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ACSM's Exercise Management for Persons With Chronic Diseases and Disabilities 4th Edition eBook

ACSM's Exercise Management for Persons With Chronic Diseases and Disabilities 4th Edition eBook

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    Ebook

    The fourth edition of ACSM's Exercise Management for Persons With Chronic Diseases and Disabilities reveals common ground between medical and exercise professionals, creating a more collaborative approach to patient care. Developed by the American College of Sports Medicine (ACSM) with contributions from a specialized team of experts, this text presents a framework for optimizing patients’ and clients’ functionality by keeping them physically active. Featuring new content on common comorbid conditions, this edition is streamlined and updated to better suit chronic populations.

    This fourth edition of ACSM's Exercise Management for Persons With Chronic Diseases and Disabilities outlines why exercise is significant in the treatment and prevention of disease, advises medical and exercise professionals in considering proper exercise prescription protocols, and provides evidence-informed guidance on devising individualized exercise programs.

    Major advancements and features of the fourth edition include the following:
    • Current evidence on exercise management for persons with multiple conditions, providing guidance on working with these common yet complex populations
    • A refocused goal of using physical activity to optimize patients’ and clients’ functionality and participation in life activities rather than only to treat and prevent disease
    • Specific content to help physicians prescribe physical activity and exercise to patients for promotion of health, well-being, and longevity
    • Reorganization of case studies into one streamlined chapter along with commentary from the senior editor to encourage critical thinking and recognize the unique needs of each patient
    The case studies in the text are real-life scenarios that help professionals and clinicians combine scientific knowledge with experience to find appropriate solutions for each individual. Commentary on the case studies from the senior editor illustrates when improvisation may be appropriate and where further research is needed. Tables are highlighted throughout the text to help readers quickly reference important clinical information. Evidence-informed guidelines, suggested websites, and additional readings further encourage practical use of information and identify further learning opportunities. For instructors, an ancillary PowerPoint presentation package aids in classroom discussion.

    The critical element that distinguishes the fourth edition of ACSM's Exercise Management for Persons With Chronic Diseases and Disabilities is its unifying mission to incorporate physical activity and exercise in both disease treatment and prevention. Its emphasis on assisting people with multiple conditions, which is ever present in health care today, moves beyond primary and secondary prevention to focus on how patients and clients can be kept physically active and functionally fit.

    Audience

    A reference for physical therapists, rehabilitation specialists, nurses, physicians, health and fitness instructors, exercise physiologists, and clinical program directors; also a textbook for exercise management courses covering chronic disease and disabilities.

    Table of Contents

    Foreword
    Preface
    Acknowledgments
    Notice and Disclaimer
    Part I. Foundations of Exercise in Chronic Disease and Disability
    Geoffrey E. Moore, J. Larry Durstine, and Patricia L. Painter

    Chapter 1. Exercise Is Medicine in Chronic Care
    Robert Sallis and Geoffrey E. Moore
    Exercise Is Medicine
    Take-Home Message
    Suggested Readings

    Chapter 2. Basic Physical Activity and Exercise Recommendations for Persons With Chronic Conditions
    Benjamin T. Gordon, J. Larry Durstine, Patricia L. Painter, and Geoffrey E. Moore
    Definitions Used in This Book
    Basic CDD4 Recommendations for Physical Activity or Exercise in Chronic Conditions
    How to Prescribe Physical Activity or Exercise in Chronic Care
    Graded Exercise Testing
    Minimum Exercise Recommendations When an Exercise Test Is Not Available
    Clinically Supervised Exercise Programming
    ACSM’s Exercise Personnel Certifications
    Suggested Readings

