Now in its third edition, ACSM's Exercise Management for Persons With Chronic Diseases and Disabilities offers both exercise and health professionals the latest research and applications for integrating exercise into the treatment of 49 chronic diseases and disabilities. This reference was developed by the American College of Sports Medicine (ACSM) and written by contributors with significant clinical and research experience in exercise programming for people with chronic conditions.
ACSM's Exercise Management for Persons With Chronic Diseases and Disabilities, Third Edition, contains tools to assist in the coordination of exercise within an integrated model of patient care. The updated edition presents a framework for determining functional capacity in persons with chronic diseases and disabilities and offers guidance in developing appropriate exercise programming to optimize functional capacity and reduce the compounding effects of exercise intolerance.
Unlike textbooks on special populations, ACSM's Exercise Management for Persons With Chronic Diseases and Disabilities provides an overview of exercise management and addresses a wider spectrum of chronic diseases and disabilities. A consistent and concise format allows readers quick access to the pathology of interest, training and response to exercise, management of medications, and recommendations and special considerations of exercise testing and programming. Within the text, diseases and disorders are organized into seven sections: cardiovascular diseases; pulmonary diseases; metabolic diseases; immunological and hematological disorders; orthopedic diseases and disabilities; neuromuscular disorders; and cognitive, psychological, and sensory disorders. Information presented for each of the 49 conditions is based on the most current clinical research.
The third edition includes an added color and contains new chapters on metabolic syndrome, stress and neuropsychiatric disorders, multiple chronic conditions, and fibromyalgia. Information on professional preparation in serving patients with chronic diseases or disabilities has also been added. In addition, reformatted tables provide quicker reference for testing and prescription data. Recommended readings found at the end of the book offer resources for more in-depth study.
The text also includes case studies for each condition. These cases, drawn from the contributor’s clinical practice, illustrate how scientific research and clinical experience can combine in the development of an informed program of care for each patient. Case studies follow a set format, beginning with an overview and a subjective objective assessment plan (SOAP) report, followed by an exercise program and a follow-up statement for select cases.
ACSM's Exercise Management for Persons With Chronic Diseases and Disabilities, Third Edition, presents exercise as a viable component in the care and treatment of chronic disease and disability and offers guidance for appropriate exercise prescription that can positively affect functional capacity and slow or prevent exercise intolerance. As the prescription of exercise for persons with chronic conditions increases, exercise and health professionals require the appropriate data and tools to serve these individuals. ACSM's Exercise Management for Persons With Chronic Diseases and Disabilities will assist professionals in translating the science of exercise physiology into the art of practicing exercise medicine.
Part I: Framework
J. Larry Durstine, PhD, FACSM
Chapter 1. Introduction
Geoffrey E. Moore, MD, FACSM, Scott O. Roberts, PhD, FACSM, and J. Larry Durstine, PhD, FACSM
Concept of Exercise Is Medicine
Evidence-Based Guidelines
How to Use This Book
Problem-Oriented Management
How to Use the Tables
How to Read the Tables
What’s in the Tables
What’s Not in the Tables
Chapter 2. Approach to Exercise and Disease Management
Geoffrey E. Moore, MD, FACSM, J. Larry Durstine, PhD, FACSM, and Anthony P. Marsh, PhD
Problem-Oriented Exercise Management
Categories of Exercise Tests Measures
Exercise and Medications
Exercise Dose–Response
