200
During a treadmill test, a client complains of leg cramping but feels that she will be able
to finish the test. What is the MOST appropriate course of action?
a. Monitor her progress closely and stop the test if her pain worsens
b. Allow her to complete the test, as treadmill tests measure cardiorespiratory
fitness, not muscular endurance
c. Stop the test immediately and possibly refer the client to her primary healthcare
professional
d. Have her rest for a few minutes and rehydrate before continuing the test from the
stopping point
What is Stop the test immediately and possibly refer the client to her primary healthcare
professional
During the administration of any exercise test involving exertion, trainers must always be
aware of identifiable signs or symptoms that merit immediate test termination and
possible referral to a qualified healthcare professional. These symptoms include:
Onset of angina, chest pain, or angina-like symptoms
Significant drop (>10 mmHg) in systolic blood pressure (SBP) despite an increase
in exercise intensity
Excessive rise in blood pressure (BP): SBP >250 mmHg or diastolic blood
pressure (DBP) >115 mmHg
Excess fatigue, shortness of breath, or wheezing (does not include heavy
breathing due to intense exercise)
Signs of poor perfusion: lightheadedness, pallor (pale skin), cyanosis (bluish
coloration, especially around the mouth), nausea, or cold and clammy skin
Increased nervous system symptoms (e.g., ataxia, dizziness, confusion, syncope)
Leg cramping or claudication
Subject requests to stop
Physical or verbal manifestations of severe fatigue
Failure of testing equipment
ACE Personal Trainer Manual, 5th Edition, p. 196