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167Madalyn Moore
SER 311-01, Testing and Exercise Prescription Lab
Module 4: Musculoskeletal Fitness and Senior Fitness Battery
April 19, 2022
Dr. Brian LarouereBackground
The components of musculoskeletal fitness include muscular strength, muscular power, muscular
endurance, and flexibility. Muscular strength can be defined as the maximal amount of force that ean be
generated by a muscle during a specific movem
nt pal ral everyday example for muscular strength
Aw
would be carrying in groceries. For instance, carrying a gallon of milk will require more muscular strength
than carrying a loaf of bread, Muscular power can be defined as the rate at which a person performs work;
therefore, it is how quickly a person is able to generate force is short period of time. An everyday example of
‘muscular power is heavy gardening, such as shoveling; a person will have to generate a ot of force ina short
period of time to drive the shovel into the ground effectively. Muscular endurance is the ability of muscle or
muscle group to exert force consistently and repetitively over a period of time. An example of muscular
endurance in everyday life is walking up multiple fights of stairs. The longer a person is walking up stairs, the
‘more fatigued their muscles will feel, specifically the quadricep and hamstring muscles of the thigh. A person
with greater muscular endurance will be able to walk up more stairs with a later onset of muscular fatigue.
Lastly, flexibility is defined as the ability ofa joint to move through a range of motion. Some factors that can
affect a person's flexibility are musele elasticity, muscle length, joint structure, as well as age and gender. An
everyday example of flexibility would be bending over to pick up an object. It is important to continue to
improve flexibility with age because it can help reduce risk of injury as well as help improve balance and
stability
“Musculoskeletal fitness is assessed to understand a person’s muscular capabilities as well as their
flexibility. 1 is important to understand these components because it will help to better apply
individualized programs to fit a person’s goals both athletically and generally to promote a healthier
lifestyle. By assessing musculoskeletal fimess quantitatively, the data collected ean be compared to the
‘normative data for that individual’s age and sex. As mentioned prior, with the assessment of
\dividualized exercise prescriptions can be formed to best satisfy the goals of
musculoskeletal fitnes:
the client to promote healthy living. By improving musculoskeletal fitness, an individual also decreases
their risk for sarcopenia (degeneration of muscle mass), osteoporosis (loss of bone mineral density), and‘musculoskeletal injury. Musculoskeletal fitness is also important for improving metabolism,
proved
glucose tolerance, controlling weight, and enhancing the ability to complete activities of daily living.
Data
Name: Madalyn Moore
Age: 21
Sex: Female
Height: 71"
Weight: 175 Ibs
Current resistance training: mandatory lifts for basketball 3 days/week in | hour sessions (arms, full
body, legs). Little rest period provided to induce an aerobic component to the
stance 1
ining session.
Test Type
Date of
‘Test
Measured Fitness
Component
Test Score
Interpretation
of Score
Confidence in Accuracy of
‘Test Result
Grip Str
Test
asie2
Mascular
Power/Strength
Sum of Left
and Right
hands: 78kg
Above average
for age and sex
(Table 5.1)
Low: The administrator did
not properly adjust the hand
‘grip dynamometer, so I was
able to grip the deviee
further than my second
joint, thus allowing me to
apply more strength.
Grip Strength,
Test
ann
Muscular
Power/Strength
Sum of Left
Above average
for age and sex
(Table 5.1)
High: Administrator
followed the protocol and
adjusted my grip so that my
second joint was bent over
over the handle of the
dynamometer. I was also
reminded to keep my arm at
290 degree angle
Grip Strength
Test
ania
Muscular
Power/Strength
Sum of Left
and Right,
hands:
70.1kg,
Above average
for age and sex
(lable 5.1)
High: Relatively simitar
score to a test done the same
day by a different
administrator, Protocol was
followed, so my arm was at
290 degree angle, arms
were altemated to allow for
rest, and the device was
adjusted properly to my
hhand size
Grip Strength
Test
4/922
Muscular
Power/Strength
Sum of Left
and Right
hands:
64.9kg,
Average for age
and sex
(Table 5.1)
Moderate: | did not squeeze
the dynamometer very long.
