Exercise in Rehabilitation Medicine - 2nd Edition

by Frontera, Walter

• ISBN13: 9780736055413
• ISBN10: 073605541X
• Edition: 2nd
• Format: Hardcover
• Copyright: 2005-12-16
• Publisher: Human Kinetics

Summary

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 IIdetails special clinical considerations, including the principles of exercise testing and exercise prescription and examining the role of exercise in preventing chronic illness. Part IIIdiscusses 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 IVincludes 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.

Table of Contents

Foreword	vii
Preface	ix
Part I Biological Considerations
Acute Physiological Responses To Dynamic Exercise	3	(10)
Roger A. Fielding
Jonathan Bean
Cardiorespiratory Response to Dynamic Exercise	3	(4)
Metabolic Response During Dynamic Exercise	7	(2)
Acute Exercise Response in Diabetes Mellitus	9	(2)
Cardiorespiratory Changes With Activity and Inactivity	11	(1)
Physiological Adjustments to Isometric Exercise	12	(1)
Adaptations to Endurance Exercise Training	13	(11)
Martin D. Hoffman
Physiological Adaptations to Endurance Exercise Training	13	(7)
Psychological Adaptations to Endurance Exercise Training	20	(1)
Factors Affecting Adaptations to Endurance Exercise Training	20	(3)
Simultaneous Strength and Endurance Exercise Training	23	(1)
Adaptations to Strength Training	24	(9)
Bette Ann Harris
Mary P. Watkins
Anatomical and Physiological Considerations	25	(1)
Functional Biomechanics	26	(1)
Factors Influencing Muscle Strength	27	(1)
Principles of Strength Training	28	(2)
Adaptations to Strength Conditioning	30	(3)
Training Flexibility	33	(20)
Lisa S. Krivickas
Definition of Flexibility	33	(1)
Factors Influencing Flexibility	33	(4)
Response of Muscle to Stretch	37	(1)
Relationship Between Muscle Stiffness and Flexibility	38	(1)
Measuring and Quantifying Muscle Flexibility and Ligamentous Laxity	39	(2)
Relationship Between Muscle Flexibility and Injury	41	(3)
Relationship Between Ligamentous Laxity and Injury	44	(1)
Effect of Stretching on Delayed Onset Muscle Soreness	44	(1)
Effect of Disease Processes on Flexibility	45	(1)
Relationship Between Flexibility and Athletic Performance	45	(1)
Flexibility and Activities of Daily Living in the Elderly or Disabled	46	(1)
Stretching Techniques and Prescription of a Flexibility Training Program	46	(2)
Effect of Strength Training on Flexibility	48	(5)
Part II Special Clinical Considerations
Testing Exercise Capacity: Cardiopulmonary/Neuromuscular Models	53	(20)
James C. Agre
Rationale for Health Screening and Risk Stratification	54	(1)
Rationale for Exercise Testing	55	(7)
Protocols for Exercise Testing, With Examples	62	(11)
A Behavioral Approach to Prescribing Physical Activity for Health and Fitness	73	(20)
Gregory W. Heath
Preliminary Factors Important for Exercise Prescription	73	(5)
General Exercise Prescription Guidelines	78	(1)
Theories and Models Used in Physical Activity Promotion	78	(15)
Exercise and the Prevention of Chronic Disabling Illness	93	(24)
Carlos J. Crespo
Edith M. Williams
Definitions	93	(1)
Physical Activity and Fitness	94	(1)
Physical Activity and Health	94	(1)
Physical Activity and Prevention of Heart Disease	95	(6)
Exercise and Prevention of Type 2 Diabetes	101	(2)
Exercise and Primary Prevention of Cancer	103	(5)
Physical Activity and the Prevention of Osteoporosis and Falls	108	(1)
Exercise in the Prevention of Arthritis	109	(1)
Exercise in the Prevention of Low Back Pain	110	(1)
Physical Activity and Primary Prevention of Obesity	110	(2)
Physical Activity and Psychological Well-Being	112	(5)
Part III Exercise in the Rehabilitation of Specific Diseases and Conditions
Heart Diseases	117	(13)
Ruy S. Moraes
Jorge P. Ribeiro
Responses and Adaptations of Cardiac Patients to Exercise	117	(3)
Effect of Cardiovascular Drugs on Exercise Responses and Adaptations	120	(1)
Evaluation of Cardiac Patients	120	(1)
Indications for Cardiac Rehabilitation	121	(1)
Contraindications for Cardiac Rehabilitation	122	(1)
Exercise Prescription for the Cardiac Patient	122	(5)
Outcomes of Cardiac Rehabilitation Programs	127	(3)
Respiratory Disease	130	(14)
Bartolome R. Celli
Physical Reconditioning	131	(7)
