FUNfitness training
- 2. Agenda Healthy Athletes Overview FUNfitness Leadership and Communication Schedules, Uniforms, & Credentials FUNfitness Station Breakdown Checkout Whats next? Contact Information
- 3. HONORED GUESTSMedical Services Scope
- 4. HONORED GUESTS Purpose Healthy Athletes is a Special Olympics program that provides free health screenings in a fun, welcoming environment that removes the anxiety and trepidation, to people with intellectual disabilities. The impact on the health and well-being of Special Olympics athletes around the world is great, in some cases saving lives by discovering unknown health issues or providing health care that otherwise would not be available. Increase health care professionals knowledge and compassion for people with intellectual disabilities who then go back to their practices to spread the knowledge. Special Olympics Healthy Athletes is the largest global public health organization specifically for people with intellectual disabilities, providing more then 1.3 million screenings to Special Olympics athletes worldwide. BRAND STANDARDS Healthy Athletes I promise to give of the time in my life, so that Special Olympics athletes can have the time of their lives. I promise to support Special Olympics not just as an expression of charity, but as a form of respect for my fellow human beings. I promise to spread the word of volunteerism because in giving, I receive so much more in return. - Volunteer
- 5. HONORED GUESTSHealthy Athletes Disciplines Location of all Disciplines: University of Southern California, McCarthy Quad Sunday, July 26th Saturday, August 1st 11am to 7pm
- 6. Overview of Healthy Athlete Disciplines Fit Feet: Volunteers work with athletes to evaluate problems of the feet, ankles and lower extremity biomechanics. FUNfitness: Volunteers improve an athletes flexibility, functional strength, aerobic capacity and balance. Health Promotion: Volunteers use educational tools and literature to heighten the awareness of athletes, reinforcing the need to improve and maintain wellness and self-care. Healthy Hearing: Volunteers provide ear screenings. Opening Eyes: Volunteers provide eye assessments and corrective lens or sunglasses to athletes. Special Smiles: Volunteers provides dental screenings, personal oral hygiene instruction, sport mouth guards, and fluoride varnish treatment. MedFest (Sports Physicals): Volunteers offer physical exam to who havent completed one yet prior to participating in LA2015.
- 7. Overview of the Healthy Athletes FUNfitness Objective Improve athletes ability to train and compete in Special Olympic and improve the overall fitness of people with intellectual disabilities. Train health care professionals, students and others about the needs and care management of people with intellectual disabilities. Collect, analyze and disseminate data on the health and fitness status and need of people with intellectual disabilities. Expected Traits of the Team Reliable Knowledgeable Remain calm under pressure Detail Orientated Intuitive
- 8. HONORED GUESTSBRAND STANDARDS Leadership and Communication Vicky Tilley Global Clinical Advisor Donna Bainbridge Global Clinical Advisor Dan Farwell, PT Lead Clinical Director Yuki Kubo, PT Director of Healthy Athletes Janet Rodriguez Director of Healthy Athletes
- 9. Work Schedules & Uniforms & Credentials PLEASE PLAN AHEAD AND ARRIVE ON TIME! Screenings cannot start without volunteers. Late arrivals will have a negative impact on the athlete experience and our operation. All volunteers should arrive 75 minutes prior to the daily 11AM start time. This will allow you time to park and travel to the McCarthy Quad from the designated parking structure. Upon arriving, all volunteers must check in at the Workforce Check-in station by 10:15AM and attend a mandatory daily discipline briefing, which will begin at 10:30AM sharp. Volunteer ID, Credential, Uniform and Parking Pass pick-up: You will get an email with additional information and day/time options to pick up your credentials, uniforms, parking passes. Volunteers must pick up their credentials, uniforms and parking passes during their assigned day. These materials must be picked up at the UDAC (Uniform Distribution and Credentialing Center) located at: HERBALIFE 18431 Wilmington Ave Carson, CA, 90746 You must wear your uniform and credentials at all times during your volunteer duties.
