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Exercise in Rehabilitation Medicine-2nd Edition

Exercise in Rehabilitation Medicine-2nd Edition

$151.95 CAD

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    Therapists, exercise physiologists, and physicians will find Exercise in Rehabilitation Medicine, Second Edition, a highly useful reference in designing exercise rehabilitation programs for patients with various disabling illnesses and conditions. This book provides an understanding of the basic physiological adaptations to exercise and aids health professionals in properly matching a training program with the impairment, activity, activity level, and participation goal appropriate for the patient.

    Written by the most distinguished rehabilitation clinicians in the field, Exercise in Rehabilitation Medicine, Second Edition, provides a comprehensive approach to the use of exercise as a primary modality in the arsenal of rehabilitation specialists. Thoroughly updated, this new edition focuses on the basic sciences and clinical correlates affecting the use of exercise, and it includes new chapters on the use of exercise in patients with HIV/AIDS, end-stage renal disease, and cancer recovery. It also includes the following features:

    • Discussion of equipment and protocols used for testing the capacity of the patient, with specific reference to strength, endurance, flexibility, and balance
    • 12 clinical chapters, each including a case study that shows how the information applies to a specific patient, indicating the practical importance of the knowledge presented
    • More than 200 tables, illustrations, and photos to reinforce and clarify the text
    • Subject and citation indexes, along with extensive reference lists for each chapter, making it easy to access the information and explore subjects in greater depth.

    In part I, the focus is on biological considerations, including physiological responses to exercise and adaptations regarding strength, endurance, flexibility, balance, and coordination. Only by understanding these basic facts can a health professional properly match a training program with a patient. Part II details special clinical considerations, including the principles of exercise testing and exercise prescription and examining the role of exercise in preventing chronic illness. Part III discusses the rationale and clinical importance of exercise in the rehabilitation of patients with various disabling conditions, and it addresses the factors that must be weighed when prescribing exercise for these conditions. Among the diseases discussed in these 12 chapters are diseases of the heart, circulatory system, lungs, kidneys, joints, and bones and the endocrine, immune, and neuromuscular systems. Part IV includes two chapters on special populations: the elderly and elite athletes with disabilities.

    Exercise in Rehabilitation Medicine, Second Edition, combines theory with practical and clinical information, establishing both the “how” and “why” of exercise rehabilitation. Its clarity will help those with little technical expertise to follow it and put it to use, and its detail and advanced material will aid those who are experienced to significantly improve their understanding.


    A reference for physical and occupational therapists, clinical exercise specialists, and physiatrists and rehabilitation specialists. Also a reference for physicians and chiropractors.

    Table of Contents

    Part I: Biological Considerations

    Chapter 1. Acute Physiological Responses to Dynamic Exercise
    Roger A. Fielding, PhD; and Jonathan Bean, MD, MS
    Cardiorespiratory Response to Dynamic Exercise
    Metabolic Response During Dynamic Exercise  
    Acute Exercise Response in Diabetes Mellitus
    Cardiorespiratory Changes With Activity and Inactivity  
    Physiological Adjustments to Isometric Exercise

    Chapter 2. Adaptations to Endurance Exercise Training
    Martin D. Hoffman, MD
    Physiological Adaptations to Endurance Exercise Training  
    Psychological Adaptations to Endurance Exercise Training  
    Factors Affecting Adaptations to Endurance Exercise Training  
    Simultaneous Strength and Endurance Exercise Training

    Chapter 3. Adaptations to Strength Training
    Bette Ann Harris, DPT, MS; and Mary P. Watkins, DPT, MS
    Anatomical and Physiological Considerations  
    Functional Biomechanics  
    Factors Influencing Muscle Strength  
    Principles of Strength Training  
    Adaptations to Strength Conditioning

    Chapter 4. Training Flexibility
    Lisa S. Krivickas, MD
    Definition of Flexibility  
    Factors Influencing Flexibility  
    Response of Muscle to Stretch  
    Relationship Between Muscle Stiffness and Flexibility  
    Measuring and Quantifying Muscle Flexibility and Ligamentous Laxity  
    Relationship Between Muscle Flexibility and Injury  
    Relationship Between Ligamentous Laxity and Injury  
    Effect of Stretching on Delayed Onset Muscle Soreness  
    Effect of Disease Processes on Flexibility  
    Relationship Between Flexibility and Athletic Performance  
    Flexibility and Activities of Daily Living in the Elderly or Disabled  
    Stretching Techniques and Prescription of a Flexibility Training Program  
    Effect of Strength Training on Flexibility

