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

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

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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

    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

    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