EXERCISE PRESCRIPTION FORM
1 Shoulder Press:
Notes ______________________________________________________________
2 Chest Press:
Notes ______________________________________________________________
3 Shoulder Rows:
Notes ______________________________________________________________
4 Elbow Extension:
Notes ______________________________________________________________
5 Elbow Flexion:
Notes ______________________________________________________________
6 Standing Hip Abduction:
Notes ______________________________________________________________
7 Standing Hip Extension:
Notes ______________________________________________________________
8 External Rotation:
Notes ______________________________________________________________
9 Shoulder Hold-Up:
Notes ______________________________________________________________
10Sitting Knee Flexion:
Notes ______________________________________________________________
11Sitting Knee Extension:
Notes ______________________________________________________________
12Trunk Rotation (sitting):
Notes ______________________________________________________________
13Lunges:
Notes ______________________________________________________________
14. Trunk Rotation (standing):
Notes ______________________________________________________________
15Hip Flexion:
Notes ______________________________________________________________
16Abdominal Crunch:
Notes ______________________________________________________________
Resistance Thin Medium Heavy Extra Heavy Special Heavy
Color Yellow Red Green Blue Black
15.24 cm .31 kg .73 kg .90 kg 1.40 kg 2.30 kg
30.48 cm .57 kg 1.40 kg 1.60 kg 2.40 kg 4.10 kg
45.72 cm .79 kg 1.80 kg 2.10 kg 3.20 kg 4.90 kg
60.96 cm .91 kg 2.22 kg 2.70 kg 3.90 kg 6.10 kg
76.20 cm 1.00 kg 2.50 kg 3.10 kg 4.50 kg 7.00 kg
91.44 cm 1.20 kg 2.70 kg 3.40 kg 5.10 kg 8.60 kg
a
a
a
a
a
a
a
a
a
a
a
a
a
a
a
a
To Next Page
Loading...