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Exam Guide
010-111 Exam Topics and Domains
010-111 is organized into 4 weighted domains.
1
Initial Client Consultation and Assessment
25%
Provide documents and clear instructions to the client in preparation for the initial interview.
Knowledge of the components of and preparation for the initial client consultationKnowledge of the necessary paperwork to be completed by the client prior to the initial client interviewSkill in effective written and verbal communicationSkill in using a variety of communication channels (email, social media, text, phone, social media)
Interview the client to gather and provide pertinent information prior to fitness testing and program design.
Knowledge of the components and limitations of a health/medical history, preparticipation screening, informed consent, trainer-client contract and organizational policies and proceduresKnowledge of the use and order of medical clearance for exercise testing and program participationKnowledge of health behavior modification theories and strategiesSkill in obtaining and securing health/medical history, medical clearance and informed consentSkill in listening to and responding to the client’s questions and concerns while building trust, rapport, and a safe environment
Review and analyze client data to identify risk, formulate a plan of action and conduct physical assessments.
Knowledge of risk factors, signs, and symptoms of chronic cardiovascular, metabolic and/or renal diseaseKnowledge of the process for determining the need for medical clearance prior to participation in fitness testing and exercise programsKnowledge of relative and absolute contraindications to exercise testingSkill in identifying modifiable risk factors for cardiovascular disease and educating clients about risk reductionSkill in determining appropriate fitness assessments based on the initial client consultationSkill in following protocols during fitness assessment administrationSkill in interpreting preparticipation physical activity screening, including self-guided screening (for example, PAR-Q)Skill in interpreting professionally supervised screening, preparticipation physical activity screening (for example, ACSM, AHA), health history and cardiovascular risk factor analysis
Evaluate behavioral readiness and develop strategies to optimize exercise adherence.
Knowledge of behavioral strategies to enhance exercise and health behavior change (for example, reinforcement, goal setting, social support)Knowledge of health behavior-change models (for example, Socioeconomic Model, Transtheoretical Model) and effective strategies that support and facilitate behavioral changeSkill in setting effective client-oriented S.M.A.R.T.S. behavioral goalsSkill in choosing and applying appropriate health behavior modification strategies based on the client’s skills, knowledge and level of motivation
Assess the components of health- and/or skill-related physical fitness to establish baseline values, set goals and develop individualized programs.
Knowledge of the basic structures of bone, skeletal muscle and connective tissueKnowledge of the basic anatomy of the cardiovascular and respiratory systemsKnowledge of the following terms: anterior, posterior, proximal, distal, inferior, superior, medial, lateral, supination, pronation, flexion, extension, adduction, abduction, hyperextension, rotation, circumduction, agonist, antagonist, stabilizer, inversion, eversionKnowledge of major muscle groups (for example, trapezius, pectoralis major, latissimus dorsi, deltoids, biceps, triceps, rectus abdominis, internal and external obliques, erector spinae, gluteus maximus, hip flexors, quadriceps, hamstrings, hip adductors, hip abductors, anterior tibialis, soleus, gastrocnemius)Knowledge of major bones (for example, clavicle, scapula, sternum, humerus, carpals, ulna, radius, femur, fibula, tibia, tarsals)Knowledge of the sagittal, frontal (coronal), transverse (horizontal) planes of the body and plane in which each muscle action occursKnowledge of the interrelationships among center of gravity, base of support, balance, stability and proper spinal alignmentKnowledge of the following curvatures of the spine: lordosis, scoliosis and kyphosisKnowledge of joint classifications (for example, hinge, ball and socket)Knowledge of the primary action and joint range of motion specific to each major muscle groupKnowledge of the differences between the aerobic and anaerobic energy systems and the effects of acute and chronic exercise on eachKnowledge of acute responses to cardiorespiratory exercise and resistance trainingKnowledge of chronic physiological adaptations associated with cardiovascular exercise and resistance