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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.

ACSM's Exercise Management for Persons With Chronic Diseases and Disabilities

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



Desiree 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