NASM Study Guide 7th Ed 2022 - Pass the NASM exam for FREE!

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Domain 1: Professional Development and Responsibility

Section 1. Professional Guidelines and Standards

1. According to the NASM Code of Conduct, list four guidelines a trainer must adhere to protect the public and the profession.

1. Not diagnose or treat illness or injury unless for basic first aid or if the Certified Professional is legally licensed to do so and is working in that capacity at that time
2. Not train clients with a diagnosed health condition unless the Certified Professional has been specifically trained to do so,
3. Not begin to train a client prior to receiving and reviewing a current health-history questionnaire signed by the client.
4. Hold a current cardiopulmonary resuscitation (CPR) and automated external defibrillator (AED) certification from a NASM-approved provider at all times

Section 2. Business Fundamentals

1. Describe “forecasting” as it applies to the business fundamentals of professional fitness.

Making informed predictions based on previous performance indicators and existing trends.

2. List the 10 steps to business success in fitness.

1. Decide on an income figure
2. Identify weekly earnings required for that goal
3. Calculate the number of required weekly sessions
4. Identify the required closing percentage
5. Create client conversion timeline
6. Identify the total number of interactions required based on the closing percentage
7. Identify the required amount of daily interactions
8. Do an hour by hour daily breakdown of interactions
9. Make sure you obtain contact information
10. Conduct follow-ups

Section 3. Marketing Concepts and Techniques

1. What are the 4 P’s of marketing in fitness?

1 – Product
2 – Price
3. -Placement
4 – Promotion

Section 4. Sales Concepts and Techniques

1. Define “prospecting”.

Implementation of methods designed to search for new clients.

2. What are the 4 key steps to “asking for the sale”.

1 – Be visible and available
2 – Be confident enough to ask for the sale
3 – Display value and quality of service. Market your personality as well as your product
4 – Remain is consistent contact with prospective and current clients

3. What are the ways you can overcome the objection to a sale?

– Empathize with and understand the client’s concerns
– Isolate the actual drawbacks
– Remind the client of the benefits
– Make a plan to resolve concerns

Domain 2: Client Relations and Behavioral Coaching

Section 1. Communication Components

1. List five tips that can enhance the quality of communication.

– Use of appropriate body language
– Provide an explanation of important concepts
– Show empathy and compassion
– Use positive reinforcement
– Use positive greeting protocols (smile, handshake. hello)

2. Describe non-verbal communication and how it takes effect.

Visual and auditory expressions of intent and feeling that exist outside of written or spoken speech.

3. Define “active listening”.

Practicing listening as an act of genuine interest.

4. Describe the differences between open-ended and closed-ended questions.

Open-ended questions allow the questioned party to elaborate with detail. Close-ended questions only require a yes or no answer.

5. Define “reflecting” with regards to trainer-client communication

Relaying back your interpretation of what the client has communicated.

6. Define “summarizing” with regards to trainer-client communication

Making brief reflections of what has been communicated to indicate that information has been taken on board.

Section 2. SMART Goals

1. Complete the SMART Goals table below.

S
Specific
M
Measurable
A
Attainable
R
Realistic
T
Timely

Section 3. Goal Expectation Management

1. List eight important considerations in goal expectation management.

1. Understand the client’s motivations
2. Hone in and clarify vague statements like “I want to get fit” or “I want to look better”
3. Allow clients to verbalize their goals for more clarity
4. Identify unrealistic outcomes
5. Set goals based on the SMART principles
6. Be able to contrast between product and progress based goals
7. Be aware that progress occurs at different rates for different clients
8. Identify how and when each client’s goals will be reassessed and revisited

Section 4. Behavior Change Strategies

1. Label the “stages of change” diagram below.

Try to think of the stages without seeing the chart below, first.

2. What are the four forms of support a trainer can implement?

– Instrumental support in the form of practical applications and infrastructure
– Emotional support in the form of positive psychological reinforcement and encouragement
– Informational support in the form of facts and evidence that provide direction and indicate efficacy and reliability
– Companionship support in the form of positive social associations such as family and close friends

Section 5. Psychological Response to Exercise

1. List four potential psychological benefits of exercise.

– Promotes positive mood
– Improves the quality and quantity of sleep
– Reduces stress
– Reduces indicators and risk factors of anxiety and depression

Section 6. Barriers to Behavior Change

1. List five common barriers to successful behavioral change.

– Time constraints
– Setting unrealistic goals
– Inadequate social support
– Social anxiety and low self-esteem, Convenience or addictiveness of current behavioral patterns

Section 7. Client Expectation Management

1. What key topics should be discussed at the end of each initial session with a new client?

– If the client is ready to begin or has any further questions/queries
– The social dynamics, etiquette, and training culture of the facility
– Dress code
– The potential outcomes of interactions with other clients/members

Domain 3: Basic and Applied Sciences and Nutritional Concepts

Section 1. The Nervous System

1. Define the following components of the nervous system.

Golgi Tendon Organ – GTOs are specialized sensory receptors located at the point where skeletal muscle fibers insert into the tendons of skeletal muscle.
Muscle Spindle – Muscle Spindles are sensory receptors within muscles that run parallel to the muscle fibers and are sensitive to change in muscle length and rate of length change .
The Charts below are found in chapter 5 in the 7th edition.
These figures are found in lesson 1 of chapter 5 in the 7th edition text.

2. Define the 3 main functions of the nervous system.

The three primary functions of the nervous system include sensory, integrative, and motor functions. Sensory Function is the ability of the nervous system to sense changes in either the internal or external environment. Integrative Function is the ability of the CNS to analyze and interpret sensory information to allow for proper decision making, which produces an appropriate response. Motor Function is then the body’s response (via the efferent pathway) to that integrated sensory information, such as causing a muscle to contract when stretched too far or changing one’s walking pattern when transitioning from walking on a sidewalk to walking in the sand.
These figures can be found throughout lesson 1 of chapter 5 in the 7th edition text.

Section 2. The Muscular System

1. Define the following components of the muscular system.

Tendons
Connective tissue bridging muscles to the skeleton
Fascia
Connective tissue that consists of a tough fibrous membrane that holds muscle tissue together
Fascicles
Muscle fiber units bundled within a single muscle
Muscle fiber
Cylindrical cells that produce and resist force through mechanical contraction allowing organisms to move and reposition
Sarcomere
The muscle fiber’s fundamental contractile unit consisting of protein filaments actin and myosin
Sliding filament theory
That contraction of muscles takes place through the sliding of actin and myosin
Type I (slow-twitch) muscle tissue
Predominantly aerobic muscle fibers responsible for sustained focused contractions and have a relatively higher mitochondrial count for that reason
Type II (fast-twitch) muscle tissue
More anaerobic, these fibers are tasked with short, explosive contractions aimed at generating power and speed
Motor unit
The smallest functional unit of a muscle and motor unit system
Neural activation
Stimulation of motor units through delivery of mild impulse. Also known as warming up.
Neurotransmitters
A signaling chemical release at the end of nerve synapses used to transfer impulses across nerve junctions or to muscle fibers

2. Label this cross-section of a muscle.

The chart is found in lesson 4 of chapter 5 in the 7th edition.

