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MANUAL PHYSIOLOGY PRACTICAL - Repository:The Medical ...

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FM/UOJ<br />

Experiment C 3<br />

EFFECTS OF POSTURE AND INTRATHORACIC PRESSURE<br />

(TEST FOR PHYSICAL FITNESS I)<br />

Physical fitness is the state of readiness and ability to perform physical work.<br />

<strong>The</strong> fitness cannot be assessed by any single test. Tests for physical fitness are<br />

classified into three main groups: muscular performance, organic function and<br />

combination of organic function and muscular performance. <strong>The</strong> first category of tests<br />

are simple and straight forward, two test for organic function will be carried out in this<br />

class. A test with a combination of muscular work and organic function will be carried<br />

out at a subsequent class. <strong>The</strong>se tests are based on assessing the cardiovascular<br />

response to different types of stress which are mediated by autonomic nervous system.<br />

Effects of Posture<br />

Crampton’s index for vasomotor tone<br />

This test is based on the change in pulse rate and systolic blood pressure when<br />

posture is changed from reclining to standing.<br />

Instruments<br />

Sphygmomanometer, Stethoscope and a bed<br />

Method<br />

Allow the subject to relax on a bed (reclining) for at least five minutes and<br />

measure the systolic blood pressure and the pulse rate. Repeat the reading until the<br />

subsequent results agree. <strong>The</strong>n let the subject stand upright with minimal muscular<br />

effort. (Ideally the bed should be tilted by 90°). After two minutes of standing measure<br />

the blood pressure and the pulse rate.<br />

Calculation<br />

1. Calculate the changes (standing – lying pulse rate and systolic pressure)<br />

2. Determine the index of fitness from Crampton’s index for fitness.<br />

3. Explain the physiological basis of the changes in heart rate and blood pressure.<br />

Circulation<br />

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