Risk, Cost, and Benefit
Putting It All Together
Chapter 3. Exercise Is Medicine
J. Larry Durstine, PhD, FACSM, J. Brent Peel, MS, Michael J. LaMonte, PhD, FACSM, Steven E. Keteyian, PhD, FACSM, Emma Fletcher, MA, and Geoffrey E. Moore, MD, FACSM
Terminology
Epidemiology
Exercise and Cardiovascular Diseases
Biological Plausibility
Current and Future Priorities
Education for Exercise Professionals
Summary
Chapter 4. Managing Exercise in Persons With Multiple Chronic Conditions
Geoffrey E. Moore, MD, FACSM, Patricia L. Painter, PhD, FACSM, G. William Lyerly, MS, and J. Larry Durstine, PhD, FACSM
Overview of the Pathophysiology
Effects on the Exercise Response
Role of Exercise Training
Recommendations for Exercise Testing
Recommendations for Exercise Programming
Case Study
Chapter 5. Physical Activity for Children and Adolescents
William F. Riner, PhD, FACSM and Richard J. Sabath, EdD, FACSM
Effects of Health Status and Physical Activity on Growth and Development
Normal Responses to Physical Activity in Children and Adolescents
Exercise Testing of Children and Adolescents
General Physical Activity Concerns for Children With a Chronic Health Condition or Disability
Selected Diseases and Disorders of Children and Youth
Summary
Part II. Cardiovascular Diseases
Scott O. Roberts, PhD, FACSM and Peter H. Brubaker, PhD, FACSM
Chapter 6. Myocardial Infarction
Barry A. Franklin, PhD, FACSM
Overview of the Pathophysiology
Effects on the Exercise Response
Effects of Exercise Training
Management and Medications
Special Precautions
Recommendations for Exercise Testing
Recommendations for Exercise Programming
Case Study
Chapter 7. Revasculariztion: CABG and PTCA or PCI
Barry A. Franklin, PhD, FACSM
Overview of the Pathophysiology
Effects on the Exercise Response
Effects of Exercise Training
Management and Medications
Recommendations for Exercise Testing
Recommendations for Exercise Programming
Case Study
Chapter 8. Angina and Silent Ischemia
Daniel Friedman, MD, FACSM and Scott O. Roberts, PhD, FACSM
Overview of the Pathophysiology
Effects on the Exercise Response
Effects of Exercise Training
Management and Medications
Recommendations for Exercise Testing
Recommendations for Exercise Programming
Case Study
Chapter 9. Atrial Fibrillation
J. Edwin Atwood, MD and Jonathan N. Myers, PhD, FACSM
Overview of the Pathophysiology
Effects on the Exercise Response
Effects of Exercise Training
Management and Medications
Recommendations for Exercise Testing
Recommendations for Exercise Programming
Case Study
Chapter 10. Pacemakers and Implantable Cardioverter Defibrillators
Michael West, MD and Scott O. Roberts, PhD, FACSM
Overview of the Pathophysiology
Effects on the Exercise Response
Effects of Exercise Training
Management and Medications
Recommendations for Exercise Testing
Recommendations for Exercise Programming
Case Study
Chapter 11. Valvular Heart Disease
Daniel Friedman, MD, FACSM and Scott O. Roberts, PhD, FACSM
Overview of the Pathophysiology
Effects on the Exercise Response
Effects of Exercise Training
Management and Medications
Surgical Considerations
Recommendations for Exercise Testing
Recommendations for Exercise Programming
Special Considerations
Case Study
Chapter 12. Chronic Heart Failure
Jonathan N. Myers, PhD, FACSM and Peter H. Brubaker, PhD, FACSM
Overview of the Pathophysiology
Effects on the Exercise Response
Effects of Exercise Training
Management and Medications
Recommendations for Exercise Testing
Recommendations for Exercise Programming
Case Study
Chapter 13. Cardiac Transplant
Ross Arena, PhD, PT, FACSM and Reed Humphrey, PhD, PT, FACSM
Overview of the Pathophysiology
Effects on the Exercise Response
Effects of Exercise Training
Management and Medications
Recommendations for Exercise Testing
Recommendations for Exercise Programming
Case Study
Chapter 14. Hypertension
Neil F. Gordon, MD, PhD, MPH, FACSM
Overview of the Pathophysiology
Effects on the Exercise Response
Effects of Exercise Training
Management and Medications
Recommendations for Exercise Testing
Recommendations for Exercise Programming
Case Study
Chapter 15. Peripheral Arterial Disease