Respiratory Muscles and Breathing Training	138	(6)
Diabetes Mellitus	144	(13)
Edward S. Horton
What Is Diabetes?	145	(2)
Exercise in Type 1 Diabetes	147	(7)
Exercise in Type 2 Diabetes	154	(3)
Major Inflammatory and Non-Inflammatory Arthritides	157	(23)
Maura Daly Iversen
Matthew H. Liang
Axel Finckh
Rheumatoid Arthritis	159	(9)
Osteoarthritis	168	(6)
Spondylarthropathies	174	(1)
Systemic Lupus Erythematosus	175	(1)
Polymyositis/Dermatomyositis	176	(1)
Systemic Sclerosis	177	(1)
Improving Patient Adherence	177	(3)
Neuromuscular Diseases	180	(11)
David D. Kilmer
Susan Aitkens
Physiologic and Functional Consequences of Neuromuscular Diseases	181	(2)
Causes of Reduced Neuromuscular Function in NMD	183	(2)
Effects of Resistance (Strengthening) Exercise in NMD	185	(3)
Effects of Aerobic (Endurance) Exercise in NMD	188	(1)
Exercise Recommendations in Neuromuscular Disorders	189	(2)
Spinal Cord Injury	191	(15)
Mark S. Nash
Health Consequences of Spinal Cord Injury	192	(3)
Exercise for Persons With Spinal Cord Injury	195	(7)
Restoration of Function Following Long-Standing Paralysis	202	(1)
Exercise Risks for Persons With Spinal Cord Injury	202	(2)
Medications That May Influence Exercise Performance After Spinal Cord Injury	204	(2)
Stroke	206	(15)
Joel Stein
Scope of the Problem	206	(2)
Effects of Stroke on Neuromuscular Function	208	(1)
Mechanisms of Motor Recovery Poststroke	209	(2)
Exercise for Motor Control	211	(7)
Strengthening Exercises	218	(1)
Exercise for Ataxia	218	(1)
Exercise for Aerobic Conditioning	219	(1)
Other Benefits of Exercise	219	(1)
Home- and Community-Based Exercise	220	(1)
Osteoporosis	221	(28)
David M. Slovik
Mechanical Properties of Bone: Effects of Exercise	222	(1)
Disuse, Weightlessness, and Immobilization	222	(1)
Physical Activity and Bone Mass	223	(24)
Physical Activity, Fall Prevention, and Fractures	247	(2)
Human Immunodeficiency Virus	249	(16)
Susan D. Driscoll
Steven Grinspoon
The HIV Pandemic	250	(1)
Exercise to Improve Physical Funcion in HIV-Infected Patients	250	(12)
Exercise to Improve Psychosocial and Quality of Life Issues in HIV	262	(1)
Exercise Effects on Immune Status and Lactic Acid	263	(2)
Obesity	265	(12)
Ronenn Roubenoff
Health Implications of Obesity	266	(1)
Body Composition Through the Life Cycle	266	(1)
Etiology of Obesity	267	(6)
Exercise for Treatment of Obesity	273	(1)
Effect of Exercise on Serum Lipoproteins and Glucose Metabolism	274	(3)
Cancer	277	(14)
Kerry S. Courneya
Lee W. Jones
John R. Mackey
What is Cancer?	277	(1)
Epidemiology of Cancer	277	(1)
Medical Treatments for Cancer	278	(1)
Exercise in Cancer Survivors	279	(5)
Exercise Testing and Prescription Guidelines for Cancer Survivors	284	(5)
Exercise Motivation in Cancer Survivors	289	(1)
Future Research Directions	289	(2)
End-Stage Renal Disease	291	(20)
Pelagia Koufaki
Tom Mercer
What is End-Stage Renal Disease?	292	(1)
Renal Replacement Therapy	292	(1)
Renal Transplantation	293	(1)
Scale and Nature of the Problem	294	(1)
Pathophysiology and Physical Dysfunction in End-Stage Renal Disease	295	(1)
Exercise Rehabilitation Aims	296	(1)
Feasibility and Safety of Exercise Rehabilitation Options in End-Stage Renal Disease	297	(2)
Exercise Prescription in End-Stage Renal Disease	299	(1)
Effectiveness of Exercise Rehabilitation in End-Stage Renal Disease	300	(11)
Part IV Specific Patient Populations
Aging, Function, and Exercise	311	(21)
Jonathan F. Bean
Charles T. Pu
The International Demographics of Aging	311	(1)
A Functional Perspective	312	(5)
Effects of Exercise on Physiologic Aging	317	(2)
Effects of Exercise on Function and Disability	319	(10)
Practical Recommendations	329	(3)
Elite Athletes With Impairments	332	(23)
Rory A. Cooper
Michael L. Boninger
Ian Rice
Sean D. Shimada
Rosemarie Cooper
From Patient to Athlete	332	(1)
Organizational Structure of Sports for People With Disabilities	333	(2)
Sports Equipment Technology and Use	335	(10)
Classification	345	(1)
Exercise Science and the Athlete With Impairments	346	(2)
Training Techniques for Elite Athletes With Disabilities	348	(3)
Injuries Experienced by Athletes With Disabilities	351	(4)
References	355	(76)
Subject Index	431	(8)
Citation Index	439	(8)
About the Editors	447	(1)
About the Contributors	448