before my administrator had
ime stop, So my scores were
Tower in comparison to the
other tests, [also do not
believe I putin my full
effort into this test.Test Type
Date of
Test
Measured
Component
‘Test Score
Interpretation
of Score
Confidence in Accuracy of
“Test Result
Test
ania
Muscular
Power/Strength
and Right
hands:
69.5kg
Above average
for age and sex
(Table 5.1)
High: The dynamometer
was properly adjusted to fit
to the second joint of my
hhand. I held the squeeze for
2-3 seconds with an arm
bend of 90 degrees.
ais
3
Muscular
Endurance/Strength
Repittions:
2
Very good for
age and sex
(Table 5.5)
Moderate: The
administrator ran the test
well, and I used proper form
for the protocol. However,
because I wanted a higher
score, | completed modified
ppush ups on my knees rather
than normal push ups, so the
interpretation of my score is,
not completely accurate
because my score was being
‘compared to the normative
data of females who were
doing full push ups,
Push Up Test
(modified)
ann
Muscular
Endurance/Strength
Repititions:
20
Good for age
and sex
(Table 5.5)
Moderate: I put in minimal
effort to this test, Also, the
interpretation of my score is
inaccurate beeause I
‘completed modified push
ups instead of full push ups.
Push Up Test
(modified)
an
Muscular
Endurance/Strength
Repettions:
28
Very good for
‘age and sex
(Table 5.5)
Moderately high: I putin
full effort into this est and
used proper form according
to the protocol. However,
completed the push ups on
my knees so the
interpretation of my score is
not as accurate a it could
hhave been if | had done the
push ups normally
Push Up Test
(modified)
angi
Muscular
Endurance/Strength
Repettions:
20
Good for age
and sex
(Table 5.5)
Moderate: Because I
‘completed this test after the
YMCA bench press test
‘with minimal rest, I believe
that my score is not as
accurate as normal Talso
completed modified push
ups on my knees rather than
normal push ups, so the
interpretation of my score is,
not completely accurate in
‘comparison to the norm dataTest Type
Date of
Test
Heasured Fitness
‘Component
‘Test Score
Interpretation
of Score
Confidence in Accuracy of
Test Result
Push Up Test
(inoditied)
anor
Muscular
Endurance/Strength
Repettions:
0
Good for age
and sex
(Table 5.5)
Moderate: My hands were
placed shoulder width apart
‘and I was approximately a
fist away from the Noor
‘upon each repetition,
However, F completed the
ush ups on my knces rather
than normal push ups, so the
interpretation of my seore is
not completely accurate
because my score was being
compared to the normative
data of females who were
doing full push ups
‘One Minute
Sit Up Test
(Curl ups)
41si22
Muscular
Endurance/Strength
Repetitions:
44
Excellent for
‘age and sex
(Table 34b)
Moderate: Because the
administrator had me
complete a curl up test
rather than a sit up test,
using a metronome is a part
of the protocol and I would
continue ata pace of 40bpm
‘until fatigue. However, one
‘minute was used instead.
Because there was only
normative data for the one
minute sit up test, my data is
slightly inaccurate due to
my completion of curl ups
rather than sit ups
One Minute
Sit Up Test
nz
Muscular
Endurance/Strength
Repetitions:
38
Good for age
and sex
(Table 340)
High: I touched my
shoulders to the mat upon
every repetition and made
sure to keep my arms across
my chest
‘One Minute
Sit Up Test
an
Muscular
Endurance/Strength
Repetitions:
39
Good for age
and sex
(Table 346)
High: I put in maximal
cffort and followed the
instructions of my
administrator. Administrator
‘motivated me as the test
continued and kept me
updated on how much time
wwas left
One Minute
Sit Up Test
angi
Muscular
Endurance/Strength
Repettions:
40
Good for age
and sex
(Table 34b)
High: Test score was very
similar to two other
previous test scores. I
followed protocol and also
put in maximum effort for
the one minute time limit,Test Type
Date of
Test
Measured Fitness
‘Component
Test Score
Interpretation
of Score
Confidence in Accuracy of
Test Result
One Minute
Sit Up Test
ang
Muscular
Endurance/Strength
Repettions:
a2
Good for age
and sex
(Table 34b)
High: Test score was similar
to other test scores
previously completed. | was
motivated throughout the
‘entire test, $0 I was able to
perform better inthe
allotted ‘oftime, My
rms were crossed against
my chest the enti
tnd my shoulders touched
the floor upon every
repetition
YMCA
Bench Press
Test
4sr22
Muscular
Endurance/Strength
Repetitions:
21 (43Ib)
Average for age
and sex
(Table 5.4)
Moderate: I believe I could
have put in more effort to
this test, but I followed the
protocol well and stayed
with the metronome for the
cetire duration of the test
‘The interpretation of my
data willbe slightly
inaccurate because protocol
for a female states that a
35lb weight should be used.
