7/10/16 THE BROCKPORT: PHYSICAL FITNESS ASSESSMENT TO MEET THE NEEDS OF STUDENTS WITH DISABILITIES Kathy Brinker Adapted Physical Education Instructor [email protected] Cooperative Association for Special Education Schedule for Today 1. Outline state mandate 2. Describe Brockport Physical Fitness Test (BPFT) 3. Understand how the Brockport is different/same to standard physical fitness testing 4. Answer any questions that you have Individuals with physical disabilities and sport/activity 1 7/10/16 Individuals with physical disabilities and sport/activity What is the state mandate? • No, per 105 ILCS 5/27-6.5 of the Illinois School Code. “Public schools shall integrate health-related fitness testing into the curriculum as an instructional tool, except in grades before the 3rd grade. Fitness tests must be appropriate to students’ developmental levels and physical abilities. The testing must be used to teach students how to assess their fitness levels, set goals for improvement, and monitor progress in reaching their goals” Source: Questions and Answers IL Fitness Assessments and Data Reporting (updated 2/23/16): ISBE Understanding what we are doing? 2 7/10/16 What is being reported to ISBE ISBE requires districts to report by school: • # of students tested by grade (5, 7 & 10 only) and gender in each of the subtests • # of students that achieved a healthy fitness zone by grade (5, 7 & 10 only) and gender in each subtests • The # of students that were identified as needing improvement by grade (5, 7 & 10 only) and gender in each of the subtests Source: Questions and Answers IL Fitness Assessments and Data Reporting (updated (2/23/16): ISBE When and how will fitness scores be reported to ISBE? Teachers will submit the above data (only post-test/end of the year) for grades 5, 7 & 10 to their school administrator by the date set by the district. Then, by May 1st 2017, the district administrator will submit that aggregate data for each school to ISBE through the Student Health Data in the ISBE Web Application Security (IWAS) system . What needs to be Assessed? • The following four portions of Fitnessgram must be administered to grades 3-12 in the second semester (first and second semesters preferred for pre and post results) and annually thereafter: • Aerobic Capacity – grades 4-12 - the PACER test (recommended) or Mile Run (alternate) or Brockport test (any of the adapted tests for aerobic functioning for students with disabilities); • Flexibility - the Back-Saver Sit and Reach test (recommended) or Trunk Lift test (alternate), or Brockport test (any of the adapted tests for flexibility or range of motion for students with Disabilities) • Muscular Endurance-The Curl Up test or Brockport test (any of the adapted tests for strength and endurance for students with disabilities) • Muscular Strength–the Push-Up test or Brockport test (any of the adapted tests for strength and endurance for students with disabilities) • Schools should use the Brockport fitness testing methodologies, when appropriate as determined by an Individualized Education Program (IEP) team, for students with disabilities. Source: Questions and Answers IL Fitness Assessments and Data Reporting (updated (2/23/16): ISBE 3 7/10/16 Can the FitnessGram® be used to report fitness levels of students with disabilities? • Absolutely!! Many students with disabilities will not need adapted fitness zones and will meet the healthy fitness zone with the FitnessGram® standards. In these cases this can be reported as “meeting the healthy fitness zone” to ISBE. Additionally, many students with disabilities will take the same tests along side their peers (i.e. pacer test to measure aerobic capacity) and may or may not need to use the Brockport adapted fitness zones based on their disability and aerobic capacity. Might a student that has a known disability, but not an IE, use the Brockport