre médecin avant de vous y engager. IL: Human Kinetics. Questionnaire sur l'aptitude à l'activité physique . 4 jours par semaine. À mesure que vous passerez à des activités plus intenses. à pied d une dizaine de minutes..asp. augmenter la pratique sportive n’entraîne pas de risques de santé majeurs. Indiquez à votre médecin le type d’activité physique que vous comptiez faire et suivez ses recommandations. Cochez OUI on en fait. 90 Canadian Fitness Safety Standards. randonnée pédestre les plus 4. Champaign. c o m Les bienfaits de l’activité régulière : Les risques liés à l’inactivité : • meilleure santé • décès prématuré 7. Source: Guide d'activité physique canadien pour une vie saine. il n y a aucun pendant de longues périodes. Fitness and Health. très légère 60 minutes 30 . (1992). (1992). 91 . Santé Canada Health Canada Société canadienne de physiologie de l’exercice Toute modification est interdite. faites des exercices d assou- proches et utilisez-les. Santé Canada et ses représentants n’assument aucune responsabilité vis-à-vis des accidents qui pourraient survenir Arraix.ca/formulaires. compris et complété le questionnaire et avoir reçu une réponse satisfaisante à chacune de mes questions. • meilleure condition physique • maladies du cœur • amélioration de la posture et • obésité Consultez le Guide de l équilibre • hypertension artérielle alimentaire canadien • meilleure estime de soi • diabète de maturité Faites plus Faites plus Faites plus Évitez pour manger sainement • contrôle du poids • ostéoporose OUI à une ou plusieurs questions • renforcement des muscles et des os • accidents cérébrovasculaires d’activités d’activités d’activités de de rester assis et faites des choix santé. et améliorer la posture. des diurétiques)? w w w. Vous aussi. L’activité physique.8 8 8-334-9769 ou ou. C’est le moyen le plus simple de modifier votre niveau de pratique sportive régulière. J. tous les jours. Pour plus d'informations veuillez contacter la : nique. au genou ou à la hanche) qui déplacements. d’une grippe ou d’une autre © Reproduit avec la permission du Ministre de Travaux publics et Services gouvernementaux Canada. il n est pas nécessaire de s engager exemplaire du Cahier pourraient s’aggraver par une modification de votre niveau de participation à une activité physique? Menez une vie d accompagnement ou • Pour les courtes distances. • Marcher • Marcher d’un • Marcher d’un bon pas • Suivre une classe • Faire des Assouplissement lentement pas modéré • Faire de la bicyclette de danse aérobique sprints Chaque activité compte. Commencez lentement. Can. de plus en plus de gens pratiquent une activité physique de façon régulière. plaisent dans chacun Règle générale. vous avez répondu «NON» à toutes les questions du Q-AAP. Reading. Cat. graduellement. attendez d’être remis(e). • à la maison Avec une progression lente • Évitez de demeurer inactif • Renseignez-vous sur les pistes vous participiez à une activité physique? • à l’école au début. consultez L’Évaluation médicale de l’aptitude à l’activité physique pour la grossesse (PARmed-X pour femmes enceintes).B. Veuillez noter que si votre état de santé se trouve modifié de sorte que vous une des questions du Q-AAP.

Reading. or to make a referral to a medically-supervised exercise program. toxemia.. cycling)  High cholesterol level reported by physician. You are encouraged to medical clearance Activity. Can. testing and/or program may generally appropriate: professional (CSEP-Professional Fitness & Lifestyle Consultant or CSEP-Exercise Therapist™). Value of exercise Individualized prescriptive advice Following the participant's evaluation by a physician.  No physical activity  Available on request by Dr. dizziness  thrombophlebitis uncontrolled severe (systemic • Wolff-Parkinson-White initial conditioning program  Q5 Bone or joint problem  ventricular tachycardia and or pulmonary) syndrome under medical supervision TELEPHONE_________________________________________________ other dangerous dysrhythmias (indirect or direct). IL: Human Kinetics. ADVICE • Physical Activity Readiness Conveyance/Referral Form . T.A. J..g.T.g. Risk Assessment of Physical status. and D should be completed by the participant BEFORE the examination by the physician. Conveyance/Referral Form in the PARmed-X can be used to convey clearance for physical activity participation. Wolfe. M.  Q3 Chest pain at rest embolism—acute • complete AV block ____________________________________________________________  hypertension—untreated or • left BBB • consider individual need for  Q4 Loss of balance. exceed risk. myxedema)  High blood pressure reported Please note: Many of these risk factors ________________________________________  obesity dietary moderation. J. (1992).an optional tear-off tab for the physician to convey clearance for physical activity participation.. Physical Activity Readiness Physical Activity Readine Medical Examination Medical Examination PARmed-X PARmed-X Physical Activity Readiness (revised 2002) (revised 2002) Medical Examination PHYSICAL ACTIVITY READINESS (revised 2002) PHYSICAL ACTIVITY READINESS MEDICAL EXAMINATION MEDICAL EXAMINATION Following is a checklist of medical conditions for which a degree of precaution and/or special advice should be considered for those who The PARmed-X is a physical activity-specific checklist to be used by a physician with patients answered "YES" to one or more questions on the PAR-Q. Mao. (uncontrolled or high rate)  cyanotic heart disease  myocardial infarction (acute) NAME ______________________________________________________ • slow progression of exercise  ventricular ectopic activity  shunts (intermittent or fixed)  Q1 Heart condition  myocarditis (active or recent) to levels based on test (repetitive or frequent)  Q2 Chest pain during activity  conduction disturbances performance and individual ADDRESS ___________________________________________________  pulmonary or systemic  ventricular aneurysm tolerance.. Shephard. trimester) PREGNANCY" This section to be completed by the examining physician incompetent cervix. Permanent restriction or temporary Highly variable. 3rd ed. condition.  aortic stenosis (severe)  subaortic stenosis (severe) This section to be completed by the participant and other manifestations of for specific determination A B  congestive heart failure  marked cardiac enlargement coronary insufficiency (e. Conditions are grouped by system. C. Comments under Advice are general. and increasingly more people are starting to become more active every day. waist. B. To assist in this. G. some individuals may Contraindications Contraindications Conditions require a medical evaluation and specific advice (exercise prescription) due to one or more positive responses to the PAR-Q. Being more active Absolute Relative Special Prescriptive is very safe for most people.g. the categories of precautions are provided. RISK FACTORS FOR CARDIOVASCULAR DISEASE: PHYSICAL ACTIVITY post-exercise syncope. The bottom • special exercises prescribed. may be desirable. Wigle. malaria. Direct or indirect medical exercise program. (1992). Sci. Epidemiol. Activity may be are provided: • limitations imposed. and initial light exercises with slow progression by physician after repeated measurements. Champaign. S. supervision of exercise program PAGE 4: • Physical Activity & Lifestyle Advice for people who do not require specific instructions or prescribed exercise. L. since details and alternatives require clinical judgement in each individual instance. ________________________________________________ ____________________________________  hypertension: systolic progressive exercise. Tests required: «Évaluation médicale de l'aptitude à l'activité physique (X-AAP)»  under the supervision of a CSEP-Professional Fitness & Continued on page 3. ________________________________________  complicated pregnancy  advanced pregnancy (late 3rd refer to the "PARmed-X for Pregnancy (e. 17: Disponible en français sous le titre  with inclusion of: __________________________________ 4 338-345.) Physical Exam: Physical Activity Readiness Conveyance/Referral: References: The PAR-Q and PARmed-X were developed by the British Columbia Ht Wt BP i) / Based upon a current review of health Further Information: Ministry of Health. Gauvin.... diastolic 105+ medications (serum electrolytes. J. 3rd ed. others)  Currently smoker (tobacco smoking 1 or  Family history of heart disease. etc.J. and discuss with your physician. but only if you  Cardiovascular  Respiratory  Other  Progressive physical activity: PAR-Q Validation Report. or to make a referral to a medically-supervised exercise program. ________________________________________  uncontrolled metabolic  renal.A. Regular physical activity is fun and healthy. I recommend:  Attached Activity and Physical Fitness in the Canada Health Survey Follow-  To be forwarded Committee of the Canadian Society for Exercise Physiology chaired BP ii) / Up Study.g. R. Desirable to maximize control of section is to be completed by the examining physician.  HIV activity most days of the week. Mottola. Fitness and Health. Toward Active Living: Conditions limiting physical activity: Proceedings of the International Conference on Physical No changes permitted. Spt. (1994). Revision of the Physical Activity Readiness Questionnaire (PAR-Q).). and/or past acute phase. metabolic insufficiency more times per week). hepatic & other variable as to status Metabolic disorders (diabetes mellitus.. 1978.  Musculoskeletal  Abdominal  with avoidance of: _________________________________ Thomas.  ECG  Exercise Test  X-Ray Lifestyle Consultant or CSEP-Exercise Therapist™  Blood  Urinalysis  Other  Unrestricted physical activity–start slowly and build up gradually 2 Supported by: Health Santé © Canadian Society for Exercise Physiology Canada Canada 1 Canadian Fitness Safety Standards. and people over the age of 69. Quinney. However. They have been revised by an Expert Advisory Arraix. Active Living and Pregnancy. 45:4 419-428. 92 Canadian Fitness Safety Standards.) Check all that apply INTENTIONS:  acute infectious disease  subacute/chronic/recurrent  chronic infections variable as to condition Infections  Less than 30 minutes of moderate physical  Excessive accumulation of fat around What physical activity do you intend to do? (regardless of etiology) infectious diseases (e. etc. the following instructions stable. Y. care with C D 160-180. thyrotoxicosis. Clin. photocopy the PARmed-X.. use the entire form. Gledhill (2002). In addition..  Q6 Blood pressure or heart drugs (e. a physical activity plan should be devised in consultation with a physical activity restriction until condition is treated. May require medical monitoring and/or initial supervision in PAGES 2 & 3: • A checklist of medical conditions requiring special consideration and management. The PAR-Q by itself provides adequate screening for the majority of people. 93 . PAGE 1: • Sections A. D. British Columbia Ministry of Health. swimming. In:  Only a medically-supervised exercise program until further A. and/or restricted. hemorrhage. multi-focal ventricular  hypertrophic cardiomyopathy  dysrhythmias—controlled BIRTHDATE _______________________________ GENDER _________  Q7 Other reason: activity)  compensated congestive heart  fixed rate pacemakers failure  intermittent claudication progressive exercise to tolerance MEDICAL No. Cardiovascular  aortic aneurysm (dissecting)  aortic stenosis (moderate)  aortic (or pulmonary) • clinical exercise test may be stenosis—mild angina pectoris warranted in selected cases. Three who have had positive responses to the Physical Activity Readiness Questionnaire (PAR-Q). of functional capacity and PERSONAL INFORMATION: PAR-Q: Please indicate the PAR-Q questions to  crescendo angina  supraventricular dysrhythmias post-acute infarct) limitations and precautions which you answered YES (if any). Wall (eds. Please refer to page 4  single kidney (walking. N. are modifiable.. L.

