Evaluating the effect of a strength and conditioning program to improve paramedic candidates' physical readiness for duty.

BACKGROUND: The Ottawa Paramedic Physical Ability Test (OPPAT (TM)) is a physical employment standard for the paramedic sector. If a candidate is unsuccessful in meeting the OPPAT (TM) performance standard they should be provided with an appropriate accommodation, such as a strength and conditioning program, to improve performance. OBJECTIVE: Develop, implement and evaluate the effectiveness of a 4-week strength and conditioning program on improving OPPAT (TM) performance and associated fitness measures in paramedic candidates. METHODS: A 4-week strength and conditioning program was developed to focus on strength and power improvements. Based on initial OPPAT (TM) performance, participants were divided into high and low performing groups; only the low performing group received the training intervention. OPPAT (TM) completion times and relevant fitness measures were compared pre-to post-intervention and between groups. RESULTS: Over the 4-weeks, peak lower body power and grip strength did not significantly improve in the intervention group, however OPPAT (TM) performance improved by 10%. The control group had significantly lower OPPAT (TM) completion times both pre- and post-intervention (19% and 11% lower respectively), as well as greater grip strength and peak lower body power. CONCLUSIONS: Implementation of a targeted strength and conditioning program successfully improved OPPAT (TM) performance in low performing candidates.