3. Define the following muscle systems.

Local stabilization system
Muscle system connected directly to vertebrae
Global stabilization system
Muscle system that transfer force between the upper and lower body, thus providing full-body stability
Movement system
All organs and structures whose collective function brings about mobility and biomechanical activity
These figures are found throughout lesson 4 of chapter 5 in the 7th edition text.

Section 3. The Skeletal System

1. Label this diagram of the spine.

These diagrams are found throughout chapter 5, lesson 2.

2. Define joints and know the following components of the skeletal system.

Joints are the sites where two bones meet and movement occurs as a result of muscle contraction.
These images are found throughout lesson 2 of chapter 5 in the 7th edition.

What is FAQ?

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What is FAQ?

1. Define the following components of the joint system.

Skeletal system functions
Structural integrity and support, protection of vital organs, mobility, anchoring of organs, production of blood and endocrine hormones
Non-synovial joints
Maintains structural integrity by joining bone segments not required to perform a movement
Synovial Joints
Joints which allow smooth movement between two or more adjacent bones
Major motion types
Spin, slide, and roll
Hinge Joint
Sagittal plane. E.g. elbows and knees
Ball-and-socket Joint
Full axis mobility. E.g. Pelvic and shoulder girdle
Arthrokinematics
The science of joint motion

Section 4. The Endocrine System

1. Define the following components of the endocrine system.

Endocrine system
The system responsible for the production and secretion of hormones
Testosterone
Anabolic male sex hormone
Estrogen
Female sex hormone
Growth hormone
Anabolic tissue growth hormone
Insulin
Energy and micronutrient regulation hormone

Section 5. The Cardio-respiratory System

1. Define the following.

Cardiorespiratory system
System comprising of the heart & blood vessels (circulatory) and lungs (respiratory)
Cardiovascular system
The heart and blood vessels
Respiratory system
Lungs and breathing system

2. Define the following.

Cardiac muscle
Involuntary heart muscle, relatively more rigid than skeletal muscle
Right atrium
Gathers low oxygen blood
Left atrium
Gathers oxygenated blood from the lungs
Sinoatrial (SA) node
Myocyte clusters that generate electrical impulses that determine heart rhythm
Right ventricle
Pumps low oxygen blood to lungs
Left ventricle
Pumps oxygen-rich blood through the body
Arteries
Vessels for oxygenated blood
Veins
Vessels for deoxygenated blood
Arterioles
Small branches of arteries
Capillaries
Smallest blood vessel units. Chemical exchange sites
Venules
Smallest branches of veins
Stroke volume
The volume of blood circulated with each pump
Heart rate
The frequency of heartbeats per minute
Cardiac output
Amount of blood pumped per minute

3. Define the following components of the respiratory system.

Inspiration
Moving air into the lungs through muscular contractions
Primary inspiratory muscles
External intercostals and diaphragm
Secondary inspiratory muscles
scalenes, sternocleidomastoid and pectoralis minor
Expiration
Pushing air out of lungs through muscular contraction
Expiratory muscles
Abdominals and internal intercostals
Resting oxygen consumption (VO2)
Amounts to 3.5ml/min/kg of body mass and is the equivalent of 1 metabolic equivalent (MET)
Maximal oxygen consumption (VO2max)
Maximum oxygen consumption rate at peak exercise intensity
Dysfunctional breathing
Irregular breathing patterns characteristic of stress and anxiety

4. Describe the training effects of cardiorespiratory exercise.

Increases: metabolic activity mental alertness, cardiac function, respiratory function.
Decreases: resting heart rate, LDL cholesterol, blood pressure, risk of cardiovascular disease.

5. Label the diagram below.

These diagrams are found throughout lesson 1 of chapter 6 in the 7th edition text.

6. What are the 3 main functions of blood?

Transport
Oxygen, nutrients, and hormones
Regulation
Temperature, fluid balance, pH
Protection
Immune system, clotting

Section 6. Bioenergetics and Exercise Metabolism

1. Define the following bioenergetic concepts.

Bioenergetics
The science of energy in the body
Metabolism
The usage cycle of nutrients and their conversion into energy, body components, and waste materials through normal life function
Aerobic
Using oxygen to drive metabolic function
Anaerobic
Metabolic activity with an absence of oxygen
Adenosine triphosphate (ATP)
A molecule used to transfer and store energy in cells
Anaerobic threshold
The point at which energy demand surpasses oxu=ygen supply
Excess post oxygen consumption(EPOC)
Post-exercise elevated metabolic activity

2. List the components and functions of the following energy systems.

Oxidative
Aerobic glycolysis, Krebs cycle, electron transport chain, Long-term energy
Glycolysis
Anaerobic, Moderate-to-high intensity, lasts up to 30-50 seconds
ATP-PC
Anaerobic, High-intensity, Lasts up to 10-15 seconds

This image has an empty alt attribute; its file name is figura-4-4-glycolysis-576x1024.png

Section 7. Fundamentals of Biomechanics

1. Define “Biomechanics”.

The science concerning the generation, transfer, and resistance of mechanical force by the musculoskeletal system and the effects produced.

2. Define “Force”.

A transfer of energy that acts on a physical body causing it to change its direction and velocity.

3. Define “Torque”

A rotational force acting about a fixed axis.

4. Define “Lever“.

A rigid bar that applies torque about a fixed pivot or fulcrum.

5. Describe the 3 classes of levers.

1st class
The fulcrum in the center
2nd class
Resistance in the center
3rd class
Effort in the center

Section 8. Anatomic locations

1. Describe the following anatomic locations

Superior
Above
Inferior
Below
Proximal
Closest to a reference point
Distal
Furthest from a reference point
Anterior
front
Posterior
behind
Medial
central
Lateral
On either side
Contralateral
Opposite sides
Ipsilateral
Same side

2. Define the following planes of motion and give examples of where they act.

The planes of motions to know are the Frontal, Sagittal, and Transverse.