use the stairs gradually increase the time. retrograde amnesia. important. Very Light Light Effort Effort 60 minutes Moderate Effort Vigorous Effort Maximum 30 -60 minutes 20 -30 minutes Effort  arthritis—chronic (osteoarthritis and above maintenance of mobility and strength. bones and improve posture.hc-sc. please contact the:  Progressive physical activity  Available on request Canadian Society for Exercise Physiology  with avoidance of: _______________________________________________ Physician/clinic stamp: 202 .. using machines © Reproduced with permission from the Minister of Public Works and Government Services Canada. engage in low-impact weight-bearing activities and resistance training into your daily life. heat Eating well is also  antihypertensive  anticonvulsant intolerance. *Refer to special publications for elaboration as required  PARmed-X Physical Activity Readiness Conveyance/Referral Form The following companion forms are available online: http://www. 2-4 days a week Activities against resistance You Can Do It – Getting started is easier than you think • at home to strengthen muscles and CNS  convulsive disorder not completely controlled by minimize or avoid exercise in hazardous environments and/or exercising alone (e. rather than weights. West  with inclusion of: ________________________________________________ Ottawa. avoid extremely cold conditions..csep.185 Somerset St. Start slowly… and build up. curl-ups. etc.g.. Permission to photocopy Physical Act ivit y Guide C Canada Canada Exercise Physiology this document in its entirety not required. Physical Act ivit y Guide C you progress to moderate activities you can cut down to extension. _______________________________________________ M.. aquatic activity. chemotherapy). for a maximum of six months from the date it is completed and becomes invalid if your 3 _________________________________________ 20_______ medical condition becomes worse. but more is even • Dusting • Volleyball • Biking • Jogging • Racing 4 -7 days a week • Easy gardening • Raking leaves • Hockey better – everyone can do it! Gentle reaching. add dynamic lifting exercise to strengthen muscles. . periods. imbalance. splinting and gentle movement 4 -7 days a week Continuous activities progressive increase of active exercise therapy Time needed depends on effort  arthritis—subacute for your heart. instead of the elevator. Follow Benefits of regular activity: Health risks of inactivity: Canada’s Food Guide  beta-blockers  digitalis preparations to Healthy Eating to • better health • premature death make wise food choices. minutes every hour.com now. swimming. avoid exercise in extreme heat A D A’ S Health Santé Canadian Society for AN  temporary minor illness postpone until recovered No changes permitted. 3rd ed.. monitor hemoglobin and Source: Canada's Physical Activity Guide to Healthy Active Living. 4 days a week. like watching TV. • Do the activities you are doing Medications  antianginal  antiarrhythmic NOTE: consider underlying condition.. H39-429/1998-1E ISBN 0-662-86627-7 to Healthy Active Living  cancer if potential metastases. depending on condition and recent treatment (radiation. • at play Starting slowly is very off the bus early. correct posture. I recommend: active.ca/hppb/paguide/pdf/guideEng. warm up adequately. consider non-weight bearing exercises. bending  orthopaedic highly variable and individualized and stretching activities to • Stretching • • Swimming Dancing • • Basketball Fast swimming keep your muscles relaxed • Water aerobics • Fast dancing  hernia minimize straining and isometrics. exercise at lower end of prescriptive range (40-65% of heart rate reserve)..) Every little bit counts.that’s  anemia—severe (< 10 Gm/dl) control preferred. wheel or commitment..csep. proper back exercises 30 minutes.  Only a medically-supervised exercise program until further medical clearance  Attached  To be forwarded For more information. Choose a variety of activities from these Get Active Your Way. and circulatory system. Potential for: exertional syncope. exercise as tolerated • Get up from the couch and • Observe a physical activity Blood active living! For a copy of the stretch and bend for a few class to see if you want to try it. lungs Physical activity improves health. and violent twisting. • Find out about walking and persistent headaches.D. No. 95 . cycling. or • Choose to walk. Build physical medication • at school activities into your daily routine. NOTE: This physical activity clearance is valid Supported by: Health Santé Canada Canada Continued on page 4. avoid polluted air  asthma  exercise-induced bronchospasm avoid hyperventilation during exercise.asp The Physical Activity Readiness Questionnaire (PAR-Q) . Range needed to stay healthy  osteoporosis or low bone density avoid exercise with high risk for fracture such as push-ups.to be used by physicians with pregnant Further Information: patients who wish to become more physically active.  Unrestricted physical activity — start slowly and build up gradually It is a prudent practice to retain the completed Physical Activity © Canadian Society for Exercise Physiology Readiness Conveyance/Referral Form in the participant's file. ON K2P 0J2 Tel. 94 Canadian Fitness Safety Standards. impaired coordination and reaction time. more often. have to make a long-term more information: 1-888-334-9769.) Physical activity doesn t have to be very hard. 2002. etc. • at work  recent concussion thorough examination if history of two concussions.. safe for most people. forced extreme flexion.ca/forms. Every Day–For Life! A D A’ S three groups: Scientists say accumulate 60 minutes of physical activity AN every day to stay healthy or improve your health. • improved fitness • heart disease  diuretics  ganglionic blockers • better posture and balance • obesity • better self-esteem • high blood pressure • weight control • adult-onset diabetes  others Increase Increase Increase Reduce • stronger muscles and bones • osteoporosis Endurance Flexibility Strength Sitting for • feeling more energetic • stroke Activities Activities Activities long periods • relaxation and reduced stress • depression Other  post-exercise syncope moderate program • continued independent living in • colon cancer later life  heat intolerance prolong cool-down with light activities..  arthritis—acute (infective. 1998 http://www. test by cycle ergometry. Cat. review for discontinuation of contact • Walk whenever you can – get • Start with a 10 minute walk – sport if three concussions. and other objective evidence of cerebral damage • on the way Not sure? Consult your • Reduce inactivity for long cycling paths nearby and health professional.pdf lymphocyte counts. rheumatoid. plus judicious blend of rest. (date) 4 Canadian Fitness Safety Standards.g. Health Canada. As Musculoskeletal  low back conditions (pathological. cycle for short trips. dysrhythmias. depending on duration of unconsciousness. non-weightbearing exercises to minimize joint trauma Flexibility • Strolling • Light walking • Brisk walking • Aerobics • Sprinting conditions) (e. functional) avoid or minimize exercise that precipitates or exasperates e. mountainclimbing.. gout) treatment. use them.ca  under the supervision of a CSEP-Professional Fitness & Lifestyle Consultant or CSEP-Exercise Therapist™ Note to physical activity professionals. May alter resting and exercise ECG's and exercise test performance. Add-up your activities in periods to Healthy Active Living Endurance of at least 10 minutes each.a questionnaire for people aged 15-69 to complete before becoming much more physically Based upon a current review of the health status of _______________________________________________ . electrolyte www.  No physical activity The Physical Activity Readiness Medical Examination for Pregnancy (PARmed-X for PREGNANCY) . 1-877-651-3755 • FAX (613) 234-3565 • Online: www. utilize appropriate medication. Physical Activity Readiness Medical Examination (revised 2002) Physical Activity Readiness PARmed-X Medical Examination Special Prescriptive (revised 2002) Conditions ADVICE PHYSICAL ACTIVITY READINESS Lung  chronic pulmonary disorders special relaxation and breathing exercises MEDICAL EXAMINATION  obstructive lung disease breath control during endurance exercises to tolerance.paguide. bradycardia.gc. vertical jump and trunk build physical activity Strength forward flexion. 3rd ed. stregthen abdominal muscles Get active your way – and joints mobile.g. • Try one class to start – you don t  electrolyte disturbances Guide Handbook and • Play actively with your kids.

de chaque individu pour un ❏ Q3 Douleur à la poitrine au repos ❏ tachycardie ventriculaire et ❏ hypertension grave non-traitée White programme de conditionnement ____________________________________________________________ autres dysrythmies dangereuses ou non-contrôlée (généralisée ❏ dysrythmies contrôlées initial. Revision of the Physical Available in English under the title: "Physical Activity Readiness habitudes de vie-Niveau 2 ou des kinésithérapeutes de la SCPE Activity Readiness Questionnaire (PAR-Q). Les personnes ayant répondu «OUI» à une ou plusieurs temporaire jusquʼà ce que lʼétat de lʼépreuve dʼeffort ou du personnalisée sont généralement questions. Active Living and Pregnancy. Ils ont été révisé par les membres d'un Comité dʼactivité physique avec ity and Physical Fitness in the Canada Health Survey Follow-Up Study.: activité ventriculaire ou pulmonaire) ❏ stimulateurs cardiaques à (indirecte ou directe). Plus amples informations: ❏ Sans aucune restriction ❏ ci-jointes ❏ ECG ❏ Épreuve d'effort ❏ Rayons-X Continuer à la page 3. autour de la taille. facteurs de risques sont évolutifs. excéder le risque.. progressive dénitive Mottola. (1994). Les observations gurant sous Conseils sont dʼordre général puisque les détails et les choix requièrent un jugement clinique individualisé. Gledhill (2002). veuillez suivre les instructions suivantes.A. ❏ défaillance cardiaque ❏ hypertrophie cardiaque coronaire (par ex. Clin. Risk Assessment of Physical Activ- la Colombie-Britannique. J. ________________________________________ Grossesse ❏ grossesse compliquée (par ex: ❏ grossesse avancée (n du vous référer au «X-AAP pour toxémie.MALADIE _____________________________________________ ____________________________________ 160-180. IL: Human Kinetics. G. Fitness and Health. diastolique 105+ des médicaments (électrolytes C D sériques. discuter avec votre médecin. Y. Gauvin. R. hépatique variable selon lʼétat ❏ Fumeur (Fume la cigarette au moins ❏ Antécédents familiaux de maladies Métabolisme non-contrôlés (diabète. désirez-vous vous engager? ❏ troubles métaboliques ❏ insufsance rénale.. In: A.aigüe (répétitive ou fréquente) • bloc de branche gauche • tenir compte du besoin particulier ADRESSE ___________________________________________________ ❏ Q2 Douleur à la poitrine à lʼeffort ❏ thrombophlébite ❏ anévrisme ventriculaire • syndrome de Wolff-Parkinson. et/ou être contre-indiqué. Lʼexercice peut • restrictions imposées. S.) Cochez les situations qui sʼappliquent à votre état LʼACTIVITÉ PHYSIQUE: ❏ maladie infectieuse aigüe ❏ maladie infectieuses subaigüe/ ❏ Infections chroniques variable selon lʼétat Infections (indépendamment de lʼétiologie) chronique / périodique (par ex: ❏ Moins de 30 minutes dʼactivité physique ❏ Accumulation de masse adipeuse Dans quel type dʼactivités physiques ❏ VIH malaria. indirectement le programme nécessaires. Champaign. coronariennes.) Examen physique: Fiche de Recommandation dʼActivité Physique: Tension artérielle Dʼaprès lʼexamen médical. pour ❏ sténose aortique (grave) ❏ sténose sousaortique (grave) • Fiche de Recommandation dʼActivité Physique: cette portion détachable peut être utilisée par le médecin traitant pour manifestations dʼinsufsance la détermination particulière autoriser la pratique d'activité physique ou pour diriger le patient vers un programme d'activité sous surveillance médicale. phase aigüe. peuvent être en-dessous est réservée à lʼusage du médecin traitant.A. devront cependant subir un examen médical pour vérier la présence de risques associées à la pratique d'activités physiques soit traité. 17:4 Medical Examination (PARmed-X)" Examen(s) indiqué(s): 338-345. Pour y arriver. La valeur Des conseils de nature lʼActivité Physique (Q-AAP) permet d'identier la majorité de personnes à risque. ❏ Hyperlipidémie rapportée par Sʼil vous plaît. 196 Canadian Fitness Safety Standards. absolues relatives de recommandation L'activité physique pratiquée d'une façon régulière constitue une occupation de loisir saine et agréable.). thyroïdie. ❏ dysrythmies supraventriculaires A B ❏ infarctus du myocarde (aigü) INFORMATION PERSONNELLE: Q-AAP: Prière dʼindiquer les questions (non contrôlées ou très ❏ communication intracardiaque • progression lente des exercices ❏ myocardite (active ou récente) rapides) (intermittentes ou xes) à des niveaux basés sur auxquelles vous avez répondu positivement «OUI» ❏ troubles de la conduction l'épreuve initiale et sur la NOM _______________________________________________________ ❏ embolie pulmonaire ou ❏ activité ectopique ventriculaire • bloc A-V complet tolérance individuelle. De plus. Contrôle maximal de lʼétat est des professionnels(elles) de lʼactivité physique (Conseiller en condition physique et habitudes de vie-Niveau 2 ou des kinésithérapeutes de Un contrôle médical ou une souhaitable.T. X-AAP Évaluation médicale de lʼaptitude à lʼactivité physique (version revisée en 2002) ÉVALUATION MÉDICALE DE LʼAPTITUDE À LʼACTIVITÉ PHYSIQUE X-AAP Évaluation médicale de Ci dessous apparaît une liste de conditions médicales requérant certaines précautions ou conseils. stabilisé ou ait passé la programme dʼexercices pourrait appropriés: ou pour mieux orienter la prescriptions de l'activité physique. 3rd ed.C. T. (1992). ❏ Q1 Trouble cardiaque généralisée . Epidemiol. 3rd ed. 1978. Reading.. (1992).. étourdissement (par ex. ou autres) la plupart des jours de la semaine. Shephard.J. au cours du programme PAGE 1: • Les sections A. J. Wigle. sous supervision médicale ❏ Q4 Perte dʼéquilibre. Nous vous ❏ en évitant:______________________________________________ of the International Conference on Physical Activity. un programme dʼactivité physique sera élaboré en collaboration avec • exercices spéciaux prescrits. Quin- Conditions pouvant limiter la pratique dʼactivité physique: ney. consultatif d'experts de la Société canadienne de physiologie de l'exercice ii) / J.B. British Columbia Ministry of Health. natation.ASS. Les conditions sont groupées par système. Celles-ci s'appliquent à ceux qui ont lʼaptitude à lʼactivité physique (version revisée en 2002) ÉVALUATION MÉDICALE DE répondu positivement à une des 7 questions du Q-AAP et pour les gens de 69 ans et plus. etc. la SCPE).. ❏ Cardio-vasculaire ❏ Respiratoire ❏ Autre ❏ incluant: _______________________________________________ encourageons à copier le X-AAP dans sa totalité ❏ Musculo-squelettique ❏ Abdominale PAR-Q Validation Report. ou Il est bon que le médecin les deux. Le X-AAP est un questionnaire spécique à lʼactivité physique utilisé par le médecin dont le patient a répondu "OUI" à au moins une des questions du Q-AAP. Le Questionnaire sur lʼAptitude à Restriction permanente ou Très variable. Mao. ❏ sous la supervision d'un Conseiller en condition physique et Thomas. ❏ Activité physique lʼobtention dʼune autorisation sous la direction du Dr N.. hypo. L. ou autre insufsance chronique 1 fois par jour). M. troisième trimestre) femmes enceintes» Cette section doit être complétée par le médecin traitant tion du col de lʼutérus. TÉLÉPHONE_________________________________________________ ❏ Q5 Troubles osseux ou articulaires multifocale) ❏ cardiomyopathie rythme xe ❏ Q6 Tension artérielle ou médication cardiaque hypertrophique exercice progressif pour atteindre le ❏ claudication intermittente DATE DE NAISSANCE __________________________ SEXE _________ ❏ Q7 Autres raisons : niveau de tolérance voulu ❏ insufsance cardiaque ❏ hypertension: systolique exercice progressif: tenir compte No. Il LʼAPTITUDE À LʼACTIVITÉ PHYSIQUE y a trois catégories de recommandations. et D devraient être remplies par le participant AVANT de se soumettre à lʼexamen médical. marquée voie de guérison) de certaines restrictions et ❏ angine accélérée Cette section doit être complétée par le participant ❏ cardiopathie cyanogène précautions (sʼil y a lieu). etc. Toward Active Living: Proceedings Toute modication est interdite.. syncope après les FACTEURS DE RISQUE DE LA MALADIE CORONARIENNE: INTÉRÊTS FACE À exercices. Cardio-vasculaire ❏ anévrisme aortique (disséquant) ❏ sténose aortique (modérée) ❏ sténose aortique (ou pulmonaire) • une épreuve dʼeffort peut être PAGE 4: • Conseils sur lʼactivité physique et la vie active pour ceux qui ne nécessitent pas de conseil ou dʼattention particulière. 97 . ________________________________________ progression lente (marche. hémorragie. D. je recommande: Taille Kg Références: Q-AAP et X-AAP ont été développés par le ministère de la santé de i) / ❏ Aucune activité physique ❏ Seul un programmme Arraix. Spt. 45:4 419-428. référer à la page 4 et en cyclisme) votre médecin. myoedème) ________________________________________ ❏ obésité modération sur le plan alimentaire ❏ Hypertension artérielle rapportée par Veuillez noter que plusieurs de ces et exercices initiaux légers avec ❏ rein unique votre médecin après mesures répétées. Can. La partie supervise directement ou dʼexercices. —ou angine de poitrine et autres justiée dans certains cas. supervision médicale initiale. Suite à lʼévaluation de lʼétat de santé du participant par un médecin. Wall (eds. Sci. CONSEILS PAGE 2 & 3: • Cette page contient une liste de conditions médicales requérant certaines précautions ou conseils spéciaux. — début léger avec ❏ à venir ❏ Analyses sanguines ❏ Analyse d'urine ❏ Autre augmentation progressive\ ❏ disponibles sur demande 2 Avec l'appui de: Santé Health Canada Canada © Société canadienne de physiologie de l'exercice Canadian Fitness Safety Standards.: Infarctus en de la capacité fonctionnelle. L. Wolfe. la Fiche de Recommandation dʼActivité Physique intégrée au X-AAP peut être utilisée par le médecin traitant pour autoriser la pratique d'activités physiques ou Contre-indications Contre-indications Conditions spéciales pour diriger le patient vers un programme d'activité sous surveillance médicale. malforma.

