CLIENT

ASSESSMENT
MATRIX

Name: Carl,
age 21
Carl seems not
only to suffer
from Exercise
Induced
Asthma (EIA)
but what many
young people
do a false
sense of
immortality. He
seems
unconcerned
as to his health
at this time.

He is basically
sedentary
during the
week studying
and/or
gaming, he
does not eat
well, and he
seems to have
no
established,
consistent
sleep patterns.
He does walk
to classes (50
minutes per
day) and plays
flag football
once a week
for 45
minutes.

While Carl
does
technically
exceed the
CDCs
recommendati
ons of 150
minutes of
moderate
exercise per
week his
patterns are
not consistent
and his
lifestyle
greatly
decreases any
true progress
towards
fitness.

Carl requires
medical
clearance
and his
prescribed
inhalers close
at hand.
Upon signs of
trouble,
exercise
should be
halted
immediately
and medical
attention
sought.

FITT Principles

What
frequency do
you suggest?
Although he
may walk to
classes he
should put a
concerted
effort into 3
times per week
3 times per
week

What intensity
do you
suggest?
4 MPH or a
target HR of
120-150 BPM.

What time do
you suggest?

What type of
activity do
you suggest?
Brisk walking
to start.

70% 1 RM

8 reps per
exercise, sets
of three

Cardiovascular
Activity

Muscular
strength and
endurance

45
uninterrupted
minutes per
session.

Carl
expresses
interest in
upper body
conditioning
but total
body focus is
recommende
d.
Concentrated
effort in fat
loss will
increase VO2
max thus
improving
lung function.
Swimming,
circuit

Flexibility

3 times per
week as part
of an overall
program, light
daily
stretching is
encouraged.

Moderate

Stretch all
major joints
after workouts
10-20 second
holds, sets of 3

PROS
Principles

Explain how
you will utilize
the principle of
progression for
each
component of
fitness in your
exercise
prescription.

Explain how
you will utilize
the principle
of regularity
for each
component of
fitness in your
exercise
prescription.

Explain how
you will utilize
the overload
principle for
each
component of
fitness in your
exercise
prescription.

Cardiovascular
Activity

Progress
workouts to 5
times per week
as tolerated to
maximize
benefits.

No more than
48 hours
should elapse
between
workouts.

Walking briskly
should
increase to
jogging or
walking for
longer periods
to facilitate
stresses
beyond normal
function.

Muscular
strength and
endurance

Progression
from 3- 5 times
weekly
encourages
sustained
caloric burn
and muscular
endurance.

No more than
48 hours
should elapse
between
workouts.

Increasing reps
and weight/
resistance
could alter
body
composition
and
appearance as
desired by
Carl.

training, and
free weights
recommende
d.
Static and
dynamic

Explain how
the
specificity
principle
applies to
each
component
of fitness in
your exercise
prescription.
For maximum
benefit
various CV
activities
should be
undertaken
as benefits
from one
exercise do
not transfer
to another.
Example
benefits from
walking are
different than
that from
swimming.
Targeting
specific
groups of
muscles to
achieve
personal
goals as
desired.
However, no
region of the
body should

Holds of
stretched
should
increase to 30
seconds per
stretch.
Passive
resistance may
be indicated to
promote
adaptation to
stress.

be exempt in
the
promotion of
desired
results.
The more
overloaded
muscles
become the
more
valuable
flexibility
becomes to
avoid injury
and maintain
ROM.

Flexibility

Sustain 3
times per week
progressing to
longer more
pronounced
stretches in
areas that are
targeted
toward
change.

Regularity is
crucial to
maintain
progress in
flexibility.

CLIENT
ASSESSMENT
MATRIX

Name: Justin,
age 13. Justin
lives a rather
sedentary
lifestyle as his
parents place
a lot of value
on academic
performance
rather than
outdoor
activities. His
is on no
reported
medications
and has no
reported
contraindicatio
ns to exercise.
He is however
considered
grade 1 obese.

Justins PCPFS
scores
resulted in
scores below
the 50th
percentile and
skin fold
results were
24.5% fat. He
is interested in
participating
in school
sports
(football) and
also shows a
willingness to
learn to cook
healthy for
himself and
his family who
are also
obese.