Norms • Fitness tests must be appropriate to students’ developmental levels and physical abilities. Absolutely!! Source: Questions and Answers IL Fitness Assessments and Data Reporting (updated 2/23/16): ISBE How can these physical fitness tests be administered with fidelity? Physical educators already administer many of these common tests and should no issues with administration. For students with significant intellectual or physical disabilities, knowledge of the students profile including contraindications to activities, specifics as to how the disability affects physical fitness and movement as well as specific training in test protocol would be necessary to administer the Brockport safely and with fidelity. 4 7/10/16 Knowledge of Students to apply the protocols correctly for safety and accuracy Example of safety considerations: Exceptions to standard THRZ: Individual with low-level quadriplegia (spinal cord injuries/ lesions in the C6-C8 level) If resting is less 65 beats then THRZ is 85-100 BPM If resting is 65 or more then THRZ is 20 to 30 BPM above resting System to use appropriate tests and norms Standard Assessment Adapted Fitness Zones Alternate Protocol • Fitnessgram or other suitable standard fitness testing to determine “healthy fitness zones” • Same standard fitness test- use “adapted fitness zones” to determine healthy fitness zone for specific disability groups • Alternate fitness test that measures similar areas of fitness based on student profile What about students with significant intellectual or physical disabilities who will need the alternate protocol? • The Brockport is particularly helpful in determining the physical fitness levels of students with significant intellectual or physical disabilities. There are a variety of protocols to choose from (only 1 assessment protocol for each of the 4 health related physical fitness areas that ISBE requires). Local school districts/teachers have the ability based on the individual student profile to determine which test would best measure fitness in a particular area. 5 7/10/16 Brockport Physical Fitness Manual; 2nd Edition Online web based videos Permission was given from Human Kinetics To use charts and images only for this Presentation. http://www.humankinetics.com/search?Q=brockport&x=0&y=0 History of the Brockport • Is highly correlated with the Fitnessgram®. Both criterion standard tests (standards for health related fitness) are based heavily on normative information. Both test are considered the standards in the field of physical education/fitness. • The Brockport was a 5 year multimillion dollar OSERS grant that was published in 1999 and is now in 2nd edition. Healthy standards for students age 10-17 with an intellectual disability, spinal cord injury, cerebral palsy, blindness, congenital anomaly, or amputation are listed within the Brockport. Brockport is designed for Individuals with Visual impairment intellectual disability orthopedic impairment: including cerebral palsy (CP), spinal cord injury(SCI), congenital anomaly, and amputation. Between the ages of 10-17 *** If standard norms are appropriate and the student is scoring in healthy zone on the fitnessgram DO NOT use the Brockport. 6 7/10/16 An example of the Brockport standards • Scenario: John is a 16 and a sophomore with Down Syndrome. He ran the 20 meter pacer with his peers and received a score of 35 laps. Based on the Adapted Fitness Zone norms, John is in the healthy fitness zone. Adapted Fitness Zones (AFZ) Fitness Zones for Recommended and Optional Test Items Age (yr.) PACER (20 m laps) TAMT (pass/fail) Boys With Intellectual Disability Triceps and calf skinfolde (mm) Percent body fatc Body mass indexc NIa AFZa HFZb NI HFZd Very lean HFZ NI NI (health risk) HFZ 10 ≤4 5–16 ≥17 F P ≤8.8 8.9–22.4 22.5 ≥33.2 11–29 ≤14.4 14.5–19.7 19.8 11 ≤7 8–19 ≥20 F P ≤8.7 8.8–23.6 23.7 ≥35.4 11–31 ≤14.8 14.9–20.5 