    Part II: Special Clinical Considerations

    Chapter 5. Testing the Capacity to Exercise in Disabled Individuals: Cardiopulmonary and Neuromuscular Models
    James C. Agre, MD, PhD
    Rationale for Health Screening and Risk Stratification  
    Rationale for Exercise Testing  
    Protocols for Exercise Testing, With Examples

    Chapter 6. A Behavioral Approach to Prescribing Physical Activity for Health and Fitness
    Gregory W. Heath, DHSc, MPH
    Preliminary Factors Important for Exercise Prescription  
    General Exercise Prescription Guidelines  
    Theories and Models Used in Physical Activity Promotion

    Chapter 7. Exercise and the Prevention of Chronic Disabling Illness
    Carlos J. Crespo, DrPH, MS, FACSM; and Edith M. Williams, MS
    Physical Activity and Fitness  
    Physical Activity and Health  
    Physical Activity and Prevention of Heart Disease  
    Exercise and the Prevention of Type 2 Diabetes
    Exercise and Primary Prevention of Cancer  
    Physical Activity and the Prevention of Osteoporosis and Falls  
    Exercise in the Prevention of Arthritis  
    Exercise in the Prevention of Low Back Pain  
    Physical Activity and Primary Prevention of Obesity  
    Physical Activity and Psychological Well-Being

    Part III: Exercise in the Rehabilitation of Specific Diseases and Conditions

    Chapter 8. Heart Diseases
    Ruy S. Moraes, MD, ScD; and Jorge P. Ribeiro, MD, ScD
    Responses and Adaptations of Cardiac Patients to Exercise  
    Effect of Cardiovascular Drugs on Exercise Responses and Adaptations  
    Evaluation of Cardiac Patients  
    Indications for Cardiac Rehabilitation  
    Contraindications for Cardiac Rehabilitation  
    Exercise Prescription for the Cardiac Patient  
    Outcomes of Cardiac Rehabilitation Programs

    Chapter 9. Respiratory Disease
    Bartolome R. Celli, MD
    Physical Reconditioning  
    Respiratory Muscles and Breathing Training

    Chapter 10. Diabetes Mellitus
    Edward S. Horton, MD
    What Is Diabetes?  
    Exercise in Type 1 Diabetes  
    Exercise in Type 2 Diabetes

    Chapter 11. Major Inflammatory and Non-Inflammatory Arthritides
    Maura Daly Iversen, SD, DPT, MPH; Matthew H. Liang, MD, MPH; and Axel Finckh, MD, MS
    Rheumatoid Arthritis  
    Systemic Lupus Erythematosus  
    Systemic Sclerosis  
    Improving Patient Adherence

    Chapter 12. Neuromuscular Diseases
    David D. Kilmer, MD; and Susan Aitkens, MS
    Physiologic and Functional Consequences of Neuromuscular Diseases  
    Causes of Reduced Neuromuscular Function in NMD  
    Effects of Resistance (Strengthening) Exercise in NMD  
    Effects of Aerobic (Endurance) Exercise in NMD  
    Exercise Recommendations in Neuromuscular Disorders

    Chapter 13. Spinal Cord Injury
    Mark S. Nash, PhD, FACSM
    Health Consequences of Spinal Cord Injury  
    Exercise for Persons With Spinal Cord Injury  
    Restoration of Function Following Long-Standing Paralysis  
    Exercise Risks for Persons With Spinal Cord Injury  
    Medications That May Influence Exercise Performance After Spinal Cord Injury

    Chapter 14. Stroke
    Joel Stein, MD
    Scope of the Problem  
    Effects of Stroke on Neuromuscular Function  
    Mechanisms of Motor Recovery Poststroke  
    Exercise for Motor Control  
    Strengthening Exercises  
    Exercise for Ataxia  
    Exercise for Aerobic Conditioning  
    Other Benefits of Exercise  
    Home and Community Based Exercise

    Chapter 15. Osteoporosis
    David M. Slovik, MD
    Mechanical Properties of Bone: Effects of Exercise  
    Disuse, Weightlessness, and Immobilization
    Physical Activity and Bone Mass  
    Physical Activity, Fall Prevention, and Fractures

    Chapter 16. Human Immunodeficiency Virus
    Susan D. Driscoll, MPH, MSN, ANP; and Steven Grinspoon, MD
    The HIV Pandemic  
    Exercise to Improve Physical Function in HIV-Infected Patients  
    Exercise to Improve Psychosocial and Quality of Life Issues in HIV  
    Exercise Effects on Immune Status and Lactic Acid