FITT Principles

What
frequency do
you suggest?

What intensity
do you
suggest?

What time do
you suggest?

What type of
activity do
you suggest?

Cardiovascular

Daily.

Moderate to

60 minutes per

While

Activity

Muscular
strength and
endurance

Daily*as part
of normal
activity not
structured
routine such as
in a gym. In
that case 2-3
times per week
on NONconsecutive
days.

intense
however long
sessions of
intense
exercise is ill
advised.

day of aerobic
exercise.

children can
benefit from
structured
routines it is
best that
their exercise
comes from
various
activities
such as
running,
jumping,
biking, and
swimming
so on.

Intensity
should not
exceed 75%
1RM

1-2 sets of 812 reps of 8-10

different
exercises to
include major
muscle
GROUPS.

Children
need
guidance.
Weight lifting
is ok given
proper form
and
techniques
are
emphasized
to ensure
safety. I
would be
more
comfortable
with
machines to
avoid injury.
Nonstructured
exercises
such as
climbing,
pushups, sit
ups also
encourage
muscular
strength.

Flexibility

Daily. Children
are flexible by
nature and
normal play
and activities
children
involve
themselves in
usually,
naturally
involve
flexibility
promoting
movement. I f
Justin were to
engage in
structured
workouts
flexibility
exercises
should be part
of that
program.

Moderate
stretching is
encouraged
utilizing
proper form
and
incorporating
the entire
body.

10 30
seconds per
exercise

Stretching
should be
done to
improve or
sustain
flexibility to
the entire
body.
Exercises like
reaching up,
side to side
neck
stretches,
knee to
chest, calf
and
hamstrings
are
examples.
Yoga is fast
become a
popular
choice
among young
people.

PROS
Principles

Explain how
you will utilize
the principle of
progression for
each
component of
fitness in your
exercise
prescription.

Explain how
you will utilize
the principle
of regularity
for each
component of
fitness in your
exercise
prescription.

Explain how
you will utilize
the overload
principle for
each
component of
fitness in your
exercise
prescription.

Explain how
the
specificity
principle
applies to
each
component
of fitness in
your exercise
prescription.

Cardiovascular
Activity

Activities
should be age
appropriate
and progress
only as the
child grows

Aerobic
activity should
be
encouraged
every day for
at least 60

Children
should not be
pushed to
perform at a
vigorous level
for long

Children
should be
encouraged
to participate
in various

and is able to
tolerate a
chosen activity
well. A child
should not be
pushed to do
things beyond
their
capabilities.

minutes per
day.

periods.

activities.

Muscular
strength and
endurance

Activities
should be age
appropriate
and only
progress as
the child grows
and is able to
perform tasks
with good form
at a desired
level.

Beyond
normal play
children
should avoid
resistance
exercises on
consecutive
days and no
more than 3
times weekly.

As a child
grows their
levels of
tolerance will
change. A child
should not be
pushed
beyond 75% of
1RM. More
reps may be
added as
tolerated but
weight should
be kept steady.

All major
muscle
groups
should be
worked
equally.

Flexibility

Flexibility
should be
evaluated as
the child grows
and if
indicated
flexibility
exercises may
be enhanced.

A childs
flexibility
should be
encouraged
daily.

Too much
stretching can
cause damage
in a growing
child. As their
bodies change
they should be
encouraged to
perform
flexibility
exercises that
are
appropriate
and well
tolerated.
Overall range
of motion is
most
important.

Flexibility of
the entire
body is
recommende
d. Again
children
should be
running,
jumping,
climbing,
swinging,
swimming,
biking, etc.

CLIENT
ASSESSMENT
MATRIX

Name: Sally,
age 65- Sally is
Type II diabetic
not well
controlled on
Metformin. Dr.
has cleared
her and
encouraged
her to work out
for weight loss,
diabetes
control and CV
fitness. She
does not have
any reported
mobility or
peripheral
nerve issues.
Proper foot
wear is also
important for
the diabetic
client. She is
not
hypertensive
but her
numbers are
rising. (cont.>)

Prior fitness
testing result
were:

FITT Principles

What
frequency do
you suggest?

What intensity
do you suggest?

What time do
you suggest?