Plane	Description	Example
Frontal	Adduction/abduction, Lateral flexion, Eversion/inversion	Lateral raise, lateral lunge, lateral shuffle
Sagittal	Flexion and extension	Bicep curl, hamstring curl
Transverse	Rotation, Horizontal adduction/abduction	Throwing motion

Section 9. Joint Motions

1. Define the following joint motions.

Flexion
Muscles shorten
Extension
Muscles lengthen
Plantar flexion
extension about the ankle joint
Dorsiflexion
Flexion about the ankle joint
Abduction
Extension away from the midline
Adduction
Flexion towards the midline
Horizontal abduction
Abduction along the transverse plane
Internal rotation
Joint rotation towards the midline
External rotation
Joint rotation away from the midline

Section 10. Principles of Human Movement Science

1. Define the following muscle actions

Concentric
Muscle shortens with contraction (effort>resistance)
Eccentric
Muscle lengthens under resistance (effort<resistance)
Isometric
Muscle length remains constant against resistance (effort=resistance)

2. Define the following muscle action concepts and principles.

Length-tension relationship
The tension a muscle can produce at a given resting length
Force-couple
A muscle pair working to produce motion
Force-velocity curve
An increase in velocity correlates to a decrease in concentric force and an increase in eccentric force
Neuromuscular efficiency
The degree at which force can be produced, reduced, and stabilized across all 3 movement planes
Structural efficiency
The degree of optimal alignment of the musculoskeletal system towards the most ideal centre of mass distribution for a given body
Davis’s law
soft tissue models along the lines of stress
Autogenic inhibition
Muscle spindle inhibition due to sensory impulses of tension being greater than motor impulses of contraction
Reciprocal inhibition
The contraction of one muscle leads to the relaxation of it’s opposite to facilitate movement.
Relative flexibility
Body’s affinity towards seeking the least resistive path
Pattern overload
Abnormal stress caused by excessive repetition of a single movement
Postural distortion patterns
Common movement patterns associated with muscle imbalances
Altered reciprocal inhibition
A tight agonist that inhibits its functional antagonist causing muscle inhibition
Synergistic dominance
When a prime mover’s function is taken over by a synergist
Muscle imbalance
Disproportionate muscle length about a joint

3. Label the “Cumulative Injury Cycle” diagram below.

The cumulative injury cycle is essential for the fitness professional to understand that poor posture and repetitive, overuse movements can create dysfunction within the connective tissue of the human body.
This image is figure 14-12 in the 7th edition.

Section 11. The OPT Model

1. Define the “OPT” model.

NASM’s Optimum Performance Training model aimed at enhancing the body through the correction of deficiencies, and improvement of the fundamentals of stabilization, strength, and power

2. Define the 3 pillars of the OPT Model

Stability
The ability to achieve and maintain postural equilibrium through all planes of motion
Strength
The degree to which muscular tension can produce force
Strength endurance
The length of time muscular tension can be sustained
Maximal strength
The maximum amount of force that can be produced through muscular contraction
Muscular hypertrophy
The increase in mass and volume of muscle tissue due to growth stimulated by metabolic and/or mechanical response. May lead to a corresponding increase in strength and power.
Power
The rate of strength output over time.

Section 12. Principles of Motor Development

1. Define the following key concepts of motor development.

Motor behavior
motor response to internal and external stimuli
Motor control
The integration of present sensory stimuli with previous experiences via the CNS
Motor learning
Incorporation of motor control patterns into adopted movement systems through repetition.
Motor development
The lifelong progression of motor skill behavior.
Sensorimotor integration
The integration of sensory input with the appropriate motor response.
Muscle synergies
Muscles collaboratively recruited by the CNS to produce movement
Proprioception
The ability to interpret sensory input from mechanoreceptors in order to maintain balance and postural equilibrium.

2. Describe the two main types of motor feedback.

Internal feedback: sensory input data resulting from the corresponding internal response to motor function and its outcomes.
External feedback: explicit data provided by external validators such as a coach, video playback or readings on measuring implements.

Section 13. Macronutrients

1. Describe carbohydrates.

Primary energy source macronutrients that include sugars, starches, and fiber.

2. Define the different types of carbohydrates.

Monosaccharide
A single unit of sugar. E.g. fructose, glucose.
Disaccharides
A double sugar molecule. E.g. lactose, sucrose and maltose.
Fiber
Complex polysaccharide found in plant tissue. Assists in gut health, glucose uptake regulation, and the nourishment of gut microbiota.
Soluble Fiber
Soluble fiber dissolves in water.
Insoluble Fiber
Insoluble fiber remains solid/in suspension in water.
Glucose
The most basic molecular structure of a carbohydrate
Glycogen
Carbohydrate storage unit stored in liver and muscle tissue

3. What is the Glycemic index?

The Glycemic index refers to numbers (0–100) assigned to a food source that represents the rise in blood sugar after consuming the food.

4. Describe Lipids.

Lipids are organic compounds made of glycerol and fatty acids that are hydrophobic. They include oils, fats, waxes, and steroids and contain roughly twice the energy yield per unit mass of carbohydrates.

5. Define the different types of lipids.

Triglyceride
The most common lipid structure consists of glycerol and 3 fatty acids.
Saturated Fat
A lipid where all the fatty acid chains have single bonds. Solid at ambient temperature.
Trans-fat
Hydrogenated unsaturated fat used for large scale industrial food production. Knowl to pose tremendous health risks
Unsaturated fat
A lipid where one or more double bond in the fatty acid chain
Monounsaturated
A lipid with only one double bond
Polyunsaturated
A lipid with more than one double bond

6. Give examples of food sources of these 3 lipid types.

Saturated Fat
Meat, dairy products, coconut oil
Monounsaturated fat
tree nuts, flaxseed, sunflower seeds
Polyunsaturated fat
Fatty fish, olive oil

7. Define Protein.

A nitrogen-based organic molecule comprised of one or more amino acid chains.

8. Define Amino Acids.

Sub Molecules of proteins containing amine and carboxyl groups.

9. What are Essential Amino Acids?

Amino acids that are both necessary to normal life function and cannot be naturally produced in the body. They must therefore be ingested through an inclusive diet.

10. What are Non-essential Amino Acids?

Amino acids that are either unnecessary to normal health, or are necessary, but are naturally produced in adequate quantities and don’t need to be ingested through an inclusive diet.

11. What is a Complete Protein?

A protein or protein source that includes all essential amino acids.

12. What is an Incomplete Protein?

A protein or protein source that does not possess all necessary amino acids.

Section 14. Micronutrients

1. What are micronutrients?

Inorganic molecules that drive important life functions and are only needed in trace quantities. These include vitamins and minerals.

2. What is toxicity?

A substance’s ability to have a negative impact on health.

Section 15. Hydration

1. What approximate percentage of the body is made of water?

Approximately 60%.

2. What is the daily recommended water intake for men and what is it for women?

2.2 L for women and 3 L for men.

3. What is the benefit of drinking cold water?

Cold water is well known to assist in digestive health.

4. What should one drink during exercise that exceeds 1 hour?

A beverage containing up to 8% carbohydrates.

5. For an overweight person, how much extra water is recommended for every 25 lbs overweight?

Approximately 8oz.

6. What are the two adverse effects of dehydration?

Fatigue decreased performance and circulatory deficiency.

Section 16. Recommendations and Guidelines for Caloric Intake and Expenditure

1. What is a calorie?

The amount of heat energy required to raise the temperature of 1 gram of water 1 degree Celsius.

2. What is the resting metabolic rate (RMR)?

Amount of energy expended during rest and inactivity.

