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Acsm's Exercise Management for Persons with Chronic Diseases and Disabilities
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Table of Contents

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 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 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

Promotional Information

Reviews in UK and European websites, magazines and journals including British Journal of Sports Medicine, SportEx and BASEM Today. Featured at various sport medicine events throughout the UK and Europe including BASEM Spring Conference and lSSSMC 2016 Featured in Human Kinetics' monthly E-Newsletters, Academic News and Fit News, sent to over 35,000 subscribers. Featured on Human Kinetics. Health & Fitness Blog.

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.

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