- 10. Work Schedule PLEASE REFERENCE THE DAILY SCHEDULE: 9:45 AM Park at designated parking structure. 10:15 AM Volunteers must first visit the Workforce Check-in station, which is located to the south of the Doheny Library stairs. Volunteers will receive their meal vouchers and other required materials here. 10:25 AM Check-in with lead clinical directors at the discipline tent and attend the mandatory daily discipline briefing, which will prepare you for your daily tasks and duties and allow you to meet your Clinical Director for that day. 11:00 AM All volunteers must be in position to begin their daily duties/assignments. Athletes will begin to arrive for screenings at 11AM sharp. 12:00 PM Lunch Break - Volunteers will begin to rotate lunch breaks; the order of these rotations will depend on your particular assignment and clinical circumstances. Lunch breaks will be 45 minutes in duration. Your lunch can be picked up at the Workforce Dining Area, located in Founders Park; be sure to have your meal voucher ready to present at the dining area. Volunteers must also eat their meal at the Workforce Dining area and are NOT permitted to eat their meal in the Healthy Athletes screening area. 7:00 PM All screenings are schedule to be completed by 7:00 PM and the clinical director will hold a quick debriefing before adjuring volunteers.
- 11. HONORED GUESTSBRAND STANDARDS FUNfitness Screenings (Check-In) Functional Status-Altitude Disease or Injury Flexibility Functional Strength Balance Aerobics Fitness Test Physician Recommendation Education Station (Check-Out)
- 12. HONORED GUESTSHAS Form Each athlete will have a HAS (Healthy Athletes Software) form. This form is used to capture screening data across all Healthy Athletes disciplines. Personal details at the top of the form will be filled out by general volunteers on check in to Health Promotion. You will fill out the form for your own section then pass the form to the athlete when moving on. Do not give the form back to athlete at check out station.
- 13. HONORED GUESTSBRAND STANDARDS Functional Status-Altitude Functional Status may affect outcomes Altitude may impact O2 Saturation Questions: 1. Uses Wheelchair 2. Uses Assistive Device 3. Wears Splint to Brace 4. Altitude
- 14. Disease or Injury May impact outcomes or ability to perform May indicate referral to Primary Care Provider Questions: 1. Problems with breathing, heart, circulation, pain, sprain, strain, skin 2. Have you fallen in your home in the last year?
- 15. Flexibility Exams: 1. Hamstring Muscles - Passive Knee Extension 2. Calf Muscles - Passive Dorsiflexion 3. Anterior Hip Muscles - Modifies Thomas Test 4. Shoulder Rotator Muscles - Apleys Test
- 16. Flexibility Hamstring Muscles Position athlete supine on table Position one leg flat on table Bend other leg to 90属hip and 90属 knee Hold hip at 90属 flexion Perform passive knee extension Measure angle formed by lateral femur and fibula using goniometer Record both sides on HAS Score Sheet Education is a professional decision - Is the ROM acceptable for age and task or sport? Check Education Box if: - Between -90 and -16属 or - Asymmetry
- 17. Flexibility Hamstring Muscles Full extension = 0 degrees. Less than full extension is NEGATIVE degrees (tightness) (ex: - 20属) More than full extension is POSITIVE degrees (hyperextension) (ex: +5属) Measure/record both sides on HAS form: HAMSTRING - supine (passive) knee extension Left ____ degrees Right ____ degrees Unable to test because athlete: O Refused to perform O Unable to perform O Unable to understand Education Between -90 and -15 or asymmetry
- 18. Flexibility Calf Muscles Position athlete supine on table, have athlete take shoes off Perform passive dorsiflexion by applying downward force on heel, then moving foot into dorsiflexion Measure degree of actual dorsiflexion, not forefoot motion Goniometer arms on fibula, and parallel to 5th metatarsal Measure/record both sides Education is a professional decision Acceptable for age and task or sport? Check Education Box if: Less than +10属or Asymmetry CALF - supine (passive) ankle dorsiflexion Left ____ degrees Right ____ degrees Unable to test because athlete: O Refused to perform O Unable to perform O Unable to understand Education Less than +10o or asymmetry
