Gappmaier Eduard
University of Utah, Department of Physical Therapy, Salt Lake City, UT.
Cardiopulm Phys Ther J. 2012 Jun;23(2):19-29.
To describe how to perform a Submaximal Clinical Exercise Tolerance Test (SXTT) as part of an exercise evaluation in the physical therapy clinic to determine an appropriate exercise prescription and to establish safety of exercise for physical therapy clients.
Physical activity is crucial for general health maintenance. An exercise evaluation includes a comprehensive patient history, physical examination, exercise testing, and exercise prescription. The SXTT provides important clinical data that form the foundation for an effective and safe exercise prescription. Observations obtained during the exercise evaluation will identify at-risk patients who should undergo further medical evaluation before starting an exercise program. Two case examples of SXTTs administered to individuals with multiple sclerosis are presented to demonstrate the application of these principles.
Due to their unique qualifications, physical therapists shall assume responsibility to design and monitor safe and effective physical activity programs for all clients and especially for individuals with chronic disease and disability. To ensure safety and efficacy of prescribed exercise interventions, physical therapists need to perform an appropriate exercise evaluation including exercise testing before starting their clients on an exercise program.
描述如何在物理治疗诊所进行次最大量临床运动耐力测试（SXTT），作为运动评估的一部分，以确定合适的运动处方，并为物理治疗客户确立运动安全性。
身体活动对于维持总体健康至关重要。运动评估包括全面的患者病史、体格检查、运动测试和运动处方。SXTT提供重要的临床数据，这些数据构成有效且安全的运动处方的基础。在运动评估期间获得的观察结果将识别出有风险的患者，这些患者在开始运动计划之前应接受进一步的医学评估。给出了对两名多发性硬化症患者进行SXTT的两个案例，以说明这些原则的应用。
由于其独特的资质，物理治疗师应负责为所有客户，尤其是患有慢性疾病和残疾的个体，设计并监测安全有效的身体活动计划。为确保所规定的运动干预措施的安全性和有效性，物理治疗师在让客户开始运动计划之前，需要进行包括运动测试在内的适当运动评估。
