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Active IQ Level 2 Certificate in Gym Instructing (sample manual)

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Manual<br />

<strong>Level</strong> 2 <strong>Certificate</strong><br />

<strong>in</strong> <strong>Gym</strong> Instruct<strong>in</strong>g<br />

Version A<strong>IQ</strong>005803


The skeletal system<br />

Section 1<br />

Section 1: The skeletal system<br />

Without the skeleton, we would be a heap of tissues all over the floor. It makes up almost one fifth of body weight to<br />

give us a flexible framework with which to move, protect and support <strong>in</strong>ternal and external systems.<br />

Structure of the skeleton<br />

The skeletal system can be classified as two ma<strong>in</strong> structures:<br />

Bone<br />

Calcified connective tissue that forms most of the adult<br />

skeleton. There are around 206 bones <strong>in</strong> the body and they<br />

are connected via a series of different types of jo<strong>in</strong>t.<br />

Cartilage Bone<br />

Dense, durable, tough fibrous connective tissue that is able<br />

to withstand compression forces. There are three types of<br />

cartilage found <strong>in</strong> the body, each fulfill<strong>in</strong>g a separate function.<br />

Types of cartilage<br />

The three types of cartilage found <strong>in</strong> the human body are:<br />

• Hyal<strong>in</strong>e cartilage: This is the tissue that forms the temporary skeleton of the foetus, which is eventually<br />

replaced by bone when calcium is deposited. It is found at the end of the long bones that meet to form the<br />

synovial jo<strong>in</strong>ts.<br />

• Elastic cartilage: This is similar to hyal<strong>in</strong>e cartilage, except that it has more fibres and most of these are<br />

made up of elast<strong>in</strong> as opposed to collagen. Elastic cartilage has the ability to rega<strong>in</strong> and return to its orig<strong>in</strong>al<br />

shape. It is found <strong>in</strong> the ear, the walls of the Eustachian tube and the epiglottis, which are all places that<br />

require a specific shape to be ma<strong>in</strong>ta<strong>in</strong>ed.<br />

• Fibrocartilage: This cartilage is thicker and stronger than the other types and has limited distribution with<strong>in</strong><br />

the body. It forms various shapes depend<strong>in</strong>g on its role and acts like a shock absorber <strong>in</strong> cartilag<strong>in</strong>ous jo<strong>in</strong>ts.<br />

The skeleton<br />

The skeleton is split <strong>in</strong>to two ma<strong>in</strong> sections:<br />

cranium<br />

cranium<br />

Pr<strong>in</strong>ciples of anatomy, physiology and fitness<br />

Axial skeleton<br />

Bones that form the<br />

ma<strong>in</strong> frame or axis:<br />

The sp<strong>in</strong>e, ribs and<br />

skull.<br />

Appendicular skeleton<br />

Bones that attach<br />

to the ma<strong>in</strong> frame<br />

(the appendages):<br />

The upper and lower<br />

limbs, the pelvic and<br />

shoulder girdles.<br />

clavicle<br />

sternum<br />

humerus<br />

rib<br />

lumbar vertebrae<br />

ulna<br />

radius<br />

pubis<br />

carpals<br />

metacarpals<br />

ischium<br />

femur<br />

patella<br />

tibia<br />

tarsals<br />

metatarsals<br />

phalanges<br />

cervical<br />

vertebrae<br />

scapula<br />

humerus<br />

thoracic<br />

vertebrae<br />

ilium<br />

sacrum<br />

coccyx<br />

phalanges<br />

femur<br />

fibula<br />

tibia<br />

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The neuromuscular system<br />

Section 2<br />

Section 2: The neuromuscular<br />

system<br />

All of the <strong>in</strong>ternal and external muscles <strong>in</strong> the body and the nerves serv<strong>in</strong>g them make up the neuromuscular<br />

system. Every movement your body makes requires communication between the bra<strong>in</strong> and muscles, some of which<br />

you don’t even have to th<strong>in</strong>k about, such as your digestive muscles break<strong>in</strong>g down <strong>in</strong>gested food.<br />

The muscular system<br />

There are over 600 muscles <strong>in</strong> the body, mak<strong>in</strong>g up around 40% of a person’s total weight.<br />

The bones and jo<strong>in</strong>ts create the framework of levers (bones) and pivots (jo<strong>in</strong>ts) which give the body the potential to<br />

move, but this framework cannot move on its own. It is the contraction and relaxation of muscles that br<strong>in</strong>g about<br />

movement.<br />

The muscular system produces a cont<strong>in</strong>uous and wide-rang<strong>in</strong>g number of actions, such as bodily movements<br />