. 3rd ed. dysrythmie. Possibilité de: syncope due à lʼeffort. etc.ca/fomulaires. © Société canadienne de physiologie de l'exercice 4 Par prudence.). c’est légers travaux de jardinage • Suivre une classe d’aérobie aquatique • Nager ou danser à un rythme continu de course à pied • Faire des exercices mouvements modérés pour tout le monde. très légère 60 minutes 30 .hc-sc. Le document peut être ❏ antihypertenseurs ❏ anticonvulsivants photocopié au complet sans autorisation préalable. il est conseillé de conserver une copie de la «Fiche de Recommandation dʼActivité Physique» Avec l'appui de: Santé Health dans le dossier du participant. chimiothérapie).30 minutes très élevée fonctionnelles) tension forcées extrêmes. etc. etc. veuillez contacter la: Société canadienne de physiologie de lʼexercice 185 rue Somerset Ouest. à tout âge! activités qui vous éviter lʼair polluée plaisent dans chacun ❏ asthme de ces trois groupes. renforcer les muscles • à la maison abdominaux • à l’école • au travail ❏ ostéoporosis ou faible densité osseuse éviter les exercices avec un risque élevé de fracture comme les extensions de bras. mais plus • Épousseter • Jouer au volley-ball • Ramasser des feuilles • Nager • Faire du jogging • Jouer au hockey • Participer à une on en fait. désordre électrolytique. maintien de la mobilité et de la force. vérier lʼhémoglobine et le compte de lymphocytes.) physiquement nerveux ❏ commotion cérébrale récente examen complet après une deuxième commotion.asp. faire des exercices • Marcher lentement • Marcher d’un pas modéré • Marcher d’un bon pas • Suivre une classe de danse aérobique • Faire des Assouplissement • Faire de la bicyclette sprints convenables pour le dos Chaque activité compte.aigüe (infectieuse.. je recommande: fréquence cardiaque.: (613) 234-3565 male de six mois à compter du moment où Courriel: info@csep. ❏ incluant: ______________________________________________________ Questionnaire sur lʼaptitude à lʼactivité physique (Q-AAP). bureau 202 N. le saut vertical et la exion du tronc • dans vos ❏ trouble convulsif non-totalement contrôlé par des déplacements. Intensité Intensité légère Intensité moyenne Intensité élevée Intensité L’activité physique améliore la santé. Évaluation médicale de lʼaptitude à lʼactivité physique Évaluation médicale de X-AAP (version revisée en 2002) lʼaptitude à lʼactivité physique (version revisée en 2002) ÉVALUATION MÉDICALE DE Conditions spéciales de recom- LʼAPTITUDE À LʼACTIVITÉ PHYSIQUE mandations CONSEILS Poumons ❏ troubles pulmonaires chroniques exercices spéciaux de détente et de respiration ❏ affection pulmonaire obstructive contrôle de la respiration pendant les exercices dʼendurance jusquʼau niveau voulu.csep. Vous aussi. vous en êtes capable. les • au jeu redressments assis. 98 Canadian Fitness Safety Standards. dépendamment de la durée de lʼinconscience.. Santé Health Société canadienne de Toute modification est interdite. – Cette autorisation de faire de l'activité Ottawa (Ontario) K2P 0J2 CANADA _______________________________________________ M. 1998 http://www. exercices à des intensités minimales (40%-65% de la Dʼaprès lʼexamen médical de ________________________________________________________________ . goutte) traitements en plus dʼune combinaison judicieuse de repos..subaigüe augmentation graduelle de thérapie par lʼexercice actif Soyez actif à votre façon. selon lʼétat actuel et des plus récents traitements (radiothérapie. 3rd ed. utilisation de médicaments appropriés Prenez l’escalier La durée recommandée varie selon l’effort. EN CA ❏ bronchospasmes provoqués par lʼexercice éviter lʼhyperventilation durant les exercices. Choisissez quelques Soyez actif à votre façon. coordination et délai de réac.: exion et ex.B.pdf ❏ autres © Reproduit avec la permission du Ministre de Travaux publics et Services gouvernementaux Canada. temporaire repousser le programme jusquʼà la guérison Fiche de Recommandation dʼActivité Physique ❏ cancer sʼil y a existence possible de métastases osseuses.D.: cyclisme et natation. suggérer des exercices sans support de la masse corporelle. Santé Canada.gc. physique est valide pour une période maxi- Tél.ca/hppb/guideap/pdf/guidefre.grave (< 10 g/100 mL Hémoglobine) contrôle préférable. Force Allez-y. éviter ou minimiser les exercices pouvant accentuer le problème (par ex. rhumatoïde. de lʼamnésie rétrograde.. Cat. suggérer lʼabandon des sports de active! central) Les bienfaits de l’activité régulière : Les risques liés à l’inactivité : contact après une troisième commotion. bradycardie. Canada Canada Continuer à la page 4. Note aux professionnels de lʼactivité physique. exercices selon la tolérance Faites plus Faites plus Faites plus Évitez Sang d’activités d’activités d’activités de de rester assis d’endurance d’assouplissement développement longtemps ❏ perturbation des électrolytes de la force Médicaments ❏ antiangineux ❏ antiarrythmiques NOTE: tenir compte de tous les états sous-jacents. tous les jours. ❏ Aucune activité physique ❏ Seul un programmme dʼactivité physique avec lʼobtention dʼune autorisation dénitive Plus amples informations: ances de lever de charge an de renforcer les muscles en utilisant des appareils plutôt ❏ ci-jointes que des haltères ❏ à venir ❏ Activité physique progressive ❏ disponibles sur demande *Se référer à des publications spécialisées pour plus de détails ❏ en évitant: _____________________________________________________ Médecin/clinique: Les formulaires complémentaires suivants sont disponibles sur l'inernet à lʼadresse : http://www. 3 Canadian Fitness Safety Standards. ❏ arthrite .60 minutes 20 .) programme de ❏ orthopédique très variable et spécique à chaque individu votre vie de tous les jours ❏ hernie minimiser les faux mouvements et les exercices isométriques. pour une v i e ac t i ve s ai ne NADI Endurance sʼéchauffer adéquatement. Elle n'est plus (date) valide si votre état de santé se détériore. d’étirement Les niveaux d’activité pour rester en santé ❏ arthrite . éviter les exercices dans un environnement de chaleur extrême ✁ ❏ maladie bénigne. Ils peuvent modier lʼECG au repos et celui de CA ISBN 0-662-82722-8 p ou r u n e v ie a c t ive s a in e NADI ❏ bêta-bloqueurs ❏ préparations de digitale lʼépreuve dʼeffort ainsi que le rendement durant ces épreuves. intolérance à la chaleur. H39-429/1998-1F Canada Canada physiologie de l’exercice EN tion altérés. corriger la posture. éviter les températures très froides. ajouter des sé. torsion violente. ❏ diurétiques ❏ ganglioplégiques Source: Guide d'activité physique canadien pour une vie saine.: la SNC médicaments Menez une vie (Système natation. ❏ syncope après exercice programme modéré Autres ❏ intolérance à la chaleur prolonger la phase de récupération par des activités légères. exercices dʼendurances pour minimiser le trauma. 2002.chronique (ostéoarthrite et conditions sus.ca Site web: www. de maux de tête persistent et autres évidences objectives de dommage cérébral ❏ anémie . de port dʼorthéses et de L’activité physique. mieux on se porte! • Effectuer de • Danser • Jouer au basket-ball compétition ❏ arthrite . Formulaire conçu pour le médecin dont les patientes enceintes ou des kinésithérapeutes de la SCPE veulent faire de lʼactivité physique. 99 . Musculo-squelettique ❏ affections lombaires (pathologiques. Mettez l’activité physique au mentionnés) tisme articulaire (par ex.: 1-877-651-3755 Télec..csep. un questionnaire pour les gens de 15 à 69 ans à compléter par ceux qui veulent faire plus dʼactivité physique. lʼalpinisme. ❏ sous la supervision d'un Conseiller en condition physique et habitudes de vie-Niveau 2 LʼÉvaluation médical de lʼaptitude à lʼactivité physique pour la grossesse (X-AAP pour femmes enceintes). ❏ Sans aucune restriction — début léger avec augmentation progressive Pour plus d'informations. minimiser les exercices dans des environments dangereux ou en solitaire (par ex.ca _________________________________________ 20_______ le questionnaire est rempli.

facilities. or self-directed in nature. programs and services. discomfort. during or after my participation. any portion of the information or instruction I receive. We request your ticipation in the programs being offered in the facility. care and skill with which I conduct myself in that activity or program. Signature _____________________________ Date of Signing ________________________ Witness ______________________________ Canadian Fitness Safety Standards. certified. I also ac- I. services and programs offered are either educational. leg cramps. chest discomfort. I recognize that by participating in the activities. cer- tified or registered and herein employed to provide such professional services. facilities. mental or emotional) and that the awareness. I declare that I have read. Your signature below. and nausea and that I assume wilfully those risks. fainting. ___________________. programs and services offered by _______________ at anytime before. Date Print Name Signature I understand that part of the risk involved in undertaking any activity or program is relative to my own state of fitness or health (physical. fatigue. awareness. 3rd ed.Sample Guests Log Sign In Informed Consent Agreement Please read the following Informed Consent statement. recreational. programs and services offered by ________ _____________________ that I may experience potential health risks such as transient light-headedness. program personnel shall be certified in the area with which they are providing program services. I accept the fact that the skills and competencies of some employees and /or volunteers will vary according to their training and experience and that no claim is made to offer assess- ment or treatment of any mental or physical disease or condition by those who are not duly licensed. I understand that I may stop or delay my participation in any activity or procedure if I so desire and that I may also be requested to stop and rest by a supervising employee who observes any symptoms of distress or abnormal response. I freely choose not to participate in such screening and hereby a different capacity for participating in such activities. facilities. facilities. or any other symptoms that I may suffer during and immediately after my participation. declare that I intend to use some or all of the activities. abnormal blood pressure. at my own ­­­­­­­­­­­­­­ risk. confirms that you have read and understood the risks that could arise from par- Thank you for choosing to use the facilities. As a guest or casual user of this facility. or registered instructors or professionals. I acknowledge that my choice to participate in any activ- ity. programs and services offered by _____________ are sometimes conducted by personnel who may not be licensed. I understand that I may ask any questions or request further explanation or information about the ac- tivities. service and program of ______________ brings with it the assumption by me of those risks or results stemming from this/these choice(s) and the fitness. I further understand that the activities. for my choices to use or apply. I acknowledge my obligation to immediately inform the nearest supervising employee of any pain. I assume full responsibility during and after my participation. (myself included) has risks that I may knowingly or unknowingly have. Although as a standard practice. I acknowledge and accept the risk of injury or medical problem that could arise from my participation in the programs and services provided or from any other use of the facilities. programs and knowledge that I have had the opportunity to undergo more detailed screening (the PAR-Q for example) for potential services offered by ­­­­­­­­­­­­­­­­­­­­­­­­­_________________________ and I understand that each person. 101 . care and skill that I possess and use. 100 Canadian Fitness Safety Standards. understanding and cooperation in maintaining both your and our safety and health by reading and sign- ing the following Informed Consent Agreement. services or programs of ________________. understood and agree to the contents of this Informed Consent Agreement in its entirety. health. I am aware that register with my full assumption of any such risks. all activities. 3rd ed.