3. What is the thermic effect of food (TEF)?

The energy expended through the process of digestion accounting for 6-10% of total expenditure.

4. What is the estimated amount of energy expended through deliberate physical activity?

Approximately 20% of total energy.

5. List the 3 ideal protocols when using carbs for performance.

– High carb consumption two to four hours before physical activity
– Consume 1,5 grams of carbs per kg of body weight to maximize glycogen reserves
– For activity lasting more than 1 hour, consume 30 – 60 grams of carbs per hour

Section 17. Dietary Reference Intakes

1. What are dietary reference intakes (DRIs)?

The guidelines for the ideal intake of a given nutrient.

2. Define the recommended dietary allowance (RDA).

The mean daily nutritional requirements for an individual of normal health.

3. Tolerable upper intake (UL).

The maximum intake level with no perceived health risks.

4. What is adequate intake (AI)?

The ideal recommended nutrient intake for individuals of normal health.

Section 18. Portion Sizes, Meal Timing, and Frequency

1. List the daily recommendations for different health goals.

The table shows the recommendations for how someone should look to eat when wanting to change their body in the following ways.

Weight Loss	Hypertrophy/Lean Mass	General Health
No more than 10% fat	Eat 4 to 6 meals per day	Incorporate low GI carbs
Distribute all macronutrients through the day	Spread protein intake through the day
Consume four to 6 meals per day to control hunger and cravings	Consume carbs and protein within 90 minutes of physical activity for optimal protein synthesis
Avoid calorically-dense processed foods	Maintain healthy ratios of carbs and fats
Hydrate with approx. 9 to 13 cups of water/day
Measure food portions
Seek professional supervision for diets under 1200 kcal

Section 19. Common Nutritional Supplements

1. What is an ergogenic aid?

A substance or drug used in athletic performance enhancement.

2. Where is creatine made?

Made in the body via the ATP-PC system.

3. What are the main benefits of creatine supplementation?

Can boost anaerobic performance and strength output during exercise. Can increase muscle mass over the long term.

4. What is the recommended pre-workout consumption of caffeine for an increase in performance?

Consuming g 3-6mg/kg of body weight 1 hour before physical activity has been shown to improve performance.

5. What status do pro-hormones and anabolic steroids have in competitive sport?

They are categorically illegal and prohibited by the World Anti-Doping Agency.

Domain 4: Assessment

Section 1. The PAR-Q

1. List the 3 purposes of the PAR-Q.

1. Determines risk level of exercise for an individual
2. Identifies the need for medical evaluation in an individual
3. Leads to physician referral if the answer is yes to one or more of the questions

Section 2. Elements of Personal, Occupational, and Family Medical History

1. What are the risks associated with extended periods of sitting?

Tightening on the hip flexors, weakening of posterior chain muscles (rounded shoulders and forward head).

2. What are the risks associated with repetitive movement patterns?

Can lead to pattern overload and overuse injuries.

3. What are the risks associated with over-wearing of dress shoes?

The sustained plantar-flexion can lead to tight calf muscles, leading to over-pronation and weakened dorsiflexion.

4. What risks are elevated due to mental stress

– Cardiovascular disease
– Respiratory complications

5. What risks are elevated due to past risks/injuries

– Future re-injury
– Neural overcompensation
– Loss of neural control
– Altered neural control

6. What common medications can affect exercise performance?

Beta-blockers, heart and blood pressure medication.

7. What chronic conditions can affect exercise performance?

Arthritis, asthma, diabetes, hypertension, obesity, cardiovascular conditions, stroke, cancer and pregnancy.

Section 3. Cardiorespiratory Assessments

1. What are cardiorespiratory assessments used to determine?

Used to estimate an individual’s VO2max.

2. How do you calculate the maximal heart rate? List the two methods and indicate which is more accurate.

The straight percentage method calculated as: HRmax = 220 – age

The regression formula, calculated as: HRmax = 208 – (0.7 × age)

The straight percentage formula is an easier calculation, while the regression formula gives a more accurate reading.

3. What is the process involved in the YMCA 3-minute step test:

1. Execute 96 steps/minute, on a 12-inch step, over a 3 minute period.
2. Take a 60-second recovery pulse within 5 seconds of stopping
3. Refer to the chart on page 130 of the textbook and match recovery pulse to it
4. Assign the correct heart rate zone:Zone 1: poor – fair
5. Zone 2: average – good
6. Zone 3: very good

4. What is the process involved in the Rockport walk test?

1. Document weight
2. 1-mile treadmill walk
3. Document time
4. Record heart rate immediately after
5. Use the VO2 formula to calculate the VO2 score
6. Use the chart on textbook page 132 to match score with age and sex
7. Assign the correct heart rate zones
Zone 1: poor – fair
Zone 2: average – good
Zone 3: very good

Section 4. Physiological Assessments

1. How do you measure the radial pulse?

Place index and middle fingers on the wrist proximal to the thumb.

2. How do you measure the carotid pulse?

Less preferred for clients, more suitable for emergency first response, located on the side of the neck.

3. What is the resting heart rate (RHR) and how do you determine it?

The heart rate experienced at rest. It can be determined as an average of 3 consecutive morning heart rate readings.

4. What is the average RHR for men and for women?

Ave RHR men: 70bpm.
Ave RHR women: 75bpm.
The healthy adult range sits between 70 – 80 bpm.

5. What are the two blood pressure readings and what is their healthy range?

Systolic: maximum arterial pressure which occurs during cardiac contraction. Health normal of up to 120 mm Hg
Diastolic: minimum arterial pressure which occurs during cardiac relaxation. Healthy normal of up to 90 mm Hg

Section 5. Static Postural Assessment

1. What are the kinetic chain checkpoints?

The body’s main joint regions such as knees, elbows, ankles, wrists, head/neck, LPHC, and shoulder girdle.

2. Complete the postural assessment charts below?

These static and dynamic postural assessment diagrams are found throughout Lesson 2 of Chapter 12 in the 7th Edition.

Section 6. Assessments from Adjacent Professionals

1. What is cholesterol?

Cholesterol is a lipid derivative found in the blood and produced in the liver.

2. Define HDL and LDL cholesterol, their differences, and their contribution to general health?

HDL is high-density lipoprotein and is a form of cholesterol considered beneficial for health. LDL is low-density lipoprotein and has been linked to an increased risk of cardiovascular disease.

3. What is the healthy total cholesterol level?

A level of no more than 200 mg/dL.

Section 7. Body Composition Assessments

1. How do you classify an overweight person?

Any person whose weight sits at no less than 25 lbs above their ideal weight for their height, or anyone with a BMI of 25 to 29.9.

2. How do you classify obesity?

A BMI of at least 30 is classified as obese.

3. How is a skin-fold measurement conducted?

The use of skinfold calipers is implemented at four body sites, these being:

Biceps (vertical fold)
Triceps (vertical fold)
Subscapular (45° fold)
Iliac crest(45° fold).

