How to Make Crossfit Safer: Part 1 - History Taking

How to Make Crossfit Safer: Part 1 – History Taking

Hey guys, as you all know from reading this site I try and devote a lot of time to making crossfit safer.  Crossfit gets a lot of heat for causing injuries.  I understand that.  Instead of condemning it for this, I’d rather brainstorm as to how we can help fix this problem.  I wanted to make a series of articles that goes over my basic ideas for creating a Crossfit atmosphere that has all the benefits of the sport without the same level of risk for injury pictures from instagram.

Group fitness is a tough thing to do properly.  Ever since I started teaching bootcamp classes I always had a tough time trying to cater to everyone, making sure everyone gets a great workout and also stays safe.  Given that my clientele were mostly between 35 and 55 years old, I really was concerned about people getting injured.  Common difficulties I was facing were:

Unfortunately, group training like Crossfit is not personal training.  When I first started coaching crossfit I was confronted with the same issues again.  As trainers we’re constantly trying to cater to everyone and that’s not always possible.  You can’t always give everyone the individual attention they need.  There is however an excellent way to provide some additional attention to our clients, help prevent injuries and provide a greater overall experience fortnite kostenlos herunterladen auf pc.

Enter Screening

Pretty sure Neo was screened before going into the matrix welke qr code scanner downloaden.

Most crossfit gyms have some type of introductory system that brings new clients up to pace on the basic movements and how to do them properly.  This is a fantastic thing and we’ll talk about this further in the series.  I really believe that each introductory period for our clients should also contain a screening process.  Here’s what the screen should contain musicer kostenlos legal.

1. A Brief Medical History and some Background from the Client:

We’re not medical doctors but I really believe having knowledge of a person’s past medical history is incredibly important.  Things to include in the screen:

  • PAR-Q:  This questionaire is from the American College of Sports Medicine and measures whether or not a person is healthy enough to engage in exercise.  Better safe then sorry, even if it means delaying a person starting at your gym for a week or two.  The form is found in ACSM’s Guidelines for Exercise Testing and Prescription but you can find it online HERE:

Sidenote:  Although the doctor is usually the final say in whether or not a person should be doing certain types of exercise, if your gym puts a major emphasis on crossfit as a sport, then don’t lie to yourself and a future client if you don’t think you will be able to accomodate to their needs.  Let them know your honest opinion and refer them to someone that can help.  Someone with a laundry list of health problems might be better off at a different place then a crossfit gym aternos server world.

  • Previous injuries, or history of chronic pain.  For example, a client with a past history of plantar fasciitis I’d be careful about excessive running/jumping beatport musik erneut herunterladen.   This seems like a no brainer but I’ve worked with clients in the past where I thought they would let me know they’ve had a history of something like lower back pain, but instead they keep this info a secret.  Lo and behold, their back is hurting a few short weeks later and I’m forced to refer them to a doctor settings for internet and mms. (That feels really crappy as a trainer)
  • Health problems.  This should include a basic screen for common health problems such as heart disease, diabetes and autoimmune disorders.  It should also contain questions to pick up any undiagnosed potential health issues someone may be suffering from.  The screen is commonly called a health history questionnaire(HHQ).  In ACSM’s Guidelines for Exercise Testing and Prescription you’ll find examples of good HHQs.  If your client has a history of type 1 diabetes and they’re feeling lightheaded you’d better know about this and be prepared.  Also, sometimes you might find someone enter your gym that hasn’t been to the doctor in ages.  They might be suffering from something that needs medical attention and a trainer can be a lifesaver in this position herunterladen.
  • Previous Surgeries:  If my client has had a knee replacement or a lower back fusion surgery, I want to know about it. You might think that all clients would know the importance of telling their trainer but they don’t always connect it together.  For example, a mother with a past medical history of multiple births or C-section can be more at risk for lower back injury given the previous trauma sustained via delivery or C-section.  Someone’s past medical history can dramatically change the way a client should and shouldn’t exercise.
  • Previous fitness status:  If you’re got a former division 1 athlete they’re going to be treated differently then a 50 year old couch potato.  Sometimes you get extremely fit older patients.  Best not to guess on their first workout.  Prepare yourself by asking about what to expect.
  • Goals:  I know this doesn’t necessarily have much to do with safety and injury prevention but I don’t see this question being asked by trainers as often as it should be.  Seriously, why did this client walk through your door in the first place?  What drives them?  What are they trying to achieve.  This should be apparent from day 1 and a trainer armed with this knowledge will be much more effective if they know what they’re trying to help someone with.

I don’t know if this guy has much business doing heavy deadlifts.

2. Screening Tests, Blood Pressure and Heart Rate

  • Heart Rate and Blood Pressure:  Maybe this is just the health care professional in me speaking but I think everyone needs to have a baseline measurement for these two factors when they enter the gym, especially if they’re over 40.   God forbid if someone does get symptoms of lightheadedness, shortness of breath or has chest pain.  We want to be prepared to see if they are having issues with heart rate or blood pressure and we can’t really know what “high” or “bad” means with these clients if we don’t have a baseline measurement to compare against.  If within a few weeks of training your patient has symptoms and their blood pressure has been going up, its time to visit the doctor.  Alternately, you can also use these numbers to promote health at the gym.  A decrease in heart rate and blood pressure is a huge success and will really add to our client’s health and experience at the gym.
  • Screening Tests Specific to Crossfit:  This may come as a hard pill to swallow for some trainers but I really don’t think that everyone out there has business doing every single exercise variation in crossfit.  The screen’s job is to see which exercises a client should NOT be doing.  It is also a time where trainers can give our clients corrective exercises to get to the point where they CAN perform these exercises safely.  We’ll cover specific exercise screens in the next portion of this series.

Your first session with a new client:

  • History Taking
  • Vitals:  Blood Pressure and Heart Rate
  • Exercise Screen and Assessment

This may seem like a lot of work but most of it can really be accomplished by a new client filling out paperwork before the start of their first session.  You as the trainer can briefly go over the paperwork to check out any red flags and to help you get acquainted to the client as an individual.  From here you can start putting together a mental plan for the client.  Blood Pressure and Heart Rate are also very fast and easy to administer.  Pop this info into a folder and put it into a file cabinet for future use.  This may have taken up maybe 15-20 minutes and if you’re doing an hour introduction session you’ve got 40 minutes to administer the exercise screen and to motivate our clients about doing way too many burpees for any sane individual, fun!

With this basic information we can really begin to have an idea of what the client’s training will look like in the next few months to progress them safely.   Everyone should be treated differently based on the information obtained from this session, otherwise it’s a waste of time.  Next week we’ll start by talking about which specific screening tests and assessments to use during the first visit.

Screens and Beans,

Dan Pope

P.S. If you have anything to add to the history portion of your evaluation please let me know!  This is truly a brainstorm session and I’d love it if others chimed in with their input in the comments section below.  If you enjoyed the article please sign up for the newsletter in the top right hand portion of the page below the gigantic arrow

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