Christopher J. Womack, PhD, FACSM, Andrew W. Gardner, PhD, and Raha Nael, MD
Overview of the Pathophysiology
Effects on the Exercise Response
Effects of Exercise Training
Management and Medications
Recommendations for Exercise Testing
Recommendations for Exercise Programming
Case Study
Chapter 16. Aneurysms
Jonathan Myers, PhD, FACSM
Overview of the Pathophysiology
Effects on the Exercise Response
Effects of Exercise Training
Management and Medications
Recommendations for Exercise Testing
Recommendations for Exercise Programming
Special Considerations
Case Study
Part III. Pulmonary Diseases
Christopher B. Cooper, MD, FACSM
Chapter 17. Chronic Obstructive Pulmonary Disease
Christopher B. Cooper, MD, FACSM
Overview of the Pathophysiology
Effects on the Exercise Response
Effects of Exercise Training
Management and Medications
Recommendations for Exercise Testing
Recommendations for Exercise Programming
Case Study
Chapter 18. Chronic Restrictive Pulmonary Disease
Connie C.W. Hsia, MD
Overview of the Pathophysiology
Effects on the Exercise Response
Effects of Exercise Training
Management and Medications
Recommendations for Exercise Testing
Recommendations for Exercise Programming
Case Study
Chapter 19. Asthma
Christopher J. Clark, MD and Lorna M. Cochrane, MD
Overview of the Pathophysiology
Effects on the Exercise Response
Effects of Exercise Training
Management and Medications
Recommendations for Exercise Testing
Recommendations for Exercise Programming
Case Study
Chapter 20. Cystic Fibrosis
Patricia A. Nixon, PhD, FACSM
Overview of the Pathophysiology
Effects on the Exercise Response
Effects of Exercise Training
Management and Medications
Recommendations for Exercise Testing
Recommendations for Exercise Programming
Special Considerations
Case Study
Chapter 21. Lung and Heart-Lung Transplantation
David L. Balfe, MD and David J. Ross, MD
Overview of the Pathophysiology
Effects on the Exercise Response
Effects of Exercise Training
Management and Medications
Recommendations for Exercise Testing
Recommendations for Exercise Programming
Special Considerations
Case Study
Part IV. Metabolic Diseases
Patricia L. Painter, PhD, FACSM and J. Larry Durstine, PhD, FACSM
Chapter 22. Hyperlipidemia
J. Larry Durstine, PhD, FACSM, Geoffrey E. Moore, MD, FACSM, and Donna Polk, MD, MPH
Overview of the Pathophysiology
Effects on the Exercise Response
Effects of Exercise Training
Management and Medications
Recommendations for Exercise Testing
Recommendations for Exercise Programming
Case Study
Chapter 23. End-Stage Metabolic Disease: Renal Failure and Liver Failure
Patricia L. Painter, PhD, FASCM and Joanne B. Krasnoff, MS
Overview of the Pathophysiology
Effects on the Exercise Response
Effects of Exercise Training
Management and Medications
Recommendations for Exercise Testing
Recommendations for Exercise Programming
Case Study
Chapter 24. Diabetes
W. Guyton Hornsby, Jr., PhD, CDE, FACSM and Ann L. Albright, PhD, CDE
Overview of the Pathophysiology
Effects on the Exercise Response
Effects of Exercise Training
Management and Medications
Recommendations for Exercise Testing
Recommendations for Exercise Programming
Case Study
Chapter 25. Obesity
Janet P. Wallace, PhD, FACSM and Shahla Ray, PhD
Overview of the Pathophysiology
Effects on the Exercise Response
Effects of Exercise Training
Management and Medications
Recommendations for Exercise Testing
Recommendations for Exercise Programming
Special Considerations
Case Study
Chapter 26. Frailty
Constance Mols Bayles, PhD, FACSM, Selena Chan, BS, and Joseph Robare, MS, RD, LDN
Overview of the Pathophysiology
Effects on the Exercise Response
Effects of Exercise Training
Management and Medications
Recommendations for Exercise Testing
Recommendations for Exercise Programming
Case Study
Part V. Immunological and Hematological Disorders
Geoffrey E. Moore, MD, FACSM and Michael J. LaMonte, PhD, FACSM
Chapter 27. Cancer
Anna L. Schwartz, PhD, ARNP, FAAN
Overview of the Pathophysiology
Effects on the Exercise Response
Effects of Exercise Training
Management and Medications
Recommendations for Exercise Testing
Recommendations for Exercise Programming
