Personal Trainer Course - Canadian Fitness Education Services

Chapter 7 Reducing the Incident and Likelihood of Injury

Sign or Symptom

Upper Body Discomfort –

heart issues

Excessive fatigue

Profuse sweating

Absence of sweating

when they should be

Pallor

Cyanosis

Dizziness or light-headedness

Confusion

Fainting

Dyspnoea

Nausea or vomitting

Visual Cues

(What might the trainer see?)

Rubbing or holding the body part, disori-

entation, discoloration in face, contorted

face

Poor posture, disorientation, lack of

focus, inattention

Sweating more than typical, Laboured

breathing

Hot red or  flushed dry skin    (may    be  

accompanied with    rapid   pulse,  difficulty  

breathing, strange behaviour, confu-

sion, agitation, disorientation)

Lack of colour in the skin (may be ac-

companied with sudden weakness,

sweatiness, and confusion)

A bluish discoloration of the skin, may

notice  difficulty  breathing,  weakness

Confusion, stumbling, poor posture,

disorientation, lack of focus, inattention

They do not present with clear or or-

derly thought. Odd or out of the ordinary

behaviour

Acting overly anxious, generalized

weakness, paleness, excessive sweat-

ing, rapid heartbeat and rapid breathing

Shortness of breath, may appear anxious

The client may excuse themselves

quickly to the washroom (diarrhea, vom-

iting); Profuse sweating

Stop the exercise completely

Verbal Cues

(What might the client say?)

Describe chest, arm, jaw, teeth, ear,

or back discomfort

Describe an aching, burning, tight-

ness, or sensation of fullness in the

upper body

Reports excessively high RPE, re-

ports excessive fatigue, reports not

being able to do the intensity

Reports excessively high RPE,

reports excessive fatigue, reports

not being able to do the intensity,

inability to respond

Complain    of  difficulty  with    breathing,  

ask to stop or discontinue, need to

cool down

May complain of shortness of

breath, fearful of continuing, want to

stop

Complain of: shortness of breath,

numbness or tingling in extremities,

chest pain, headache

Ask to sit down, ask to remove them-

selves and go for a slow walk, ask to

stop, they report that they do not feel

like themselves, reporting that they

feel like they are going to faint

Ask to sit down, ask to remove

themselves and go for a slow walk,

ask to stop, they report that they do

not feel like themselves

Report the following: feeling incred-

ibly dizzy, a dimming of vision or

brownout; buzzing or ringing in 1 or

both ears; feeling excessively hot,

light headedness, feeling nauseous

Report  the sensation   of  difficult   or  

uncomfortable breathing

Report not feeling well, they ask to

sit or lie down, ask to remove them-

selves and go for a slow walk, they

ask to stop

Signs and Symptoms of Exercise Intolerance

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