trainingKnowledge of physiological responses related to warm-up and cool-downKnowledge of physiological basis of acute muscle fatigue, delayed onset muscle soreness (DOMS) and musculoskeletal injury/overtrainingKnowledge of physiological adaptations that occur at rest and during submaximal and maximal exercise following chronic aerobic and anaerobic exercise trainingKnowledge of physiological basis for improvements in muscular strength and enduranceKnowledge of expected blood pressure responses associated with postural changes, acute physical exercise and adaptations as a result of long-term exercise trainingKnowledge of the following terms related to muscles: hypertrophy, atrophy, hyperplasia, dynapenia, sarcopenia and sarcopenic obesityKnowledge of physiological bases of the components of health- and/or skill-related physical fitness (cardiovascular endurance, body composition, muscular strength, muscular endurance, flexibility, agility, functional assessment, coordination, balance, power, reaction time and speed)Knowledge of normal chronic physiologic adaptations associated with cardiovascular, resistance and flexibility trainingKnowledge of types of muscle actions, such as isotonic (concentric, eccentric), isometric (static), and isokineticKnowledge of the process of muscle recruitment and coordination during movementKnowledge of how the nervous system and muscles adapt to different types of training stimuliKnowledge of mechanisms underlying muscle fatigue and the processes involved in muscle recoveryKnowledge of the brain’s ability to adapt to experienceKnowledge of test termination criteria and proper procedures to be followed after discontinuing an exercise testKnowledge of anthropometric measurements and body composition techniques (for example, skinfolds, plethysmography, bioelectrical impedance, infrared, dual-energy x-ray absorptiometry (DEXA), body mass index (BMI), circumference measurements)Knowledge of fitness testing protocols, including pre-test preparation and assessments (including cardiovascular endurance, body composition, muscular strength, muscular endurance, flexibility, agility, coordination, balance, power, reaction time and speed)Knowledge of interpretation of fitness test resultsKnowledge of the recommended order of fitness assessmentsSkill in locating/palpating pulse landmarks, accurately measuring heart rate, obtaining rating of perceived exertion (RPE), and measuring resting blood pressureSkill in selecting and administering cardiovascular fitness assessmentsSkill in locating anatomical sites for circumference (girth) and skinfold measurementsSkill in selecting and administering muscular endurance and strength assessmentsSkill in selecting and administering balance, flexibility, and mobility assessmentsSkill in identifying and addressing potential injury risks during fitness assessmentsSkill in providing effective client-centered communication of test and assessment results
Develop a plan and timeline for reassessing physical fitness, goals and related behaviors.
Knowledge of alternative health behavior modification strategiesKnowledge of the purpose and timeline for reassessing each component of physical fitness (including cardiovascular endurance, body composition, muscular strength, muscular endurance, flexibility, agility, coordination, balance, power, reaction time and speed)
2
Exercise Programming and Implementation
43%
Review the client’s goals, medical history, exercise history, and assessment results and determine exercise prescription.
Knowledge of the risks and benefits associated with exercise and physical activity for generally healthy adults, older adults, children, adolescents, pregnant clients, individuals who have cognitive and/or psychological disorders, and individuals who have chronic disease and are medically cleared to exerciseKnowledge of health-related conditions that require consultations with medical personnel prior to initiating physical activityKnowledge of components of health- and/or skill-related physical fitness (including cardiovascular endurance, body composition, muscular strength, muscular endurance, flexibility, agility, coordination, balance, power, reaction time and speed)Knowledge of program development for specific client needs (for example, sport-specific training, performance, lifestyle, functional, balance, agility, aerobic and anaerobic)Knowledge of special precautions and modifications of exercise programming for participation in various environmental conditions (for example, altitude, variable ambient temperatures, humidity, environmental pollution)
Select exercise modalities to achieve the desired adaptations based on the client’s goals, medical history, assessment results and available resources.