My data, in comparison to
the normative data, will be
skewed as a result of the
absence of a 35Ib weight.
YMCA
Bench Press
Test
nie
Muscular
Endurance/Strength,
Above average
for age and sex
(Table 5.4)
Moderately high: I put in
‘maximal effort for this tes.
My arms were atthe proper
‘width on the bar, and the bar
touched my chest on each,
repetition, However, the
protocol was to use a 35Ib
‘weight, so comparing my
score to the normative data
was slightly inaccurate,
YMCA
Bench Press
Test
41222
Muscular
Endurance/Strength
Repetitions:
18 451b)
Below Average
for age and sex
(Table 5.4)
‘Moderately low: Completed
this test last with minimal
rest before, 0 I put in less
effort than normal. Also,
because the protocol for
females wanted a 35Ib
‘weight, the interpretation of
my score would be
inaccurateTest Type
Date of
‘Test
Measured Fitness
Component
‘Test Score
Confidence in Accuracy of
Test Result
YMCA Bench
Press Test
ani9n2
Muscular
Endurance/Strength
Repetitions:
21 (45Ib)
Average for age
and sex
(Table 5.4)
Moderate: I stayed with the
‘metronome, kept my bands
shoulder-width apart of the
barbell, and touched the bar
to my chest upon each
repetition, However, the
protocol was to use a 35Ib
‘Weight, so comparing my
score to the normative data
8 slightly inaccurate.
Sit-and-Reach
Test
4122
Flexibility
Highest
‘Trial: 39 em
Very good for
age and sex
(Table 6.1)
Low: My administrator did
not subtract three
centimeters from the
distance collected for this
test; therefore, my data was
higher than it should be for
my level of flexibility.
Sitand-Reach
Test
anne
Flexbility
Highest
‘Trial:
35m
Good for age
and sex
(Table 6.1)
High: The administrator
reminded me to warm up
beforehand. My shoes were
removed, fingertips
perfectly overlapped, and I
released a deep breathe
upon reaching forward.
Sit-and-Reach
Test
422
Flexbility
Highest
Trial:
350m
Good for age
and sex
(Table 6.1)
High: [was able to warm up
beforehand. I followed
protocol exactly following
the demonstration of my
administrator. I held the
reach for 2 seconds before
releasing the stretch.
Sitand-Reach
Test
anign2
Flexbility
Highest
‘Trial:
35cm
Good for age
and sex
(Table 6.1)
High: Consistent test score
with two of the previous
tests ran on me, I followed
‘protocol (no shoes,
fingertips overlapped, no
bend in the knees). [also
held the reach for 2 seconds
before releasing the stretch.
Sitand-Reach
Test
angr22
Flexbility
Highest
‘Trial
37.5em
Very good for
‘age and sex
(Table 6.1)
Low: My administrator did
not subtract 3em from my
score, I also did not choose
to warin up prior to the test,
‘but my administrator did
‘give me the option to do so.Test Type | Date of | Measured Fitness | Test Score | Interpretation | Confidence in Accuracy of
Test ‘Component of Score Test Result
Shoulder | 4/522 Flexbitity | Rightarm: | Pass (both right | Moderately low: Did not
Flexbility +5em tnd left arms) | warm up/steetch prior to this
Test Left arm: test, 80 the flexibility of my
+15¢m Jef arm was not as accurate
as it could have been. There
‘could have also been error
in measurement ~ may not
hhave gone the straight line
distance down the center.
