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Overview

Clinical Exercise Physiology, Second Edition, provides a comprehensive look at the clinical aspects of exercise physiology by thoroughly examining the relationship between exercise and chronic disease. Updated and revised, this second edition reflects important changes that have occurred in the field since the first edition was published. It will provide professionals and students with fundamental knowledge of disease-specific pathology and treatment guidelines while also guiding readers through the clinical exercise physiology associated with exercise testing and training of patients with a chronic disease.

The second edition of Clinical Exercise Physiology builds on information presented in the previous edition with reorganized chapters, updated and revised content, and the latest information on the key practice areas of clinical exercise physiology: endocrinology, the metabolic system, the cardiovascular system, the respiratory system, oncology, the immune system, bone and joint health, and the neuromuscular system. This second edition also features an online ancillary package, allowing instructors to more effectively convey the concepts presented in the text and prepare students for careers in the field.

Clinical Exercise Physiology, Second Edition, is easy to navigate—the logical order of the chapters makes key information easy to find. The detailed chapters discuss 23 disease states and conditions that clinical exercise physiologists encounter in their work and provide guidance for the expert care of the populations discussed. Each chapter covers the scope of the condition; its physiology and pathophysiology and treatment options; clinical considerations, including the administration of a graded exercise test; and exercise prescription. The text also details how clinical exercise physiologists can most effectively address issues facing special populations, including children, the elderly, and female athletes.

This comprehensive resource is an asset to new and veteran clinical exercise physiologists as well as those preparing for the ACSM Registry Examination. A must-have study tool for examination candidates, this text is on the suggested readings lists for both the Exercise Specialist and Registered Exercise Physiology exams. The text specifically addresses the knowledge, skills, and abilities (KSAs) listed by the ACSM for each of these certifications.

Clinical Exercise Physiology, Second Edition, is the definitive resource on the use of exercise training for the prevention and treatment of clinical diseases and disorders. It includes the following features:

-Revised and updated content reflects the recent changes in exercise testing and training principles and practices.

-Four new chapters on depression and exercise, metabolic syndrome, cerebral palsy, and stroke are evidence of how the field has evolved in considering patients with more widely diagnosed diseases and conditions.

-A new text-specific Web site containing a test package and PowerPoint presentation package helps instructors present the material from the book.

-Case studies provide real-world examples of how to use the information in practice.

-Discussion questions that highlight important concepts appear throughout the text to encourage critical thinking.

-Practical application boxes offer tips on maintaining a professional environment for client–clinician interaction, a literature review, and a summary of the key components of prescribing exercise.
Clinical Exercise Physiology, Second Edition, is the most up-to-date resource for professionals looking to enhance their knowledge on emerging topics and applications in the field. It is also a valuable text for students studying for the ACSM Registry Examination.

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Editorial Reviews

Doody's Review Service
Reviewer: Jonathan Dugas, PhD (UIC College of Applied Health Sciences)
Description: As the clinical specialty of exercise physiology continues to emerge, it is important to have a book to use both as a teaching tool and as a reference for practicing professionals. This is the second edition of just such a book, and it provides a comprehensive foundation both for students who desire to work as exercise physiologists and for already practicing medical professionals.
Purpose: The purpose is to provide a staple for the training and implementation of clinical exercise physiology. This is important because this specialty is still young and needs a starting point for individuals in practice and in training. The second edition exceeds its primary aims and serves as an excellent resource for educating students and others about the clinical aspects of exercise physiology.
Audience: The audience includes students who are preparing for a career in exercise physiology and medical professionals who need a reliable reference. The editors represent a wealth of experience in practical application as well as the teaching of clinical exercise physiology.
Features: The book covers all of the foundational concepts important in clinical exercise physiology, including such topics as chronic and congenital disease states, as well as aspects of permanent and debilitating injuries such as spinal cord damage. The book's strength is its comprehensiveness. It leaves no stone unturned in its approach to the clinical aspects of exercise. A unique characteristic is the inclusion in each chapter of a case study that contains actual data so that readers can apply the concepts. While much of the general responses to exercise are known and well described, the book lacks clear graphs that illustrate the effects of the different disease states on a patient's exercise tolerance and physiological function.
Assessment: This is an essential book for clinical exercise physiology students and is an important reference for professionals. In an improvement over the first edition, this edition enhances the delivery of the content and provides resources for educators such as a test bank and presentation package.

3 Stars from Doody
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Product Details

  • ISBN-13: 9780736065658
  • Publisher: Human Kinetics Publishers
  • Publication date: 10/2/2008
  • Edition description: Second
  • Edition number: 2
  • Pages: 712
  • Product dimensions: 8.80 (w) x 11.10 (h) x 1.50 (d)

Meet the Author

Jonathan Ehrman, PhD, FACSM, is associate program director of preventive cardiology and exercise physiology and the director of the weight management program at Henry Ford Hospital in Detroit. He has a 22-year background in clinical exercise physiology and is certified as an ACSM exercise specialist and program director. He served for three years as the chair of the exercise specialist credentialing committee for ACSM and is currently member at large of the credentialing board.

