Clinical Exercise Physiology / Edition 4

by Jonathan K Ehrman, Paul M. Gordon, Paul S. Visich, Steven J. Keteyian

Overview

As the profession of clinical exercise physiology continues to evolve, there is one cornerstone text that evolves along with it. Clinical Exercise Physiology, Fourth Edition With Web Resource, has been a mainstay in the field since its inception in 2003, and the revisions and additions to this latest rendition reinforce its elite status.

As the most comprehensive resource available, Clinical Exercise Physiology, Fourth Edition, provides greater coverage and depth of diseases than is typically found in most clinical exercise physiology textbooks. It thoroughly examines the effects of exercise on chronic disease and then investigates 24 chronic conditions, covering the scope of each disease as well as the pathophysiology, medications, and clinical applications. It also examines clinical considerations and exercise prescriptions for four special populations.

This fourth edition reflects the latest American College of Sports Medicine (ACSM) standards and guidelines, making it an ideal resource for candidates preparing for ACSM Clinical Exercise Physiologist certification. In addition to updated content that aligns with current science and evidence-based practice guidelines, the fourth edition also incorporates the following:

• A closer and more up-to-date look at the state of the profession

• A new web resource featuring case studies that depict real-life scenarios

• A new chapter on Parkinson’s disease

• Enhanced coverage of exercise testing and exercise prescription, in separate chapters to delve deeper into each of those topics

• An expanded chapter on end-stage renal disease, to more broadly cover chronic kidney disease

• Significant revisions to chapters on metabolic syndrome, diabetes, and heart failure

The online case studies are written in the form of SOAP (Subjective, Objective, Assessment, Plan) notes, reflecting common medical chart documentation, to help readers experience realistic examples. The text also offers Practical Application sidebars in each chapter; some of these sidebars focus on exercise prescription, and other Practical Application sidebars review the relevant literature related to physiological adaptations to exercise training. To aid in course preparation, instructors are provided a test package, chapter quizzes, and a presentation package plus image bank.

Clinical Exercise Physiology, Fourth Edition, offers a contemporary review of the variety of diseases and conditions that students and professionals may encounter in the field. New and veteran clinical exercise physiologists alike, as well as those preparing for ACSM certification exams, will appreciate the in-depth coverage of the clinical populations that benefit from physical activity and exercise.

Product Details

ISBN-13:	9781492546450
Publisher:	Human Kinetics Publishers
Publication date:	07/05/2018
Edition description:	Fourth Edition
Pages:	776
Product dimensions:	8.80(w) x 11.20(h) x 1.60(d)
Age Range:	18 Years

About the Author

Jonathan K. Ehrman, PhD, FACSM, is the associate program director of preventive cardiology and director of the weight management program at Henry Ford Hospital in Detroit. He has a 33-year background in clinical exercise physiology and is certified by ACSM as aclinical exercise physiologist and as a program director. He previously served as the chair of the clinical exercise physiologist credentialing committee for ACSM.

Dr. Ehrman is author of more than 200 manuscripts and abstracts as well as several text books and chapters. He is an associate editor of the most recent edition (10th) of ACSM’s Guidelines for Exercise Testing and Prescription. He was also the senior editor of the sixth edition of ACSM's Resource Manual for Guidelines for Exercise Testing and Prescription. He is a fellow of the American College of Sports Medicine and the American Association of Cardiovascular and Pulmonary Rehabilitation and a member the American Heart Association and the American College of Cardiology. Dr. Ehrman earned his PhD in clinical exercise physiology from The Ohio State University.

Paul M. Gordon, PhD, MPH, FACSM, is a professor and chair of the department of health, human performance, and recreation at Baylor University. He is certified by the ACSM as a clinical exercise physiologist and has over 20 years of experience teaching clinical exercise physiology curricula and directing cardiopulmonary rehabilitation programs. Dr. Gordon has published more than 200 papers and abstracts and several chapters, including in ACSM’s Guidelines for Exercise Testing and Prescription. He has also served as an examiner and coordinator for ACSM certification and credentialing.

Dr. Gordon is a fellow of the American College of Sports Medicine, the Obesity Society, and the Centers for Disease Control Physical Activity Research Program. He is an international member of the Royal Society for Medicine. He earned his PhD in exercise physiology and an MPH in epidemiology from the University of Pittsburgh.

Paul S. Visich, PhD, MPH, has nearly 20 years of experience in clinical exercise physiology and is the director of the Human Performance Laboratory in the College of Health Professions at Central Michigan University. He worked for 12 years in a clinical setting that included cardiac and pulmonary rehabilitation and primary disease prevention. His research interests involve the assessment of cardiovascular disease risk factors in children, the influence of resistance training in elderly populations, and altitude physiology.

Dr. Visich is a member of ACSM’s exercise physiology credentialing committee and previous chair of their professional education committee. He is the author of more than 70 published scientific articles and abstracts. He earned a PhD in exercise physiology and an MPH in epidemiology from the University of Pittsburgh.

Steven J. Keteyian, PhD, FACSM, has more than 35 years of experience working as a clinical exercise physiologist. He is program director of preventive cardiology at the Henry Ford Hospital in Detroit. Over the course of his career, Dr. Keteyian has focused on exercise and physical activity in both healthy individuals and those with chronic diseases. He is the author of more than 100 scientific articles and book chapters as well as four textbooks.

Dr. Keteyian is a member of the American Associatioon of Cardiovascular and Pulmonary Rehabilitation and the American Heart Association. He is a fellow of the American College of Sports Medicine. He earned his PhD from Wayne State University in Detroit.