Knowledge of selecting exercises and training modalities based on client’s training age, goals, and functional capacityKnowledge of the principles of specificity and program progressionKnowledge of the advantages, disadvantages and applications of interval, continuous and circuit training programs for cardiovascular fitness improvementsKnowledge of activities of daily living (ADLs) and their role in the overall health and fitness of the clientKnowledge of differences between physical activity recommendations and training principles for general health benefits, weight management, fitness improvements and athletic performance enhancementKnowledge of resistance training methods (for example, periodization, power, pyramid training)Knowledge of the six health-related and neuromotor skill-related physical fitness components; agility, balance, coordination, reaction time, speed and powerKnowledge of the benefits, risks and contraindications for a wide variety of resistance training exercises specific to individual muscle groups (for example, rectus abdominis, performing crunches, supine leg raises and plank exercises)Knowledge of the benefits, risks and contraindications for a variety of flexibility, mobility and range of motion exercises (for example, dynamic and passive stretching, Tai Chi, Pilates, yoga, proprioceptive neuromuscular facilitation, partner stretching)Knowledge of the benefits, risks and contraindications for a wide variety of cardiovascular training exercises and applications based on client experience, skill level, current fitness level and goals (for example, walking, jogging, running)
Determine initial Frequency, Intensity, Time and Type (FITT Principle) of exercise based on the client’s goals, medical history and assessment results.
Knowledge of the recommended FITT principle for physical activity for cardiovascular and musculoskeletal fitness in healthy adults, older adults, children, adolescents and pregnant clientsKnowledge of the recommended FITT principle for development of cardiovascular and musculoskeletal fitness in clients with stable chronic diseases who are medically cleared for exerciseKnowledge of exercise modifications for those with physical and intellectual limitations (for example, injury rehabilitation, neuromuscular and postural limitations)Knowledge of implementation and order of the components of an exercise training session (for example, warm-up, conditioning, cool down, stretching)Knowledge of identifying specific major muscles/groups, types of muscle action and joint motion when shown a movement/exerciseKnowledge of establishing and monitoring levels of exercise intensity, including heart rate, RPE, pace, maximum oxygen consumption and/or metabolic equivalents (METs)Knowledge of determining target/training heart rates using predicted maximum heart rate and the heart rate reserve method (Karvonen formula) with recommended intensity percentages based on client fitness level, medical considerations and goalsKnowledge of periodization for cardiovascular, resistance training and conditioning program design and progression of exercisesKnowledge of repetitions, sets, load and rest periods necessary for desired goalsKnowledge of using results from repetition maximum tests to determine resistance training loads
Review the proposed program with the client, demonstrate exercises and teach the client how to perform each exercise.
Knowledge of adaptations to strength, functional capacity and motor skillsKnowledge of the physiological effects of the Valsalva Maneuver and the associated risksKnowledge of the basic biomechanical principles for the performance of common physical activities (for example, walking, running, swimming, cycling, resistance training, yoga, Pilates, functional training)Knowledge of the concept of detraining or reversibility of conditioning and effects on fitness and functional performanceKnowledge of signs and symptoms of exhaustion or over-reaching/overtrainingKnowledge of modifying exercise form and/or technique to reduce musculoskeletal injuryKnowledge of exercise attire for specific activities, environments and conditions (for example, footwear, layering for cold, light colors in heat)Knowledge of communication techniques for effective teaching with awareness of visual, auditory and kinesthetic learning stylesSkill in demonstrating exercises designed to enhance cardiovascular endurance, flexibility, range of motion, muscular fitness and neuromotor skillsSkill in demonstrating a wide range of resistance training modalities and activities (for example, variable resistance devices, dynamic constant external resistance devices, kettlebells, static resistance devices)Skill in demonstrating a wide variety of functional training exercises (for example, stability balls, balance boards, resistance bands, medicine balls, foam rollers)Skill in providing spotting techniques for injury prevention and exercise assistanceSkill in guiding clients through exercises with clear and concise feedback to minimize the risk of injury
Monitor the client’s technique and response to exercise, providing modifications as necessary.