other serious cardiovascular. Other significant medical condition?   patient to her prenatal fitness professional.A. West.F. please explain:   Heavy Medium ___ ___ ___ ___ ___ ___ ___ ___ ___ ___ ___ ___ F I T T end of the HR range at the start of a new exercise program and 7 8 Very. 2. walking.Physical Activity Readiness Physical Activity Readiness Physical Activity R Medical Examination for Medical Examination for Medical Examinat Pregnancy (2002) Pregnancy (2002) Pregnancy (2002) PHYSICAL ACTIVITY READINESS PARmed-X for PREGNANCY PHYSICAL ACTIVITY READINESS MEDICAL EXAMINATION PARmed-X for PREGNANCY MEDICAL EXAMINATION PARmed-X for PREGNANCY is a guideline for health screening prior to participation in a prenatal fitness class or other exercise. Queenʼs University. and facilitation of labour. with additonal input from Drs. chronic hypertension. Anemia or iron deficiency? (Hb < 100 g/L)?   4. PARmed-X for PREGNANCY provides recommendations for individualized exercise prescription (p.asp. intensities and amounts of exercise is recommended to increase the likelihood of a beneficial respiratory or systemic disorder?   pregnancy outcome. and 4 on p. 2. Marked fatigue?   20 3. Persistent second or third trimester Instructions for use of the 4-page PARmed-X for PREGNANCY are the following: bleeding/placenta previa?   2. Mild/moderate cardiovascular or respiratory disease 1. Postulated benefits of such programs include improved aerobic and muscular fitness. Incompetent cervix?   2. pregnant women. Persistent headaches or problems with headaches?   _________________________________________________________ No changes permitted. High-order pregnancy (e. Does your regular occupation (job/home) activity involve: YES NO per week and an appropriate minutes. 3) should be completed. Swelling. and Gregory A. 103 . Miscarriage in an earlier pregnacy?   INTENSITY FREQUENCY TIME in the warm-up/cool-down. Please specify: ___________________________________________ In addition to prudent medical care. 1) and give (e.D. even or low-impact endurance Heart 11 Fairly light Number of previous pregnancies? _______ progress to RPE range if it means exercise using large Rate 12 Heavy Lifting?   Age Range 13 Somewhat hard four times and/or target reducing the muscle groups (e.D. Other pregnancy complications?   Work during the lower 1-2 2-4 4+ <20 20-40 40+ 6 3. signed by the health care provider. 102 Canadian Fitness Safety Standards. The health care provider should check the information provided by the patient for accuracy and fill out SECTION C on CONTRAINDICATIONS (p.ca/forms. Malnutrition or eating disorder (anorexia. Davies. 3) and program safety (p. Pregnancy-induced hypertension or pre-eclampsia?   the form to the health care provider monitoring her pregnancy. Unexplained faintness or dizziness?   The original PARmed-X for PREGNANCY was developed by L.. The decision to NOTE: Sections A and B should be completed by the patient before the appointment with the health care provider. 4).A final check to avoid overexertion is to use the “talk test”.FRCS(C) Department of Obstetrics 5. swimming. Suite 202. Twin pregnancy after 28th week?   6.g.) cool-down. Evidence of intrauterine growth restriction?   5. asthma)?   3. very hard Normal daily activity?   “TALK TEST” . 7.L. List only regular fitness/recreational activities: target heart rate or RPE to a maximum of approximately 30 minutes per session. PART 2: STATUS OF CURRENT PREGNANCY Frequent walking/stair climbing?   per week heart rate intensity. PARmed-X for PREGNANCY is a convenient YES NO YES NO checklist and prescription for use by health care providers to evaluate pregnant patients who want to enter a prenatal fitness program and for ongoing medical 1. I have completed a PAR-Q within the last 30 days. and monitor exercise is by combining the heart rate and rating of perceived PRENATAL FITNESS PROFESSIONAL _________________________________________ PROFESSIONALʼS PHONE NUMBER _________________________________ Aerobic exercise should be increased gradually during the second trimester exertion (RPE) methods.csep.g. Mottola. The exercise intensity is excessive 1. 2) based 4. __________________________________________ RATE OF PROGRESSION: The best time to progress is during the second PRESCRIPTION/MONITORING OF INTENSITY: The best way to prescribe NAME OF PRENATAL FITNESS trimester since risks and discomforts of pregnancy are lowest at that time. in previous pregnancies?   2. If you answered YES to question 1 or 2. Wolfe. 3rd ed.. be physically active or not should be made with qualified medical advice. Uncontrolled Type I diabetes. have you experienced (check YES or NO): (10-15 min.. Regular exercise may also help to prevent gestational glucose intolerance and pregnancy-induced hypertension. Translation and reproduction in its entirety is encouraged.ca Supported by: Health Santé © Canadian Society for Exercise Physiology Canada Canada Société canadienne de physiologie de l'exercice 1 2 Canadian Fitness Safety Standards. Ph. Ontario CANADA K2P 0J2 tel. Gledhill. 7. Ruptured membranes. participation in appropriate types.. (times/week) (minutes/day) 2. The document has been revised based on advice from an Expert Advisory Committee of the Canadian Society for 4. have you experienced: Mainly sitting?   18 YES NO 19 Very. Failure to gain weight after 5th month?   Additional copies of the PARmed-X for PREGNANCY. 4 times per week (at the appropriate target heart rate or RPE). Canadian Society for Exercise Physiology _________________________________________________________ 185 Somerset St.g. N. If you answered YES to any of the above questions.. hands or face?   What physical activity do you intend to do? and Gynaecology. Queenʼs University. promotion of appropriate weight gain. M.. Unexplained abdominal pain?   PART 4: PHYSICAL ACTIVITY INTENTIONS Exercise Physiology chaired by Dr. If no exercise contraindications exist. A PATIENT INFORMATION NAME ____________________________________________________________________________________________________________________________________ PHYSICAL ACTIVITY RECOMMENDATION:  Recommended/Approved  Contraindicated ADDRESS _________________________________________________________________________________________________________________________________ Prescription for Aerobic Activity TELEPHONE______________________________ BIRTHDATE _____________________ HEALTH INSURANCE No. 3. hypertension or thyroid disease. Bleeding from the vagina (“spotting”)?   4. Sudden swelling of ankles. please explain: *NOTE: PREGNANT WOMEN ARE STRONGLY ADVISED NOT TO SMOKE For more information contact the: OR CONSUME ALCOHOL DURING PREGNANCY AND DURING LACTATION. the HEALTH EVALUATION FORM (p. Ottawa. 2002. pain or redness in the calf of one leg?   Is this a change from what you currently do?  YES  NO Disponible en français sous le titre «Examination medicale sur lʼaptitude à lʼactivité physique pour les femmes enceintes (X-AAP pour les femmes enceintes)» 8. 3rd ed. 6. Do you consume alcohol?*   3. very light Light ___ ___ ___ ___ ___ ___ FREQUENCY INTENSITY TIME TYPE 9 Somewhat light in late pregnancy. Wolfe and Mottola. Ph. stationary 14 < 20 140-155 15 Hard Occasional walking (>once/hr)?   zone Rest intervals cycling. triplets)?   3. bulimia)?   on current medical information.D. from a minimum of 15 minutes per session. The patient should fill out the section on PATIENT INFORMATION and the PRE-EXERCISE HEALTH CHECKLIST (PART 1.) warm-up and followed by a short (10-15 min. low 17 Very hard impact aerobics) 30-39 130-145 During this pregnancy.csep. 3. The muscular conditioning component was developed by M. A range of YES NO appropriate for most about 12-14 (somewhat hard) is appropriate for 1. stretching and relaxation exercises should be included shown below are by comparing it to the scale below. Low ____________________________________________________ intensity calesthenics. University of Western Ontario. the PARmed-X and/or the PAR-Q can be downloaded from: http://www. Absence of fetal movement after 6th month?   9. 3 times per week (at the appropriate B PRE-EXERCISE HEALTH CHECKLIST PART 3: ACTIVITY HABITS DURING THE PAST MONTH 1. most pregnant women. TARGET HEART RATE ZONES RATING OF PERCEIVED EXERTION (RPE) PART 1: GENERAL HEALTH STATUS WARM-UP/COOL-DOWN: Aerobic activity should be preceded by a brief ____________________________________________________ The heart rate zones Check the accuracy of your heart rate target zone In the past. History of spontaneous abortion or premature labour surveillance of exercising pregnant patients. __________________________________________________________ Begin at 3 times Exercise within Attempt 15 Non weight-bearing 10 2. Absolute Contraindications Relative Contraindications Does the patient have: Does the patient have: The safety of prenatal exercise programs depends on an adequate level of maternal-fetal physiological reserve. Healthy women with uncomplicated pregnancies can integrate physical activity into their daily living and can participate without significant risks either to C CONTRAINDICATIONS TO EXERCISE: to be completed by your health care provider themselves or to their unborn child.: 1-877-651-3755 FAX (613) 234-3565 www. Due Date: ________________________________________________ 20-29 135-150 16 Prolonged standing?   may be helpful aquatic exercises. and given by the 6. premature labour?   1. NOTE: Risk may exceed benefits of regular physical activity. 5. Do you currently smoke tobacco?*   if you cannot carry on a verbal conversation while exercising.

Lower back Promotion of good posture Modified standing opposite leg & arm lifts Body Image:  see your doctor before  the need for calories is higher (about 300 more per day) WARM-UPS & COOL DOWN: Abdomen Promotion of good posture. “Wave”.sogc. back.e.Health Evaluation Form (to be completed by patient and given to the prenatal fitness professional SAFETY CONSIDERATIONS REASONS TO STOP EXERCISE after obtaining medical clearance to exercise)  Avoid exercise in warm/humid environments. including water. and aligning the pelvis between of Obstetricians and Gynaecologists of Canada and Canadian Society for Exercise Physiology entitled Exercise in Pregnancy and Postpartum © 2003. you may wish to obtain a copy of Nutrition for a Healthy Pregnancy: National Guidelines for the Childbearing Years © 1999. abdominal increasing your activity level than before pregnancy Range of Motion: neck. milk and  accept that your body muscle groups Upper body Improve muscular support for breasts Shoulder rotations. Physical Activity Readiness Physical Activity Readiness Medical Examination for Medical Examination for Pregnancy (2002) Pregnancy (2002) PHYSICAL ACTIVITY READINESS Advice for Active Living During Pregnancy PARmed-X for PREGNANCY MEDICAL EXAMINATION Pregnancy is a time when women can make beneficial changes in their health habits to protect and promote the healthy development Prescription for Muscular Conditioning of their unborn babies. Available from the Society of Obstetricians and Gynaecologists of Canada online at www..gc. 3rd ed. hips. Abdominal tightening. and experience Body Position • in the supine position (lying on the back). prevent low-back pain. coffee. fruits and vegetables. etc. heel raises or join a prenatal exercise  drink 6-8 glasses of fluid. prevention Buttocks squeeze. Ottawa. prevent curl-ups. strengthen muscles of labour  follow Canadaʼs Food Guide to Healthy Eating and choose knees. head raises lying on side or standing position  remember that it is normal during pregnancy to gain weight during der girdle. For more detailed information about the safety of exercise in pregnancy you may wish to obtain a copy of the Clinical Practice Guidelines of the Society forward shift in the centre of gravity and may increase the arch in Neutral pelvic alignment is found by bending the knees.95. Available from Health Canada. and participating in regular moderate physical activity. West. modified push-ups against a wall milk products. poultry and alternatives shape will change during  exercise with a pregnant friend (DO NOT OVER STRETCH!) Buttocks. the enlarged uterus • past 4 months of gestation. 3rd ed.95 Posture • increasing weight of enlarged breasts and uterus may cause a • emphasis on correct posture and neutral pelvic alignment.hc-sc. pregnancy is a very good time to adopt healthy lifestyle habits that are permanent by integrating physical activity with enjoyable healthy It is important to condition all EXAMPLES OF MUSCULAR STRENGTHENING EXERCISES major muscle groups during CATEGORY PURPOSE EXAMPLE eating and a positive self and body image. have discussed my plans to participate in physical during the 1st trimester HEALTH CARE PROVIDER activity during my current pregnancy with my health care provider and I have obtained his/her approval to begin participation. Since all of these changes can be carried over into the postnatal period and beyond. the lower back feet shoulder width apart.csep. ankles. 105 . Minister of Public Works and Government Services. shoul. 185 Somerset midline of the pregnant abdomen (diastasis recti) may be seen develops St. Suite 202. Cost: during abdominal exercise $11. Facilitation of weight-bearing. Available from the Society of Obstetricians and Gynaecologists of Canada at 1-877-519-7999 (also available online at www. abstinence from smoking and alcohol intake.and postnatal exercise. should be avoided • avoid exercise in supine position past 4 months gestation For more detailed information on healthy eating during pregnancy. arms. 104 Canadian Fitness Safety Standards.sogc.ca).  Avoid isometric exercise or straining while holding your breath  Excessive shortness of breath Signed: ___________________________________________ Date:____________________________________________ (patientʼs signature)  Maintain adequate nutrition and hydration — drink  Chest pain liquids before and after exercise HEALTH CARE PROVIDERʼS COMMENTS:  Painful uterine contractions (more than 6-8  Avoid exercise while lying on your back past the 4th month of pregnancy per hour) Name of health care provider: _________________________________ ________________________________________________________  Avoid activities which involve physical contact or danger  Vaginal bleeding Address: __________________________________________________ of falling ________________________________________________________  Know your limits — pregnancy is not a good time to train  Any “gush” of fluid from vagina (suggesting __________________________________________________________ ________________________________________________________ for athletic competition premature rupture of the membranes)  Know the reasons to stop exercise and consult a Telephone: _________________________________________________ ________________________________________________________ qualified health care provider immediately if they occur  Dizziness or faintness (health care providerʼs signature) 2 3 4 Canadian Fitness Safety Standards. you may wish to obtain a copy of a booklet entitled Active Living During Abdominal Muscles • presence of a rippling (bulging) of connective tissue along the • abdominal exercises are not recommended if diastasis recti Pregnancy: Physical Activity Guidelines for Mother and Baby © 1999. _____________________________________ PLEASE PRINT (patientʼs name). meat. Available from the Canadian Society for Exercise Physiology. inhale on relaxation using high repetitions and low weights Birth © 1998. Ottawa. exercises normally done in the cola drinks may either decrease the flow of blood returning from the lower supine position should be altered  know safety considerations for half of the body as it presses on a major vein (inferior vena cava) • such exercises should be done side lying or standing exercise in pregnancy  dieting to lose weight is not recommended during or it may decrease flow to a major artery (abdominal aorta) pregnancy Joint Laxity • ligaments become relaxed due to increasing hormone levels • avoid rapid changes in direction and bouncing during exercises • joints may be prone to injury • stretching should be performed with controlled movements For more detailed information and advice about pre. especially AND CONSULT YOUR I.org Precautions • emphasis must be placed on continuous breathing throughout exercise For more detailed information about pregnancy and childbirth you may wish to obtain a copy of Healthy Beginnings: Your Handbook for Pregnancy and for • exhale on exertion. PARmed-X for Pregnancy . Ontario  Canada (also available online at www. Ontario Canada K2P 0J2 Tel.  exercise regularly but donʼt healthy foods from the following groups: whole grain or pregnancy Pelvic floor Promotion of good bladder control. each day pregnancy lower limbs of varicose veins program  enjoy your pregnancy as PRECAUTIONS FOR MUSCULAR CONDITIONING DURING PREGNANCY  salt intake should not be restricted  follow FITT principles modified a unique and meaningful VARIABLE EFFECTS OF PREGNANCY EXERCISE MODIFICATIONS for pregnant women  limit caffeine intake i. “elevator” Static Stretching: all major (“Kegels”) prevention of urinary incontinence overexert enriched bread or cereal.ca (online: www. fish. 1-877-651-3755 Fax: (613) 234-3565 Email: info@csep. diastasis recti.org) Resistance Exercise • Valsalva Manoevre (holding breath while working against a resistance) causes a change in blood pressure and therefore Cost $12. chocolate. tea. These changes include adopting improved eating habits.ca).standing leg lifts. shoulder blade pinch Active Living: Healthy Eating: Positive Self and periods. • this may also cause shoulders to slump forward accentuated lordosis and the posterior pelvic tilt position. both prenatal and postnatal Upper back Promotion of good posture Shoulder shrugs.

