Exercise in Rehabilitation Medicine - Walter R. Frontera, David M. Slovik, David M. Dawson

Exercise in Rehabilitation Medicine

Buch | Hardcover
464 Seiten
2005 | 2nd edition
Human Kinetics (Verlag)
978-0-7360-5541-3 (ISBN)
127,20 inkl. MwSt
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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.

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.

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
Definitions  
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  
Osteoarthritis  
Spondylarthropathies  
Systemic Lupus Erythematosus  
Polymyositis/Dermatomyositis  
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  
Classification  
Exercise Science and the Athlete With Impairments  
Training Techniques for Elite Athletes With Disabilities  
Injuries Experienced by Athletes With Disabilities

Verlagsort Champaign, IL
Sprache englisch
Maße 216 x 279 mm
Gewicht 1315 g
Themenwelt Medizin / Pharmazie Medizinische Fachgebiete Sportmedizin
ISBN-10 0-7360-5541-X / 073605541X
ISBN-13 978-0-7360-5541-3 / 9780736055413
Zustand Neuware
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