- 19. Flexibility Calf Muscles Neutral is 90属 angle this is noted as 0属 Range into dorsiflexion is positive (+) Less than neutral position equals negative (-) - They are plantarflexed Educate if less than +10属 of dorsiflexion
- 20. Flexibility Anterior Hip Muscles Position athlete supine. Bend both knees toward the chest into bilateral hip flexion Hold one hip flexed to 90属 degrees Passively lower the other leg until pelvis begins to rotate anteriorly Measure angle between table and lateral femur Record measurement on both sides Full extension to table = 0 Any Flexion = negative (-) Measure/record both sides
- 21. Flexibility Anterior Hip Muscles Education is a professional decision - Acceptable flexibility for age and task or sport? Check Education Box if: - Greater limitation than - 10 degrees, or asymmetry ANTERIOR HIP - Modified Thomas Test Left ____ degrees Right ____ degrees Unable to test because athlete: O Refused to perform O Unable to perform O Unable to understand Education Between -90 and -10o or asymmetry
- 22. Flexibility Shoulder Rotator Muscles Measure distance: Between INDEX fingers To nearest 遜 cm If fingertips touch, score is0 Fingers do not touch: Record distance between fingers as a NEGATIVE number (i.e. 15 cm) Fingers Overlap: Distance between index fingertips is recorded as POSITIVE number (i.e.+5 cm)
- 23. Flexibility Shoulder Rotator Muscles Can be done standing or sitting Upper arm (Left or Right) is the reference side Measure distance between index fingertips Instruct the athlete to try to touch your index fingers together Measure and record BOTH sides whether: Fingertips are separated by a distance Fingertips touch each other, or Fingertips overlay each other Education is a professional decision Acceptable flexibility and symmetry for age and task or sport? Check Education Box if: Limitation is > 15 cm, or Asymmetry
- 24. Functional Strength Exams: 1. Leg Muscles - Timed - Stands Test 2. Abdominal Muscles - Timed Partial Sit-up Test 3. Forearm and Hand Muscles - Grip Test 4. Triceps, Shoulder and Scapular Muscles - Seated Push-Up Test
- 25. Functional Strength Leg Muscles = Timed - Stands Test Athlete sits in straight-back chair Arms flexed 90属 at elbow Instruct the athlete to stand from sitting, then sit down again, without using your arms. Repeat 10 times as quickly as possible Record time to do 10 sit-to-stand maneuvers Record time to nearest 遜 second <20 seconds is acceptable. 20 seconds or inability to complete 10stands = Check Education LEG MUSCLES - Timed Stand Test (Functional Leg Strength) Time _________ seconds Unable to test because athlete: O Refused to perform O Unable to perform O Unable to understand Education >20 seconds
- 26. Functional Strength Abdominal Muscles= Timed Partial Sit-Up Test Athlete lies supine legs on bench/chair or exercise ball arms extended in front of body Time sit-ups for 60 seconds or until athlete completes 25 Scapulae must clear the mat Head must go back to mat with each try 25 curl-ups is acceptable <25 curl ups = Check Education Box ABDOMINAL MUSCLES - Partial Sit-up Test Number_________ Unable to test because athlete: O Refused to perform O Unable to perform O Unable to understand Education < 25 in 1 minute
- 27. Functional Strength Forearm and Hand Muscles = Grip Strength Identify the Dominant Hand: Which hand do you write with, throw a ball with, etc? Test involves completing three grips on each side Test Procedure Elbow bent at 90属 Alternate sides to allow rest between trials (left, right, left, right, left, right) Record Kilograms of pressure Refer to NEW charts posted around stations Developed from our FUNfitness data for acceptable ranges of hand grip. FOREARM AND HAND MUSCLES - Grip Test Dominant Hand: O Left O Right LEFT Trial 1. _____kg. 2. _____kg. 3. _____kg. RIGHT Trial 1. _____kg. 2. _____kg. 3. _____kg. Unable to test because athlete: Refused to perform O Unable to perform O Unable to understand Education see reference sheet
