The Senior Fitness Test will be held at various locations throughout NY. There will be several different scenarios and slight differences coordinating the booking, and performing the test for each scenario

1)
The Home Visit- Participants have the option to schedule a private in home testing session. The first session will be steeply discounted at 50% off. After the first test, the person must enroll in a monthly membership ( the discount and auto-enrollment will be automatically done on Gofitnesstest.com). The front office will then take down demographics. The initial text alert will then be sent to all therapists who are in the SFT group under google contacts. Await response from therapist and then send the the second follow up email with specific patient demographics. Therapist will then schedule a visit with the patient and follow protocol.

Please note: this requires 1 therapist and no volunteers

Cost to patient: $85.00 for the first visit ( 50% off normal price). Monthly Auto Enrollment is 125.00 per month ( 25% off normal price) Random testing session not on a monthly basis $165.00 ( full price) (discuss collections of this)

2)
In home group testing- Participants have the option to schedule an in home group test ( minimum of three participants, max of eight). First time participants will receive a 50% off discount. If a new person decides to joint that group at any point, they will enjoy the 50% off discount for the first session only ( the discount and auto-enrollment will be automatically done on Gofitnesstest.com). The front office will obtain demographics of all participants. They will take special note of the address where the group testing will be held ( this might be someones home or assisted living etc). The initial text alert will then be sent to all therapists who are in the SFT group under google contacts. For all other participants other than the one holding the test, we simply need their name entered into the group. All participants will have to pay on gofitnesstest.com. Send the initial text response to therapist making special note of the amount of participants scheduled to attend the test ( this effects how much the therapist will get paid). Await response from therapist and then send the the second follow up email with specific patient demographics. Therapist will then schedule a visit with the patient(s) and follow protocol.

The therapist will then schedule a follow up test and alert the front office of the next testing session.

Please note: this requires 1 therapist and no volunteers

Cost to patient: $45.00 for the first test ( 50% off normal price). Monthly Auto Enrollment 69.99 per participant ( 25% off normal price). Random testing session not on a monthly basis 95.00 per participant ( min 3 participants)

3)
Small group blocks with predetermined time: This is ideal for the assisted living and day care setting where a specific time can be set up each month for a small group. The dates will be predetermined each month ( for example, the last Thursday of every month at 2PM). These 1 hour blocks will require just 1 therapist and can handle a maximum of 8 participants. Multiple blocks can be put in throughout the day due to high demand.

The front office will be in charge of creating these monthly blocks. This is easily managed by logging into bookfresh.com and creating a monthly class with a maximum of 8 participants. The front office will then be in charge of booking and filling that class up manually until it is filled to capacity.

First time participants will receive a 50% off discount. If a new participant decides to join that group at any point, they will enjoy the 50% off discount for the first session only. Therapists will mainly take on this responsibility after testing sessions to rebook the group for the following month. It will be the coordinated responsibility of the front office and the testing therapist to make sure the session is booked for the next month.

Please note: this requires 1 therapist and no volunteers

Cost to patient: $45.00 for the first test ( 50% off normal price). Monthly Auto Enrollment 69.99 per participant ( 25% off normal price). Random testing session not on a monthly basis 95.00 per participant ( min 3 participants)

4)
Large group-circuit style with predetermined time. This is ideal for large assisted living facilities or specially held events at gyms at other locations. 12-24 people can be tested at one time with 4-6 well trained volunteers and one therapist. The dates will be predetermined each month ( for example, the last Thursday of every month at 2PM at the Roslyn Gym). These dates will be entered as a class in bookfresh.com with a maximum capacity of 24 participants. We will allow for 90 minutes.

First time participants will receive a 50% off discount. If a new participant decides to joint that group at any point, they will enjoy the 50% off discount for the first session only
( the discount and auto-enrollment will be automatically done on Gofitnesstest.com). On the website, gofitnesstest.com, there will be a booking link. It will be the coordinated responsibility of the front office and the testing therapist to make sure the session is booked for the next month. They can add and delete group members.