    Chapter 3. Art of Clinical Exercise Programming
    Patricia L. Painter and Geoffrey E. Moore
    Step 1: Assess Current Health Status
    Step 2: Assess Current Level of Physical Activity
    Step 3: Identify Exertional Symptoms That Limit Physical Activity
    Step 4: Evaluate Physical Function and Performance
    Step 5: Selecting Physical Performance Assessments
    Activities of Daily Living and Instrumental Activities of Daily Living
    Commonly Used Tests of Physical Functioning
    Step 6: Considerations for Formal Exercise Tolerance Testing
    Step 7: Considerations for Program Referral
    Step 8: Develop a Strategy for Monitoring Progress
    Take-Home Message
    Suggested Readings
    Additional Resources

    Chapter 4. Art of Exercise Medicine: Counseling and Socioecological Factors
    Geoffrey E. Moore, Michael Costello, and Patricia L. Painter
    Common Behavioral Techniques Used in Exercise Counseling
    Other Aspects of Exercise Counseling
    Socioecological Disparities and Exercise in Chronic Conditions
    Integration Into a Medical Home Model
    Suggested Readings
    Additional Resource
    Part II. Common Chronic Conditions and Comorbidities
    Geoffrey E. Moore and J. Larry Durstine

    Chapter 5. Approach to the Common Chronic Conditions
    Geoffrey E. Moore, Patricia L. Painter, J. Larry Durstine, and Benjamin T. Gordon
    Nature of Multiple Conditions and Related Comorbidities
    General Recommendations for Exercise
    Recommendations for Exercise Assessment
    Recommendations for Exercise Programming
    CDD4 Alternative Recommendation: The Functional Exercise Trial
    General Solutions for Common Chronic Conditions
    Integration Into a Medical Home Model
    Suggested Readings

    Chapter 6. Chronic Conditions Strongly Associated With Physical Inactivity
    J. Larry Durstine, Geoffrey E. Moore, Patricia L. Painter, Richard Macko, Benjamin T. Gordon, and William E. Kraus
    Hypertension and Dyslipidemia
    Overweight, Obesity, Prediabetes, and Type 2 Diabetes Mellitus
    Arthritis and Back Pain
    Osteoporosis
    Suggested Readings
    Additional Resources
    Web Resources

    Chapter 7. Chronic Conditions Very Strongly Associated With Tobacco
    Christopher B. Cooper, Brett A. Dolezal, J. Larry Durstine, Benjamin T. Gordon, Sherry O. Pinkstaff, Abraham S. Babu, and Shane A. Phillips
    Chronic Obstructive Pulmonary Disease
    Coronary Artery Disease and Atherosclerosis
    Angina and Silent Ischemia
    Peripheral Arterial Disease
    Suggested Readings
    Additional Resources

    Chapter 8. Cancer
    Kathryn Schmitz
    Basic Pathophysiology
    Management and Medications
    Effects on the Exercise Response
    Effects of Exercise Training
    Recommendations for Exercise Testing
    Recommendations for Exercise Programming
    Integration Into a Medical Home Model
    Suggested Readings
    Additional Resources

    Chapter 9. Significant Sequelae Related to Common Chronic Conditions
    Jessica S. Oldham, Patricia L. Painter, Elizabeth J. Protas, Geoffrey E. Moore, and Richard Macko
    Depression as a Comorbidity
    Lower-Limb Amputation
    Frailty
    Suggested Readings
    Additional Resource
    Part III. Cardiovascular Diseases
    Jonathan N. Myers and Peter H. Burbaker

    Chapter 10. Chronic Heart Failure
    Peter H. Brubaker and Jonathan N. Myers
    Basic Pathophysiology
    Management and Medications
    Effects on the Exercise Response
    Effects of Exercise Training
    Recommendations for Exercise Testing
    Recommendations for Exercise Programming
    Integration Into a Medical Home Model
    Take-Home Message
    Suggested Readings
    Additional Resources

    Chapter 11. Atrial Fibrillation
    Jonathan N. Myers and J. Edwin Atwood
    Basic Pathophysiology
    Management and Medications
    Effects on the Exercise Response
    Effects of Exercise Training
    Recommendations for Exercise Testing
    Recommendations for Exercise Programming
    Integration Into a Medical Home Model
    Take-Home Message
    Suggested Readings
    Additional Resources