What type of
activity do
you suggest?

Cardiovascular
Activity

3-4 times
weekly to start

Ideally moderate
but to begin I
would start Sally
out on the
lighter end of
moderate RPE of
11 to get her

20 to 40
minutes
(excluding
warm-up/cooldown) to startagain Sally
needs to

Walking
seems to be
the obvious
choice, biking
also but
depending on
the facility

*Rockport- Fair
*Chair StairBelow Average

** Careful
monitoring of
BP and
encouraging
adequate
hydration
indicated.

*Chair sit and

reach- average
*Arm curlAverage
**Sally has
expressed
resistance to an
exercise routine
so working
closely with a
trainer is
recommended to
help lend
support and
encouragement.

used to the
feeling of
exercising.

mentally as
well as
physically be
comfortable in
order to
maintain her
stage of
change.
Pushing too
hard too fast
may cause her
to give up.

swimming
would be a
good choice
as well. Nonimpact,
rhythmic,
large muscle
group activity
is what is
important to
encourage
calorie burn
and weight
loss.

Muscular
strength and
endurance

2-3 times
weekly as part
of an overall
program.

2-3 sets of 10
reps per
exercise, 60 % of
1 RM

At least 8
different
exercises to
include major
muscle groups.

A circuit
consisting of
machines or
resistance
bands as
opposed to
free weights
for optimum
control,
efficacy and
safety.

Flexibility

Not so much
as she is
diabetic she is
65 and
maintaining
flexibility can
help to offset
the normal loss
of elasticity in
muscle and
flexibility in
joints as we
age. Some
stretching
should be done
every day but
more

The intensity
should be
enough to
encourage
progress to
achieve a
greater than 1
inch result in the
chair sit and
reach but not
cause pain. Both
upper and lower
body should be
part of her
routine.

A hold of 10
seconds to
start per
exercise
repeating each
exercise at
least three
times.

Static
stretches are
generally
considered
safer to
perform but
she should
be able to
tolerate
some
dynamic
stretches as
well.

importantly
before and
after she
exercises with
a concentrated
effort 2-3
times weekly.

PROS
Principles

Explain how
you will utilize
the principle of
progression for
each
component of
fitness in your
exercise
prescription.

Explain how you

will utilize the
principle of
regularity for
each component
of fitness in your
exercise
prescription.

Explain how
you will utilize
the overload
principle for
each
component of
fitness in your
exercise
prescription.

Explain how
the
specificity
principle
applies to
each
component
of fitness in
your exercise
prescription.

Cardiovascular
Activity

Once Sally has

become
comfortable
with her
routines they
should push
her RPE to
over 12,
ideally 16

Her goal should

be to exercise 5
or more times
per week.

Once it is
known that her
routine can be
performed
safely and
comfortably
she should be
able to work
harder for
longer for
maximum
benefits. Yes,
she should be
breaking a
sweat.

Her aerobic
exercises
should be
varied to
ensure full
participation
of major
muscle
groups and
maximum CR
response. For
instance she
may want to
join a
dance
aerobics
class or a
seniors spin
class to ramp
up her
workouts.
After all she
is only 65.

Muscular
strength and
endurance

Her routines
should start to
include more
weight and
more reps. To
be determined
by a trainer for
safety.

Regularity of 3
times per week
minimum as part
of her overall
program.

Similarly to
progression
Sally should
struggle
somewhat for
time to time
be it through
increased
weight or reps.
At no time
should it be
painful of
dangerous.

As I
mentioned as
part of type a
circuit of
weight
machines or
resistance
bands is
optimal.
These circuits
should be
designed for
whole body
workouts
rather than a
focus area.
This will
increase
caloric burn,
weight loss
and balance.

Flexibility

Re testing her
chair sit and
reach results
should be done
periodically to
assess current
levels and
progression
plans can then
be safely
made.

A concentrated
effort at least 3
times per week.
Stretching
should be part of
her overall
workouts each
and every time.

Sally should
feel the burn
with her
stretches but
not pain and
stretches
should be held
for 30 seconds.

Overall ROM
should be the
main
objective,
balance of
upper and
lower body is
critical.

