Screening and Referral Unit: Programming Pilates Matwork
Learning outcomes & assessment criteria Learning outcome: The learner will: LO2: Understand how to screen clients prior to a Pilates matwork programme Assessment criteria: The learner can: 2.1 Explain how to interpret information collected from the client in order to identify needs and goals 2.2 Explain how to analyse responses to the Physical Activity Readiness Questionnaire (PAR-Q) 2.3 Describe the types of medical conditions that will prevent Pilates matwork teachers from working with a client unless they have specialist training and qualifications 2.4 Explain how and when Pilates matwork teachers should refer clients to another professional
Interpreting information Pair / group task Review the client information provided on the next slide and identify possible goals and explain how the information listed would influence the activities you plan What other information may you need?
Case study: Client information Female, 46, no children, lives with partner Works full time in FE college as a teacher Diagnosed with anxiety and stress - no medication Smoker Glass of wine most evenings Healthy weight Attends 2 group exercise classes a week Has always been active Walks for 20 minutes during lunch hour on most days Wants to improve posture (round shoulders) and manage stress Would like to have more energy and reduce tension in neck and shoulders Feels tired at the end of the day
Other information Goals Motivation Commitment Barriers Posture assessment PAR-Q Informed consent Other?
Interpreting PAR-Q Pair task Review the PAR-Q information on the following slides and discuss the action you would take
PAR-Q 1. Has your doctor ever said that you have a heart condition and that you should only do physical activity recommended by a doctor? Yes 2. Do you feel pain in your chest when you do physical activity? 3. In the past month, have you had chest pain when you were not doing physical activity? 4. Do you lose your balance because of dizziness or do you ever lose consciousness? 5. Do you have a bone or joint problem (for example, back, knee or hip) that could be made worse by a change in your physical activity? 6. Is your doctor currently prescribing drugs (for example, water pills) for your blood pressure or heart conditions? 7. Do you know of any other reason why you should not do physical activity?
PAR-Q 1. Has your doctor ever said that you have a heart condition and that you should only do physical activity recommended by a doctor? Yes Yes 2. Do you feel pain in your chest when you do physical activity? Yes 3. In the past month, have you had chest pain when you were not doing physical activity? 4. Do you lose your balance because of dizziness or do you ever lose consciousness? 5. Do you have a bone or joint problem (for example, back, knee or hip) that could be made worse by a change in your physical activity? 6. Is your doctor currently prescribing drugs (for example, water pills) for your blood pressure or heart conditions? 7. Do you know of any other reason why you should not do physical activity? Yes Yes
PAR-Q 1. Has your doctor ever said that you have a heart condition and that you should only do physical activity recommended by a doctor? Yes 2. Do you feel pain in your chest when you do physical activity? 3. In the past month, have you had chest pain when you were not doing physical activity? 4. Do you lose your balance because of dizziness or do you ever lose consciousness? 5. Do you have a bone or joint problem (for example, back, knee or hip) that could be made worse by a change in your physical activity? 6. Is your doctor currently prescribing drugs (for example, water pills) for your blood pressure or heart conditions? 7. Do you know of any other reason why you should not do physical activity? Yes
PAR-Q 1. Has your doctor ever said that you have a heart condition and that you should only do physical activity recommended by a doctor? Yes 2. Do you feel pain in your chest when you do physical activity? 3. In the past month, have you had chest pain when you were not doing physical activity? 4. Do you lose your balance because of dizziness or do you ever lose consciousness? 5. Do you have a bone or joint problem (for example, back, knee or hip) that could be made worse by a change in your physical activity? 6. Is your doctor currently prescribing drugs (for example, water pills) for your blood pressure or heart conditions? 7. Do you know of any other reason why you should not do physical activity? Yes
Interpreting PAR-Q 1. All no responses = ready 2. Many yes responses = GP. Heart condition requires specialist instruction 3. Yes to injuries = GP. Need more Information, if clearance provided (possible exercise referral or specialist instructor) 4. Yes to medication for blood pressure and heart condition = GP (possible exercise referral instructor or specialist instructor)
Client needs and medical conditions Thought storm What medical conditions may prevent you from working with a client unless you have specialist training and qualifications Record all answers
Level 3 exercise referral Low to moderate risk: Inactive with other cardiovascular disease risk factors, e.g. Smoking, hypertension, high cholesterol, diabetes, overweight, family history of heart disease, stress Osteoporosis, osteoarthritis, low back pain, rheumatoid arthritis Asthma, chronic obstructive pulmonary disease (COPD) Diabetes type 1 and 2 Obesity Anxiety, depression, stress
Level 4 specialist qualifications Low back pain Mental health Cardiac rehabilitation Stroke Obesity and diabetes Osteoporosis, frailty and falls Neurological conditions
Referring to other professionals Pair task When would you refer to other professionals? And Which professionals?
Referring to other professionals Refer if: Any medical conditions Mental health issues Older adults Ante and post natal Young people (14-16) Disabled Refer to: GP Dietician Counsellor Exercise referral instructor Specialist instructor (level 4) or clinically supervised exercise
Learning check Pair task Tell partner one thing you have learnt from this session Swap (other partner shares) Keep this going for as long as you can
Learning review Assessment criteria: Can you now: 2.1 Explain how to interpret information collected from the client in order to identify needs and goals 2.2 Explain how to analyse responses to the Physical Activity Readiness Questionnaire (PAR-Q) 2.3 Describe the types of medical conditions that will prevent Pilates matwork teachers from working with a client unless they have specialist training and qualifications 2.4 Explain how and when Pilates matwork teachers should refer clients to another professional