(e.g. walk<strong>in</strong>g and jump<strong>in</strong>g) and the power<strong>in</strong>g of <strong>in</strong>ternal processes (e.g. contraction of the heart muscle and focuss<strong>in</strong>g<br />

of the eye).<br />

KEY<br />

POINT<br />

Types of muscle tissue<br />

There are three types of muscle tissue and each one has a different<br />

function. The three types are:<br />

• Cardiac muscle (myocardium), e.g. the heart.<br />

• Smooth muscle, e.g. the walls of the small <strong>in</strong>test<strong>in</strong>e.<br />

• Skeletal muscle (striated), e.g. the hamstr<strong>in</strong>gs or triceps.<br />

Contraction of the heart<br />

is controlled by the<br />

s<strong>in</strong>oatrial node (SAN).<br />

The set rhythm of the<br />

heart (on average,<br />

72bpm at rest) is called<br />

autorhythmicity.<br />

Pr<strong>in</strong>ciples of anatomy, physiology and fitness<br />

Copyright © 2018 <strong>Active</strong> <strong>IQ</strong> Ltd. Not for resale 13


The neuromuscular system<br />

Section 2<br />

To summarise:<br />

• Whole muscle is wrapped <strong>in</strong> epimysium.<br />

• Bundles of fibres, or fasciculi, are wrapped <strong>in</strong> perimysium.<br />

• S<strong>in</strong>gle muscle fibres are wrapped <strong>in</strong> endomysium.<br />

• Myofibrils are located <strong>in</strong>side s<strong>in</strong>gle fibres.<br />

• Myofilaments – myos<strong>in</strong> and act<strong>in</strong> ‒ are located <strong>in</strong>side sarcomeres.<br />

Slid<strong>in</strong>g filament theory<br />

The slid<strong>in</strong>g filament theory was proposed by<br />

Huxley <strong>in</strong> 1954 to expla<strong>in</strong> the contraction of<br />

skeletal muscle. The theory states that the<br />

myofilaments, act<strong>in</strong> (a th<strong>in</strong> prote<strong>in</strong> strand)<br />

and myos<strong>in</strong> (a thick prote<strong>in</strong> strand) slide<br />

over each other, creat<strong>in</strong>g a shorten<strong>in</strong>g of<br />

the sarcomere (the contractile units <strong>in</strong> the<br />

muscle where myos<strong>in</strong> and act<strong>in</strong> are found),<br />

which causes the shorten<strong>in</strong>g or lengthen<strong>in</strong>g<br />

of the entire muscle. The myofilaments do<br />

not decrease <strong>in</strong> length themselves.<br />

This proposed action is accomplished by<br />

the unique structure of the prote<strong>in</strong>, myos<strong>in</strong>.<br />

The myos<strong>in</strong> filaments are shaped like golf<br />

clubs and form cross bridges with the act<strong>in</strong><br />

filaments. Each myos<strong>in</strong> molecule (there<br />

are many) has two project<strong>in</strong>g heads. These<br />

heads attach to the act<strong>in</strong> filaments and<br />

pull them <strong>in</strong> closer.<br />

Act<strong>in</strong> filament<br />

Myos<strong>in</strong> filament<br />

Muscle fibre<br />

Myofibril<br />

Pr<strong>in</strong>ciples of anatomy, physiology and fitness<br />

Stimulus from the nervous system and the<br />

release of adenos<strong>in</strong>e triphosphate (ATP)<br />

– the high-energy molecule stored on the<br />

myos<strong>in</strong> head – provide the impetus for the<br />

head to ‘nod’ <strong>in</strong> what is termed the ‘power<br />

stroke’. It is this nodd<strong>in</strong>g action which<br />

‘slides’ the th<strong>in</strong> act<strong>in</strong> filaments over the<br />

thick myos<strong>in</strong> filaments. The myos<strong>in</strong> head<br />

then b<strong>in</strong>ds with another ATP molecule,<br />

caus<strong>in</strong>g it to detach from the act<strong>in</strong>-b<strong>in</strong>d<strong>in</strong>g<br />

site, which is known as the ‘recovery<br />

stroke’. It is then able to attach to the next<br />

b<strong>in</strong>d<strong>in</strong>g site and perform the same rout<strong>in</strong>e.<br />

SARCOMERE IS RELAXED<br />

SARCOMERE IS CONTRACTED<br />

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Section 3<br />

Cardiovascular and respiratory systems<br />

Heart valves<br />

There are a number of different valves around the heart, which all perform slightly different tasks.<br />