Please note: 4-6 well trained volunteers or paid help is necessary

Cost to patient: $30.00 for the first test ( 50% off normal price). Monthly auto-enrollment 49.99 per participant ( 25% off normal price). Random testing session not on a monthly basis 65.00 ( full price )


Bookfresh.com
Once the date and time for a large or small group test has been decided, the time and location is to be put into bookfresh.com ( by front office). Finding a therapist to do the testing is essential at this point. Front office and therapist to load patient into these groups. We can always add additional hours/sessions if the demand is high

Log into bookfresh.com
Click on Classes
Click and Create a new class
Class name: Senior Fitness Test in ( name of town) located at ( name of location) date and time
Description: Come and test your fitness level and compare it to thousands of seniors your own age!
We'll be having a test this ( time) located at (this address). Pleas emake sure that you arrive early and ready to go!
Cost (0.00) if the patient has gotten to this link then they are a member. We may need to cross reference to make sure all participants have paid in full
Duration: 60 or 90 minutes depending on group size
Click next
Enter: one time event, class date, time and maximum attendees allowed
Save and finish

Click on Booking URL to include link on website so current members can book

The next month, adjust the time and date. Delete attendees and report, relink to website



  • Training

All therapists must be properly trained and know exactly how to administer the test. The following protocol below will help to reduce confusion and make for a smooth testing day. Also, you are required to have an exercise equipment bag with the items noted below. We will put one together and pay for it and temporarily lend it to you but you are required to give it back to us if we ask for it at any point. You also have the option to make one yourself. Links have been provided below so that you can do so. All items below are REQUIRED in order to perform the test accurately.

Important resources

Accident Report form ( suggested to have a few handy and kept in binder)
Informed consent form ( must have several and must be signed for each appointment)
Medical clearance form ( only necessary if patient has joint pain, heart conditions, uncontrolled high blood pressure, dizziness)
Initial participant instruction form ( to be mailed by the front office prior to testing, another copy will be in the exercise manual)
Scorecard ( 2 per page) ( must be on yellow card stock paper and cut down the center)
Station Signs and over exertion sign ( Important- to be printed out and laminated for repeated use)

Equipment Needed:
Blood pressure cuff -$49.99 Amazon
Pulse oximeter-
$25.69 Amazon
Gym bag-
10.59 Available on Amazon
Stopwatch- App available on phone for free or
15.95 on Amazon
5lb weight-
14.99 on Amazon
8lb weight-
8.99 on Amazon
Scale-
25.00 Amazon
Tape measure-
9.37 on Amazon
Tally counter- App available on phone for free or
2.00 on Amazon
Goniometer-
9.99 on Amazon
18 inch ruler-
1.82 on Amazon
Cone-
6.95 on Amazon
masking tape
small rope
12 inch ruler


Senior Fitness Testing can be done in three different settings

1) Home setting, one on one with a participant
2) Small group setting ( group of 3-7 participants per therapist/tester)
3) Large group setting-circuit style ( group of up to 24 participants with 8-10 volunteers needed)


Procedures
1) Home setting, one on one with participant

Therapists trained on the procedures below
Therapists given gym bag with all necessary equipment
Therapists to bring all necessary paperwork


Therapists to follow the normal procedure for setting up appointment with patient(s)---1) Therapist will receive Initial text alert-----2) Once they agree, a second email, that has patient specific information will be sent -----3) Therapist to call patient and make appointment ----4) therapist sees patient and collects necessary paperwork ( informed consent) and faxes it to 516 750 9086

Protocol:
1)Welcome patient and describe the meaning of senior fitness testing ( please see presentation here).
2) Get informed consent form signed. Have participant fill out their information on the scorecard.
3) Using the SFT scorecard, record Height, Weight, BP, % 02, pulse. Then proceed to 5-8 minutes of warm up exercises.
4) Begin SFT testing procedures ( noted below)
5) Congratulate patient and let them know that they will be receiving their results in the mail within the next week
6) input data into SFT system ( see below on instructions)
7) Print out and send results immediately, along with SFT flyer AFTER first testing session form ( very important)
8) The patient will be calling the front office. The front office will await phone call, accept payment, create a username and password and let you know when the patient has enrolled in monthly enrollment.
9) if you have not heard from the patient in one week after sending the results, schedule a follow up call.
10) Exercise plan book filled out and sent to participant
11) Call participant and discuss results/exercises. Recommend physical therapy if necessary. Discuss the benefits of Gofitnesstest.com and make follow up appointment.



