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FlexibilityandMuscularFitness-DataSheet1.docx

Muscular Fitness Data Recording Sheet

Subject Information:

Name:

Victor

Age:

63 yrs Date:

6/1/22

Height:

69 in Weight:

211 lbs

Assessment of Muscular Strength

Upper Body Strength:

1RM (lb): 186

Lower Body Strength:

1RM (lb): 235

Body weight (lb): Body weight (lb):

Bench Press/body weight ratio: Leg Press/body weight ratio:

Percentile Ranking: Percentile Ranking:

Assessment of Muscular Endurance

YMCA Bench Press Test: Number of repetitions: _22

Percentile Ranking:

Push-Ups:

Number of push-ups: _7

Percentile Ranking:

Trunk Forward Flexion Test (cm)

Trial 1: 22

Trial 2: 24

Trial 3: 26

Best score:

Interpretation:

YMCA Sit-and-Reach Test (in)

Trial 1: 12

Trial 2: 12

Trial 3: 13

Best score:

Interpretation:

Lumbar Flexion Test:

Trial 1: 3

Trial 2: 3

Trial 3: 3.25

Best score:

Within ± 0.5 inch of normal range? Yes No

Lumbar Extension Test:

Trial 1: 2

Trial 2: 2.25

Trial 3: 2.25

Best score:

Within ± 0.5 inch of normal range? Yes No