— PHYSIOLOGY ASSESSMENTS

The gold standard in cardio-respiratory testing. 
The perfect test for determining your baseline fitness, training zones and overall health. 

Assessments can be done on a Woodway Treadmill or Velotron Test Bike.  Key markers such as heart rate zones, FTP for cyclists and fat burning zones are identified.  Included is a 10 min discussion of your results.

We have expanded our VO2 protocols and added in some lactate testing to provide you with more information and validation of your results.

Day One. Assessment #1: VO2 protocol
We use a 2 min stage protocol looking at your best zones for burning fat and aerobic training (Zones 1-5). Going to maximum effort (Zone 6) is optional and will be discussed prior to.

Day Two. Assessment #2 (2-7 days later): Lactate Threshold 1 and/or 2 (LT1, LT2)
What is your best steady state for exercise? A new look at your body's current state of lactate buffering for aerobic exercise (LT1). We can also assess your LT2 for those interested in their best race pace. We use several fingertip blood lactate samples to determine these zones.  


Another great assessment is graphing how your body responds to a progressive exercise test with blood lactate.  When you increase your effort and feel that “burning sensation” in your legs, this is a direct indication that your body is generating more lactate as a by-product of burning sugar.  


We measure those sensations accurately and then set-up your individual  training zones.  Lactate Threshold One (LT1) and Lactate Threshold Two (LT2).  These markers are also associated with blood lactate levels of 2.0 and 4.0 mmol/L.  We will determine the power or speed where LT1 or LT2 occurs.  Knowing these two zones keeps your training on track and helps prevent over-training

Resting metabolic testing (RMR) is an excellent test for individuals interested in weight loss and overall health. Every person has a unique metabolism that should be addressed on an individual basis. RMR is the easiest fitness test you will ever do! 
The measurement requires you to sit and breathe into the metabolic cart for 20 minutes. This type of testing determines your minimum caloric requirement for everyday living (kcals/day).

Tuesday and Friday, 8:00-10:00AM. 45 min appointment.

You will receive your metabolic rate.  Is it high, low or average? i.e. 1200 calories / day.  This then affects your nutritional intake.

Substrate at rest.  Do you burn fat well?  
Ideally, your metabolism should be 80% FAT and 20% CARBS.  This is often not the case due to diet and exercise.  From the RMR, we then recommend a look at your food intake.  This helps put the pieces together and fill the gaps.

No food or caffeine 12 hrs prior to.  Water is OK.  Do not exercise prior to. 

Our staff are Certified Exercise Physiologists (CEP) which enable us to give you repeatable and accurate measurements.

We will measure you just as we measure our athletes, or we can cater to any special requests for measurements you may have.  We will reveal just what you’re made of.  
Is it fat?  Is it lean mass?  We’ll let you know, and give you recommendations on  what you can and should do to improve your body composition.

We conduct cardiopulmonary exercise testing (CPET) for individuals that have a potential Myalgic Encephalomyelitis/Chronic Fatigue Syndrome (ME/CFS) diagnosis.  The two-day Steven’s Protocol is used whereby the patient performs two progressive VO2 tests over two days separated by 24 hrs.  

We measure energy production, ventilation, heart rate, substrate utilization and lactate accumulation.   The CPET has been shown to be a robust post-exertional symptom flare (termed, post-exertional malaise); a cardinal symptom of the disease.

Patients are often referred by Dr. Eleanor Stein who specializes in ME/CFS and environmental sensitives. TCR is one of the team members of Dr. Stein’s group.For more information, please contact Exercise Physiologist Cory Fagan

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A detailed 15 page report is compiled a few days after your CPET assessments.  Copies are sent to you and your physician for review.

Our staff are Certified Exercise Physiologists (CEP) which enable us to give you repeatable and accurate measurements.

We will measure you just as we measure our athletes, or we can cater to any special requests for measurements you may have.  We will reveal just what you’re made of.  
Is it fat?  Is it lean mass?  We’ll let you know, and give you recommendations on  what you can and should do to improve your body composition.

One of the easiest ways of running faster or increasing your run enjoyment is through proper running technique.  If you are frequently getting injured, a gait analysis or running evaluation will eliminate many of the mistakes you could be making.  Perhaps you want to attempt a new distance such as a marathon or ultra-marathon!  Running efficiently is essential to going long with confidence and enjoyment.  The gait analysis will evaluate shoe choice, stride technique, body position, stride rate and overall training.  We approach running from a “Posture first” philosophy as correct posture allows proper technique to develop.

This three-part evaluation will compare your running style to researched methods of efficient distance running. Three 45 minute sessions will focus on developing the stronger points of your running ability as well work on minimizing aspects of your stride that may cause injury or inefficiency.

Insurable Billable Run Analysis through National Spine and Wellness (NSW).

Duration: 2 x 45min @ TCR and 45 min @ NSW

Learn to run with improved technique and efficiency.  We will perform video analyses and coach you to run with improved technique and efficiency.  NSW will assess your overall musculoskeletal health and work with TCR to help your running technique.