Malnutrition.. vueillez contacter la: Société canadienne de physiologie de l'exercice LA PÉRIODE D'ALLAITEMENT. Vécu une fausse couche ?   ____________________________________________________ d'une brève période d'échauffement (10-15 min) et suivie d'une courte enceintes. Les femmes en bonne santé qui ont des grossesses sans complication peuvent intégrer l'activité physique dans leur vie quotidienne et peuvent y participer C CONTRE-INDICATIONS À L'EXERCICE: à compléter par le professionnel de la santé snas risque significatif pour elle-même ou pour leur enfant à naître. suite à ces informations. Il est important de cardiaque combinée avec le niveau de perception de l'effort. 6. Le document a été révisé en tenant compte des recommandations des membre d'un Comité PARTIE 4 : INTENTIONS D'ACTIVITÉS PHYSIQUES 6. Membranes rupturées. Histoire d'avortement spontané ou de contractions prénatal de conditionnement physique et pour la supervision médicale des femmes enceintes qui font de l'exercice. Nous vous encourageons à copier le X-AAP dans sa totalité. Grossesse multiple (e. hypertension ou problème En plus d'un suivi médicale. des INTENSITÉ FRÉQUENCE DURÉE nouveau programme 3. Ontario. Au cours de la grossesse actuelle.V.g. Absence de mouvement du foetus après le 6e mois ?   Est-ce une modification à ce que vous faites présentement ?   Available in English under the title: Physical Activity Readiness Medical Examination for Pregnancy (PARmed-X for Pregnancy). d'assurance maladie ____________________________________________ MARCHE À SUIVRE : Le deuxième trimestre est le meilleur moment pour PRESCRIPTION/CONTRÔLE DE L'INTENSITÉ : La meilleure façon de Nom du (de la) professionnel(le) Numéro de téléphone du (de la) professionnel(le) bénéficier des effets de l'entraînement. les risques et les malaises prescrire et de mesurer l'intensité est la suivante: l'utilisation de la fréquence du conditionnement physique prénatal __________________________________________ du conditionnement physique prénatal _________________________________ associés à la grossesse sont moindres à cette période. des périodes répétés et en utilisant les grandes 30-39 130-145 18 Marche occasionnelle (> 1 fois/h) ?   de repos en masses musculaires (ex. du Département d'obstétrique et de gynécologie. 2. MD FRCS(C). Le X-AAP pour femmes enceintes donne les recommandations nécessaires pour une prescription d'exercices personnalisée (p.4). pratiquer les exercices aérobies de façon graduelle : depuis un minimum de 15 B LISTE DE VÉRIFICATIONS PRÉ-EXERCICE PARTIE 3 : ACTIVITÉS PHYSIQUES PRATIQUÉES DEPUIS 1 MOIS 1. Ontario. maintenez-vous 8 Élevée ___ ___ ___ ___ ___ ___ dans la partie inférieur de 9 Très facile __________________________________________________________ Modérée Faible ___ ___ ___ ___ ___ ___ ___ ___ ___ ___ ___ ___ F I D T la zone cible de fréquence cardiaque. troubles alimentaires (anorexie. maux de tête ?   7. compléter la section 4. : (613) 234-3565 Courriel : info@csep.v. cardiaque illustrées ci. 3. grossesse prématurée ?   1. et des exercices de relaxation doivent être inclus dans le processus d'exercices et à la fin de la 6 7 Très. 5. Évidence de retard de la croissance intra-utérine ?   5.. respiratoire ou systémique ?   pour un programme d'exercices sécuritaire (p. natation. grossesse. Listez seulement les activités de conditionnement physique ou de minutes par séance. Autre condition médicale significative ?   7. Consommez-vous de l'alcool ?*   Le X-AAP pour les femmes enceintes a été développé par LA Wolfe. La patiente doit ensuite le remettre au (à la) professionnel(le) du conditionnement physique prénatal. Pertes sanguines vaginales ?   Activité quotidienne normale ?   est d'employer le test de la parole. L'intensité de l'exercice est trop élevée si répétés au sol) 3. s. 4 fois par semaine (en fonction de la fréquence Les zones-cibles de fréquence cardiaque cible en la comparant aux valeurs loisir pratiquées régulièrement : cardiaque cible ou de l'échelle de perception de l'intensité de l'effort). Si vous avez répondu «OUI» à une ou plus des questions. très facile Si vous avez répondu «OUI» à la question 1 ou 2. Hypertension du à la grossesse ou prééclampsie?   et la remettre au professionnel de la santé qui assure le suivi de la grossesse. 4.Questionnaire médicale sur Questionnaire médicale sur Questionnaire mé l'aptitude à l'activité physique l'aptitude à l'activité physique l'aptitude à l'activit pour femmes enceintes (2002) pour femmes enceintes (2002) pour femmes ence QUESTIONNAIRE MÉDICALE SUR QUESTIONNAIRE MÉDICALE SUR X-AAP pour femmes enceintes L'APTITUDE À L'ACTIVITÉ PHYSIQUE X-AAP pour femmes enceintes L'APTITUDE À L'ACTIVITÉ PHYSIQUE POUR FEMMES ENCEINTES POUR FEMMES ENCEINTES Le X-AAP pour femmes enceintes est un guide de sélection des participantes inscrites à un cours prénatal de conditionnement physique ou pour tout autre exercice. exercices   TEST DE LA PAROLE .Une bonne façon de ne pas travailler trop intensément cardique peuvent vous aider aérobies ayant peu d'impacts 2. Est-ce que votre occupation quotidienne (travail/maison) inclut : FRÉQUENCE INTENSITÉ DURÉE TYPE 13 Quelque peu difficile OUI NON Débutez à 3 fois Faites les Essayez 15 min. Pertes de conscience ou étourdissements inexpliqués ?   3. 106 Canadian Fitness Safety Standards. La patiente a-t-elle : La patiente a-t-elle : La sécurité des programmes d'exercices prénatals dépend du niveau de réserve physiologique mère-foetus. Anémie ou manque de fer (Hb < 100 g/L) ?   4. : 1-877-651-3755 Téléc. Spécifiez : __________________________________________ accouchement réussi. Au début d'un majorité des femmes enceintes. la participation à des exercices spécifiques d'intensité et de durée appropriées est recommandée pour accroître les chances d'un thyroïdien. inscrites dans l'échelle ci-dessous: un niveau Antérieurement. Kingston.ca/formulaires. avez-vous : OUI NON ____________________________________________________ dessous sont appropriées de perception de l'effort se situant entre 12 et ÉCHAUFFEMENT/RÉCUPÉRATION : L'activité aérobie doit être précédée pour la majorité des femmes 14 (quelque peu difficile) est approprié pour la 1. Saignements persistants au deuxième ou Voici la march à suivre pour l'utilisatoin du X-AAP pour femmes enceintes (4 pages): troisième trimestre (Placenta Previa)?   2. un gain de poids approprié à la femme enceinte et un accouchement plus aisé. 185 rue Somerset Ouest. La pratique régulière d'une activité physique Contre-indications Absolues Contre-indications Relatives peut aussi aider à prévenir l'intolérance au glucose et l'hypertension reliées à la grossesse. endurance. Le X-AAP pour femmes enceintes est une liste de OUI NON OUI NON vérifications et de prescription adéquates utilisée par les professionnels de la santé pour évaluer les femmes enceintes qui désirent entreprendre un programme 1. Col utérin problématique ?   2. expliquez : LA CONSOMMATION DE TABAC OU D'ALCOOL DURANT LA GROSSESSE ET Pour plus d'informations. Le professionnel de la santé doit s'assurer que les renseignements fournis par la patiente sont exacts et. des main ou du visage ?   développée par MF Mottola PhD. asthme) ?   3. 3rd ed. 8.csep. S'il n'y a aucune contre-indication à l'exercice. La patiente doit compléter la section «Fiche de renseignments de la patiente» et la liste de vérifications pré-exercices (Parties 1. NOTE: Le risque d'incidents peut être plus élevé que les effets bénéfique reliés à la pratique régulière de l'activité physique. Diabète Type 1 incontrôlé. expliquez : 1-2 2-4 4+ < 20 20-40 40+ d'échauffement et de récuperation. La composante du conditionnnement musculaire a été 5. London. Maux de têtes persistants ou problèmes reliés aux consultatif d'experts de la Société canadienne de physiologie de l'exercice sous la direction du Dr N Gledhill. Douleurs abdominales inexpliquées ?   4. avez-vous eu semaine l'effort et/ou de la 19 Très très difficile ≥ 40 125-140 ou ressenti une ou des : OUI NON Position debout prolongée ?   zone cible de alternance avec des bicyclette stationnaire.asp. Enflure soudaine des chevilles. 3 fois par semaine (en fonction de la fréquence cardiaque cible ou de l'échelle de perception de l'intensité de l'effort) jusqu'a un maximum Zone Cible de la Fréquence cardiaque Niveau de perception de l'effort Vérifiez la précision de votre fréquence PARTIE 1 : RENSEIGNEMENTS GÉNÉRAUX SUR L'ÉTAT DE SANTÉ d'eviron 30 minutes par séance. triplets) ?   de la santé. Soulignons également l'apport. En effet.csep. Ottawa (Ontario) CANADA K2P 0J2 _________________________________________________________ Tél. douleur ou rougeur à un mollet ?   Aucune modification n'est permise.g. Queen's University. Fumez-vous la cigarette régulièrement?*   vous ne pouvez tenir une conversation pendant l'exercice. le formulaire «Fiche d'Évaluation de l'état de santé» (page 3) doit être complété et signé par le professionel 6. X-AAP) sont disponibles sur l'internet à l'adresse : http://www. PhD. Absence de gain de poids après le 5e mois ?   *NOTE: ON SUGGÈRE FORTEMENT AUX FEMMES ENCEINTES D'ÉVITER Copies additionnels et des formulaire complémentaires (Q-AAP.P. Grossesse avec jumeaux après la 28e semaine ?   3.p. lors de la révision. du Quelle activité physique avez-vous l'intention de pratiquer ? Dr Mottola ainsi que du Dr Gregory AL Davies. Des exercices à mains libres de faible intensité. autres maladies du système S. Les effets bénéfiques escomptés de tels programmes sont l'amélioration de la condition physique aérobique et musculaire. 9. Complété un Q-AAP dan les 30 derniers jours ?   (fois/semaines) (minutes/jour) étirements.ca Supported by: Santé Health Canada Canada © Société canadienne de physiologie de l'exercice 1 2 Canadian Fitness Safety Standards. 20 1. 2. 107 .ca Site web : www. Maladie cardiaque ou respiratoire faible ou modérée 1. Université Queen's (2002). du Dr Wolfe. Bureau 202. hypertension chronique. 3 et 4 de la page 1) (e. University of Western Ontario. 10 11 12 Assez facile Nombre de grossesses avant celle-ci ? _______ 2. Eu des complications lors d'une autre grossesse ?   période de récupération. marche. relèce d'un médecin qualifié A FICHE DE RENSEIGNEMENTS DE LA PATIENTE Nom ______________________________________________________________________________________________________________________________________ RECOMMANDATION D'ACTIVITÉ PHYSIQUE :  Recommandé/approuvé  Contre-indiqué Adresse ___________________________________________________________________________________________________________________________________ Prescription d'exercices aérobies Téléphone ________________________________ Date de naissance ________________ No. Fatigue excessive ? Position assise régulière ?   fréquence périodes de travail exercices en piscine. bulimie) ?   «C» sur les CONTRE-INDICATIONS (page 2).3) et cardiovasculaire. La décision d'être active ou non active NOTE: Les sections A et B devraient être complétées par la patiente avant la rencontre avec le professionel de la santé. Exercices qui ne supportent pas Âge Zone cible de Fc 14 PARTIE 2 : ÉTAT DE LA GROSSESSE ACTUELLE par semaine et exercices à même si vous devez le poids coporel ou exercices en 15 Difficile Levée d'objets lourds ?   < 20 140-155 augmenter jusqu'à l'intérieur de la zone réduire l'intensité. prématurées lors de grossesses antérieures ?   2. en évitant les chocs 16 Date prévue de l'accouchement :_______________________________ Marche fréquente/montée d'escaliers ?   20-29 135-150 17 Très difficile quatre fois par de perception de Sinon. 3rd ed. Enflure.