2) Small group setting ( group of 3-7 participants per therapist/tester)

Can be done in the home or at facility.

In the home: Therapists to follow the normal procedure for setting up appointment with patient(s)---1) Therapist will receive Initial text alert-----2) Once they agree, a second email, that has patient specific information will be sent -----3) Therapist to call patient and make appointment ----4) therapist sees patient(s) and collects necessary paperwork and faxes it to 516 750 9086 5) therapist to follow protocol below

Small group blocks with predetermined time: Block of time put into bookfresh by Mike Zagare. 1) Therapist to discuss reoccurring time slot with Mike Zagare 2) Therapist agrees to reoccurring time slot. 3) Participants will call to schedule to be put in that predetermined time slot or go on gofitnesstest.com 4) Front office will fill the time slot using gofitnesstest.com/bookfresh. Now participants can schedule on gofitnesstest.com under the appropriate group. Participants will sign up at a designated time each month. Therapist to help participants sign up. ( NEED TO WORK ON THIS ONCE READY)

Tester will bring all necessary equipment with them

Protocol:
1) Set up a welcome table. Get informed consent forms signed. Make sure participant fills out the top portion of the scorecard. Using the SFT scorecard, record Height, Weight, BP, % 02, pulse as you sign people in
2) Give brief presentation on SFT ( see presentation here-need to create after I take sales course)
3) 5-8 minutes of warm up exercises
4) Begin SFT testing procedures ( noted below)
5) Congratulate participants and let them know that they will be receiving their results in the mail within the next week
6) input data into SFT system
( see below on instructions- need to create)
7) Print out and send results immediately, along with SFT flyer AFTER first testing session form
( Need to upload very important)
8) The patient will be calling the front office. The front office will await phone call, accept payment, create a username and password and let you know when the patient has enrolled in monthly enrollment.
9) if you have not heard from the patient in one week after sending the results, schedule a follow up call.
Follow follow up call protocol (create after sales course taken)
10) Exercise plan book filled out and sent to participant
11) Call participant and discuss results/exercises. Recommend physical therapy if necessary. Discuss the benefits of Gofitnesstest.com and make follow up appointment. (
come up with protocol after sales course taken)


3) Large Group Testing ( group of up to 24 participants with 8-10 volunteers)

In order to make efficient use of time and to minimize fatigue, testing stations should be set up circuit style in the following order. Station signs and signs of over exertion should be printed out, laminated and taped to the wall.

  • Chair stand test
  • Arm curl test
  • Height and weight and 2 min step test
  • chair sit and reach test
  • back scratch test
  • 8 foot up and go test

The stations should be set up around the periphery of the room. This type of set up allows participants to begin their testing at any point in the circuit and then rotate in order to the next station

Table 4.2 illustrates how many participants and equipment that is needed for each station.

Selecting and Training Testing Assistants

  • For assessing groups of 24 people at a time, resulting in 4 participants per station, 6-8 testing assistants are required.
  • If possible, the lead instructor should be free to walk around and give instruction
  • Testing assistants can be older adult volunteers, coworkers, friends, or student volunteers at a nearby university.
  • All testers need to understand the exact procedures for each test item and the importance of strictly following each protocol
  • Each assistant is assigned 2-3 tests and should practice before the day of the exam with a friend or family member.
  • Schedule a testing practice day or review procedures 1/2 hour before. test for accuracy during the rehearsal

Rules

  • All assistants to arrive 30 minutes before the test starts for set up
  • Determine procedure in case of an emergency
  • assign someone to collect all informed consents and medical clearance forms
  • after welcoming the participants, perform a 5-8minute warm up consisting of light stretches and simple aerobic exercises. Use lively music for the warm up to promote enjoyment and positive mood.
  • Remind the assistants to explain to the participants that the goal is to do the best they can on all tests but never to push themselves to a point of over exertion or beyond what they think is safe for them. Remind participants they they should discontinue any activity that causes them pain or discomfort.
  • After the warm up, direct the participants to one of 6 stations. They will start at different station but rotate in numerical order
  • Give the participants their scorecards and ask them to rotate after everyone in that station has completed the test.
  • After testing, collect all scorecards and thank participants for their corporation. Provide them with information about when and how they will receive their test results.