Knowledge of normal and abnormal responses to exercise and criteria for termination of exercise (for example, shortness of breath, joint pain, dizziness, abnormal heart rate response)Knowledge of proper and improper form and technique while using cardiovascular conditioning equipment (for example, stair climbers, stationary cycles, treadmills, elliptical trainers)Knowledge of proper and improper form and technique while performing resistance exercises (for example, resistance machines, stability balls, free weights, resistance bands, calisthenics/body weight)Knowledge of proper and improper form and technique while performing flexibility and mobility exercises (for example, static stretching, dynamic stretching, partner stretching)Skill in interpreting client comprehension and body language during exerciseSkill in effective communication, including active listening, cueing and providing constructive feedback during and after exerciseSkill in modifying exercise based on client performance or feedback
Recommend exercise progressions to improve or maintain the client’s fitness level.
Knowledge of exercises and program modifications for healthy adults, older adults, children, adolescents, pregnant clients and individuals who have cognitive or psychological disordersKnowledge of exercises and program modifications for clients with stable cardiovascular, metabolic, or renal disease who have been medically cleared to exercise (for example, stable coronary artery disease, other cardiovascular diseases, diabetes mellitus, obesity, metabolic syndrome, hypertension, arthritis, chronic back pain, osteoporosis, chronic pulmonary disease, chronic pain)Knowledge of principles of progressive overload, specificity, variation and program progressionKnowledge of progression and modification of exercises for major muscle groups (for example, standing lunge to walking lunge to walking lunge with resistance)Knowledge of modifications to periodized conditioning programs to increase or maintain muscular strength and/or endurance, hypertrophy, power, cardiovascular endurance, balance, flexibility and range of motion
3
Exercise Leadership and Client Education
22%
Optimize participant adherence by using effective communication, motivational techniques, and behavioral strategies.
Knowledge of verbal and nonverbal behaviors that communicate positive reinforcement and encouragement (for example, eye contact, targeted praise, empathy)Knowledge of learning preferences (including auditory, visual, kinesthetic) and how to apply teaching and training techniques to optimize training sessionKnowledge of applying behavior change models to influence and guide clients to make positive health choices or adopt new habitsKnowledge of barriers to exercise adherence and compliance (for example, time management, injury, fear, lack of knowledge, weather)Knowledge of techniques to facilitate intrinsic and extrinsic motivation (for example, goal setting, incentive programs, achievement recognition, social support)Knowledge of strategies to increase non-structured physical activity (for example, stair walking, parking farther away, biking to work)Knowledge of health coaching principles and lifestyle management techniques related to behavior changeKnowledge of leadership techniques and educational methods to increase client engagementSkill in applying active listening techniques (for example, asking open-ended questions, mirroring, providing feedback)Skill in using feedback to optimize a client’s training sessionsSkill in effective and timely uses of a variety of communication channels (for example, email, social media)Skill in using strategies to help clients overcome barriers to exercise (for example, self-monitoring, decisional balance, goal setting, feedback, motivational interviewing)
Educate clients about basic wellness factors using scientifically-sound resources.
Knowledge of influential lifestyle factors, including nutrition and physical activity habitsKnowledge of the value of carbohydrates, fats and proteins as fuels for exercise and physical activityKnowledge of the relationship between body composition and healthKnowledge of the effectiveness of diet, exercise and behavior modification as a method for modifying body compositionKnowledge of the importance of maintaining hydration before, during and after exerciseKnowledge of Dietary Guidelines for AmericansKnowledge of the Relative Energy Deficiency in Sport (including Female Athlete Triad)Knowledge of the myths and consequences associated with various weight loss methods (for example, fad diets, dietary supplements, over-exercising, disordered eating)Knowledge of the number of kilocalories in one gram of carbohydrate, fat, protein and alcoholKnowledge of industry guidelines for caloric intake for individuals desiring to lose or gain weightKnowledge of community-based exercise programs that provide social support and structured activities (for example, walking clubs, intramural sports, golf leagues, cycling clubs)Knowledge of how clients can self-monitor for appropriate physiological response to exercise (for example, targets, signs of abnormal response)
Obtain client feedback to ensure exercise program satisfaction and adherence.