These measurements are taken on the right side of the body, followed by input into the Durnin-Womersley formula for a final body fat estimate.

4. How do you calculate fat mass?

Fat mass is calculated as the product of body fat % and total scale weight.

5. How do you calculate lean body mass?

Lean mass is calculated as the total scale weight minus the fat mass.

6. How does bioelectrical impedance work?

An electric current is sent through the body and used to determine total fat mass.

7. How does underwater weighing work?

Underwater weighing uses the principle that fat mass is more buoyant than lean mass.

8. How do circumference measurements work?

Measurements based on changes in girth of several sites such as ankles, chest, waist, hips, calves, and neck. Considered inaccurate.

9. How do you measure using the waist-to-hip ratio?

The waist circumference is divided by the width of the hips. A ratio no less than 0.8 for females and one of no less than 0.95 for males indicates the potential for obesity-related risk factors.

10. What is body mass index (BMI)?

The weight to height ratio of a person. The higher the BMI, the more likely a person is overweight or obese, the lower the BMI, the more likely they are underweight.

Section 8. Performance Assessments

1. Define the following performance assessments.

Davies test
An agility and stability test for the upper body
Shark skill test
Neuromuscular control and agility test for the lower body
Bench press test
Determines upper-body maximal strength (1 rep max)
Squat test
Determines lower body maximal strength (1 rep max)
Push-up test
Determines upper body muscular endurance
LEFT test
Determines acceleration, deceleration agility, and neuromuscular control

1. What is the overhead squat assessment?

Analyzes posture through movement to determine any movement dysfunctions, imbalances or deviations.

2. Complete the OHSA solutions table below.

This overhead squat assessment, one of the more important dynamic posture assessments, can be found throughout lesson 3 of Chapter 12 in the 7th Edition.

View	Kinetic Chain Checkpoint	Compensation	Compensation	Underactive muscles
Lateral	LPHC	Pronounced forward lean	Soleus	Anterior tibialis
Gastrocnemius	Gluteus maximus
Hip flexor complex	Erector spinae
Abdominal complex
Anterior pelvic tilt	Hip flexor	Gluteus maximus
Erector spinae	Hamstring complex
Latissimus dorsi	Intrinsic core stabilizers
Posterior pelvic tilt	Hamstring complex	Intrinsic core stabilizers
Rectus abdominis	Gluteus maximus
Upper body	Arms shit forwards	Latissimus dorsi	Middle / lower trapezius
Teres major	Rhomboids
Pectoralis major/minor	Rotator cuff
Anterior	Feet	Turn out	Soleus	Medial gastrocnemius
Lateral gastrocnemius	Medial hamstring complex
Biceps femoris (short head)	Gracilis
Sartorius
Popliteus
Knees	Move inwards	Adductor complex	Gluteus maximus
Soleus	Gluteus medius
Gastrocnemius	Vastus medialis oblique (VMO)
Biceps femoris (short head)
Tensor fasciae latae (TFL)
Vastus lateralis
Move outwards	Soleus	Gluteus maximus
Gastrocnemius	Adductors
Biceps femoris (short head)	Medial hamstring complex
Piriformis

Section 8. Performance Assessments

3. What does the single leg squat assessment identify?

Assess for the level of ankle proprioception core stability and strength and hip stability and strength.

4. Complete the single leg squat assessment solutions table below.

The Single leg Squat assessment is a slightly more advanced assessment that looks to find problems in dynamic posture. This can be fund throughout lesson 3 of chapter 12 in the 7th edition.

View	Kinetic Chain Checkpoint	Compensation	Overactive muscles	Underactive muscles
Anterior	Knees	Move Inward	Adductor complex	Gluteus medius
Biceps femoris	Gluteus maximus
TFL	Vastus medialis oblique
Vastus medialis oblique

5. What does the pushing assessment identify?

Assess for level of efficiency and identify potential imbalances during pushing movements.

6. Complete the pushing assessment solutions table below.

This is another form of dynamic posture assessment that is commonly used. This can be found throughout lesson 3 of chapter 12 in the 7th edition.

View	Kinetic Chain Checkpoint	Compensation	Overactive muscles	Underactive muscles
Lateral	LPHC	Low back arches	Hip flexors	Intrinsic core stabilizers
Erector spinae
Shoulder complex	Shoulder elevation	Upper trapezius	Mid trapezius
Sternocleidomastoid	Lower trapezius
Levator scapulae
Head	Protrudes	Upper trapezius	Deep cervical flexors

7. What does the pulling assessment identify?

Assess for the level of efficiency and identifies potential imbalances during pulling movements.

8. Complete the pulling assessment solutions table below.

Another form of dynamic posture assessment, and this too can be found throughout the lesson 3 of chapter 12 in the 7th edition.

View	Kinetic Chain Checkpoint	Compensation	Overactive muscles
Lateral	LPHC	Lower Back Arches	Hip flexors
Erector spinae
Shoulder complex	Shoulder elevation	Upper trapezius	Mid trapezius
Sternocleidomastoid	Lower trapezius
Levator scapulae
Head	Protrudes	Upper trapezius	Deep cervical Sternocleidomastoid flexors

9. What does the gait assessment identify?

Assess for level of efficiency and identify potential imbalances during walking and running.

10. Complete the gait assessment solutions table below.

The gait cycle is discussed throughout lesson 1 of chapter 19 in the 7th edition.

View/Checkpoint	Compensation	Overactive muscles	Underactive Muscles
Feet	Flatten	Peroneal complex	Anterior tibialis
Lateral gastrocnemius	Posterior tibialis
Biceps femoris (short head)	Medial gastrocnemius
TFL	Gluteus medius
Turn out	Soleus	Medial gastrocnemius
Lateral gastrocnemius	Medial hamstring
Biceps femoris (short head)	Gluteus medius/maximus
TFL	Gracilis
Sartorius
Popliteus
Knees	Move inward	Adductor complex	Medial hamstring
Biceps femoris (short head)	Medial gastrocnemius
TFL	Gluteus medius/maximus
Lateral gastrocnemius	Vastus medialis oblique
Vastus lateralis	Anterior tibialis
Posterior tibialis
LPHC	Low back arch	Hip flexor complex	Gluteus maximus
Erector spinae	Intrinsic core stabilizers
Latissimus dorsi	Hamstrings
External obliques	Sartorius
Adductor complex	Popliteus
Excessive rotation	Hamstrings	Gluteus medius/maximus
Intrinsic core stabilizers
Hip hike	Quadratus lumborum (opposite side)	Adductor complex (same side)
TFL/gluteus minimus (same side)	Gluteus medius (same side)
Shoulders	Rounded	Pectorals	Middle and lower trapezius
Latissimus dorsi	Rotator cuff
Head	Forward	Upper trapezius	Deep cervical flexors
Levator scapulae
Sternocleidomastoid

Section 10. Performing Assessments with Special Populations

1. Which assessments should be avoided and which are ideal for pregnant women?

A modification of the single-leg squat assessment to a single leg balance assessment as well as a reduction in ROM of the overhead squat. Push up an assessment to pivot off the knees instead of feet. Avoid power and impact based exercises and assessments.