Warm Up Exercises
Use music to make it more energetic and lively
5-8 minutes
  • marching in place
  • swinging arms
  • side walking
  • Head turns
  • Head half circles
  • Single arm crossover
  • Chest stretch
  • Calf Stretch
  • Hamstring Stretch
  • Gentle marching in place

The 30 Second Chair Stand Test

Purpose: To assess lower body strength
Functional meaning: Lower body strength is needed for activities such as climbing stairs, walking distances, and getting out of a chair or bathtub. Improvement means reduced risk of falls and fall related injuries, reduced bone loss, improved glucose utilization, maintain lean body tissue, and prevention of obesity
Equipment needed: Straight Back Chair ( 17 in or 43 cm) and stopwatch or use cell phone app for free

Procedure:
have participant sit in the middle of the chair with back straight, feet flat on the floor and hands/arms crosses at the wrist and held against the chest.
Have participant do 2 practice attempts
Demonstrate to the participant if needed
explain to them that the objective is to do as many as they can in 30 seconds within their safety limits
use encouragement
Scoring: Count as many sit to stands as they can do in 30 seconds, if person is more than half way up as time expires it counts. Administer only one test trial.

Safety precautions:
  • Brace chair against the wall or have someone hold it steady or trying using a carpeted surface
  • Watch the chair and make sure it is under the participant when they sit, especially for people who are visually impaired or cognitively frail
  • Look for balance problems, quick movements could increase instability for people with sensory impairments ( vision or inner ear problems)
  • May be contraindicated for those with chronic pain and tall people who have had knee or hip replacements. May need to use a higher chair for these participants.
  • If participants cannot perform, allow them to use their hands to push off, or use cane or walker if necessary. Describe the exact adaptation on the scorecard ( cannot compare to normative standards)


The 30 Second Arm Curl Test

Purpose:
To assess upper body strength
Functional Meaning: Important for carrying groceries, lifting a suitcase, picking up a grandchild or a pet, etc. Improvement means reduced risk of falls and fall related injuries, reduced bone loss, improved glucose utilization, maintain lean body tissue, and prevention of obesity
Equipment Needed: Straight Back Chair ( 17 in or 43 cm)
and stopwatch or use cell phone app for free. 5lb for women and 8 lb. for men ( one of each ).


Procedure:
  • Have the participant sit on a chair with their back straight and feet flat on the floor and their dominant side of the body close to the edge of the seat.
  • Weight is down at the side, bend up at the elbow and NOT the wrist.
  • The other hand can grasp the chair.
  • keep the elbow tucked in against the body
  • Take a practice repetition.
  • Curl the weight through full range of motion as many times in 30 seconds
  • Scoring: count as many repetitions as they can do in 30 seconds. If the arm is more than halfway up at the end of 30 seconds it counts as a curl

Safety Precautions:
  • Make sure the participants do not have excessive flexion at the wrist when performing the test. The flexion and extension are from the elbow- not the wrist
  • Ask participants if they have any elbow, wrist, or hand pain; adapt the test to reduce pain or do not do the test
  • c\Can use velcro wrist weight if person has arthritis
  • Can use lighter weight as needed
  • Allow the person to perform the test while standing if it is easier
  • Record all adaptation on the scorecard

2 Minute Step Test
Purpose:
To assess Aerobic Endurance
Functional meaning: Needed to perform many everyday activities such as walking, shopping, sightseeing while on vacation, and participating in recreational or sport activities. Direct correlation between how much work our body can do/energy that we have and the amount of oxygen we take in and use. Also has an indirect effect on reducing the risk of cardiovascular disease, , diabetes, obesity, high blood pressure, and some forms of cancer.
Equipment: Stopwatch, tape measure or piece of cord ( 30 inches) and tally counter