    Chapter 12. Pacemakers and Implantable Cardioverter-Defibrillators
    Clinton A. Brawner and Barry Lewis
    Permanent Pacemakers
    Implantable Cardioverter-Defibrillators
    Combination Pacemaker–Defibrillator Devices
    Management and Medications
    Effects on the Exercise Response
    Effects of Exercise Training
    Recommendations for Exercise Testing
    Recommendations for Exercise Programming
    Integration Into a Medical Home Model
    Suggested Readings
    Additional Resources

    Chapter 13. Valvular Heart Disease
    Matthew W. Parker
    Basic Pathophysiology
    Mitral Valve Disease
    Aortic Valve Disease
    Right-Sided Valvular Heart Disease
    Management and Medications
    Effects on the Exercise Response
    Effects of Exercise Training
    Recommendations for Exercise Testing
    Recommendations for Exercise Programming
    Integration Into a Medical Home Model
    Take-Home Message
    Suggested Readings
    Additional Resources

    Chapter 14. Heart Transplantation
    Audrey B. Silva and Gerson Cipriano Jr.
    Effects on the Exercise Response
    Effects of Exercise Training
    Management and Medications
    Recommendations for Exercise Testing
    Recommendations for Exercise Training
    Integration Into a Medical Home Model
    Take-Home Message
    Suggested Readings
    Additional Resources

    Chapter 15. Aneurysms
    Holly Fonda and Jonathan N. Myers
    Management and Medications
    Effects on the Exercise Response
    Effects of Exercise Training
    Recommendations for Exercise Testing
    Recommendations for Exercise Programming
    Integration Into a Medical Home Model
    Take-Home Message
    Suggested Readings
    Additional Resources
    Part IV. Pulmonary Diseases
    Tony Babb

    Chapter 16. Chronic Restrictive Pulmonary Disease
    Connie C. W. Hsia
    Basic Pathophysiology
    Management and Medications
    Effects on the Exercise Response
    Effects of Exercise Training
    Recommendations for Exercise Testing
    Recommendations for Exercise Programming
    Integration Into a Medical Home Model
    Take-Home Message
    Suggested Readings

    Chapter 17. Asthma
    Kenneth W. Rundell
    Basic Pathophysiology
    Management and Medications
    Effects on the Exercise Response
    Effects of Exercise Training
    Recommendations for Exercise Testing
    Recommendations for Exercise Programming
    Integration Into a Medical Home Model
    Take-Home Message
    Suggested Readings
    Additional Resources

    Chapter 18. Cystic Fibrosis
    Erik Hulzebos, Maarten S. Werkman, Bart C. Bongers, and Tim Takken
    Management and Medications
    Effects on the Exercise Response
    Effects of Exercise Training
    Recommendations for Exercise Testing
    Recommendations for Exercise Programming
    Integration into a Medical Home Model
    Take-Home Message
    Suggested Readings
    Additional Resources

    Chapter 19. Pulmonary Hypertension
    Kelly Chin
    Management and Medications
    Effects on the Exercise Response
    Effects of Exercise Training
    Recommendations for Exercise Testing
    Recommendations for Exercise Programming
    Integration Into a Medical Home Model
    Take-Home Message
    Suggested Readings
    Additional Resource
    Part V. Immunological, Hematological, and Organ Failure
    David C. Nieman

    Chapter 20. Chronic Kidney and Liver Disease
    Patricia L. Painter
    Renal Disease
    Liver Disease
    Management and Medications for Kidney Disease
    Management and Medications for Liver Disease
    Effects on the Exercise Response
    Effects of Exercise Training
    Recommendations for Exercise Testing
    Recommendations for Exercise Programming
    Integration Into a Medical Home Model
    Take-Home Message
    Suggested Readings
    Additional Resources