2. What is the ideal assessment protocol for an obese person?

For cardio assessment, the Rockport walk test is the ideal assessment. Institute a single leg balance test instead of the single-leg squat and implement the push-up test with the knees as the pivot and an elevation for the hands such as a bench.

Section 11. Indicators that a Client’s Condition is Outside Scope of Practice

1. List four areas that fall outside a fitness professional’s scope of practice.

Medical diagnosis
Prescription of pharmaceuticals and treatment of any medical condition
Diet prescription and therapy
Psychoanalysis, psychotherapy, or mental health counseling

Section 12. Criteria For Reassessment

1. Which four scenarios present an ideal necessity for reassessment?

-After a four week period where changes in programming are occurring
-After notable indications of improvement
-When new goals have been identified and selected by the client
-When notable changes in lifestyle behaviors occur such as dietary, career, relinquishing of previous addictions, etc…

2. Describe corrective flexibility training and identify which training phase it should be implemented.

Corrective flexibility should be implemented in phase 1 of training and helps increase ROM, addresses imbalances and corrects deviated movement patterns.

3. Describe active flexibility training and identify which training phase(s) it should be implemented?

Best implemented at phases 2, 3, and 4. It helps promote improved neuromuscular efficiency, soft tissue extensibility and reciprocal inhibition.

4. Describe functional flexibility and identify which training phase(s) it should be implemented.

Best implemented at phase 5 of training. This type of flexibility promotes and maintains integrated, multiplanar soft tissue extensibility while optimizing neuromuscular control.

5. Describe the self-myofascial release.

Gentle massaging motions using a rigid, smooth implement such as a foam roller to ease and release knots in the muscle tissue. This relieves tension and autogenic inhibition.

6. Describe static stretching.

Stretching muscle just past the comfortable tension limit and holding the extension for at least 30 seconds.

7. Describe active-isolated stretching.

Dynamic movement of joints into an ROM by agonists and synergists.

8. Describe dynamic stretching.

Uses production of force to move joints through a full ROM.

Domain 5: Exercise Technique and Training Instruction

Section 1. Exercise Set-up and Technique

1. List 5 key tasks for the correct set-up and instruction of exercises.

– Asses set-up and correct technique of all documented exercises-
– Categorize all exercises
– Regress each exercise
– Progress each exercise
– Perform each exercise

2. What are 9 effects and benefits of a good warm-up?

– Boost respiratory and heart rate
– Boosts cardiac output for exercise
– Boosts circulation to active muscles
– Boost oxygen uptake and use capacity
– Boosts temperature of active tissues
– Boosts rate of muscular contraction
– Boosts metabolic activity
– Boosts extensibility of soft tissue
– Boost mental focus and readiness for exercise

3. What is the difference between a general warm-up and a specific warm-up?

Low-intensity movement unrelated to specific training activities would fall under general warm-up, while a specific warm-up would entail low-intensity movements that directly mimic the intended training activity.

4. Define a “cool-down” and how it is performed.

Gradual 5-10 minute transition from active to steady-state utilizing light cardio, static stretching and SMR.

5. Describe triple extension/flexion and when it occurs.

Concurrent extension or flexion of hip, knee, and ankle.

Section 2. Kinesthetic, Auditory, and Visual Cueing

1. What is sensory feedback and what are its effects?

The information produced by sensory input and sensorimotor integration that leads to permanent pattern development.

2. What are the differences between external and internal feedback?

External feedback is provided explicitly by external mediators while internal feedback is tacit recognition of intrinsic effects/changes.

3. What are the two main types of external feedback?

Audiovisual through and instructor or playback system and knowledge of results.

4. List 3 effective ways to explain an exercise to a client.

– Tell (auditory cueing)
– Show (visual cueing)
– Direct (kinesthetic cueing)

Section 3. Safe Training Practices

1. What are the most essential safety questions when preparing to train a client?

What:
Is safe?
Is a contraindication?
Is an Appropriate Intensity?

How:
How many exercises?
Sets and Reps?
Days per week?

Section 4. Safe and Effective Spotting Techniques

1. List five important safety and spotting considerations.

– Determine total reps to be performed
– Only take weight where there is immediate danger of dropping
– Only assist just enough to overcome ”sticking point”
– Spot wrists and not elbows during dumbbell workouts
– Avoid spotting machine-based exercises by positioning your hands under the weight stack.

Section 5. Proper Breathing Technique

1. List 3 abnormal breathing features.

– Shallow breathing may be due to use of secondary respiratory muscles instead of the diaphragm
– Respiratory muscle overactivity may result in headaches and dizziness
– Excessive breathing can lead to oxygen/CO2 imbalance and retention of waste molecules.

2. How would you advise a client to breathe in order to limit abnormal breathing patterns?

Instruct breathing through the stomach in order to normalize.

Domain 6: Program Design

Section 1. Resistance Training Systems

1. Describe single-set training.

Training one set per exercise. This is an ideal protocol for beginners.

2. Describe multiple-set training.

Multiple sets per exercise.

3. Describe pyramid training.

Training where the intensity increases or decreases progressively with each set.

4. Describe superset training.

Performing two consecutive sets of exercises with very little to no rest in-between.

5. Describe circuit training.

Performing multiple exercises with little rest between sets.

6. Describe peripheral heart action training.

A circuit training variation that alternates upper and lower body training for optimized circulation.

7. What is split-routine training?

Compartmentalizing training focus between upper and lower body and dedicating entire sessions accordingly.

8. Describe what is meant by vertical loading.

Alternating training focus between upper and lower body with each set.

9. Describe what is meant by horizontal loading.

Focusing on all exercises for one body segment then moving onto the next within one session.

Section 2. Resistance Training Methods

1. In the table below fill in the recommended training methods for each of the OPT model’s steps and phases, also providing examples of appropriate exercises.

This information is taken from chapter 21 of the 7th edition.

Stabilization	Strength	Power
Method
4/2/1 tempo, lower weight, and higher reps in an unstable, but controlled, environment	2/0/2 tempo, moderate to heavyweight, low to moderate reps with full ROM	Explosive tempo, light weight, moderate reps with full ROM
Exercises
Ball squat, curl to press	Lunge to two-arm dumbbell press	Two-arm medicine ball chest pass
Multiplanar step-up balance, curl, to overhead press	Squat to two-arm press	Rotation chest pass
Ball dumbbell chest press	Two-arm push press	Ball medicine ball pullover throw
Barbell clean	Barbell clean	Wood chop throw
Standing cable row	Flat dumbbell chest press	Medicine ball scoop toss(shoulders)
Ball dumbbell row	Barbell bench press	Medicine ball side oblique throw
Single-leg dumbbell scaption	Seated cable row	Squat jump
Seated stability ball military press	Seated lat pull	Tuck jump
Single-leg dumbbell curl	Seated dumbbell shoulder press
Single-leg barbell curl	Seated shoulder press machine
Supine ball dumbbell triceps extension	Seated two-arm dumbbell biceps curls
Prone ball dumbbell triceps extension	Biceps curl machine
Biceps curl machine	Cable pushdowns
Multi-planar step-up to balance	Supine bench barbell triceps extension
	Leg press
	Barbell squat

Section 3. Cardiorespiratory Training Methods

1. Describe stage training.

Cardio training was instituted progressively to avoid injury and over-training.