20.6 12 ≤11 12–22 ≥23 F P ≤8.3 8.4–23.6 23.7 ≥35.9 10–31 ≤15.2 15.3–21.3 21.4 Very lean HFZ NI NI (health risk) ≥22.7 ≥23.7 ≥24.7 13 ≤16 17–28 ≥29 F P ≤7.7 7.8–22.8 22.9 ≥35.0 9–30 ≤15.7 15.8–22.2 22.3 ≥25.6 14 ≤23 24–35 ≥36 F P ≤7.0 7.1–21.3 21.4 ≥33.2 8–28 ≤16.3 16.4–23.0 23.1 ≥26.5 15 ≤29 30–41 ≥42 F P ≤6.5 6.6–20.1 20.2 ≥31.5 8–26 ≤16.8 16.9–23.7 23.8 16 ≤33 34–46 ≥47 F P ≤6.4 6.5–20.1 20.2 ≥31.6 8–26 ≤17.4 17.5–24.5 24.6 ≥27.9 ≤37 38–49 ≥50 F P ≤6.6 6.7–20.9 21.0 ≥33.0 8–27 ≤18.0 18.1–24.9 25.0 ≥28.6 17 Age (yr.) Isometric push-up (sec.) Bench press (# completed) Extended-arm hang (sec.) NI AFZ HFZd NI AFZ HFZc NI ≥21 ≤8 ≤15 16–24 ≥25 ≤10 11–17 ≥18 10–19 20–50 ≤5 6–11 ≥12 ≤18 19–28 ≥29 ≤12 13–20 ≥21 14 ≤15 16–32 33–50 ≤7 8–14 ≥15 ≤21 22–32 ≥33 ≤13 14–23 ≥24 20–39 40–50 ≤7 8–14 ≥15 ≤23 24–36 ≥37 ≤13 14–23 ≥24 23–46 47–50 ≤7 8–14 ≥15 ≤27 28–42 ≥43 ≤13 14–23 ≥24 25–49 50 ≤7 8–14 ≥15 ≤31 32–48 ≥49 ≤13 14–23 ≥24 ≤19 AFZ 20–39 HFZd 40 11 ≤19 20–39 40 ≤19 20–39 40 15 ≤19 16 ≤22 17 Age (yr.) ≤22 ≤24 Trunk lift (in.) NI HFZc Shoulder stretch (pass/fail) NI HFZc Sit-and-reach (in.) NI 23–29 HFZd 30–40 ≤22 23–29 30–40 ≤22 23–29 30–40 a. HFZc ≤11 ≤13 AFZ ≥27.2 Modified curl-up (# completed) ≤9 NI 10 AFZ Grip strength (kg) 13 12 NI Flexed-arm hang (sec.) HFZd 12–17 ≥18 14–20 NI ≤6 AFZ 7–11 9–14 HFZc ≥12 ≥15 NI and AFZ lap counts from Winnick and Short, 2014, developed . with an equation provided by The Cooper Institute (2013). AFZ lap range represents a 10 percent reduction from VO2max standard for the general population. Where appropriate, youngsters with intellectual disability should pursue standards for the HFZ. 8 b. Reprinted, by permission, from The Cooper Institute, 2014, Goal setting chart for aerobic capacity and PACER test. 11 ≤8 9–12 F P ≤7 8 c. 12 ≤8 9–12 F P ≤7 8 Reprinted, by permission, from The Cooper Institute, 2013, Fitnessgram/Activitygram test administration manual, updated 4th ed. (Champaign, IL: Human Kinetics), 65. 13 ≤8 9–12 F P ≤7 8 d. Based on Project Target (1998). 14 ≤8 9–12 F P ≤7 8 e. The Cooper Institute, 2013, Fitnessgram/Activitygram test administration manual, updated 4th ed. (Champaign, IL: Human Kinetics), 65, 101. 10 15 ≤8 ≤8 9–12 9–12 F F P P ≤7 ≤7 8 16 ≤8 9–12 F P ≤7 8 17 ≤8 9–12 F P ≤7 8 From J. Winnick and F. Short, 2014, Brockport physical fitness test manual: A health-related assessment for ZPVOHTUFST with disabilities (Champaign, IL: Human Kinetics). An example of the Brockport Alternate Assessment • Scenario: Jane is a 10 year-old 5th grader with quadriplegic CP who uses a power wheelchair throughout her day. Jane is able to walk slowly with standby assistance with the use of a walker. Jane loves to get out of her chair and move her legs and stretch. Although unable to run/walk a mile in under 13:00 minutes with her peers, she will be able to participate in the aerobic capacity test along side her peers who are running. Jane will walk the Target Aerobic Movement test on a smooth surface where her heart rate will be constantly monitored over a 15-minute period to see if she is able to maintain a moderate to vigorous level of aerobic capacity. 7 7/10/16 27 Test Items- Menu of options based on student needs (A personalized approach). You decide which subtests; usually 4-6) A functional approach to health related physical fitness • The reasons for choosing the testing protocol are very functional. It is geared toward a persons everyday functional needs, life skills and health. • At break we are going to list all the reasons why you think they choose the test items and what that means to an individuals health. Why functional health related components and how that relates to person overall health • Prevention of disease/injury • Being able to perform activities of daily living (ADL’s) • Keeping up speed endurance with general population • Independence 8 7/10/16 Why certain tests for functional