Ontario.ca (ou en ligne : www. ce qui rend les articulations plus vulnérables au blessures des sauts Pour plus dʼinformation et des conseils au sujet des exercices pré.gc. roulement d'epaules. Disponible en ligne auprès de la Société des obstétriciens et gynécologues du Canada www. Ottawa. «l'ascenseur» pelvienne (Kegels) prévient l'incontinence urinaire  faites de l'exercice régulièrement qui suivent: céréales à grains entiers ou pain enrichi ou céréales.95 $ du droit de l'abdomen) Maintien • mettre l'accent sur un bon maintien et sur le positionnement neutre du pelvis. élévation de la jambe tendue vers l'avant amie enceinte ou joignez-vous  buvez 6-8 verres de liquide incluant l'eau. bas du dos. Disponible auprès de Santé Canada. CATÉGORIE OBJECTIF EXEMPLE durant les périodes prénatale Haut du dos Promouvoir un bon maintien Haussement d'épauales. etc. 109 . Comme tous ces changements peuvent être poursuivis durant la période postnatale Il est important de stimuler les et même après. les pieds écartés physique pendant la grossesse et le postpartum © (2003) conçu par la Société des obstétriciens et gynécologues du Canada et la Société canadienne de • ceci peut aussi provoquer un affaissement des épaules vers l'avant (dos rond) à la largeur des épaules.hc-sc. exigeant lorsque vous retenez votre respiration  Ayez une alimentation et une hydratation adéquate. X-AAP pour femmes enceintes CONSEILS DE SÉCURITÉ MOTIFS POUR ARRÊTER LES Fiche d'évaluation de l'état de santé EFFORTS PHYSIQUES ET POUR (À compléter par la patiente et à remettre au (à la) professionnel(le) du conditionnement physique prénatal après avoir reçu  Ne faites pas d'activité physique par temps chaud et l'autorisation du professionel de la santé pour pratiquer une ou plusieurs activités physiques) humide surtout durant le premier trimestre CONSULTER UN PROFESSIONEL Je _______________________________________________ (nom de la patiente en charactères d'imprimerie s.org. l'utérus dliaté peut diminuer l'apport • après 4 mois de gestation. Courriel: info@csep. ministère des Travaux publics et Services  gouvernementaux. en alternant le côté  voyez votre professionel de  le besoin calorique est plus élevé qu'avant la grossesse (environ image corporelle Région du mouvement visée : cou. les exercices effectués habituellement en position pour les femmes enceintes  suivre une diète en vue de perdre du poids n'est pas indiqué sanguin revenant de la partie inférieur du corps car il exerce une pression sur la veine couchée devraient être modifiés durant la grossesse • de tesl exercices devraient être effectués en décubitus latéral  suivez les recommandations cave inférieure ou il peut diminuer l'apport sanguin dans une artère majeure (aorte ou debout associées à votre état abdominale) Souplesse des • l'augmentation des niveaux d'hormones favorise une plus grande élasticité des • évitez les exercices qui comportent des changements de direction rapides ou articulations ligaments. Coût: 12. la diastase du droit de l'abdomen renforcit tête.ca) l'abdomen se développe tissus conjontifs longeant l'axe central de l'abdomen renfermant le foetus (la diastase Coût : 11. omoplates).sogc. 108 Canadian Fitness Safety Standards. Questionnaire médicale sur Questionnaire médicale sur l'aptitude à l'activité physique l'aptitude à l'activité physique pour femmes enceintes (2002) pour femmes enceintes (2002) QUESTIONNAIRE MÉDICALE SUR Conseils pour vivre activement durant la grossesse X-AAP pour femmes enceintes L'APTITUDE À L'ACTIVITÉ PHYSIQUE POUR FEMMES ENCEINTES La grossesse est une période qui convient bien pour prendre de saines habitudes de vie afin de protéger et de favoriser le développement Prescription pour l'entraînement musculaire sain de lʼenfant à naître. Redressements assis (élévation ceinture scapulaire. manger sainement» et choississez des aliment sains parmi ceux de prendre du poids pendant Étirement isométrique : toutes les La région Promouvoir un bon contrôle de la vessie. prévention Contraction des fessier. déclare avoir discuté de mon désir de faire de  Évitez l'exercice isométrique ou qui demande un effort DE LA SANTÉ l'activité physique durant ma grossesse avec mon médecin et avoir reçu son approbation pour commencer cette participation. Tél. dos. 3rd ed. Muscles abdominaux • on peut recontrer. viandes.95 $ des exercices de • la manoeuvre de Valsalva (retinir la respiration tout en travaillent contre une résistance) provoque une modification de la tension artérielle et doit donc résistance être évitée Pour plus dʼinformation au sujet dʼune saine alimentation durant la grossesse. grossesse  suivez les recommandations du «Guide alimentaire canadien pour  souvenez-vous quil est normal les muscles qui seront actifs lors de l'accouchement décubitus latéral ou en position débout. 3rd ed. extensions des bras debout en appui sur un et autres viandes blanches  acceptez le fait que votre (ATTENTION À NE PAS du corps mur  faites vos exercices avec une corps change durant la TROP ÉTIRER!) Fesses et Renforcement de la musculature de soutien. Pour plus dʼinformation au sujet des exercices sécuritaires faire durant la grossesse. la présence d'un ballonnement des • les exercices abdominaux ne sont pas recommandés si la diastase du droit de Ottawa. Télécopieur : (613) 234-3565. Ces changements comportent de meilleures habitudes alimentaires. hanches. la grossesse grandes masses musculaire mais évitez le surentraînement fruits et légumes. : 1 877 651-3755. extension (arrière et postnatale.csep.ca). inspirez à la relaxation Société des obstétriciens et gynécologues du Canada au 1-877-519-7999 et en ligne à www.sogc. thé. la grossesse est une très bonne période pour rendre ces habitudes permanentes en combinant lʼactivité physique et un EXEMPLES D'EXERCICES DE RENFORCEMENT MUSCULAIRE grandes masses musculaires comportement alimentaire sain et agréable ainsi quʼune image corporelle favorable et une image de soi positive. procurez-vous le livre intitulé «Nutrition pour une grossesse en santé • évitez les exercices en position couchée après 4 mois de gestion – Lignes directrices à lʼintention des femmes en âge de procréer». lʼabstinence de tabac et dʼalcool et la pratique régulière dʼactivités physiques dʼintensité modérée. Mouvement de la «vague». café. Disponible auprès de la à prendre lors • expirez à l'effort. lait et produits laitiers. et en plaçant le pelvis à mi-chemin entre une lordose physiologie de lʼexercice. des épaules Vivre activement : Manger sainement : Image de soi et ÉCHAUFFEMENT-RÉCUPÉRATION: Bas du dos Promouvoir un bon maintien Flexion extension simultanée d'un bras et de la jambe du côté opposé. Ontario Canada K2P OJ2. poulet Partie supérieure Améliorer les muscles qui supportent les seins Rotation des épaules. Redressements de la tête en votre niveau d'activité durant la genoux.prévient les douleurs au Contraction des abdominaux. lors des exercices abdominaux. 185 rue Somerset Ouest.). procurez-vous le livre intitulé «Partir du bon pied». élévation sur la pointe des pieds à un programme d'exercices PRÉCAUTIONS À PRENDRE PENDANT L'ENTRAÎNEMENT MUSCULAIRE DURANT LA GROSSESSE prénatals  l'apport du sel ne doit pas être interdit  vivez votre grossesse comme une expérience unique et VARIABLE EFFETS DE LA GROSSESSE MODIFICATIONS À APPORTER AUX EXERCICES  suivez la formule FIDT modifiée  limitez la caféine ex. la santé avant d'augmenter 300 de plus par jour) positives: Abdomen Promouvoir un bon maintien . buvez  Essouflement marqué du liquide avant et après l'entraînement Signé : ____________________________________________ Date : ____________________________________________  Douleur à la poitrine (patientʼs signature) COMMENTAIRES DU PROFESSIONEL DE LA SANTÉ :  Évitez les exercices en position couchée sur le dos après le 4e mois de la grossesse  Contractions douloureuses de l'utérus (plus de Nom du professionel de la santé : _______________________________ 6-8 par heure) ________________________________________________________  Évitez les activités qui demandent un contact physique avec un partenaire ou ceux où il y a un risque de chute  Saignement vaginal Adresse : __________________________________________________ ________________________________________________________  Connaissez vos limites – il n'est pas recommandé de  Toute perte vaginale (peut être une indication s'entraîner à des fins compétitives durant la grossesse __________________________________________________________ ________________________________________________________ d'une rupture prématurée des membranes)  Identifiez les raisons que commandent un arrêt de  Étourdissement ou évanouissement Téléphone : ________________________________________________ ________________________________________________________ l'entraînement et consultez immédiatement un professionel de la santé qualifié si la situation se présente (signature du professionel de la santé) 2 3 4 Canadian Fitness Safety Standards. chocolat et les colas significative Position corporelle • en position couchée (étendue sur le dos). poissons. bras.et postnataux. quotidiennement grossesse membres inférieurs des varices ou vers le côté. procurez-vous le Guide de pratique clinique intitul L'Exercice • l'augmentation du poids des seins et de l'utérus peut causer une projection vers l'avant du centre de gravité et augmenter la courbure au bas du dos (lordose) Cette position neutre est obtenue en fléchissant les genoux.p. Canada (aussi disponible en ligne à : www. bureau 202. procurez-vous le livre intitulé «Vie active et grossesse: Guide d'activité • les étirements doivent être bien contrôlés pour la mère et son bébé» © (1999). Disponible auprès de la Société canadienne de physiologie de lʼexercice.v. épaules.org accentuée et une bascule postérieure du pelvis Précautions • mettre l'accent sur une respiration continue tout au long de l'exercice Pour plus dʼinformation au sujet de la grossesse et de lʼaccouchement. chevilles.

give arrival time Diagnosis of Medical Unit 14 – VO2peak Prediction & Exercise Prescription for Pregnant Women Immediate Treatment Given by Medical Unit Injured person(s) taken to hospital? If Yes. emphysema. by whom? Medical Clearance Required? If yes.) Respiratory (asthma. etc. This information should NOT be available to other than authorized individuals. date given Witness (name) Phone number Address Signature of Reporter Date Name (print) Phone # Reference: Safety and Legal Responsibility – CIRA Safety and Legal Responsibility Committee. 5 – Canadian Certification Organizations 6 – Article — Safe Exercise Information Required for an Incident/Accident Report Form 7 – Article — Fitness Related Personnel Program 8 – Article — Pre-Screening and Informed Consent Program Supervisor Time of Incident Date of Incident 9 – Article — Training Special Populations Place of Incident Identification of participant(s) involved in incident 10 – Article — Emergency Procedures Name Address 11 – Article — Communicable Diseases – The New Normal Note: Report only facts. bone.Articles and Research Papers Allergies Date of Birth 1 – Summary of Fitness Injury Survey (1988) Conditions which may affect participation in fitness activities: 2 – Historical Development of the Fitness Safety Standards (1987) Cardiovascular (heart problems. Canadian Fitness Safety Standards. circulation problems. 3rd ed. muscle or joint problems.Information Required for a Medical Form Name C – Articles & Address Telephone # (day) (evening) In Emergency Notify: Telephone # (day) (evening) Research Papers Family Doctor (name) (telephone #) Medications Appendix C. etc. not opinions Description of incident 12 – Article — Fitness Environment Causes and contributing factors Description of injury(ies) and /or property damage 13 – ACSM & AHA Joint Position Statement — Immediate action taken by supervisor on duty and/or others (please be as specific as possible) Automated External Defibrillators in Health/Fitness Facilities Medical unit called? If yes. 111 . blood pressure. 3rd ed.) Other (anything not covered above) 4 – On-line Survey Sample Questionnaire (2004) Note: Medical information is CONFIDENTIAL. etc. 110 Canadian Fitness Safety Standards.) 3 – Industry Compliance Survey Results (2002) Musculo Skeletal (arthritis.

OR • One or more activity sessions are missed. By the mid-point in the study period. 113 .. Facility Type Number % ture. severity and predisposing YM/YWCA 17 15 factors of fitness related injuries in Ontario. The tist or first aid specialist. Prospective Study two additional study methodologies were added. As the project developed. count and compare personal. OR • examination or treatment by a medical or paramedical practitioner is required. Study Objectives The study objectives were: Table 2.Facility Survey Facility Type Number % Fitness Health (private) 14 12 Purpose of Study Racquet Fitness (private) 13 11 The purpose of this study was “to better define and quantify the incidence.” Municipal/Community 37 33 The identification and examination of these factors are intended to provide the Fitness Safety Standards University/College 17 15 Committee (FSSC) with information that will assist in the development of guidelines and standards for Weight Training (private) 4 4 preventing injuries. Responses by Use . 124 were completed and returned (28% return rate) Introduction Table 1. The following definition of injury was revised as approved by the FSSC: An injury has occurred when one of the following has taken place: • The participant is unable to complete the activity session. These were: The network of facilities was made up of 23 fitness facilities (97 sites) with a participant membership of • A Facility Survey designed to provide a “picture” of the fitness industry and an over-all fitness 140. An injury was defined as occurring when: The difficulties encountered with the Prospective Study were reviewed with the FSSC at two Committee • the participant required examination and/or treatment by a medical or paramedical practitioner. 3rd ed. OR • One or more days from work are missed. OR three methodologies were reviewed and approved by the FSSC before each study was implemented. The retrospective methodology was selected to allow for a larger sample to be surveyed.000. and Weight Training 6 5 • To propose guidelines that are likely to reduce the incidence and/or severity of fitness injuries. an attempt was made to months. Dance (Aerobics) 3 3 Other (single use) 5 5 Methodology The original study Terms of Reference called for a prospective methodology. The FSSC will use this information and other resources to recommend fitness safety Dance/Aerobics (private) 3 3 standards which should be met by public and private fitness facilities. incidence and severity of injuries experienced by Ontarians who participate in a variety of Fitness Health 21 19 fitness activities. Employee Fitness 8 7 The original facility types included in the sample were re-grouped according to facility use to allow an examination of injuries by facility use (e. injury rate. YMCA and Municipal/Community are both multiple-use). Racquet Fitness 15 13 • To identify. definition of injury was modified.Facility Survey • To design and conduct a combined prospective. den- meetings. OR • An over-use injury is sustained.Summary of Fitness Injury Survey (1988) Facility Survey The facility questionnaire was sent to 463 facilities. The Facility Survey made available fitness industry and injury information not included in the study Trackers were requested to make a greater effort. additional support materials were provided and the Terms of Reference and not previously available in an accessible form. it was evident that the number of reported injuries was not going • A Retrospective Study in which participants recorded injuries sustained over the previous nine to meet the study requirement (900 injury records). Responses by Type . environmental and activity specific factors associated Multiple-use 62 55 with fitness injuries. increase the number of reported injuries. 112 Canadian Fitness Safety Standards. The Retrospective Study was designed and implemented when it became clear that the Prospective Study would not gather a large enough number of injury records in the short period of time allowed. • the participant missed one or more sessions because of injury. At this point in the study. 3rd ed. retrospective and fitness facility study of the na. Canadian Fitness Safety Standards. OR • the participant missed one or more days from work as a result of the injury. Twenty-three trackers were recruited to monitor injuries at these facilities.g. 25 questionnaires were undeliverable.

