Perspectives

Chester Step Test as a Reliable, Reproducible Method of Assessing Physical Fitness of Disaster Deployment Personnel

Authors: Michael S. Molloy, MB, MSc Disaster Med (EMDM), Colin M. Robertson, PhD, Gregory R. Ciottone, MD

Abstract

Field disaster response typically is strenuous, difficult work, both physically and mentally.1–3 Although hard evidence is lacking, it may be inferred that responders lacking appropriate physical fitness are at increased risk of injury or compromising safety operations during a deployment

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References

1. Oldenburger D, Baumann A, Banfield L. Characteristics of medical teams in disaster. Prehosp Disaster Med 2017;32:195-200.
 
2. Hugelius K, Adolfsson A, Ortenwall P, et al. Being both helpers and victims: health professionals' experiences of working during a natural disaster. Prehosp Disaster Med 2017;32:117-123.
 
3. Guidance for Managing Worker Fatigue During Disaster Operations-Technical Assistance Document. Washington DC:US National Response Team , 2009:96.
 
4. Perritt KR, Herbert R, Levin SM, et al. Work-related injuries and illnesses reported by World Trade Center response workers and volunteers. Prehosp Disaster Med 2011;26:401-407.
   
6. Anderson MK, Grier T, Canham-Chervak M, et al. Effect of mandatory unit and individual physical training on fitness in military men and women. Am J Health Promot 2016;13.
7. Osofsky HJ, Osofsky JD, Arey J, et al. Hurricane Katrina's first responders: the struggle to protect and serve in the aftermath of the disaster. Disaster Med Public Health Prep 2011;5(Suppl 2):S214-S219.
 
8. van Hoving DJ, Wallis LA, Docrat F, et al. Haiti disaster tourism-a medical shame. Prehosp Disaster Med 2010;25:201-202.
 
9. Jobe K. Disaster relief in post-earthquake Haiti: unintended consequences of humanitarian volunteerism. Travel Med Infect Dis 2011;9:1-5.
 
10. Burkle FM. Conversations in disaster medicine and public health: the profession. Disaster Med Public Health Prep 2014;8:5-11.
 
11. Redmond AD, O'Dempsey TJ, Taithe B. Disasters and a register for foreign medical teams. Lancet 2011;377:1054-1055.
 
12. Norton I, von Schreeb J, Aitken P, et al. Classification and minimum standards for foreign medical teams in sudden onset disasters. http://www.who.int/hac/global_health_cluster/fmt_guidelines_september2013.pdf. Published 2013. Accessed May 19, 2017.
 
13. Prather C. NDMS medical clearance: force protection. http://www.az1dmat.org/2012%20NDMS%20Medical%20Clearance%20<Compatibility%20Mode].pdf. Published September 8, 2012. Accessed October 1, 2016.
 
14. Reissman DB, Howard J. Responder safety and health: preparing for future disasters. Mt Sinai J Med 2008;75:135-141.
 
15. Brinker K, Head CA, Johnson CY, et al. Injuries and illnesses among American Red Cross responders-United States, 2008-2012. Disaster Med Public Health Prep 2014;8:404-410.
 
16. Sykes K, Roberts A. The Chester step test-a simple yet effective tool for the prediction of aerobic capacity. Physiotherapy 2004;90:183-188.
 
17. Buckley JP, Sim J, Eston RG, et al. Reliability and validity of measures taken during the Chester step test to predict aerobic power and to prescribe aerobic exercise. Br J Sports Med 2004;38:197-205.
 
18. Bennett H, Parfitt G, Davison K, et al. Validity of submaximal step tests to estimate maximal oxygen uptake in healthy adults. Sports Med 2016;46:737-750.