Dr. Ehrman has written over 100 manuscripts and abstracts and is senior editor of the next edition of ACSM's Resource Manual. He is a fellow of the American College of Sports Medicine and a member of the American Association of Cardiovascular and Pulmonary Rehabilitation, American Heart Association, and American Physiology Society. Dr. Ehrman earned his PhD in clinical exercise physiology from Ohio State University.

Paul Gordon, PhD, MPH, FACSM, is an ACSM-certified exercise specialist and director of the Laboratory for Physical Activity, Health, and Human Performance in the School of Medicine at the University of Michigan in Ann Arbor. He has 15 years of teaching experience in clinical exercise physiology curricula and has directed several cardiopulmonary rehabilitation programs. Dr. Gordon has served as an examiner and coordinator for the ACSM exercise specialist certification and is a contributing author for the ACSM's Guidelines for Exercise Testing and Prescription.

Dr. Gordon is an American College of Sports Medicine fellow and a National Institutes for Health Study Section member. He earned his PhD in exercise physiology and an MPH in epidemiology from the University of Pittsburgh.

Paul Visich, PhD, MPH, has more than 10 years of experience in clinical exercise physiology and is the director of the Human Performance Laboratory and School of Health Sciences at Central Michigan University. He worked 8 years in a clinical setting that included cardiac and pulmonary rehabilitation and primary disease prevention. His research interests involve lipid metabolism, cardiovascular disease risks in children, and the influence of resistance training on specific skeletal muscle genes.

Dr. Visich is chair of the Professional Education Committee of the American College of Sports Medicine. He earned a PhD in exercise physiology and an MPH in epidemiology from the University of Pittsburgh.

Steven Keteyian, PhD, FACSM, has more than 30 years of experience working as a clinical exercise physiologist. He is program director of preventive cardiology at the Henry Ford Hospital in Detroit. Over the course of his career, Dr. Keteyian has focused on exercise, physical activity, and health in both healthy individuals and those with chronic diseases. He is the author of more than 55 scientific articles and chapters in books and four textbooks.

Dr. Keteyian is a member of the American Association of Cardiovascular and Pulmonary Rehabilitation and the American Heart Association. He is a fellow of the American College of Sports Medicine. He earned his PhD from Wayne State University.

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Table of Contents

Part I. Introduction to Clinical Exercise Physiology

Chapter 1. Introduction
Jonathan K. Ehrman, PhD, FACSM, Paul M. Gordon, PhD, MPH, FACSM, Paul S. Visich, PhD, MPH, and Steven J. Keteyian, PhD, FACSM
The Past, Present and Future of Clinical Exercise Physiology
Professional Organizations and Certifications
Professionalization of Clinical Exercise Physiology
Conclusion

Chapter 2. Behavioral Approaches to Physical Activity Promotion
Gregory W. Heath, DHSc, MPH
Benefits of Physical Activity
Issues Related to Regular Physical Activity Participation
Conclusion

Chapter 3. Pharmacotherapy
Diana Kostoff, PharmD, BCPS
Metabolic Diseases and Agents Cardiovascular Diseases and Agents
Pulmonary Diseases and Agents
Immunologic Diseases and Agents Orthopedic and Musculoskeletal Diseases and Agents Neuromuscular Diseases and Agents
Psychiatric Diseases and Agents
Conclusion

Chapter 4. General Evaluation and Examination Skills
Steven J. Keteyian, PhD, FACSM
General Interview
Physical Examination
Conclusion

Chapter 5. Graded Exercise Testing and Exercise Prescription
Paul S. Visich, PhD, MPH, and Jonathan K. Ehrman, PhD, FACSM
Exercise Testing
Exercise Prescription
Conclusion

Part II. Special Populations
Chapter 6. Children
William Saltarelli, PhD
Scope
Pathophysiology
Assessment of Physical Activity in Children
Recommendations and Anticipated Responses
Exercise Prescription
Conclusion

Chapter 7. The Elderly
Nicole Y.J.M. Leenders, PhD
Scope
Physiology and Pathology
Medical and Clinical Considerations
Exercise Prescription
Exercise Training
Conclusion
Chapter 8. Female-Specific Issues
Farah A. Ramírez-Marrero, PhD, MSc
Female-Specific Issues
Medical and Clinical Considerations
Exercise Prescription
Conclusion

Chapter 9. Depression and Exercise
Krista A. Barbour, PhD
Scope
Pathophysiology
Medical and Clinical Considerations
Exercise Prescription
Conclusion

Part III. Endocrinology and Metabolic Disorders

Chapter 10. Metabolic Syndrome
David Donley, MS
Scope
Pathophysiology
Medical and Clinical Considerations
Exercise Prescription
Exercise Training

Chapter 11. Diabetes
Ann L. Albright, PhD, RD
Scope
Pathophysiology
Medical and Clinical Considerations
Exercise Prescription
Exercise Training
Conclusion