    Chapter 21. Acquired Immune Deficiency Syndrome
    David C. Nieman, Gregory A. Hand, G. William Lyerly, and Wesley D. Dudgeon
    Basic Pathophysiology
    Management and Medications
    Effects on the Exercise Response
    Effects of Exercise Training
    Recommendations for Exercise Testing
    Recommendations for Exercise Programming
    Integration Into a Medical Home Model
    Take-Home Message
    Suggested Readings
    Additional Resources

    Chapter 22. Chronic Fatigue Syndrome
    Steven P. Bailey and David C. Nieman
    Basic Pathophysiology
    Management and Medications
    Effects on the Exercise Response
    Effects of Exercise Training
    Recommendations for Exercise Testing
    Recommendations for Exercise Programming
    Integration Into a Medical Home Model
    Take-Home Message
    Suggested Readings
    Additional Resources

    Chapter 23. Fibromyalgia
    David C. Nieman
    Basic Pathophysiology
    Management and Medications
    Effects on the Exercise Response
    Effects of Exercise Training
    Recommendations for Exercise Testing
    Recommendations for Exercise Programming
    Integration Into a Medical Home Model
    Take-Home Message
    Suggested Readings
    Additional Resources

    Chapter 24. Hemostasis Disorders
    Michael Lockard and David C. Nieman
    Basic Pathophysiology of Hemorrhagic Disorders
    Basic Pathophysiology of Thrombotic Disorders
    Management and Medications
    Effects on the Exercise Response
    Effects of Exercise Training
    Recommendations for Exercise Testing
    Recommendations for Exercise Programming
    Integration Into a Medical Home Model
    Take-Home Message
    Suggested Readings
    Additional Resources
    Part VI. Neuromuscular Conditions
    Elizabeth J. Protas and Richard Macko

    Chapter 25. Stroke, Brain Trauma, and Spinal Cord Injuries
    Richard Macko
    Basic Pathophysiology of Stroke
    Basic Pathophysiology of Traumatic Brain Injury
    Basic Pathophysiology of Spinal Cord Injury
    Common Elements
    Systemic Effects of Central Nervous System Injury
    Management and Medications
    Effects on the Exercise Response
    Effects of Exercise Training
    Recommendations for Exercise Testing
    Recommendations for Exercise Programming
    Integration Into a Medical Home Model
    Take-Home Message
    Suggested Readings

    Chapter 26. Peripheral Neuropathy, Myopathy, and Myasthenia Gravis
    Charlene Hafer-Macko
    Basic Pathophysiology of Peripheral Neuropathy
    Basic Pathophysiology of Myopathy
    Basic Pathophysiology of Myasthenia Gravis
    Management and Medications
    Effects on the Exercise Response
    Effects of Exercise Training
    Recommendations for Exercise Testing
    Recommendations for Exercise Programming
    Integration Into a Medical Home Model
    Take-Home Message
    Suggested Readings
    Additional Resources

    Chapter 27. Cerebral Palsy
    Désirée Maltais
    Basic Pathophysiology
    Management and Medications
    Effects on the Exercise Response
    Effects of Exercise Training
    Recommendations for Exercise Testing
    Recommendations for Exercise Programming
    Integration Into a Medical Home Model
    Take-Home Message
    Suggested Readings
    Additional Resources

    Chapter 28. Multiple Sclerosis
    Tara Patterson and Jill Seale
    Basic Pathophysiology
    Management and Medications
    Effects on the Exercise Response
    Effects of Exercise Training
    Recommendations for Exercise Testing
    Recommendations for Exercise Programming
    Integration Into a Medical Home Model
    Take-Home Message
    Suggested Readings
    Additional Resources

    Chapter 29. Parkinson’s Disease
    Elizabeth J. Protas and Rhonda K. Stanley
    Basic Pathophysiology
    Management and Medications
    Effects on the Exercise Response
    Effects of Exercise Training
    Recommendations for Exercise Testing
    Recommendations for Exercise Programming
    Integration Into a Medical Home Model
    Take-Home Message
    Suggested Readings
    Additional Resources