health related fitness? • Ability to transfer in and out of chair. (20 seconds) • Prevent pressure sores Decubitus ulcers- 5 seconds every 15 minutes • Propel wheelchair • Moderate aerobic capacity over 15 minutes- assumes you can maintain that even longer • 8 feet wheelchair ramp(distance and slope of wheelchair curb cutout) 15 feet is standard ramp • 1lb weight- lifting common objects (hand pronation) • 40 meter/minute if you can reach this threshold and keep your hr to a minimum value intensity you can maintain this functional ambulation over time. • Shoulder flexibility- do ADL’s put on your coat ,brush your teeth • Hip flexors- maintain walking When can you report that the student is in the healthy fitness zone: • Healthy Fitness Zone(HFZ): represents the general population level of fitness that is an acceptable level of health related physical fitness. • Adapted Fitness Zone (AFZ): represents an adapted level of fitness that is an acceptable level of health related fitness based on a specific disability group. • **Both can be reported as within the healthy zone to ISBE. Intellectual Disability • Sub average intellectual functioning concurrently with limitations in adaptive behaviors/skills: i.e. Daily living skills, leisure, communication). Before the age of 18. • Can run from mild to severe. • Individuals in severe range will most likely need significant modified test protocol • Comorbid “with other disabilities” often autism, physical disabilities (CP), Traumatic brain injury, spina-bifida. 9 7/10/16 Practice Test Protocol Like any fitness testing and particularly with our students with intellectual disabilities, multiple practice trials need to be completed leading up to the day of actual testing to assure true results. Individuals with Cerebral Palsy (CP) CP- Lesion on the brain that can affect fine and/or gross motor functioning. Can affect tone, coordination and/ or strength. Nonprogressive in nature. Spinal Cord Injury classification system 10 7/10/16 Congenital Anomaly or Amputation • AK- Above the knee BK-Below the knee • AE-Above the elbow BK-Below the elbow • **Certainly have the student use the prosthetic if appropriate and safe. Visual Impairment Persons who are blind or partially sighted- most of the time will use the general standards Upper Body Strength and Endurance 11 7/10/16 Wheelchair ramp Test (pass/fail) Dumbbell Press (# of repetitions) Seated Pushup (# completed) 12 7/10/16 Reverse Curl Modified Pull-up (# completed) Dominant Grip Strength (kg) 13 7/10/16 Isometric Pushup 40-meter push/walk Trunk and Abdominal Functioning 14 7/10/16 Modified Sit-up (# completed) Aerobic Capacity Heart Rate Zones ***guidelines only Target Heart Rate Zone (THRZ) should be 70-85% of max HR So between 140-180 beats per minute (BPM) If individual is above the THRZ for 2 consecutive minutes the test is over Exceptions to standard THRZ: Low-level quadriplegia (spinal cord injuries/lesions in the C6-C8 level) If resting is less 65 beats then THRZ is 85-100 BPM If resting is 65 or more then THRZ is 20 to 30 BPM above resting Other Exceptions to standard THRZ: Persons exercising using arm-only exercise should be in a THRZ of 130-170 BPM. **These are guidelines only. Medications, and other factors such as illness may affect heart rates. Often individuals with SCI at T6 over above may have a working heart rate of 120-130. Often Perceived exertion is a better indicator for individuals with SCI. 15 7/10/16 Arm ergometer Target Aerobic Movement Test (TAMT) Flexibility/Range of Motion (ROM) 16 7/10/16 Target Stretch Test (TST) Modified Apley Test Trunk Lift 17 7/10/16 Shoulder Stretch Modified Thomas Test Additional Resources • Where can I find information about FitnessGram tests and Brockport protocol? http://www.humankinetics.com/home http://www.presidentialyouthfitnessprogram.org 18
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