The atrioventricular (AV) valves separate the atria and ventricles and prevent the flow of blood back <strong>in</strong>to the atria<br />

dur<strong>in</strong>g ventricular contraction.<br />

The semilunar valves prevent the flow of blood back <strong>in</strong>to the right (pulmonary valve) and left ventricles (aortic valve)<br />

dur<strong>in</strong>g ventricular relaxation.<br />

Heart rate<br />

The heart is stimulated to contract by a complex series of <strong>in</strong>tegrated systems. The heart’s pacemaker – the s<strong>in</strong>oatrial<br />

node (SAN) – <strong>in</strong>itiates cardiac muscle contraction. The SAN is located <strong>in</strong> the wall of the right atrium. The myocardium<br />

(heart muscle) is stimulated to contract about 72 times per m<strong>in</strong>ute by the SAN as part of the autonomic nervous<br />

system.<br />

28<br />

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Cardiovascular and respiratory systems<br />

Section 3<br />

Nose and mouth<br />

Nose<br />

Larynx<br />

Trachea<br />

Pharynx (throat) and<br />

larynx (voice box)<br />

Lungs<br />

Trachea<br />

Bronchi<br />

Bronchioles<br />

Diaphragm<br />

Bronchi / bronchus<br />

The mechanics of breath<strong>in</strong>g<br />

The two ma<strong>in</strong> mechanisms that trigger the human body to breathe are:<br />

• Ris<strong>in</strong>g levels of carbon dioxide <strong>in</strong> the blood.<br />

• Stretch receptors <strong>in</strong> the respiratory muscles (<strong>in</strong>tercostal muscles) becom<strong>in</strong>g stretched.<br />

The ma<strong>in</strong> muscles <strong>in</strong>volved <strong>in</strong> the action of breath<strong>in</strong>g are the diaphragm and the <strong>in</strong>ternal and external <strong>in</strong>tercostal<br />

muscles.<br />

The ma<strong>in</strong> phases of the breath<strong>in</strong>g cycle are:<br />

• Inspiration/<strong>in</strong>halation – draw<strong>in</strong>g air<br />

<strong>in</strong>to the lungs.<br />

• Expiration/exhalation – expell<strong>in</strong>g air<br />

from the lungs.<br />

Right lung<br />

Trachea<br />

Bronchioles<br />

Alveoli<br />

Left lung<br />

Pr<strong>in</strong>ciples of anatomy, physiology and fitness<br />

There is also a short pause before both<br />

<strong>in</strong>spiration and expiration.<br />

Dur<strong>in</strong>g <strong>in</strong>spiration, the diaphragm muscle<br />

contracts, caus<strong>in</strong>g the normal ‘dome shape’<br />

to flatten. The external <strong>in</strong>tercostal muscles<br />

also contract, rais<strong>in</strong>g the ribcage. These<br />

actions <strong>in</strong>crease the chest cavity volume.<br />

This <strong>in</strong>crease <strong>in</strong> volume creates a negative<br />

pressure between the air <strong>in</strong> the lungs and<br />

air <strong>in</strong> the atmosphere. This is very much<br />

like a vacuum effect <strong>in</strong> which the negative<br />

pressure sucks air <strong>in</strong>to the lungs until the<br />

two pressures are balanced.<br />

Right<br />

bronchus<br />

Left<br />

bronchus<br />

Bronchiole<br />

Term<strong>in</strong>al<br />

bronchiole<br />

Alveoli<br />

Copyright © 2018 <strong>Active</strong> <strong>IQ</strong> Ltd. Not for resale 33


The digestive system<br />

Section 5<br />

Section 5: The digestive<br />

system<br />

The digestive system is responsible for the <strong>in</strong>take, breakdown, use and removal of food and dr<strong>in</strong>k. An efficient<br />

digestive system tells us when we are hungry, full and thirsty by send<strong>in</strong>g messages to and from the bra<strong>in</strong> via the<br />

nervous system. It extracts important nutrients for storage and immediate use and removes any waste.<br />

The digestive system has four stages:<br />

Ingestion<br />

Digestion<br />

Absorption<br />

Elim<strong>in</strong>ation<br />

Food enter<strong>in</strong>g<br />

the body<br />

through<br />

the mouth<br />

and be<strong>in</strong>g<br />

chewed.<br />

Break<strong>in</strong>g<br />

down of<br />

food through<br />

mechanical<br />

(smooth<br />

muscle<br />

action) and<br />

chemical<br />

(release of<br />

enzymes)<br />

processes.<br />

The pass<strong>in</strong>g<br />

of food<br />

<strong>in</strong>to the<br />

bloodstream<br />

to be used<br />

by the body’s<br />

tissues.<br />

The removal<br />

of waste.<br />

Journey through the alimentary canal (also known as<br />

the digestive tract/gastro<strong>in</strong>test<strong>in</strong>al tract/gut)<br />

Food’s journey through the alimentary canal can take up to 24 hours and covers a distance of around 9m (30 feet)<br />

from <strong>in</strong>gestion through the mouth to excretion through the anus.<br />