    Chapter 30. Muscular Dystrophy
    Janke de Groot and Bart Bartels
    Basic Pathophysiology
    Management and Medications
    Effects on the Exercise Response
    Effects of Exercise Training
    Recommendations for Exercise Testing
    Recommendations for Exercise Programming
    Integration Into a Medical Home Model
    Take-Home Message
    Suggested Readings
    Additional Resources
    Part VII. Cognitive and Psychological Disorders
    Bradley D. Hatfield

    Chapter 31. Dementia and Alzheimer’s Disease
    Jessica S. Oldham, Jo B. Zimmerman, and Bradley D. Hatfield
    Basic Pathophysiology
    Management and Medications
    Effects on the Exercise Response
    Effects of Exercise Training
    Recommendations for Exercise Testing
    Recommendations for Exercise Programming
    Integration Into a Medical Home Model
    Take-Home Message
    Suggested Readings
    Additional Resources

    Chapter 32. Depression and Anxiety Disorders
    Jessica S. Oldham, Jo B. Zimmerman, and Bradley D. Hatfield
    Basic Pathophysiology
    Management andMedications
    Effects on the Exercise Response
    Effects of Exercise Training
    Recommendations for Exercise Testing
    Recommendations for Exercise Programming
    Integration Into a Medical Home Model
    Take-Home Message
    Suggested Readings
    Additional Resources
    Part VIII Case Studies
    Geoffrey E. Moore

    Abdominal Aortic Aneurism
    Amyotrophic Lateral Sclerosis
    Asthma
    Atrial Fibrillation
    Becker Muscular Dystrophy
    Breast Cancer Survivor
    Cerebral Palsy
    Chronic Fatigue Syndrome
    Chronic Heart Failure With Mild COPD
    Chronic Kidney Disease: Stage 4, Renal Insufficiency
    Chronic Kidney Disease: Stage 5, Treated With Hemodialysis
    Chronic Kidney Disease: Status/Post-Renal Transplantation
    Chronic Obstructive Pulmonary Disease
    Coronary Artery Disease and Dyslipidemia, Status Post-Angioplasty With Stent Placement
    Cystic Fibrosis
    Deep Venous Thrombosis
    Dementia and Frailty
    Fibromyalgia
    Hearing Impairment
    Heart Transplant
    Human Immunodeficiency Virus
    Hypertension, Dyslipidemia, and Obesity
    Interstitial Lung Disease (Chronic Restrictive Lung Disease)
    Major Depressive Disorder
    Multiple Sclerosis
    Myasthenia Gravis
    Myocardial Infarction
    Parkinson’s Disease
    Peripheral Artery Disease
    Pulmonary Hypertension
    Refractory Angina
    Spinal Cord Injury
    Stroke
    Type 2 Diabetes and Disability From Morbid Obesity With Multiple Chronic Conditions
    Type 2 Diabetes and Obesity With Osteoarthrosis
    Valvular Heart Disease
    Visual Impairment
    Appendix A. Common Medications
    Appendix B. Basic CDD4 Recommendations
    Index
    About the ACSM
    Contributors

    About the Author

    The American College of Sports Medicine (ACSM), founded in 1954, is a professional membership society with more than 50,000 national, regional, and international members in more than 90 countries dedicated to improving health through science, education, and medicine. ACSM members work in a range of medical specialties, allied health professions, and scientific disciplines. Members are committed to the diagnosis, treatment, and prevention of sport-related injuries and the advancement of the science of exercise.

    The ACSM promotes and integrates scientific research, education, and practical applications of sports medicine and exercise science to maintain and enhance physical performance, fitness, health, and quality of life.

    Articles & Links

    Exercise As Medicine

    Ancillaries

    All ancillaries are free to course adopters and available online at http://www.HumanKinetics.com/AcsmsExerciseManagementForPersonsWithChronicDiseasesAndDisabilities.

    Presentation package. Includes approximately 224 slides that instructors can use for class discussion and illustration.

    The presentation package is also available for purchase • ISBN 978-1-4925-3519-5