based on hours of operation.full-time CFC (Chi-Square (2) equals 10.93. the injury rate is at Concerning screening. . tween injury rate and degree of screening. Of the 802 com. Thus the sample is less likely to contain people who are not interested in fitness.02) ioral Epidemiology at the Atlanta Centre for Disease Control. it does not b) Emergency Equipment suffer from extrapolations that might provide a rate that underestimates injury prevalence. juries. . Canadian Fitness Safety Standards. use their facility on a regular basis.57). one could argue that the d) Safety Signs questionnaire response rate of the injured participants is higher than that of uninjured participants be.e.. Also. The most significant observation was that 17% of the facilities had rates. using a This injury rate. pleted questionnaires. thus increasing the non-injured response rate.32% of the facilities reported no medical or paramedical personnel on the facility staff. Ten of the twenty-three participating facilities reported no injuries during the period of the study. response from participants who have suffered injury may result in fifty self-reported injuries. William Powell. however. 114 Canadian Fitness Safety Standards. Due to the relatively low return most part. are to be expected. The Second. for the as verified by monthly reports and by an end-of-study confirmation. participate in this study.8) and low injury rate (less This is simply a prevalence injury rate that specifies the total number of injuries (new or old) that exist than or equal to 0. there could be another thirty or more injured respondents who chose not to report. 3rd ed. The most significant observation was that 59% of the facilities reported whole sample. While this statistic has limitations to inferences beyond the sample. To illustrate.64.28% of the facilities reported no staff with a First Aid qualification. First. It can be argued that there are also possible biases in this rate. High risk activity areas reported a use of safety signs es the response of a non-injured individual. the advertising encouraged both injured and uninjured respondents to partake. Ten multi-use facilities participated in this study and were requested to distribute 4000 questionnaires: Results Mississauga Recreation and Parks Department Sault Ste Marie YW/YMCA Facility Survey: Significant Observations Northfield Racquet Clubs There were 124 completed survey questionnaires returned (28% return rate) from facilities representing Skyline Club a variety of facility types and uses. c) Screening culates the injuries as a proportion of the over all sample (i. Thus both injured and non-injured people interested in multiple-use facilities. a study that samples six fitness classes of fifty participants each and asks only for two or fewer of the emergency equipment items. is not confounded by the use of over all participation 5-item emergency equipment index. . They are compliant in the sense that they wish to volunteer rate. The facility operators were asked to report the presence of safety signs in their activity areas. There are few instances of facilities reporting more than 1 qualified staff member. It should be noted that all these selective response possibilities could normally be present in a volunteer sample. given the reported distribution of full-time and part- mentioned earlier. in multiple-use facilities. In the Retrospective Study we still have the problem of self-reporting. The facility operators were asked to report the emergency equipment available at their facility. using two or fewer of the screening procedures included on the 5-item screening index and 31% reported Thus the real injury rate is greater than the rate calculated for the study sample. Of particular note was the rate for The study was advertised as a fitness safety study. safety would be drawn to respond for safety reasons. 211 respondents reported injuries. there is not strong reason for us to believe such biases were distributed in the Retrospective Study: sample in other than random fashion across several facilities in different municipalities. 41% the previous nine months (i. calculation of an injury rate was deemed uninterpretable. use facilities. In fact. term of reference of the original study) was the time frame for reporting in. the Pro. It was ob- cause having an injury encourages the former person to complete a questionnaire more than it encourag. while limited in generalization. the encouragement of a high level of response in facilities was done by advertising the study.349 injuries per 100 hours of operation. These people cannot be forced to respond.005) spondents because a number of these people never participate. This is in contrast to an incidence rate which Significant relationships were found for the following: specifies the number of new injuries occurring during a specified time period. p<0. Seventy complete Fitness Injury Questionnaires were returned during the prospective component of the A more legitimate response bias that is unavoidable in most studies using most methodologies is that study.full-time PFLC (Chi-Square (2) equals 9. using one procedure or none at all.e. study of much longer duration. and The facilities returned 802 complete retrospective questionnaires. This represents a 26% injury rate among respon. a 20% return rate. . 115 . reported signs in dance/aerobic areas and 82% in squash courts. (an a priori practice with respect to injury) there is no marked association be- least based upon a common sample of injured plus uninjured volunteer respondents. served that the range in safety sign use was great. University of Toronto a) Staff Thornhill Community Centre The facilities were asked to indicate the number of staff employed at their facilities as well as the quali- Mayfair Tennis Club fications of their full-time and part-time staff. However. The significant observations were: Sports Clubs of Canada . However. Etobicoke Olympium . An injury rate for the responding facility operators was calculated.004) The prevalence injury rate of 26% reported here does not consider all possible facility members as re. inclusion of these people causes the bias These relationships.part-time CFC (Chi-Square (2) equals 10. using categories of high injury rate (greater than or equal to 0.part-time PFLC (Chi-Square (2) equals 7. p<0. 3rd ed.570 injuries per 100 hours of operation. For reasons previously described. only less than 100%.54% of the facilities reported no program staff with the CFC qualification. For example. people injured earlier than this (but not injured when responding to the questionnaire) e) Injury Rates could also have been drawn to complete the questionnaire. These data are from a more compliant population of individuals who. of volunteer respondents. calculated injury rate was . at a specific point in time relative to their non-injured peers. thus removing the possibility that people would think only the injured were allowed to respond. The most significant observations from this survey are summarized Variety Village here.008) sistent with rate definitions used by epidemiologists and defined by Dr. 50/300) then the injury rate is 16%. p<0. 53% reported gyms displaying safety signs.18. Chief of Behav. p<. . information of interest.62. However. This argument is speculative for several reasons. The associations between facility injury rate and selected staff qualifications were examined in multi- dents. This is The facility operators were asked to identify the procedures used to screen and monitor the health sta- not necessarily accurate because it considers the fifty reporting injured volunteers as a proportion of the tus of their fitness participants.. The rate reported only indicates prevalence among those people who volunteered to time staff. . For example. If one cal. These definitions are con. spective Study represents an attempt to report on a portion of what should have been an epidemiological fitness safety or fitness injury.

p<. In R. b) Type of Injury and Location on the Body In reviewing the type and location of injuries reported by participants. These relationships showed a marginal significance.K. 18% in squash and c) Activity During Injury 14% in weight training. p<.70. unsupervised at the time of their injury.6)=2. 70% of the participants indicated they tivity (i. or more years experience in the activity in which they were injured while 86% reported their fitness level • 56% of the injured participants were treated by a physician and 46% by facility staff. 30% reported 1-3 When asked if they had lost time from their fitness activity or work/school due to their injury. it was observed that there was a marginally significant relationship for females between activity pant membership of 140.24%. and weight rooms (14%).36% of the injuries reported were strains or sprains. The injured participants were asked to indicate where they received treatment. risk areas appear to be the gymnasium. 802 completed questionnaires were returned. When asked to indicate their experience and fitness level. 33% reported • 67% of the participants reported receiving treatment within one hour of their injury. with 211 partici- treatment. The small number of injuries reported increases the difficulty in making levels less than 10 hours/week and overuse and sprain injuries. for both males and females.09] The information on the injured participants was examined to determine possible relationships between Reference the type and location of injury and the number of hours of activity per week. While only 9% of the injuries reported were in designated aerobic areas. they continued with that activity session. K. When questioned about the degree to which their activity was limited by their injury. 15-40. 3rd ed. rest . IL: HumanKinetics. 25% of the partici- The predominant injuries occurring during aerobics.27%. [Chi-Square (5) =9. 41% re- years experience and 45% reported 4 or more year’s experience. when compared with the results of the Facility • 29% of the participants reported treatment was administered at home and 25% at a physician’s office. In- (Ed. there were 70 injuries reported from 23 facilities (97 sites) with a total partici- week. High The injured participants were asked to report the type and location of their injuries. reduced activity . f) Experience in Activity g) Lost Time When asked to indicate their experience in the activity in which they were injured. (For full data. see Other Study Results -Retrospective Study. elevation) .38%. 11% reported treatment at the injury site 26% reported receiving no treatment for their injury The most significant observations are listed below: • 42% of the injured participants reported self-treatment and 54% of treatment was administered by a a) Respondent Profile physician From the mean respondent profile it is seen that. compression.49% hours of activity and frequency of injury. sprain and overuse injuries. • Treatment administered included: ICE (ice. what the treatment was and the time of treatment.43. [t(350)=l. Retrospective Study: Significant Observations j) Treatment The injured participants were asked to indicate where they received treatment. Canadian Fitness Safety Standards. Those with a self-reported good to excellent fitness level reported mainly represents multiple treatment administration.71%.038] The relationship for males is marginally • 50% of injured participants reported waiting more than 13 hours before receiving treatment. injuries. where 25% of the injuries reported occurred.53% and reduced activity . who administered the h) Experience and Fitness Level treatment.42. should be noted that there is likely significant aerobic activity in the gymnasium areas. who administered the As a result of the Retrospective Study.3 days from fitness activity and 79% reported losing no work/school time. this in the good to excellent range. The highest rooms of highest injury frequency were gymnasia . In some cases. Powell. 116 Canadian Fitness Safety Standards. squash courts (19%) . There would g) Treatment appear to be little economic impact due to the injuries reported. Dishman There were no significant relationships. knee (lower leg) locations account for 41% of the injuries. what the treatment was and the time of treatment: pant injuries being reported. that. The results of this study. Champaign. it -25% of the injuries reported were to the ankle. In reporting the activity in which they were participating at the time of their injury. there is a significant relationship between • The most frequently administered treatments were ICE . Facility Survey and the Retrospective Study.10.E. jury Type and Location by Hours of Activity per week). significant. although hampered by their injury. However there are indications of trends which can be used to support both the knee injuries occurred most frequently in both males and females. 53% of the participants reported they had 4 • 58% of the injured participants were treated at the site of their injury. b) Room/Area at Time of Injury d) Activity during Injury The injured participants were asked to report the room or area where their injury occurred. for females.10] d) Supervision e) Supervision When questioned about the level of staff supervision. e) When Injury Occurred f) When Injury Occurred 69% of the injured participants reported that their injury occurred during their participation in the ac- In reporting the activity period in which their injury occurred. provide a sound basis for the over-all study project recommendations. The areas/ Participants reported the activity in which they were engaged when their injury occurred. 34% of the injured participants reported that the area or class was supervision at the time of their injury. injury levels were 19% in aerobics (plus 9% in low impact and other aerobic activity).l0] Back and definitive observations.e. (1988) Habitual exercise and public health: an epidemiological view.37% and court areas -16%.) Exercise Adherence: It’s Impact on Public Health.000. squash and weightlifting are overuse and sprain pants reported squash and 22% aerobics.. p<0. 117 . first i) Limited Activity aid . p<. [chi-Square (15)=22. 52% of the participants reported that there was no When asked about staff supervision. ported losing 0 .Prospective Study: Significant Observations When examining the relationship between injury type/location on the body and hours of activity per In the Prospective Study. in the middle third of activity time). [t(175. c) Room/Area at Time of Injury a) Type and Location of Injury The injured participants were asked to indicate the room or the area where the injury occurred. Survey and the Prospective Study. the following observations can be made: • The primary injury types were sprains-56% and overuse-33% • The combined foot. ankle. were injured during the activity. 3rd ed.

membership on the FSSC. Dr. Members profit and not-for-profit agencies. • the lack of cardiopulmonary resuscitation training and First Aid training for fitness appraisers and fitness leaders A) Establishing the Basis for Standards • the lack of client screening for contraindications to exercise Because of the social and economic impact of fitness injuries and the necessity of finding proper and • the absence of guidelines or standards for facility construction and equipment maintenance lasting solutions to many of the dilemmas faced by the fitness community. Therefore. were related to: However the Committee recognized that at times it was necessary to recommend safety standards based • overuse and impact shock on face validity. Approximately half way through the mandate. identified a number of concerns pertaining to safety in the fitness industry. on retrospective surveys and did not provide details on contributing factors Dr. including qualifications of personnel. Bert Taylor. Interest and appreciation was expressed by these groups. 118 Canadian Fitness Safety Standards. Taylor distributed In addition. The JF Group Ontario Public Health Association Previous Documentation Concerning Fitness Safety: A special effort was made to involve the disabled community in developing the standards. Although their findings have served to underline the problem. and it The 1986 Ontario Fitness Injury Survey. a member of the Committee and solicit feedback from the disabled community. recommendations for safety standards should be based upon strong epidemiological evidence. includ. Guidelines and Recommendations. Gledhill of York University. Canadian Standards Association St. Safety Advisory Board. ness industry. • coordinate the development of safety standards for the fitness industry including standards relating to The FSSC contacted many non-governmental organizations which were interested in improving and equipment. The recommendations from these inquests were considered by the feedback was received. sociations. client screening and supervi- sion. and • whereas the members of the FSSC who represent the various constituencies were named by those con- stituencies and involved their constituency fully in establishing the safety standards. the FSSC regretfully advised the MTR that the disabled community FSSC in its development of safety standards. 3rd ed. however it was decided that corre- • investigate the nature and incidence of injuries in the fitness industry including the collection of re. it was decided that wherever The most common injuries suffered during fitness appraisals. and professional as- tion of the Sports and Fitness Branch. become which could serve as a basis for safety standards.Historical Overview The authors of the above report. The Ministry of Tourism and Recreation directed the Committee to specifically: Representation on the FSSC: The membership of the FSSC was established by requesting the major interest groups in the fitness • have representation from a cross-section of the fitness service delivery community including both for. type and cause of injuries. • type of flooring and improperly selected footwear • incorrect performance of exercises as a result of inadequate instruction and supervision B) Approach: Voluntary Compliance • improper screening to identify those individuals with conditions for which certain fitness The FSSC had been advised through their legal council that. J. were taken into consider- • the absence of certification for fitness leaders ation and the final report was submitted to the Ministry of Tourism and Recreation on February 28. Canadian Manufacturers Association (Ontario Branch) ommendations by the fitness industry. John’s Ambulance of Metropolitan Toronto The FSSC attests that the above conditions were attended to properly. which is detailed in the Report of the Ontario Sports Medicine may be necessary to direct additional attention to this concern. but they were unable to name a rep- of fitness related activities. 3rd ed. Many operating standards that will ensure the safety of participants. Griffin of George Brown College and N. training and experience required by professional staff working in the fitness industry. 119 . 1990. and exercise program design. educators. Offers of voting membership were made to several prominent associations for the mentally and physically dis- A number of investigators have previously detailed the incidence of injuries incurred during a variety abled. but only modest deaths in fitness related activities. fitness classes and exercise programs possible. the Committee requested that based. The following accepted the invitation: • recommend a means by which those individuals participating in fitness activities can be assured that Squash Ontario reasonable care has been taken to ensure their safety and an indication of the acceptability of such rec. The FSSC was established to advise the Government of Ontario on matters pertaining to the develop- ment of safety standards for the fitness industry. were also solicited from other related groups which had expressed a desire to improve safety in the fit- ing one representative from the Fitness Section and one from the Community and Safety Initiatives Sec. Some of these concerns dealt with: • the qualifications of fitness appraisers Overview of the Deliberations of the Committee: • the lack of standardization in the preparation of fitness leaders The FSSC received its mandate in August of 1987. and the Ontario Sports Medicine Safety Advisory Board called for the establishment of professional stan- 1987 dards and guidelines in several areas. there was to be two members from the Ministry. for the most part. facility operation. In addition. it was deemed essential that such standards be reviewed and ap- • improper warm up and progression proved by as broad a representation of the fitness community as possible. community (representing both for-profit and not-for-profit sectors) to name a representative. such as health care professionals. and Canadian Fitness Safety Standards. of these groups wished to become full members of the Committee. there had been several Coroner’s Inquests in the province of Ontario which examined the minutes and proposals of the FSSC extensively throughout the disabled community. sponding Membership status would be offered to the groups/associations which could not be offered full search on the frequency. may not be adequately considered in the proposed Standards. they were resentative to the FSSC. a university professor who acts in an advisory role to several disabled groups. and promoting safety in the fitness industry and resolving the problems associated with fitness injuries. In the latter instances. The issues outlined below. regimens are contraindicated • whereas the constituencies which are represented on the FSSC were identified by the MCCR as being • exercise levels set beyond the capability of the participants representative of the fitness community. the disabled community.