- 28. Functional Strength Triceps, Shoulder and Scapular Muscles = Seated Push-Up Test Athlete sits on floor Legs are extended forward Position push-up blocks under shoulders so they will not tip, AND stabilize blocks manually Athlete lifts buttocks off mat until elbows are as extended as possible Athlete holds as long as they can or up to 20 seconds Athlete can practice before the test to perfect the push-up If they practice, give athlete rest period before testing Some athletes have complained of wrist discomfort while doing this test. You should stop if pain is too great, and definitely after 20 seconds
- 29. Functional Strength Triceps, Shoulder and Scapular Muscles - Seated Push-Up Test Check Education Box if athlete holds this position for less than 5 seconds Of Note: Need to hold 5 seconds to relieve pressure on buttocks Need to hold 20 seconds to do a transfer UPPER EXTREMITY MUSCLES - Seated Push-up Test (Functional Strength) Push-up ____ seconds Unable to test because athlete: O Refused to perform O Unable to perform O Unable to understand Education < 5 seconds
- 30. Balance Exams: 1. Single Leg Stance Eyes Open & Eyes Closed 2. Functional Reach Test Standing or Seated
- 31. Balance Single Leg Stance - Eyes Open Eye Open should be completed before Eyes Closed to acclimate the athlete to the test Stand near a chair, table or wall Instruct athlete to lift one leg and balance Time until loss of balance, or 30 seconds Record time on HAS Score Sheet Repeat on opposite side If < 20 seconds on either side = Check Education Box EYES OPEN Single Leg Stance Left_________ seconds Right ________ seconds Unable to test because athlete: O Refused to perform O Unable to perform O Unable to understand Education < 20 seconds
- 32. Balance Single Leg Stance - Eyes Closed Eyes Closed should be completed after Eyes opened Athlete stands near a chair Close or cover eyes Instruct athlete to lift one leg, close your eyes and balance Time until loss of balance, or 10 seconds Record time on HAS Score Sheet Repeat on other side <10 seconds on either side = Check Education Box EYES CLOSED OR COVERED Single Leg Stance Left________ seconds Right ________ seconds Unable to test because athlete: O Refused to perform O Unable to perform O Unable to understand Education < 10 seconds
- 33. Balance Functional Reach Test- Sitting or Standing Stand (or sit) next to wall or partition Position tape/ruler at shoulder level Note the measurement at the longest fingertip at start of test Reach forward until loss, or potential loss, of balance Measure how far participant can reach forward without moving feet or losing balance (note measurement at end of fingertip) Subtract end from beginning measurement Record distance to nearest 遜 cm Range of 20-25 cm is acceptable Educate if: <20 cm Asymmetry FUNCTIONAL REACH Left: ________ cm Right ________ cm Unable to test because athlete: O Refused to perform O Unable to perform O Unable to understand Education < 20 cm
- 34. Aerobics Fitness Test Exam: Determine the most appropriate Aerobic Fitness Test for each athlete Choice is either: 2 Minute Step Test (for ambulatory athletes) 5 Minute Wheel Test (for non-ambulatory athletes, or athletes who cannot functionally ambulate or balance). AEROBIC FITNESS On AVERAGE, how many days each week do you do some physical activity? O No Regular Program O 1-2 days O 3-6 days O Every Day On AVERAGE, how many days a week is your physical activity at a moderate level?(Moderate means working hard enough to make your heart beat faster and possibly begin to sweat.Examples: fast walk, swimming, bicycling) O No days O 1-2 days O 3-6 days O Every Day How much of this moderate physical activity is related to Special Olympics? O None O Some O Most O All O Could not elicit response: O Refused to respond O Unable to respond O Unable to understand If you have no regular activity program, please tell us why? No available exercise facilities No transportation No money No interest No fitness person to help me Not safe Physically unable No one to exercise with No equipment or clothes