2. What are the characteristics of stage l training.

Characterized by initial cardio activation for sedentary individuals. Implemented at HR zone 1. Starts slow and progresses up to about 30-60 mins of training.

3. What are the characteristics of stage ll training?

Characterized by cardio progress for intermediate level individuals. Implemented at HR zone 2 intervals, with HR zone 1 for recovery. 1 min zone 2:3 min zone 1 (1:3 work/rest ratio).

4. What are the characteristics of stage llI training

Characterized by cardio progress for advanced level individuals. Implemented at HR zone 3 intervals, with HR zone 2 for recovery and HR zone 1 as a warm-up. 1 min zone 3:1 min zone 2 (1:1 work/rest ratio).

Section 4. Core Training Methods

1. Why is it important to implement core and stability training?

For effective global stability of all movement chains through the body. Develops local stabilization muscles, muscle balance and correct transfer of force.

2. Describe what is meant by a “drawing-in maneuver” .

Core stabilizer recruitment activated by pulling the navel towards the spine (local stabilization).

3. Describe what is meant by “bracing”.

Stabilizing the LHPC through contraction of the anterior and posterior core muscles as well as the glutes (global stabilization).

Section 5. Balance Training Methods

1. Detail four benefits of balance training.

– Develops awareness of balance limit/threshold
– Optimizes synchronicity and synergy of muscle firing patterns in turn improving joint stability.
– Combines functional training with proprioceptive activation.
– Maximizes sensory input to CNS, in turn, maximizes the efficiency of relevant motor response.

Section 6. Proprioceptive Manipulation

1. List six proprioceptive progressions.

– Stable to unstable
– Static to dynamic
– Slow to fast
– Two limbs to single limbs
– Open eyes to closed eyes
– Known to unknown

2. List six progressive body positions.

– Supine
– Prone
– Lateral lying
– Kneeling
– Half- kneeling
– Standing

3. List the four standing progressions.

– Two legs
– Single leg
– Two leg (unstable)
– Single leg (unstable)

4. List 6 proprioceptive apparatus/modalities.

– Solid floor
– Balance beam
– Half foam roll
– Foam pad
– Balance disk
– Wobble disk

Section 7. Plyometric Training Methods

1. Define plyometric training.

Power focused movement training consisting of an eccentric phase for potential energy development followed by an explosive concentric phase.

2. Define the Amortization phase.

Transitional phase between eccentric and concentric action during a plyometric movement. The shorter the transition phase, the more powerful the movement.

Section 8. SAQ Training Methods

1. What does “SAQ” stand for and what does each element entail?

Speed Agility and Quickness. Relates dynamic reactivity and ability to accelerate, decelerate and change position and direction in all planes of motion while maintaining dynamic stability.

2. What is the primary SAQ training method?

Cone and agility ladder drills.

Section 9. Exercise Progression/Regression

1. Why is exercise progression/regression important?

Allows for managed progress and development of skills.

Section 10. General Adaptation Syndrome

1. Define General Adaptation Syndrome (GAS).

The body’s 3 stage response to stress. The stages are alarm, resistance development and exhaustion.

2. What is “alarm reaction”?

The primary response to a stressor which leads to engagement of protective systems.

3. What is “resistance development”?

Functional adaptation to the stressor leading to tolerance of that current level of stress.

4. Describe exhaustion as it relates to GAS.

Sustained stress over an excessive period or intensity leads to system failure and break down of adaptation.

Section 11. Principle of Specificity

1. Define and describe the “SAID” principle.

Stands for Specific Adaptation to Imposed Demands. This refers to the fact that exposing the body to specific stressors through training will lead to an adaptation that matches those specific demands.

2. Describe what is meant by mechanical specificity.

The specific forces and direction through which they are applied.

3. Describe what is meant by neuromuscular specificity.

The sensory inputs and and the corresponding motor responses.

4. Describe what is meant by metabolic specificity.

The energy demands and biochemical activity relevant to the specific demands.

Section 12. Principle of Overload

1. Describe the principle of progressive overload.

Training stimuli and demands must be progressively elevated through an increase in intensity and/or volume in order to promote sustained optimization of adaptation.

Section 13. Principle of Variation

1. Describe two ways in which the principle of variation can assist in achieving training outcomes.

The principle works by reducing risk of exhaustion while maintaining ideal overload and maximizing kinetic chain stimulation.

Section 14. Periodization Concepts

1. Define periodization.

Dividing training into specific periods called cycles designed to optimize adaptation both over long term and short term periods.

2. Describe an ideal periodized training plan.

A training plan split into weekly, monthly, and annual cycles that progress from high volume, low-intensity workouts to low volume, high-intensity workouts.

3. Describe undulating periodization as it applies to the OPT model.

Progressively changing the OPT phases as the program runs while still adhering to recovery protocols.

Section 15. Acute Variables

1. Define intensity.

Level of effort or resistive force required to perform an exercise.

2. Define volume.

Quantity of complete efforts or repetitions in given time required to complete an exercise set or workout session.

3. Complete the “FITTE” principle chart below.

The FITTE principles are found throughout chapter 15, lesson 6 in the 7th edition. Ans this also adds in volume and progression, which are less talked about.

F	Frequency	Total number of training sessions per unit time
I	Intensity	Level of effort required to successfully perform exercises
T	Time	The period in which training occurs
T	Type	The nature of physical activity engaged
E	Enjoyment	The amount of pleasure derived from performing the exercise or workout

4. List 3 outcomes of high volume (low intensity) adaptation.

– hypertrophy
– healthy cholesterol balance
– improved metabolism

5. List 3 outcomes of low volume (high intensity) adaptation.

– Strength increase
– Increased recruitment of motor units
– Optimized synchronicity of motor units

Section 16. Modality Risks and Rewards

1. Define bodyweight training.

Training using one’s own physical mass as a training load through all planes of motion.

2. Describe suspension training as well as some of the apparatus involved.

Using ropes and webbing to create a proprioceptively rich training environment.

3. Describe free weights and implements training as well as some of the apparatus involved.

Movement of external load through multiple planes of motion while anchoring to a stable base. E.g. dumbbells, barbells, kettle-bells, medicine balls and sandbags.

4. When are strength training machines most ideal?

Ideal for beginners with limited stability adaptation and ROM.

