HPHE 4450 Exercise Testing and Prescription fastessayy
Muscular Fitness Data Recording Sheet
Subject Information:
Name: ________________________________ Age: _______ yrs Date: ___________________
Height: _______ in Weight: _______ lbs
Assessment of Muscular Strength
Upper Body Strength:
1RM (lb): __________________________
Body weight (lb): ____________________
Bench Press/body weight ratio:
_________________
Percentile Ranking:
__________________________
Lower Body Strength:
1RM (lb): __________________________
Body weight (lb): ____________________
Leg Press/body weight ratio:
__________________
Percentile Ranking:
__________________________
Assessment of Muscular Endurance
YMCA Bench Press Test:
Number of repetitions: __________________________
Percentile Ranking: __________________________
Push-Ups:
Number of push-ups: __________________________
Percentile Ranking: __________________________
Victor 63 6/1/22
69 211
186 235
22
7
Trunk Forward Flexion Test (cm)
Trial 1:________ Trial 2:________ Trial 3:________ Best score:________
Interpretation:____________________
YMCA Sit-and-Reach Test (in)
Trial 1:________ Trial 2:________ Trial 3:________ Best score:________
Interpretation:____________________
Lumbar Flexion Test:
Trial 1:________ Trial 2:________ Trial 3:________ Best score:________
Within ± 0.5 inch of normal range? Yes No
Lumbar Extension Test:
Trial 1:________ Trial 2:________ Trial 3:________ Best score:________
Within ± 0.5 inch of normal range? Yes No
3 3 3.25
2 2.25 2.25
22 24 26
12 12 13