Chapter 12. Obesity
David C. Murdy, MD, and Jonathan K. Ehrman, PhD, FACSM
Scope
Pathophysiology
Medical and Clinical Considerations
Exercise Prescription
Exercise Training
Conclusion

Chapter 13. Hypertension
A.S. Contractor, MD, and Neil F. Gordon, MD, PhD
Scope
Pathophysiology
Medical and Clinical Considerations
Exercise Prescription
Conclusion

Chapter 14. Hyperlipidemia and Dyslipidemia
Kyle D. Biggerstaff, PhD, and Joshua S. Wooten, MS
Scope
Pathophysiology
Medical and Clinical Considerations
Exercise Prescription
Exercise Training

Chapter 15. End-Stage Renal Disease
Patricia Painter, PhD
Scope
Pathophysiology
Medical and Clinical Considerations
Exercise Prescription
Exercise Training
Conclusion

Part IV. Cardiovascular Diseases

Chapter 16. Myocardial Infarction
Paul S. Visich, PhD, MPH, and Emma Fletcher, MA
Scope
Pathophysiology
Medical and Clinical Considerations
Exercise Prescription
Conclusion

Chapter 17. Revascularization of the Heart
Timothy R. McConnell, PhD, and Karandeep Singh, MD
Coronary Artery Bypass Surgery
Percutaneous Interventions
Medical and Clinical Considerations
Exercise Testing
Exercise Prescription
Conclusion

Chapter 18. Chronic Heart Failure
Steven J. Keteyian, PhD, FACSM
Scope
Pathophysiology
Medical and Clinical Considerations
Exercise Testing
Exercise Prescription
Exercise Training
Conclusion

Chapter 19. Peripheral Arterial Disease
Richard M. Lampman, PhD, and Seth W. Wolk, MD
Scope
Pathophysiology
Medical and Clinical Considerations
Exercise Prescription
Exercise Training
Conclusion

Chapter 20. Pacemakers and Internal Cardiac Defibrillators
Kerry J. Stewart, EdD
Scope and Pathophysiology
Pacing System
Exercise Physiology
Exercise Testing
Exercise Prescription
Conclusion

Part V. Diseases of the Respiratory System

Chapter 21. Chronic Obstructive Pulmonary Disease
Ann M. Swank, PhD, Michael J. Berry, PhD, and C. Mark Woodard, MS
Scope
Pathophysiology
Medical and Clinical Considerations
Exercise Prescription
Exercise Training
Conclusion

Chapter 22. Asthma
Brian W. Carlin, MD, and Anil Singh, MD
Scope
Pathophysiology
Medical and Clinical Considerations
Exercise Prescription
Exercise Training
Conclusion

Chapter 23. Cystic Fibrosis
Michael J. Danduran, MS, and Julie Biller, MD
Scope
Pathophysiology
Medical and Clinical Considerations
Exercise Prescription
Conclusion

Part VI. Oncology and the Immune System

Chapter 24. Cancer
John R. Schairer, DO, and Steven J. Keteyian, PhD, FACSM Scope
Pathophysiology
Medical and Clinical Considerations
Exercise Prescription
Exercise Training
Conclusion

Chapter 25. Human Immunodeficiency Virus
Barbara Smith, RN, PhD, FACSM, James Raper, CFNP, DNS, and Michael Saag, MD
Scope
Pathophysiology
Medical and Clinical Considerations
Exercise Prescription
Exercise Training
Conclusion

Part VII. Disorders of the Bone and the Joints

Chapter 26. Arthritis
Virginia B. Kraus, MD, PhD, and Kim M. Huffman, MD, PhD
Scope
Pathophysiology
Medical and Clinical Considerations
Exercise Prescription
Exercise Training
Conclusion

Chapter 27. Osteoporosis
David L. Nichols, PhD, and Chad D. Swank, MS
Scope
Pathophysiology
Medical and Clinical Considerations
Exercise Prescription
Conclusion

Chapter 28. Nonspecific Low Back Pain
Jan Perkins, PhD, and J. Tim Zipple, DScPT, OCS
Scope
Pathophysiology
Medical and Clinical Considerations
History
Physical Examination
Exercise Prescription
Conclusion

Part VIII. Selected Neuromuscular Disorders

Chapter 29. Spinal Cord Injury
David R. Gater, Jr., MD, PhD
Scope
Pathophysiology
Medical and Clinical Considerations
Exercise Prescription
Conclusion

Chapter 30. Multiple Sclerosis
Chad C. Carroll, PhD, and Charles P. Lambert, PhD
Scope
Pathophysiology
Medical and Clinical Considerations
Exercise Prescription
Exercise Training
Conclusion

Chapter 31. Cerebral Palsy
Amy E. Rauworth, MS, and James H. Rimmer, PhD
Scope
Pathophysiology
Medical and Clinical Considerations
Exercise Testing
Exercise Prescription
Exercise Training
Conclusion

Chapter 32. Stroke
Christopher J. Womack, PhD, FACSM
Scope
Pathophysiology
Medical and Clinical Considerations
Exercise Prescription
Exercise Training
Conclusion

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