Procedure:
  • Determine step height ( half way between the knee car and the iliac crest) Use a piece of masking tape and put on the wall so that the participant has a visual cue to reach for.
  • On the signal go, the participant begins stepping in place as many times as possible in the 2 minute period
  • Use the tally counter for the right knee only ( even though both knees must hit the correct height)
  • If form begins to become compromised, ask the participant to slow down or stop until they can regain form, but keep the time running

Scoring: The number of full steps completed in 2 minutes ( number of times the right knee touches). Administer only one test that day.

Safety Precautions:
  • Participants with balance problems should stand next to the wall, next to or in a doorway or between rails or chairs. These people should be spotted carefully.
  • Monitor for signs of overexertion
  • Have participants walk slowly to cool down at the end of the test
  • Keep a look out for participants who stomp their knees and try to have them avoid doing that.
  • Allow participants to hold onto object or complete to a lower step height if need be> note all adjustments on the scorecards.

Chair Sit and Reach test
Purpose
: To assess Lower Body Flexibility
Functional meaning: Loss of flexibility ( loss of range of motion around a joint) impairs most functions needed for good mobility including: bending, stooping, lifting, reaching, walking, and climbing stairs. Indirectly, it can help prevent lower back pain and musculoskeletal injury, gait abnormalities and help reduce the risk of falls.
Equipment: Straight Back Chair ( 17 in or 43 cm) costs 13.34 on amazon.com, 18 inch ruler or yardstick
Procedure:
  • Participant sits at the edge of the chair. One leg is bent and slightly off to the side. The other leg is extended as straight as possible in front of the hip. The foot should be at 90 degrees.
  • With the arms outstretched, hands overlapping, and middle fingers even, the participant slowly bends forward at the hip, reaching as far as possible towards or past the hip joint. Make sure the knee is straight and if it starts to bend have the participant move back until the knee is straight.
  • The maximum reach must be held for 2 seconds
  • Participant to practice the test on both legs to see which is preferred
  • Use only one leg for scoring purposes and practice a few times for warm up
Scoring
  • Administer 2 test trials and record the better score. Measure the distance from the tips of the middle finger to the to end of the show to the nearest half inch.
  • Use the midpoint of the participants show as the zero point.
  • If the reach is short of this point, record as a minus. If it goes beyond record as a plus.

Safety Precautions
  • Place a chair securely against the wall so that it doesn't slip during testing
  • Remind the participant to exhale as they slowly bend forward and avoid bouncing
  • Participants should stretch only to a point of slight discomfort, never to the point of pain
  • Remind participants not to hold their breath
  • Do not administer to participants with severe osteoporosis or recent hip or knee replacements.
  • For those who cannot fully extend the knee, note the angle with a goniometer

Back Scratch Test
Purpose:
To assess upper body flexibility
Functional Meaning: needed for combing ones hair, zipping a back zipper, putting on or removing overhead garments, removing a wallet from a back pocket, reaching for a seat belt. Improved flexibility can also help reduce shoulder girdle pain and can reduce postural instability
Equipment: 18 inch ruler
Procedure
  • Have the participant stand and place the preferred hand over the same shoulder, palm down and fingers extended reaching down the middle of the back as far as possible. Note that the elbow is pointed up.
  • Ask the participant to place the other hand around the back of the waist with the palm up, reaching up the middle of the back as far as possible.
  • Practice on both hands to determine preference.
  • The middle fingers should be directed towards each other as much as possible
  • Scoring
  • After giving the participant two warm up practice trials in the preferred position, administer two test trials and record the better test score to the nearest half inch. Measure the distance of overlap as a plus score and the distance between as a minus score.
  • Measure the distance from the tip of one middle finger to the tip of the other.
Safety Precautions:
  • Stop the test if the participant experiences pain
  • remind the participants to continue breathing as they stretch
  • Remind participants to avoid any bouncing or rapid movements
  • Try to take the measurement as quickly as possible to avoid holding an uncomfortable position
  • Have participant shake and roll shoulders in between trials