Shoulder | 4/12/22 Flexibility | Rightarm: | Pass (both right | Moderately high: Was given
Flexibility Sem ‘and leftarms) | the chance to stretch out my
Test Left arm: +2 shoulders, However, {had
em to hold my left shoulder
position for an extended
period of time waiting for
the administrator to measure
the overlapped distance
which caused me to
decrease the distance of
overlap between my top and
bottom hands
Shoulder | 4/12/22 Flexibility | Rightarm: | Pass (both right | High: I followed protocol
Flexibility 4om ‘and leftarms) | accurately and was properly
Test Left arm: +4 stretched beforchand. The
om administrator was able to
measure the test quickly
‘which allowed me less time
to hold the position making
it easier for me.
Shoulder | 4/19/22 Flexibility | Right arm; | Pass (both right | High: Was warmed up prior
Flexibility Sem and eft arms) | to the test, and administrator
Test Left arm: +3 accurately measured the
om distance overlapped
‘between my top and bottom
hands for both the right arm
test and left arm test.
Shoulder | 4/19/22 Flexibility | Rightarm: | Pass (both right | Moderate: Chose to not
Flexibility “40m and leftarms) | warm up prior to test, but
Test Left arm: +2 was given the opportunity
om by the administrator. Scores
‘were similar to other tests
‘completed prior, and
‘measurements are believed
to have been done
accurately.Test Type | Date of | Measured Fitness | Test Score | Interpretation | Confidence in Accuracy of
Test ‘Component of Score Test Result
Multiple | 4/12/22 | Muscular Strength | 3RM: 6018 | N/A Moderately low: Ido not
Repetition think the machine was
Maximum adjusted to my limb length,
Te so the grip and push of the
(Shoulder handles upward was more
Press) difficult than if using
dumbbells to assess the
BRM. Falso did not
‘maximal effort into
and did not receive the
allotted amount of rest time
between sets,
Sourees Used in Background and Data Table
1. Provided in handbook
Discussion of Test Results
Based upon my current and previous resistance training experience, I believe that most of these tests
assessed my muscular endurance and muscular strength accurately. For basketball, we are required to complete
30 pushups a day split into 3 sets of 10 esti Therefore, I believe that the push up test was able to
accurately assess that I have made improvements in my muscular endurance. However, because there was no
‘modified push up normative data, the assessment ofthe push ups I completed would be slightly inaccurate, We
also tran the core during lift sessions for basketball, s0 I believe thatthe one-minute sit up test was an accurate
measure of my muscular endurance and strength of my core. I have not been required to bench for a long
duration of time, so the YMCA bench press test was abnormal for me. I do believe that it was able to provide a
Useful assessment for my muscular endurance and strength. However, because there was no 35Ib weight able to
be used in the protocol for women, my data will be skewed in comparison to the normative data of those who
‘were lifting a 3SIb load, Because I had not participated in standard bench press in long time, and am currently
completing 30 push ups a day, I believe thatthe push up test was a more accurate assessment of my upper body
muscular stength and endurance. The flexibility tests were very limited assessments of overall flexibility. The
sit and reach test only measured the flexibility ofthe lower back and hamstring muscles, but it did this,
accurately as long as I stretched and warmed up beforehand, The shoulder flexibility test assessment was alsoapplicable to me, specifically, because in basketball, shoulder flexibility and scapular stability is an important
component of several different aspects of the game,
For the general population, I belicve that all the musculoskeletal tests ran would be accurate, The
curate and time-efficient for the individual who had access to the
YMCA bench press test would be a
equipment, but for those who do not the push up tests an acurae alternative o assess muscular endurance
For flexibility, I believe that the sit and reach test was a good assessment of lower back and hamstring
flexibility and can help an administrator evaluate and develop a flexibility regimen for the lower body based on
the data collected. Testing shoulder flexibility is also important for the general population because itis
regularly used joint that is prone to injury due to its great range of motion. By assessing the flexbility of the
shoulder joint, an administrator can help determine functional limitations and help improve range of motion by
prescribing stretches to be completed two to three times per week.