5. Describe proprioceptive modalities and some of the apparatus involved.

Proprioceptive modalities are used to create instability during exercise thus leading to a proprioceptively rich training environment that causes adaptations towards balance and stability. Equipment includes an unstable surface of the apparatus.

Section 17. Overtraining, Rest, and Recovery

1. What are the eight common signs of overtraining syndrome?

– Fatigue
– Performance decline
– Irregular sleep patterns
– Reproductive health issues
– Compromised immunity
– Unstable mood
– Appetite decrease
– Hormonal imbalance

Section 18. Current Trends and Their Application to Training

1. List four benefits of incorporating mobile apps.

– Provides constant, sustained guidance and feedback
– Can manage and assess all variables
– Allows for remote client management
– Optimized nutritional management

2. List 3 benefits of incorporating activity trackers.

1. Provides exercise data and feedback
2. Monitors vitals and sleep habits
3. Provides information on progress and incentivizes it

3. List 5 benefits of incorporating social media.

1. Powerful marketing tool for services
2. PR and reputation management
3. Provide value through information and useful content
4. Inspire clients and prospects
5. Network with peers and collaborators. Study and learn from competitors

4. Name an important emerging technology.

Wearable fitness trackers.

Section 19. Program Design for Special Populations

1. Complete the Youth Training Considerations table below.

This is a focus of lesson 1 in chapter 23 of the 7th edition.

Mode	Moderate cardio (jogging, walking, running), sports, and games. Resistance training
Intensity	Moderate to vigorous
Frequency	5 to 7 days per week (cardio)
Duration	No more than 1 hour per day
Flexibility	Adhere to OPT flexibility protocols
Resistance Training	Frequency: 2-3 days/ weekSets: 1-5 setsRepetitions: 3-30/setIntensity: 45%-85% of 1-RM
Special Considerations	Activity should be enjoyable and based on the quality of postural control and less on the intensity

2. Complete the Older Adult Training Considerations table below.

This table also comes from lesson 1 of chapter 23 in the 7th edition.

Mode	Stationary cycling, treadmill with handrail, aquatic aerobics
Intensity	40-85% of VO2max
Frequency	3-5 days/week moderate, 3 days/week vigorous
Duration	30-60 mins/day. 8-10 min bursts
Flexibility	SMR and static stretching exercises
Resistance Training	Frequency: 3-5 days/ weekSets: 1-3 setsRepetitions: 8-20/setIntensity: 40-80% 1-RM
Special Considerations	Slow and well-monitored progress. Progress exercises toward free sitting or standing. Regular breathing avoiding Valsalva maneuver Implement slow, active, or dynamic stretching in case SMR or static stretching is poorly received.

3. Complete the Pregnancy Training Considerations table below.

This is featured in lesson 6 of chapter 23 in the 7th edition.

Mode	Low impact cardio (treadmill, stationary bike) no sudden or jarring motions
Intensity	Stage 1 cardio. Stage 2 if medically cleared
Frequency	3-5 days/week cardio
Duration	15-30 mins/day
Flexibility	SMR, static and active-isolated stretching
Resistance Training	Frequency: 2-3 days per week Sets: follow OPT Phase Repetitions: 12-15 per set intensity: light loads Only OPT Phases 1 and 2 are advised; use the only Phase 1 after the first trimester.
Special Considerations	No prone or supine exercises beyond the 12th week of pregnancy. No SMR on varicose vein regions and swollen areas. No plyometric exercises during the second and third trimesters. No power or speed assessment. Pivot push-up assessment from knees instead of feet. Change the single-leg squat to a single-leg balance assessment. Reduce ROM for the overhead squat assessment.

4. Complete the Obesity Training Considerations table below.

This is featured in lesson 2 of chapter 23 of the 7th edition.

Mode	Low impact cardio (treadmill, stationary bike) no sudden or jarring motions
Intensity	60-80% HR max.; can be adjusted to 40-70%; use the talk test
Frequency	5-7 days/week cardio
Duration	40 - 60 mins/day. 2x 20-30min/day
Flexibility	Stretches performed seated or standing, use SMR if possible
Resistance Training	Frequency: 2-3 days/week. Sets: 1-3 sets. Repetitions: 10-15 /set. Intensity: follow OPT Phases Implement circuit training for Phases 1 and 2
Special Considerations	Exercise should be performed standing or seated when possible. Watch for other obesity-related chronic diseases. Use the Rockport walk test for cardiac assessment. Pivot push-up assessment from knees instead of feet. Test single-leg balance instead of single-leg squat assessment.

5. Complete the Hypertension Training Considerations table below.

This is featured in lesson 4 of chapter 23 in the 7th edition.

Mode	Stationary cycling, treadmill walking, rowers
Intensity	50-85% HR max., can adjust to 40-70%. Stage 1 cardio progressing to stage 2 cardio
Frequency	3-7 days/ week cardio
Duration	30-60 minutes/day
Flexibility	Static and active-isolated stretching; standing or seated
Resistance Training	Frequency: 2-3 days/week Sets: 1-3 sets Repetitions: 10-20/set Intensity: Adhered to OPT Phase protocols, no more than 1 second for isometric and concentric muscle activity. Implement circuit or PHA training systems with adequate recovery.
Special Considerations	No heavy lifting or Valsalva maneuver. Avoid over-gripping weights or clenching fists during workouts. Perform exercises in a standing or seated position. Stand up slowly to avoid vertigo/dizziness. Slow progression

6. Complete the Osteoporosis Training Considerations Table below.

This is featured in lesson 5 of chapter 23 in the 7th edition.

Mode	Treadmill with handrail
Intensity	50-90% HR max. Stage 1 cardio progressing to stage 2
Frequency	2-5 days/week cardio
Duration	20-60 min/day. 8 -10min bouts
Flexibility	Static and active-isolated stretching
Resistance Training	Frequency: 2-3 days/week Sets: 1-3 sets Repetitions: 8-20/set Intensity: max of 85% 1-RM
Special Considerations	Slow progress Progress to free sitting/standing if possible Hips, thighs, back, and arms focal areas Avoid excess loads on the spine Avoid the Valsalva maneuver.

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Besides this guide, we have a number of other awesome NASM study materials that will help you gain that edge when it’s time to take the test. Our paid study guide for NASM CPT covers more depth.

This is what makes it the best NASM personal trainer study guide!

Be sure to check out the rest of Trainer Academy’s NASM study options as well as a whole host of guides and materials for other popular certifications such as.

Additional NASM Study Tips

Don’t forget to download our 14 step NASM CPT exam preparation checklist to ensure that you pass the test.

Get the NASM exam prep checklist

Study frequently and on a schedule.
Make mnemonics to help with memorization of difficult topics.
Print the diagrams, figures, and charts.
Go through the study materials and practice test questions.
Breeze through the NASM Essentials of Personal Fitness Training text on your own.
Create flashcards and answers for the NASM study guide.

Good luck with your NASM-CPT exam!