Case Study
Chapter 28. Acquired Immune Deficiency Syndrome (AIDS)
Gregory A. Hand, PhD, FACSM, G. William Lyerly, MS, and Wesley D. Dudgeon, PhD
Overview of the Pathophysiology
Effects on the Exercise Response
Effects of Exercise Training
Management and Medications
Recommendations for Exercise Testing
Recommendations for Exercise Programming
Special Considerations
Case Study
Chapter 29. Abdominal Organ Transplant (Kidney, Liver, Pancreas)
Patricia L. Painter, PhD, FACSM, Joanne B. Krasnoff, PhD
Overview of the Pathophysiology
Effects on the Exercise Response
Effects of Exercise Training
Management and Medications
Recommendations for Exercise Testing
Recommendations for Exercise Programming
Case Study
Chapter 30. Chronic Fatigue Syndrome
Stephen P. Bailey, PhD, PT, FACSM
Overview of the Pathophysiology
Effects on the Exercise Response
Effects of Exercise Training
Management and Medications
Recommendations for Exercise Testing
Recommendations for Exercise Programming
Special Considerations
Case Study
Chapter 31. Fibromyalgia
Kathy Lemley and Barbara Meyer, PhD
Overview of the Pathophysiology
Effects on the Exercise Response
Effects of Exercise Training
Management and Medications
Recommendations for Exercise Testing
Recommendations for Exercise Programming
Special Considerations
Case Study
Chapter 32. Anemia
Kirsten L. Johansen, MD
Overview of the Pathophysiology
Effects on the Exercise Response
Effects of Exercise Training
Management and Medications
Recommendations for Exercise Testing
Recommendations for Exercise Programming
Case study
Chapter 33. Bleeding and Clotting Disorders
Geoffrey E. Moore, MD, FACSM and Michael Lockard, MA
Overview of the Pathophysiology
Effects on the Exercise Response
Effects of Exercise Training
Management and Medications
Recommendations for Exercise Testing
Recommendations for Exercise Programming
Special Considerations
Case Study
Part VI. Orthopedic Diseases and Disabilities
Kenneth H. Pitetti, PhD, FACSM
Chapter 34. Arthritis
Marian A. Minor, PhD, PT and Donald R. Kay, MD
Overview of the Pathophysiology
Effects on the Exercise Response
Effects of Exercise Training
Management and Medications
Recommendations for Exercise Testing
Recommendations for Exercise Programming
Case Study
Chapter 35. Lower Back Pain Syndrome
Maureen J. Simmonds, PhD, PT, MCSP, and Tamar Derghazarian, PT
Overview of the Pathophysiology
Effects on the Exercise Response
Effects of Exercise Training
Management and Medications
Recommendations for Exercise Testing
Recommendations for Exercise Programming
Case Study
Chapter 36. Osteoporosis
Susan S. Smith, PhD, FACSM, Che-Hsiang Elizabeth Wang, PT, MS, and Susan A. Bloomfield, PhD, FACSM
Overview of the Pathophysiology
Effects on the Exercise Response
Effects of Exercise Training
Management and Medications
Recommendations for Exercise Testing
Recommendations for Exercise Programming
Special Considerations
Case Study
Chapter 37. Lower-Limb Amputation
Kenneth H. Pitetti, PhD, FACSM and Mark H. Pedrotty, PhD
Overview of the Pathophysiology
Effects on the Exercise Response
Effects on Exercise Training
Management and Medications
Recommendations for Exercise Testing
Recommendations for Exercise Programming
Case Study
Part VII. Neuromuscular Disorders
Terry Nicola, MD, MS
Chapter 38. Stroke and Brain Injury
Karen Palmer-McLean, PhD, PT and Kimberly B. Harbst, PhD, PT
Overview of the Pathophysiology
Effects on the Exercise Response
Effects of Exercise Training
Management and Medications
Recommendations for Exercise Testing
Recommendations for Exercise Programming
Case Study
Chapter 39. Spinal Cord Disabilities: Paraplegia and Tetraplegia
Stephen F. Figoni, PhD, RKT, FACSM
Overview of the Pathophysiology
Effects on the Exercise Response
Effects of Exercise Training
Management and Medications
Recommendations for Exercise Testing
Recommendations for Exercise Programming
Special Considerations
Case Study
Chapter 40. Muscular Dystrophy
Mark A. Tarnopolsky, MD, PhD
Overview of the Pathophysiology
Effects on the Exercise Response
Effects of Exercise Training
Management and Medications
Recommendations for Exercise Testing