De
Fitness Test: Easier Modification: Harder Modification:
Hand Grip Test Use a different grip (more hand | Use a different grip (less hand
covers handle) covering handle/fingertips only)
One-Minute Bent Knee Situp | Half sit-ups Hold a weight
Test Feet not held down
Decline sit-ups
Push-up Test On knees Weight applied on back
Inclined One-handed
Declined
YMCA Bench Press No metronome Increase weight
Lighter weight Closer grip
Board press (decrease ROM)
Sitand-Reach Test Knee bend, One foot instead of two on the
Using one arm instead of two | box
Shoulder and Upper Arm Reach with one arm NA
Flexibility Test
‘Multiple Repetition Test: Increase rest period Decrease rest period
Shoulder Press/Leg Press Remove percent increase
restriction (less sets of weight
having to be lifted if client is
‘confident to skip weight)Learning
[After looking over the observations my pers wrote regarding my testing sil some of my mistakes
include
proper greetings, vague instruction, and improper following of protocol. I would agree that some of
iy greetings were not professional, and sometimes I would forget to greet the client. My professionality upon
greeting was mainly determined by how well | knew the client; however, in a real situation, such as Senior
Synthesis, 1 would be sure to grcet the client professionally and ina friendly manner. Inthe first week of
running the musculoskeletal tests, L was not confident in delivering the instruction of the proper form that must
be used when performing the test, For instance, a peer commented that my client was not performing his push
up test correctly (arms at the improper width and not going deep enough), As I progressed and better
memorized the protocol, | was able to improve upon my instruction delivery to my clients so that they were
better able to perform the test with a higher amount of accuracy. Lastly, due to a lack of proper equipment in
the fimess center, I was unable to follow the correct protocol for the YMCA Bench Press test when running it
‘on female clients. 1 was unable to provide them a 35 pound weight to complete the test, so there would be
inaccuracies in the assessment of thei test interpretation in comparison to the normative data. As seen in my
peer observations, I do believe that I improved in administering the musculoskeletal tests. SimilarfY to the
other modules, I needed time to become familiar with the protocols in order to best provide instruction to my
client, However, I think that I improve more when running tests on non-Exercise Science majors, because the
Exercise Science majors as clients are able to perform the tests easily without instruction. Therefore, itis hard
to assess how well I am administering the test when the client is performing it well duc to their own
background knowledge.
From this course, I learned some of the major protocols for testing the different components of
fitness as well as why these tests are the best for establishing a baseline knowledge of a client's fitness
status, Because | now know these protocols, I feel confident in running them on my Senior Synthesis
client and will use the scores of his or her tests to establish a reasonable exercise prescription to best help
them achieve their fitness goals.Thave also leamed how to give intelligible and casy to understand instructions to individuals who
are not knowledgeable in the exercise testing protocols. I am glad that we were required to test
non-Exercise Science majors for the reason bi
g that I had to know the protocol very well in order for
iy client to be able to learn from my instructions. During the first module of this course by instructions
I gave to my clients were excessive and hard to follow, especially for those who had litle exercise
physiology background. As the course progressed, I was able to refrain from overexplaining concepts and
use basic terminology and demonstrations to help my client perform the test accurately. Improving my
delivery of instructions will help me with my Senior Synthesis client immensely, because it will help my
client be able to perform the test to the best of their ability with less error duc to confusion or
rmisguidance; therefore allowing me to develop an accurate exercise prescription based upon their data.
Lastly, Ihave learned how to professionally and considerately explain a client's test results with
them in a way that was comprehensible to the client based upon their current knowledge. Upon beginning
this course, it was difficult for me to explain test results to client, especially ifthe results were poor. Now,
however, I am able to better explain the results in a way that establishes the idea the client needs to
improve upon certain aspects of their health and explain why itis important for those areas to be
improved upon. This skill will help me be better prepared for explaining test results to my future client in
Senior Synthesis and make me feel more confident and comfortable that I am knowledgeable in
‘explaining the meaning behind the scores of their exercise tests,
Appendices (attached documents)