Mouth<br />

This is the entry po<strong>in</strong>t of food and where it beg<strong>in</strong>s to be broken down<br />

through the process of mastication (chew<strong>in</strong>g) <strong>in</strong>to a ball, or bolus.<br />

Pr<strong>in</strong>ciples of anatomy, physiology and fitness<br />

Oesophagus (gullet)<br />

This is a thick-walled, muscular tube that carries broken down food<br />

from the mouth to the stomach.<br />

Stomach<br />

The stomach is a muscular bag located on the left side of the upper<br />

abdomen. It breaks down food further by releas<strong>in</strong>g enzymes, and also<br />

kills bacteria.<br />

Small <strong>in</strong>test<strong>in</strong>e<br />

The small <strong>in</strong>test<strong>in</strong>e is a small, tightly folded tube that receives<br />

food from the stomach. It is the major site of digestion with<strong>in</strong> the<br />

alimentary canal. Its role is to absorb important nutrients <strong>in</strong>to the<br />

bloodstream to be passed to the body’s tissues and used for energy.<br />

The small <strong>in</strong>test<strong>in</strong>e is divided <strong>in</strong>to three sections: the duodenum,<br />

jejunum and ileum.<br />

The small <strong>in</strong>test<strong>in</strong>e is about as large<br />

as an adult’s middle f<strong>in</strong>ger but, when<br />

stretched out, it is about 22 feet<br />

(6.7m) long.<br />

Copyright © 2018 <strong>Active</strong> <strong>IQ</strong> Ltd. Not for resale 43


The importance of a healthy lifestyle<br />

Section 3<br />

Section 3: The importance of a<br />

healthy lifestyle<br />

Current prevalence of obesity <strong>in</strong> the UK<br />

27% of adults <strong>in</strong> England are obese and a further 36% are overweight. A summary of the most recent f<strong>in</strong>d<strong>in</strong>gs can<br />

be found below:<br />

Obesity is normally<br />

def<strong>in</strong>ed as hav<strong>in</strong>g a<br />

BMI of 30+<br />

18.5<br />

25<br />

30<br />

Underweight<br />

Normal Weight<br />

Overweight<br />

Obese<br />

Men are more likely to be<br />

overweight, but obesity<br />

rates are the same for<br />

both genders<br />

Obese<br />

Overweight<br />

Female<br />

Male<br />

Female<br />

Male<br />

9% of children <strong>in</strong><br />

England are obese by<br />

the age of 4-5<br />

9%<br />

27% of adults <strong>in</strong> England<br />

are obese. A further 36%<br />

are overweight<br />

27%<br />

Those aged 55-64 are<br />

most likely to be obese;<br />

16-24s are least likely<br />

Least<br />

deprived<br />

Most<br />

deprived<br />

16%<br />

36%<br />

16-24 55-64<br />

10-11 year olds <strong>in</strong> the<br />

most deprived areas<br />

are much more likely<br />

to be obese<br />

15%<br />

26%<br />

Rates of excess weight<br />

are highest <strong>in</strong> the North<br />

East and lowest <strong>in</strong><br />

London<br />

NE<br />

Yorks<br />

E Mids<br />

W Mids<br />

NW<br />

East<br />

SW<br />

SE<br />

London<br />

69%<br />

59%<br />

Obesity rates have<br />

grown slightly <strong>in</strong> the<br />

last decade<br />

52.9%<br />

61.8%<br />

62.9%<br />

1993 2004 2015<br />

In England, rates<br />

of obesity drug<br />

prescriptions are highest<br />

<strong>in</strong> Stoke North<br />

Stoke-on-Trent N<br />

Leigh<br />

Camborne & Rrth<br />

Knowsley<br />

Barnsley E<br />

22 per 1,000<br />

Conduct<strong>in</strong>g client consultations to support positive behaviour change<br />

Prescrib<strong>in</strong>g rates for<br />

obesity drugs have<br />

fallen <strong>in</strong> all UK countries<br />

s<strong>in</strong>ce 2008<br />

The number of bariatric<br />

surgeries on obese<br />

patients fell <strong>in</strong> the last<br />

three years<br />

UK obesity rates are<br />

below those of USA and<br />

Australia but above those<br />

of France & Germany<br />

ENG<br />

SCO<br />

WAL<br />

NI<br />

2008<br />

2014<br />

1,951<br />

2006/07<br />

8,794<br />

6,032<br />

2014/15<br />

USA<br />

AUS<br />

UK<br />

GER<br />

FRA<br />

JAP 3.9<br />

38.2<br />

27.9<br />

25.6<br />

23.6<br />

16.9<br />

House of Commons brief<strong>in</strong>g paper – Obesity statistics, 2017<br />

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