CLIENT
ASSESSMENT
MATRIX

Name:
Jennifer, age
35. Jennifer is
a bust mother
of three who
sits 8 hours a
day behind a
desk. She is
overweight

Jennifer likes
to walk but is
having trouble
finding the
time. She is
unable to join
a gym due to
financial
constraints.

She should be
advised to eat
well and
mindful of her
sodium intake
as she is
hypertensive.

with a BMI of
approx. 29 and
is
hypertensive.
She takes
medication
(drug
unknown) and
has obtained
medical
clearance for
exercise.

The fitness
testing she
has completed
are average to
good. She
would like to
lose weight
and increase
her physical
activity and
cardiovascular
endurance.

FITT Principles

What
frequency do
you suggest?

What intensity
do you
suggest?

What time do
you suggest?

What type of
activity do
you suggest?

Cardiovascular
Activity

3-5 per week

as part of an
overall
program

Using her
target heart
rate as a
guide I would
suggest 70%
for a HR of
130 BPM

30 minutes
minimum to
start

Walking or
biking seems
do-able as
she has no
access to a
gym.

Muscular
strength and
endurance

3-5 per week

as part of an
overall
program.

Moderate
intensity

30 minutes
total >

I would
suggest
creating her
own circuit at
home to
include situps, pushups,
resistance,
bands and
possibly
steps.

Flexibility

3-5 per week

as part of an
overall
programbecause she

She should
stretch to she
feels the pull
but not pain.

She should
hold a stretch
for at least 10
seconds and
repeat each

Buying a
yoga tape or
the like to
guide her.
Also yoga is

sits so long at
a desk daily
light stretching
would benefit
her as well
such as neck
and shoulder
stretching.
Also she
should be
mindful of
proper
posture.

stretch 3
times.

good to help
relieve stress
as she is a
busy woman
she may
benefit
psychological
ly as well.
She would
also benefit
from
dynamic,
static and
passive
stretch
exercises
that can
easily be
done at
home.

PROS
Principles

Explain how
you will utilize
the principle of
progression for
each
component of
fitness in your
exercise
prescription.

Explain how
you will utilize
the principle
of regularity
for each
component of
fitness in your
exercise
prescription.

Explain how
you will utilize
the overload
principle for
each
component of
fitness in your
exercise
prescription.

Explain how
the
specificity
principle
applies to
each
component
of fitness in
your exercise
prescription.

Cardiovascular
Activity

I would expect
she would be
able to
progress to
more difficult
activities such
as biking or
walking a trail
or a route with
more hills and
at a faster

She should not

let more than
48 hours pass
between
exercise
sessions.

Adding more
intense
exercise (see
progression)
for longer
periods of
time. She may
find she is
more winded a
sign she is
working

Again as she
is doing this
at home the
activities she
chooses
(biking,
walking)
should be
done for
maximum
benefit to her

pace. Also
applies to
overload. Or a
moderate pace
and difficulty
level for longer
periods.

Muscular
strength and
endurance

Flexibility

harder.

CV response.
She should
not become
locked into a
one activity
they should
vary for
maximum
response.

Once
acclimated
into a routine
she should be
able to
progress rather
quickly.
Increasing
weight or
resistance in
increments of
5% once she
finds current
exercises easy.
Also adding
repetitions can
promote
muscular
strength.

She should not

let more than
48 hours pass
between
exercise
sessions.

She should
construct her
routines by
manipulating
intensity, reps,
rest periods
and speeds
and type of
exercise to
continue to
force her body
to adapt.

She should
be certain
whatever she
activities she
chooses they
could not be
concentrated
of one body
region. All
regions
should be
worked in
balance.

Once she finds

her flexibility
exercises
become easy
to work
through
holding
stretches
longer or
trying new
techniques
could add
towards

She should
incorporate
flexibility
exercises into
her fitness
routine but
also stretch
lightly daily
due to the
amount of
time she
spends at a

Periodically
retesting her
flexibility can
help Jennifer to
see where she
may need
continued
improvement.
By adding time
and intensity
to stretches
would in turn
promote

Specificity in
Jennifers
flexibility
routine would
be to make
sure she is
stretching
completely
through the
entire ROM
for a specific
region/ joint.

progression.

desk.

improved
flexibility.