Knowledge of effective techniques for program evaluation (for example, survey, written follow-up, verbal feedback)Knowledge of client goals and appropriate review and modification
4
Legal and Professional Responsibilities
10%
Collaborate with health care professionals, allied health practitioners, and organizations within their respective scope of practice to optimize the advantages and mitigate the potential drawbacks of an exercise prescription.
Knowledge of reputable professional resources and referral sources to ensure client safety and program effectivenessKnowledge of the scope of practice for the Certified Personal Trainer and the need to practice within this scopeKnowledge of effective and professional communication with allied health and fitness professionalsKnowledge of documenting exercise sessions and performing periodic re-evaluations to assess changes in fitness statusSkill in effective communication skills to interact with healthcare professionals and allied health practitionersSkill in assessing individual needs and modifying exercise programs to take into account client history and potential contraindicationsSkill in documenting and sharing relevant information with other members of the healthcare teamSkill in adapting and modifying exercise programs based on feedback and input from other members of the healthcare team
Implement a comprehensive risk management program (including an emergency action plan and injury prevention program) consistent with industry standards of care.
Knowledge of resources available to obtain basic life support, automated external defibrillator (AED) and cardiopulmonary resuscitation certificationKnowledge of emergency procedures (including telephone procedures, written emergency procedures, personnel responsibilities) in a health and fitness settingKnowledge of precautions taken to ensure participant safety (for example, equipment placement, facility cleanliness, floor surface)Knowledge of contraindicated exercises/postures and risks associated with certain exercises (for example, straight-leg sit-ups, double leg raises, full squats, hurdler’s stretch, cervical and lumbar hyperextension, standing bent-over toe touch)Knowledge of the responsibilities, limitations and legal implications for the Certified Personal Trainer of carrying out emergency proceduresKnowledge of potential musculoskeletal injuries (for example, contusions, sprains, strains, fractures), cardiovascular/pulmonary complications (for example, chest pain, palpitations/arrhythmias, tachycardia, bradycardia, hypotension/hypertension, hyperventilation) and metabolic abnormalities (for example, fainting/syncope, hypoglycemia/hyperglycemia, hypothermia/hyperthermia)Knowledge of the need for, and components of, an equipment service plan/agreementKnowledge of the need for, and use of, safety policies and procedures (for example, incident/accident reports, emergency procedure training) and legal necessity thereofKnowledge of the need for, and components of, an emergency action planKnowledge of effective communication skills and the ability to inform staff and clients of emergency policies and proceduresSkill in demonstrating and carrying out emergency procedures during exercise testing and/or trainingSkill in assisting, spotting and monitoring clients safely and effectively during exercise testing and/or trainingSkill in orientation procedures, including equipment utilization and facility layoutSkill in equipment maintenance to decrease risk of injury and liability (for example, maintenance plan, service schedule, safety considerations)
Ensure compliance with legal and professional standards across personal training practice, including adherence to federal and state regulations, ethical guidelines, and confidentiality requirements.
Knowledge of the components of general standards of professional conduct and ethical practiceKnowledge of appropriate professional behaviorKnowledge of professional liability and potential for negligence in training environmentsKnowledge of legal issues for licensed and non-licensed health care professionals providing services, exercise testing and risk-management strategiesKnowledge of U.S. copyright laws (for example, obtain permission before using protected materials or any form of applicable intellectual property)Knowledge of practices/systems for maintaining client confidentialityKnowledge of the importance of client privacy (including client personal safety, legal liability, client credit protection, client medical disclosure)Knowledge of the Family Educational Rights and Privacy Act (FERPA) and the Health Insurance Portability and Accountability Act (HIPAA) lawsSkill in conducting all professional activities within the scope of practice of the ACSM Certified Personal TrainerSkill in referencing non-original workSkill in rapidly accessing client emergency contact information