- 35. Aerobics Fitness Test 2-Minute Step Test Run tape measure from the iliac crest to the mid-patella Mark the midway point between hip and knee joints Mark this level on the wall OR use tape measure for feedback Athlete should lift their knee to this point with each step Count the number of times that the athletes RIGHT leg can reach that height in 2 minutes (one step is the sequence of right and left leg lifts Record Heart Rate and O2 Saturation: Pre-exercise End of exercise 2 minutes post-exercise
- 36. Aerobics Fitness Test 5-Minute Wheel Test Either flat course indoors or on smooth roadway of 50ft (15m) or more Record distance able to push wheelchair in 5 minutes Record Heart Rate and O2 Sat Pre-Exercise End of exercise 2 minutes post-exercise
- 37. Aerobics Fitness Test Record Heart Rate and O2 Saturation Registration person will indicate relative altitude on the top of the form, as altitude can affect O2 Saturation Use the Decision Tree to determine what to do once the initial O2Sat is measured Decision Tree developed with HA Medical Advisor and current evidence How is HR being Measured Manual (Pulse) MIO Heart rate monitor Pulse Oximeter Heart Rate (beats/min): Pre-Exercise _____ End Exercise _____ 2 Minutes after ________ O2 Saturation (%) O2 Sat _____ O2 Sat ______O2 Sat ________ O Two Minute Step Test Number of Steps _________ Steps O Alternative Test: Three Minute Walk Test Distance ________________Meters O Five-Minute Wheel Test Distance ________________Meters Unable to test because athlete: O Refused to perform O Unable to perform O Unable to understand Education
- 38. Aerobics Fitness Test Heart Rate and O2 Saturation Decision Tree
- 39. Aerobics Fitness Test Criteria to Consider: Can athlete talk after the test? Is the athlete unusually SOB during the test? Does the athlete tire easily or stop before the test is over? Does the athlete sweat excessively? Is the difference between post-exercise HR and the 2-minute or 5-minute post-exercise HR less than 24bpm?
- 40. Physician Recommendation Located at the end of the Score Sheet Use guidelines in Training Manual to determine if PT or PCP referral is indicated Indicate if you feel the athlete would benefit from seeing a PT for a rehab or fitness program Indicate if you would recommend referral to physician and give reason PHYSICAL THERAPIST REFERRAL RECOMMENDED O Yes O No REASONS FOR RECOMMENDATION Flexibility Strength Balance Aerobic Fitness PRIMARY CARE PHYSICIAN REFERRAL RECOMMENDED O Yes O No REASONS FOR RECOMMENDATION: (brief outline of medical issue identified)
- 41. Education Station One-on-one or group education by PT, PTA, or Student Goal is to improve performance. Demonstration followed by participant performance. Educate parents and coaches. Referral
- 42. HONORED GUESTSBRAND STANDARDS Check Out Station Collect HAS Score Sheets Determine that all tests and education have been completed - If athlete has to leave before completing all tests, place HAS sheet in a separate box in case they return Determine that participant has Athlete Fitness Scorecard Give participant FUNfitness pin and gifts Direct family and coaches to the Community Corner
- 43. HONORED GUESTS Congratulations! You have completed the FUNfitness training! Whats Next? - Your schedule should be sent to you via email, please accept or decline your assigned dates when received. - You will receive information on parking and where to pick up your uniform & credentials via email in the next few weeks. If you have any questions, please dont hesitate to ask! Contact: HA.volunteers@LA2015.org Thank you for all that you do! BRAND STANDARDS Thank You!