NSCA-CPT cheat sheet
NSCA-CPT · Keep the key ideas within reach.
Client Consultation and Assessment
PAR-Q+ decision rule: a "yes" to any general health question requires completing the follow-up pages; exercise clearance depends on the follow-up result.
Informed consent must state the purpose, procedures, risks, benefits, confidentiality limits, and the client's right to withdraw; obtain it before testing.
BMI = body mass (kg) / height (m)^2, or 703 x weight (lb) / height (in)^2; classifications are <18.5 underweight, 18.5-24.9 normal, 25-29.9 overweight, and >=30 obese.
Waist circumference risk is increased above 102 cm (40 in) in men and above 88 cm (35 in) in women.
Age-predicted HRmax = 220 - age; the Tanaka estimate is 208 - (0.7 x age).
Karvonen target HR = ((HRmax - HRrest) x intensity percentage) + HRrest.
Resting BP categories: normal <120/<80; elevated 120-129/<80; stage 1 130-139 or 80-89; stage 2 >=140 or >=90; do not exercise and refer urgently if >180/120.
Direct 1RM testing uses 3-5 minutes of rest between maximal attempts and is reserved for clients with resistance-training experience.
Program Planning
FITT-VP stands for Frequency, Intensity, Time, Type, Volume, and Progression.
Aerobic health prescription: 150 min/week moderate or 75 min/week vigorous activity, 3-5 days/week, 30-60 min/session.
Novice resistance prescription: 2-3 days/week, 8-10 exercises, 1-3 sets, and 8-12 repetitions.
Strength loading: >=85% 1RM, <=6 repetitions, and 2-5 minutes rest; hypertrophy: 67-85% 1RM, 6-12 repetitions, 30-90 seconds rest; endurance: <=67% 1RM, >=12 repetitions, <=30 seconds rest.
2-for-2 rule: increase load by 2-10% when the client exceeds the repetition goal by 2 in the final set for 2 consecutive sessions.
Exercise order: power exercises first, then multi-joint strength exercises, then single-joint exercises; large muscle groups precede small muscle groups.
Static flexibility prescription: 2-3 days/week, 15-30 second holds, and 2-4 repetitions per stretch.
Periodization hierarchy: macrocycle (year), mesocycle (weeks to months), and microcycle (week); linear periodization raises intensity while lowering volume.
Techniques of Exercise
Five-point body contact for supine bench exercises: head, upper back, and buttocks on the bench; both feet on the floor.
Breathing rule: exhale during the concentric phase and inhale during the eccentric phase; brief Valsalva is limited to experienced lifters during heavy lifts.
Bench press spotter position: at the head of the bench, alternated grip near the lifter's wrists, feet wide, and back flat.
Squat technique: feet about shoulder-width, neutral spine, knees track over toes, and thighs reach parallel to the floor.
Deadlift start position: bar over the midfoot, arms vertical, neutral spine, and hips and shoulders rise together during the pull.
Grip types are pronated, supinated, neutral, and alternated; an alternated grip improves load control in heavy deadlifts.
Muscle actions: concentric shortens the muscle, eccentric lengthens it under tension, and isometric produces tension without length change.
Plyometric landing: soft hips and knees, knees aligned over toes, no valgus collapse, and a quiet landing before the next repetition.
Safety, Emergency, and Legal Issues
Emergency action plan components: personnel roles, emergency equipment, communication, venue access, and location-specific response steps.
Adult CPR: 30 compressions to 2 breaths, 100-120 compressions/min, and compression depth of 2-2.4 inches (5-6 cm).
AED use: apply pads to a bare, dry chest, clear all rescuers before shock delivery, and resume CPR immediately after the shock or if no shock is advised.
Heat stroke signs: core temperature >104 degrees F (40 degrees C), confusion, hot skin, and collapse; cool rapidly and activate EMS.
Negligence elements: duty, breach of duty, causation, and damages; all four must be established.
Standard of care is what a reasonably prudent professional with similar training and circumstances would provide.
Rhabdomyolysis warning signs: severe muscle pain, weakness, swelling, and dark urine after intense exercise; stop exercise and refer urgently.
Conscious hypoglycemia response: give 15-20 g fast-acting carbohydrate, recheck blood glucose in 15 minutes, and repeat if needed.