8 foot up and Go test
Purpose:
To assess Agility and Balance
Agility is the ability to move the body and change directions quickly and dynamic balance is maintaining postural stability while moving.
Functional meaning: important for tasks such as getting on and off a bus, moving out of the way to avoid getting hit by a car, getting up quickly to answer a phone call, going to the bathroom or tending to something in the kitchen
Equipment: Stopwatch, Straight Back Chair ( 17 in or 43 cm) costs 13.34 on amazon.com, tape measure and cone or similar marker
Setup
Place the chair against the wall, facing a cone marker exact;y 8 feet away. Measure from the back of the cone to the point on the floor even with the front edge of the chair.
Procedure
  • Instruct the participant to sit in the middle of the chair with back straight, feet flat on the floor, and hands on the thighs
  • One foot should be slightly in front of the other foot, with the torso slightly learning forward
  • On the signal go, the participant gets up from the chair, walks as quickly as possible around either side of the cone and sits back down on the chair
  • Be sure to start the timer on the word Go even if the participant has not started to move and stop the timer the instant the person sits back down
  • Scoring:
  • Have the participant practice the test once and then use 2 test trials. Record the best time
Safety Precautions
  • Stand between the chair and cone in order to assist participants incase they lose their balance. For the frail, you may need to spot them more closely.
  • For a frail or obese person, watch that they stand and sit down safely
  • If needed, participants can use a cane or walker for this test
  • Can mark the walking path for cognitively impaired
  • Allow people who are unable to get up from a chair to start and stop the test from a standing position.


Height and Weight

Body Mass index

The composition of a persons body, particularly the ratio of fat to lean muscle mass has a marked impact on functional mobility. Excessive body fat usually means that people are unable to perform functions such as stair climbing or walking long distances.

BMI = Weight x 703/height BMW =Lb/in squared

Equipment: Scale, 60- inch tape measure, masking tape, 12 inch ruler or flat object

Height procedure: Shoes can be left on for the sake of time
Measure 20 inches from the floor and then tape a 60 inch tape measure on the wall from that 20 inch mark going upwards ( total 80 inches)
Have the person stand with the back of their head against the wall
Use a ruler to measure the exact spot on the wall.
Add 20 inches and subtract .5 inches for the shoe to get the total inches in height. Record height to the nearest half inch.
Weight procedure: Remove any heavy objects. Subtract 1-2 lb. for shoes depending on shoe size and weight.

Collecting, Interpreting, and Sending Data
  • The Testing therapist is in charge of collecting all data on the scorecard, inputting that data into the system and then printing/mailing that data to the patient.
  • Once you have the information, go to https://sft.humankinetics.com/login?ReturnUrl=%2f. Username: distinctivept@gmail.com Password: Qwertyui1
  • If you are new, click staff. Click create account. Click administrator. Enter information. Click save
For Home Care or Solo Participants:
click of participants
click on sessions--->manage
click on create sessions
*session name: Last name of participant and the session number ( example Zagare5) Mike on his 5th session. Click the approx date, time and click save
lNow click participants; look for your participants name, go o assign session and assign the session that you just created.

Now click on testing, enter the information and click save

Click on reports, select Individual Test Results ( graphs). Click selected participants. Click finish. Print out report.


  • The information should have already been entered into the SFT system.

Front office: Once you have obtained information about a participant, you must enter them into a group on the following site.
  • • To add a new group: Click participants: On the left hand side where it says groups, click manage group. Click create group. Choose an appropriate name,enter your name as the instructor and click save. All participants that are not part of a group and are getting tested individually go in the Home Care Group
  • Too add participants, click add participants. Highlight that particular group and add in the information that you have
  • Each group must then have a testing session. Once you know the time and date of the testing session, click manage under sessions. Add the specific time and date and click save. This way the therapist will know where to locate their group. Home Care group will not have a testing session. The therapist must create a testing session for that participant.