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Elements and Performance Criteria

  1. Prepare clients for postural appraisal.
  2. Assess client's range of movement.
  3. Analyse client's static posture.
  4. Observe client's dynamic posture.
  5. Provide information to clients relating to posture.

Required Skills

Required skills

communication skills to

interact with clients to convey information about aims and procedures of postural appraisals and outcomes of assessments

to respond to client queries

provide followup advice to address poor posture

problemsolving skills to

select appropriate postural appraisal tools appropriate to the clients needs

evaluate the clients posture and make appropriate recommendations

literacy skills to record assessment results and analyse assessment information

selfmanagement skills to recognise and respond appropriately to areas outside own scope of practice

Required knowledge

musculoskeletal system to conduct postural appraisals to inform the development of safe and effective exercise programs and provide information to clients including

structure of joints

range of motion

function of muscles and muscle groups

joint integrity and risk of injury

types and functions of muscles

muscle actions

muscle fibre types

legislation and organisational policies and procedures to enable

appropriate collection use and storage of client information

application of legal and ethical limitations of own role

purpose and process of postural appraisals to enable accurate information to be communicated to clients and accurate responses to be made to client queries

fitness industry standards and practices for the conduct of appraisals of clients in a safe and ethical manner

tools and methods to conduct postural appraisals that enable accurate information to be collected and analysed

ideal postural alignment to enable identification of postural variances for followup action

Evidence Required

The evidence guide provides advice on assessment and must be read in conjunction with the performance criteria required skills and knowledge range statement and the Assessment Guidelines for the Training Package

Overview of assessment

Critical aspects for assessment and evidence required to demonstrate competency in this unit

Evidence of the following is essential

treats client information with sensitivity and discretion displays client empathy puts clients at ease during the appraisal process and communicates information and results appropriately

carries out postural appraisals according to legal and ethical limitations and refers to appropriate personnel regarding areas outside level of responsibility

utilises a range of postural assessment tools and activities and makes informed recommendations to the client for appropriate exercise programs or recommends external assistance

applies effective contingency management techniques to deal with a range of problems and issues that may arise during the appraisal process such as providing strategies to address poor posture and referring clients with abnormal appraisal outcomes to medical or allied health professionals

Context of and specific resources for assessment

Assessment must ensure conduct of multiple postural appraisals for a range of clients including older clients

Assessment must ensure access to

a fitness facility with appropriate postural analysis equipment to conduct the appraisals

multiple clients with a range of real or simulated fitness needs and postural conditions

documentation such as health screening questionnaires and appraisal tools relevant appraisal forms to record information and organisational policies and procedures relating to client appraisal

Method of assessment

A range of assessment methods should be used to assess practical skills and knowledge The following examples are appropriate for this unit

observation of interaction with clients to conduct a postural fitness appraisal

oral or written questioning to assess knowledge of the role of the musculoskeletal system in assessing postural exercise requirements

portfolio demonstrating evidence of postural appraisals completed

thirdparty reports from supervisors detailing work performance

Holistic assessment with other units relevant to the industry sector workplace and job role is recommended for example

SISFFITA Plan and deliver personal training

SISFFIT421A Plan and deliver personal training


Range Statement

The range statement relates to the unit of competency as a whole. It allows for different work environments and situations that may affect performance. Bold italicised wording, if used in the performance criteria, is detailed below. Essential operating conditions that may be present with training and assessment (depending on the work situation, needs of the candidate, accessibility of the item, and local industry and regional contexts) may also be included.

Exercise screening may include:

questionnaire

interview

visual observation.

Organisational policies and procedures may include:

privacy

confidentiality

legal and ethical limitations of role

fitness industry standards

test protocols

use, care and maintenance of equipment

forms for appraisal

recording appraisal information

External assistance may include:

exercise physiologist

physiotherapist

occupational therapist

accredited practising dietician

osteopath

chiropractor

diabetes educator

podiatrist

massage therapist

sports physician

medical practitioner

continence nurse advisor.

Postural appraisal may include:

static or dynamic

views

positions

supine posture.

Aims of postural appraisal include:

identify abnormality

determine degree and origin of deviation

determine effect on proposed or current exercise plan and goals

identify contraindications and postural risk factors associated with exercise

prevent injury.

Postural variances may include:

structural

functional

kyphosis

rounded shoulders

winging of scapula

scoliosis

increased or decreased lordosis

excessive posterior or anterior pelvic tilt

genu varum or genu valgum

increased pronation of foot or ankle complex

increased supination of foot or ankle complex

hyperextension of knees

lateral tilt of pelvis or head

forward head posture

rotated patella

Legislation and regulatory requirements may include:

Occupational Health and Safety

duty of care

privacy

anti-discrimination

copyright

licensing

child protection

trade practices

consumer protection

environmental

business registration and licences

Appraisal equipment may include:

flexometer

goniometer

plumb line

grid

plurimeter.

Joints may include:

intervertebral segments

glenohumeral

elbow

lumbo-sacral

hip

patello-femoral

knee

ankle.

Joint mobility may include:

flexion

extension

dorsiflexion

plantar flexion

horizontal flexion and extension

abduction

adduction

circumduction

rotation

supination

pronation

inversion

eversion

protraction

retraction

elevation

depression.

Range of movement may include:

functional range

active and passive range

joint and muscle specific

joint and muscle specific tests.

Static postural appraisal may include:

anterior

posterior

lateral.

Ideal postural alignment may include:

normal spinal curves

straight line running through:

ear lobe

anterior shoulder joint

vertebral bodies of L 1 - 5

posterior hip joint

anterior knee joint

anterior ankle joint

transverses abdominus

pelvic floor muscles.

Muscles may include:

erector spinae

rectus abdominis

internal and external obliques

multifidus

latissimus dorsi

quadratus lumborum

iliopsoas

rhomboid major and minor

pectoralis major

serratus anterior

levator scapulae

teres major and minor

supraspinatus

infraspinatus

gluteus maximus, medius and minimus

iliotibial tract

tensor fascia latae

piriformis

rectus femoris

vastus lateralis, medialis and intermedius

sartorius

biceps femoris

semitendinosus

semimembranosus

gastrocnemius

soleus

tibialis anterior

adductor magnus and longus

gracilis

sartorius.

Muscular deficits may include:

diminished muscle strength and or endurance

limited flexibility

diminished muscle endurance.

Fitness exercises may include:

muscle strength

muscle endurance

symmetrical development and range

co-ordination of movement.

Role of muscle contraction may include:

agonist

antagonist

fixator

assistor.

Causes of poor posture may include:

congenital abnormalities of the musculoskeletal system

poor muscle strength

poor muscle endurance

muscle imbalance

lack of mobility

damage to bony structures

damage to connective tissue including ligaments, cartilage

changes to line of gravity caused by pregnancy, inappropriate footwear, behaviours, work practices, sport or leisure activities.