Group Fitness Instructor

Category - Safety Checks

One of your 7AM regulars disappears from the radar for 2 months. When he reappears in your Mixed Martial Arts class on Tuesday, you notice he is wearing a neoprene sleeve on his right knee. Upon further investigation, you learn that he has been receiving physical therapy 3x/week after a massive medial meniscus tear and was just discharged from skilled care. At this point, you:
  1. Allow him to participate only if a medical release is provided.
  2. Direct him to the aquatic class being held in the pool.
  3. Cue him to follow the low-impact adaptations you will demonstrate during the class.
  4. Cue him to ice, elevate and compress the knee immediately after class.
Explanation
Answer: A - Participants who return after serious injury, surgery or bouts of skilled “conservative” care, such as physical therapy, should only be permitted to participate if a medical release is provided. Low impact options, such as aquatic exercise or cued adaptations in a land-based class, may be appropriate, but only upon release by a physician or therapist. Post-exercise swelling and pain can often be short-changed by icing, elevating and compressing, but it is important to instruct the participant not to ignore such signals when returning to full activity.
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