Exercise in Rehabilitation Medicine - 2nd Edition / Edition 2

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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.

The book contains black-and-white illustrations.

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Editorial Reviews

Doody's Review Service
Reviewer: James A Sliwa, DO (Rehabilitation Institute of Chicago)
Description: This book is a review of both the principles of exercise and the benefits of exercise in certain medical conditions and patient populations. It is the second edition with the first edition published in 1999.
Purpose: In this text the authors successfully meet their objectives of providing us with an up-to-date and in-depth discussion of the basic science and clinical correlations of exercise as a therapeutic and rehabilitative strategy. Since exercise is a key component of rehabilitation and all in the field should be familiar with this modality as a treatment strategy, these are worthy objectives.
Audience: The authors state this book should be useful to different professionals including physicians practicing rehabilitation medicine, physical therapists, occupational therapists, recreational therapists, nurses and exercise physiologists. However, it seems most appropriate for physicians and other health care professionals with extensive training and exposure to exercise in their practice. The chapters are well-written by individuals who are credible authorities in the subject matter.
Features: The organization and content of this book follows a logical progression and is helpful to the reader. The initial section covers basic concepts such as exercise type and physiologic response to exercise. Other sections include exercise testing, exercise in specific conditions and exercise in specific patient populations. As a result this text provides the reader not only with an understanding of exercise but also the benefits and clinical applicability of exercise to specific clinical situations.
Assessment: This book is a complete, well-written work on the area of exercise and its role in rehabilitation. It provides the reader with current information and references and consequently justifies a second edition. 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.
Discusses the basic science and clinical correlates of exercise as a therapeutic and rehabilitative intervention strategy, and examines how exercise impacts specific disease groups and disabilities. Explains the scientific basis of prescribing exercise in rehabilitation medicine, tells how to choose effective exercise testing devices and protocols, and discusses how to prescribe exercises for a variety of diseases and conditions. Includes a unique chapter on elite athletes with impairments, with b&w photos of athletes in action using the latest sports technology. Useful for physicians, chiropractors, physical therapists, physiologists, and athletic trainers. Annotation c. Book News, Inc., Portland, OR (booknews.com)
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Product Details

  • ISBN-13: 9780736055413
  • Publisher: Human Kinetics Publishers
  • Publication date: 12/16/2005
  • Edition description: REV
  • Edition number: 2
  • Pages: 464
  • Product dimensions: 8.20 (w) x 11.10 (h) x 1.10 (d)

Meet 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.

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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
Subject Index
Citation Index
About the Editors
About the Contributors

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