To establish safety standards pertaining to the provision of fitness related services. Public fitness clubs Canadian Fitness Safety Standards. including but not • Participant responsibility limited to: 4. An important clarification was the term Minimal (as a minimal standard). namely Rental Facilities • the personal suffering and hardship on the individual and his/her family Senior Citizen Homes/centres • the cost to the Ontario health care system Youth Clubs • the negative impact on participation.• whereas many other major fitness related groups were invited to become corresponding members and Golf and country clubs were sent periodic updates informing them of the work of the FSSC and requested to provide feedback Hotels and motels on FSSC proposals. To establish safety standards pertaining to fitness-related environments including. 120 Canadian Fitness Safety Standards. There have been both social and economic benefits to Ontario from this participation. Pre-Schools untary compliance should be successful. Minimal 3. the most appropriate manner of presenting safety standards related to the construction of fitness • Fitness appraisers facilities might be as Recommended Guidelines. development of fitness related personnel including. apartments. 3rd ed. Since the fit- ness community was fully involved in establishing the safety standards. etc. To establish safety standards pertaining to the qualifications. maintenance and operation • Equipment design. B) Educational Institutions such as: mentation of these standards will be acceptable to all members of the fitness community. and hence. For ex- ample. and solely in relation to the provision/counseling of fitness activities and services: Committee members also recognized that the final recommendations must take various forms. Dance studios • then it can be anticipated that the standards developed by the FSSC will be recognized as the acceptable Condominiums. Prudent managers will comply with the standards to avoid safety problems.) compliance. tae kwon do. To establish safety standards pertaining to the screening of participants planning to engage in fitness Resorts and spas related activities. However. Church Halls A number of concerns have arisen out of these observations. Master’s Athletic Programs some of which include: Clinical Exercise Programs • developing a profile of the fitness industry Employee Fitness Programs • establishing a sense of what fitness services are available Holistic Health Offerings • determining how the education system can be used to promote fitness safety Wellness Programs • the health care benefits of safety Pre-Natal and Post-Natal Classes • the desirability of voluntary compliance to enforce safety standards • the problems of implementing and safeguarding standards across all regions of the province and 2. but not limited to the following. leaving open the ability to exceed the minimal standard with even higher standards. it is recommended that the success of this approach Elementary Schools be evaluated in not less than three or more than five years after the implementation of the standards. • Indoor and outdoor facility design. Fitness Services Personal Fitness Consulting Committee members identified a number of specific concerns with regard to fitness safety standards. • Facility operators/administrators/supervisors tions and in the report. conduct and continuing professional • what the effects might be on the profit and not-for-profit sectors of the fitness industry. whereas the safety procedures for the operation of facili. To establish safety standards for the use of approved emergency equipment and procedures pertain- Fitness Facilities: ing to fitness related activities and facilities. but not limited to: is to be interpreted as the appropriate level which the FSSC agrees must be met. vol. A) Public. 3rd ed. it is anticipated that the imple. maintenance and operation D) FSSC Objectives • Signs 1. 121 . Not-for-profit agencies Corporate fitness centres The recommended approach to be taken in implementing Fitness Safety Standards is one of voluntary Sport specific studios (karate. Secondary Schools Private Schools C) Defining the Problem Colleges and Universities Public participation in physical activity (sport and fitness) has increased considerably over the past two decades. • Personal fitness consultants and counselors At the outset of its mission. and rental dwellings standards of safety in matters concerning fitness related safety issues. C) Community Facilities such as: accompanying this trend toward greater participation in sport and fitness is the concern that there may be Community Centre Halls an increase in the number and severity of injuries. Private/Commercial centres such as: Private fitness clubs 5. the FSSC sought to define the terminology to be used during its delibera. To this end. However. • Fitness leaders and physical activity instructors ties and qualifications of personnel might best be stated as Standards. the Committee produced a lexicon of working definitions (see Glos- sary of Definitions).

especially. Therefore. Another organizational concern is the education of the fitness con- • symptomatic individuals sumer in such areas as. Is it justifiable? (i. e. To identify. The physical problems were identi. Is it focused (both specific and succinct)? Appendix-C. no favoritism. improper body mechanics in the performance of an exercise and exercising at a level to which the body had not yet become accustomed. Is it practical/usable? 3. to consider and to include the fitness related activities of special The predisposing factors identified in the literature indicated a number of basic trends. shin. proper footwear and clothing. G) Research Commissioned by the FSSC 8. and poor program design. choosing a facility. E) Criteria to be Applied When Considering Potential Standards The objectives of the fitness injuries study were as follows: The Committee developed the following list of criteria which were applied when considering the estab. 122 Canadian Fitness Safety Standards. 3rd ed. poor populations including. specifically the lower extremities (foot. based on a concern which needs to be addressed)? A summary of the Fitness Injury Survey may be found in the Articles and Research Papers. inci- lishment of potential safety standards. insisting that the participant begin the exercise regi- men at a lower intensity and ensuring that the exercise progression is appropriate. • Construction. Guidelines and Recommendations for each of Is the potential economic impact reasonable? the major operating components within the Ontario fitness industry. ducted by Fraser Shaw Consultants. quantify and compare personal. To make recommendations concerning the promotion. 123 . In establishing safety standards. severity and predisposing factors to fitness related injuries in Ontario. • the physically and intellectually disabled and developmentally handicapped and enhanced program planning. evaluation of safety standards. In establishing safety standards. 6. Is it attainable? The FSSC stipulated that the study must be epidemiologically designed. Canadian Fitness Safety Standards. upon which to base the need and subsequent implementation. but not limited to the following: instructor training/qualifications. operation and maintenance of fitness-related environments fied as injuries to the musculoskeletal system. Is it measurable (able to be monitored)? Is it equitable (applicable to all. These injuries could be overcome by lessening the frequency of exercise. These problems might be overcome by having properly trained and qualified personnel. and lower back). It was evident that a more realistic and comprehensive un- derstanding of the fitness injury problem was needed before appropriate standards could be formulated. better facility design. It appears that improper technique in performing 7. poor facility design/maintenance. namely: Is the time frame for implementation realistic? Is it generally acceptable to the fitness community? • Qualifications of personnel who provide fitness related services Is it valid? • Training and recognition of fitness consultants • Training and recognition of fitness leaders F) Literature Review on Fitness Injuries • Screening and informing participants planning to engage in fitness activities Reports and articles on fitness injuries were researched and reviewed. infectious diseases. there is conflicting evidence as to the role floor surfaces and footwear play in the incidence of fitness injuries. 3rd ed. The major problems identified in past studies related to • Management of communicable diseases in fitness facilities two main themes: physical injuries and related predisposing factors. programs and advertising on fitness that could adversely affect safe participation in recommendations could be developed. Does it lead to safety? 2.g. the FSSC commissioned a research project to be con- physical activity by citizens of Ontario. To design and conduct a combined prospective and retrospective study to determine the nature. 9. 1. communication and implementation of the An extensive literature review and consultations with both interest groups and epidemiologists con- fitness safety standards developed by the FSSC along with a plan for evaluating the effectiveness of the vinced the FSSC that the material needed by the Committee.e. To propose guidelines or standards which are likely to reduce the incidence and/or severity of fit- Is it realistic? ness injuries. knee. Issues and problems related to • Special exercising populations and concerns fitness injuries were identified and considered. to consider and to include the fitness related activities of those with exercises and inappropriate progression are the more likely causes of injury. dence and severity of injuries experienced by participants in fitness activities in Ontario’s fitness facilities. environmental and activity-specific factors associated Is it a standard? with fitness injuries and their correlation to existing safety standards or the lack thereof. and appropriate programming. did not exist. ankle. The purpose of the project was to better define and quantify the inci- dence. regional considerations)? H) Organization of the First Document Is it accessible/available? The Fitness Safety Standards Report outlined Standards. • special age groups On the question of the facility/injury relationship. To identify and address concerns pertaining to the impact of the print and broadcast media as it A major problem with the existing literature was the lack of an adequate statistical base from which presents information. Injuries occurred due to overuse.

124 Canadian Fitness Safety Standards. 3rd ed. 2002 FITNESS AREA PERSONNEL • 88% of respondents staff fitness areas • NE only region below the average compliance (76%) SURVEY METHODOLOGY • Cross-sector/region contact list Educat • Telephone survey .12. 0 20 40 60 80 100 % With Fitness Area Staff North East 9% South West East 14% FIRST AID QUALIFICATIONS Cent. 2002 • 340 successful surveys Workp'ce • Data tabulation and analysis Municipal • Results summary M.April 1 .000 sq. West • 84% of respondents qualify 75% or more of their fitness staff with first-aid 15% 17% • No regional deviation North West Cent. Arts 76%+ -75% Hosp'ity RESPONSES BY SECTOR Commer • Commercial represents 72% of total responses • Municipal/charitable/education facilities tend to be bigger 0 20 40 60 80 100 • Commercial clubs tend to be smaller % Fitness Staff First Aid Qualified CPR QUALIFICATIONS Educat • 89% of respondents qualify 75% or more of their fitness staff with CPR Workp'ce • No regional deviation Charitable Municipal Educat M. ft. 125 . Arts Hosp'ity Workp'ce Commer Municipal 0 50 100 150 200 250 M. 3rd ed. Arts 76%+ Hosp'ity -75% Responses Commer 0 20 40 60 80 100 % Fitness Staff CPR Qualified Canadian Fitness Safety Standards. East 2% Educat 43% Workp'ce Municipal M. Industry Compliance Survey Results Summary STAFFING - Prepared for the: Fitness Safety Advisory Council April 18. Arts Hosp'ity RESPONSES BY REGION Commer About 50% of facilities in all regions are less than 10.

126 Canadian Fitness Safety Standards. 3rd ed. Arts Yes No Hosp'ity Commer 0 20 40 60 80 100 % Respondents With Personal Trainers Canadian Fitness Safety Standards. Arts Yes Hosp'ity No Hosp'ity Commer Commer 0 20 40 60 80 100 0 20 40 60 80 100 % Fitness Staff NFLAC Certified % Respondents Using Pre-Screening PERSONAL TRAINERS OFFERED • On average 75% of facilities offer Personal Training METHODS • No regional deviation • Par Med X and Par Med X for pregnancy used least often • NW and SW use Par Q and Par Med X about half as frequently as the other regions Educat Workp'ce Municipal M. 127 . 3rd ed. Arts 51%+ -50% Hosp'ity Commer 0 20 40 60 80 100 % Fitness Staff CSEP Program Qualified PRE-SCREENING - NFLAC PERFORMANCE STANDARDS COMPLIANCE • 67% of respondents use certifications other than NFLAC • 80% of all respondents use pre-screening methods • Can-Fit-Pro. Arts -50% M. YM & YWCA most popular alternatives • No deviation by region Educat Educat Workp'ce Workp'ce Municipal 51%+ Municipal M. CSEP PROGRAM QUALIFICATIONS PERSONAL TRAINER CERTIFICATIONS • Less than half of all respondents qualify 50% or more of their fitness staff through • Can-Fit-Pro most popular in all sectors except workplace (CPTN) the CSEP Program • Can-Fit-Pro most popular in all regions • No regional deviation Educat Workp'ce Municipal M.

75% of members are appraised before a program in 50% of • Martial Arts uses for programs most often facilities • NW uses less often than other regions • No regional deviation Educat Educat Workp'ce Workp'ce Municipal Municipal Facilities M. Hosp'ity Hosp'ity Commer Commer 0 20 40 60 80 100 0 20 40 60 80 100 % Respondents Have Signage % Respondents Referring Medical Advice FITNESS APPRAISAL OFFERED • 77% offer appraisals MAX TESTING • No regional deviation • Less than 30% of facilities offer max testing • About 40% of tests are supervised Educat Workp'ce Municipal M. SPECIAL POPULATIONS VISIBLE IN HIGH RISK AREAS MEDICAL ADVICE • 78% general compliance • 82% (pregnancy) and 72% (70+ yrs. 3rd ed. Arts Programs -50% Hosp'ity Hosp'ity Commer Commer 0 20 40 60 80 100 0 20 40 60 80 100 % Use By Respondents % Appraised Before Program SIGNAGE . Arts Yes 70+yrs M. USE OF INFORMED CONSENT APPRAISAL BEFORE PROGRAM • Informed consent used most often for facilities • On average. Arts 51%+ Services M. Arts No Preg. 128 Canadian Fitness Safety Standards. Arts Yes No Hosp'ity Commer 0 20 40 60 80 100 % Respondents Offering Appraisals Canadian Fitness Safety Standards. 129 . 3rd ed.) general compliance • Martial Arts facilities comply least often • No regional deviation Educat Educat Workp'ce Workp'ce Municipal Municipal M.

130 Canadian Fitness Safety Standards. ETC. • Very little sectoral deviation • No regional deviation COMMUNICABLE DISEASES • Overall 48% compliance • No regional deviation Educat Workp'ce Municipal M. 3rd ed. Arts Hosp'ity Commer 0 10 20 30 40 50 60 70 % Respondents Offering Training Canadian Fitness Safety Standards. AWARENESS PLANS • 52% of respondents aware of standards • 86% average compliance • E (40%) and CW (44%) regions least aware • Generally practised once or twice per year Educat Workp'ce Educat Municipal Workp'ce Municipal M. Arts Practised Hosp'ity M. 3rd ed. Arts Plan Hosp'ity Commer Commer 0 10 20 30 40 50 60 70 80 0 20 40 60 80 100 % Respondents Aware of Standards % With Emergency Plan EMERGENCY KITS. 131 . EMERGENCY PROCEDURES .

  . 2nd level priority 7 11.CPR & First Aid All fitness facility personnel and other fitness service providers should be  qualified in first aid and CPR. From simple exercises to long term life- 1. the relationship between the public fitness industry safety practice? and the profession is based on quality standards of practice. How IMPORTANT/RELEVANT is Standard # 1 as a style changes. 3rd level priority 1 1. Important: higher relevance.9% Slightly Important: lower relevance. highest priority 50 84. personal and business ethics and the ex- Very Important: highly relevant.7% pectation that advertised benefits will be delivered.  Standard#1 . (S) Surveys        View Survey Questions Canadians who have enlisted the services of health and fitness providers expect to be treated with com- petence.7% Unimportant: no priority or relevance 0 0           No Judgement: I am not that certain about any of the above choices.

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