    Chapter 17. Obesity
    Ronenn Roubenoff, MD, MHS
    Health Implications of Obesity
    Body Composition Through the Life Cycle  
    Etiology of Obesity  
    Exercise for Treatment of Obesity  
    Effect of Exercise on Serum Lipoproteins and Glucose Metabolism

    Chapter 18. Cancer
    Kerry S. Courneya, PhD; Lee W. Jones, PhD; and John R. Mackey, MD
    What Is Cancer?  
    Epidemiology of Cancer  
    Medical Treatments for Cancer  
    Exercise in Cancer Survivors  
    Exercise Testing and Prescription Guidelines for Cancer Survivors  
    Exercise Motivation in Cancer Survivors  
    Future Research Directions

    Chapter 19. End-Stage Renal Disease
    Pelagia Koufaki, PhD; and Tom Mercer, PhD
    What is End-Stage Renal Disease?  
    Renal Replacement Therapy  
    Renal Transplantation  
    Scale and Nature of the Problem  
    Pathophysiology and Physical Dysfunction in End-Stage Renal Disease  
    Exercise Rehabilitation Aims  
    Feasibility and Safety of Exercise Rehabilitation Options in End-Stage Renal Disease  
    Exercise Prescription in End-Stage Renal Disease  
    Effectiveness of Exercise Rehabilitation in End-Stage Renal Disease

    Part IV: Specific Patient Populations

    Chapter 20. Aging, Function, and Exercise
    Jonathan F. Bean, MD, MS; and Charles T. Pu, MD
    The International Demographics of Aging  
    A Functional Perspective  
    Effects of Exercise on Physiologic Aging  
    Effect of Exercise on Function and Disability  
    Practical Recommendations

    Chapter 21. Elite Athletes With Impairments
    Rory A. Cooper, PhD; Michael L. Boninger, MD; Ian Rice, MS, OTR/L; Sean D. Shimada, PhD; and Rosemarie Cooper, MPT, ATP
    From Patient to Athlete  
    Organizational Structure of Sports for People With Disabilities  
    Sport Equipment Technology and Use  
    Exercise Science and the Athlete With Impairments  
    Training Techniques for Elite Athletes With Disabilities  
    Injuries Experienced by Athletes With Disabilities

    About the Author

    Walter R. Frontera, MD, PhD, is Earle P. and Ida S. Charlton professor and chairman of the department of physical medicine and rehabilitation (PM&R) at Harvard Medical School. He is the chief of PM&R at the Spaulding Rehabilitation Hospital, the Massachusetts General Hospital and the Brigham and Women's Hospital in Boston, Massachusetts. He is board-certified in the medical specialty of PM&R and has a PhD in exercise physiology. He has more than 20 years of experience in the practice of PM&R and in the use of exercise in various patient populations. He is the secretary general of the International Sports Medicine Federation and the editor in chief of the American Journal of Physical Medicine and Rehabilitation.

    David M. Slovik, MD, is chief of medicine at Spaulding Rehabilitation Hospital in Boston, Massachusetts, where he has worked for 30 years. He has also served as medical director of the musculoskeletal program at Spaulding. Dr. Slovik trained in endocrinology at the Massachusetts General Hospital where he continues to teach and practice. He is an expert on osteoporosis and related disorders, including the effects of exercise on osteoporosis. He is also an associate professor of medicine at Harvard Medical School, with 30 years of teaching experience. He is a member of the American Society of Bone and Mineral Research.

    David M. Dawson, MD, is professor of neurology at Harvard Medical School and a member of the Department of Neurology at the Brigham and Women's Hospital. He has extensive experience in teaching and in residency supervision and is an expert in clinical neurology with an emphasis on neuromuscular disease and multiple sclerosis. He has served on various boards of the National Multiple Sclerosis Society.


    “This book is a complete, well-written work on the area of exercise and its role in rehabilitation.”
    Doody’s Review Service

    “I would recommend it be in every practitioner’s library and suspect it will be frequently referred to for both its factual information and references.”
    James A. Sliwa, DO (Rehabilitation Institute of Chicago)

     “…is a well-referenced, comprehensive text on the application of exercise science for specific rehabilitation populations.”
    Journal of Athletic Training (review of first edition)

    “…is an excellent resource for the clinical application of exercise in the patient with impaired function.”
    Journal of Athletic Training (review of first edition)