Recommendations for Exercise Programming
Special Considerations
Case Study
Chapter 41. Epilepsy
Karl Otto Nakken, MD, PhD
Overview of the Pathophysiology
Effects on the Exercise Response
Effects of Exercise Training
Management and Medications
Recommendations for Exercise Testing
Recommendations for Exercise Programming
Case Study
Chapter 42. Multiple Sclerosis
Kurt Jackson, PhD, PT, GCS, and Janet A. Mulcare, PhD, FACSM
Overview of the Pathophysiology
Effects on the Exercise Response
Effects of Exercise Training
Management and Medications
Recommendations for Exercise Testing
Recommendations for Exercise Programming
Special Considerations
Case Study
Chapter 43. Polio and Post-Polio Syndrome
Thomas J. Birk, PhD, MPT, FACSM
Overview of the Pathophysiology
Effects on the Exercise Response
Effects of Exercise Training
Management and Medications
Recommendations for Exercise Testing
Recommendations for Exercise Programming
Special Considerations
Case Study
Chapter 44. Amyotrophic Lateral Sclerosis
Vanina Dal Bello-Haas, PhD and Lisa Stroud Krivickas, MD
Overview of the Pathophysiology
Effects on the Exercise Response
Effects of Exercise Training
Management and Medications
Recommendations for Exercise Testing
Recommendations for Exercise Programming
Special Considerations
Case Study
Chapter 45. Cerebral Palsy
James J. Laskin, PhD, PT
Overview of the Pathophysiology
Effects on the Exercise Response
Effects of Exercise Training
Management and Medications
Recommendations for Exercise Testing
Recommendations for Exercise Programming
Case Study
Chapter 46. Parkinson’s Disease
Elizabeth J. Protas, PhD, PT, FACSM, Rhonda K. Stanley, PhD, PT, and Joseph Jankovic, MD
Overview of the Pathophysiology
Effects on the Exercise Response
Effects of Exercise Training
Management and Medications
Recommendations for Exercise Testing
Recommendations for Exercise Programming
Case Study
Part VIII. Cognitive, Psychological, and Sensory Disorders
Lorraine E. Colson Bloomquist, EdD, FACSM
Chapter 47. Intellectual Disabilities
Patricia Fegan, PhD
Overview of the Pathophysiology
Effects on Exercise Response
Effects of Exercise Training
Management and Medications
Recommendations for Exercise Testing
Recommendations for Exercise Programming
Special Considerations
Case Study
Chapter 48. Alzheimer’s Disease
James H. Rimmer, PhD and Donald L. Smith, MS, RCEP
Overview of the Pathophysiology
Management and Medications
Effects on the Exercise Response and Exercise Training
Recommendations for Exercise Testing
Recommendations for Exercise Programming
Special Considerations
Case Study
Chapter 49. Mental Illness
Gary S. Skrinar, PhD, FACSM and Dori S. Hutchinson, ScD
Overview of the Pathophysiology
Effects on the Exercise Response
Effects of Exercise Training
Management and Medications
Recommendations for Exercise Testing
Recommendations for Exercise Programming
Case Study
Chapter 50. Stress and Anxiety Disorders
Gregory A. Hand, PhD, FACSM, Jason R. Jaggers, MS, and Wesley D. Dudgeon, PhD
Overview of the Pathophysiology
Effects on the Exercise Response
Effects of Exercise Training
Management and Medications
Recommendations for Exercise Testing
Recommendations for Exercise Programming
Special Considerations
Case Study
Chapter 51. Deaf and Hard of Hearing
M. Kathleen Ellis, PhD and Tracy Karasinski, MSW
Overview of the Pathophysiology
Effects on the Exercise Response
Effects of Exercise Training
Recommendations for Exercise Testing
Recommendations for Exercise Programming
Special Considerations
Case Study
Chapter 52. Visual Impairment
Larry J. Leverenz, PhD, ATC
Overview of the Pathophysiology
Effects on the Exercise Response
Effects of Exercise Training
Management and Medications
Recommendations for Exercise Testing
Recommendations for Exercise Programming
Case Study
A reference for exercise physiologists, physical therapists, rehabilitation specialists, nurses, physicians, health and fitness instructors, and clinical program directors; also a textbook for students studying chronic disease, disabilities, or multiple conditions.
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