Table of Contents

Part I. Introduction to Clinical Exercise Physiology

Chapter 1. The Profession of Clinical Exercise Physiology

Jonathan K. Ehrman, PhD, Paul M. Gordon, PhD, MPH, Paul S. Visich, PhD, MPH, and Steven J. Keteyian, PhD

The Past, Present, and Future of Clinical Exercise Physiology

Professional Organizations and Certifications Throughout the World

Professionalization of Clinical Exercise Physiology

Conclusion

Chapter 2. Promoting a Physically Active Lifestyle

Gregory W. Heath, DHSc, MPH, and Josh M. Johann, MS

Benefits of Physical Activity

Participation in Regular Physical Activity

Conclusion

Chapter 3. General Principles of Pharmacology

Steven J. Keteyian, PhD

General Properties of Drugs

Routes of Administration

Phases of Drug Effect

Mechanism of Action

Pharmacotherapy

Conclusion

Chapter 4. General Interview and Examination Skills

Quinn R. Pack, MD, MSc, FACC, and Hayden Riley, MS

General Interview

Physical Examination

Conclusion

Chapter 5. Graded Exercise Testing

Steven J. Keteyian, PhD, and Micah Zuhl, PhD

Indications

Contraindications

Procedures for Preparing, Conducting, and Interpreting a Graded Exercise Test

Graded Exercise Testing With Diagnostic Imaging

Conclusion

Chapter 6. Exercise Prescription

Steven J. Keteyian, PhD

Exercise Training Sequence

Goal Setting

Principles of Exercise Prescription

Cardiorespiratory Endurance

Skeletal Muscle Strength and Endurance

Flexibility Training

Conclusion

Part II. Endocrinology and Metabolic Disorders

Chapter 7. Diabetes

Sheri R. Colberg, PhD, FACSM

Definition

Scope

Pathophysiology

Clinical Considerations

Exercise Prescription

Exercise Training

Conclusion

Chapter 8. Obesity

David C. Murdy, MD, and Jonathan K. Ehrman, PhD, FACSM, FAACVPR, ACSM-CEP

Definition

Scope

Pathophysiology

Clinical Considerations

Exercise Prescription

Exercise Training

Conclusion

Chapter 9. Hypertension

Amanda L. Zaleski, MS, Antonio B. Fernandez, MD, Beth A. Taylor, PhD, and Linda S. Pescatello, PhD, FACSM, FAHA

Definition

Scope

Pathophysiology

Clinical Considerations

Exercise Prescription

Exercise Training

Conclusion

Chapter 10. Hyperlipidemia and Dyslipidemia

Peter W. Grandjean, PhD, FACSM, ACSM–CEP, EIM3, Stephen F. Crouse, PhD, FACSM, J. Larry Durstine, PhD, FACSM, FAACVPR, Paul G. Davis, PhD, FACSM, RCEP, and Benjamin Gordon, PhD, RCEP

Definition

Scope

Pathophysiology

Clinical Considerations

Exercise Prescription

Exercise Training

Conclusion

Chapter 11. Metabolic Syndrome

Mark D. Peterson, PhD, MS, Paul M. Gordon, PhD, MPH, and Flor Elisa Morales, MS

Definition

Scope

Pathophysiology

Clinical Considerations

Exercise Prescription

Exercise Training

Conclusion

Chapter 12. Chronic Kidney Disease

Samuel Headley, PhD, Sahil Bawa, MBBS, and Michael Germain, MD

Definition

Scope

Pathophysiology

Clinical Considerations

Exercise Prescription

Exercise Training

Conclusion

Part III. Cardiovascular Diseases

Chapter 13. Acute Coronary Syndromes: Unstable Angina Pectoris and Acute Myocardial Infarction

Ray W. Squires, PhD, MAACVPR, FACSM, FAHA

Pathophysiology

Clinical Assessment

Exercise Training: Inpatient Cardiac Rehabilitation

Exercise Training: Early Outpatient Cardiac Rehabilitation

Exercise Prescription

Conclusion

Chapter 14. Revascularization of the Heart

Neil A. Smart, PhD

Definition

Scope

Pathophysiology

Clinical Considerations

Exercise Prescription and Training

Conclusion

Chapter 15. Chronic Heart Failure

Steven J. Keteyian, PhD

Definition

Scope

Pathophysiology

Clinical Considerations

Exercise Prescription

Exercise Training

Conclusion

Chapter 16. Peripheral Artery Disease

Ryan J. Mays, PhD, MPH, MS, Ivan P. Casserly, MB, BCh, and Judith G. Regensteiner, PhD

Definition

Scope

Pathophysiology

Clinical Considerations

Exercise Prescription

Exercise Training

Conclusion

Chapter 17. Cardiac Electrical Pathophysiology

Kerry J. Stewart, EdD, and David D. Spragg, MD

Definition

Scope

Pathophysiology

Clinical Considerations

Exercise Prescription and Training

Conclusion

Part IV. Diseases of the Respiratory System

Chapter 18. Chronic Obstructive Pulmonary Disease

Satvir S. Dhillon, MSc, Dennis Jensen, PhD, and Jordan A. Guenette, PhD

Definition

Scope

Pathophysiology

Clinical Considerations

Exercise Prescription

Exercise Training

Conclusion

Chapter 19. Asthma

Brian W. Carlin, MD

Definition

Scope

Pathophysiology

Clinical Considerations

Exercise Prescription

Exercise Training

Conclusion

Chapter 20. Cystic Fibrosis

Michael J. Danduran, MS, and Lauren Camarda, MD

Definition

Scope

Pathophysiology

Clinical Considerations

Exercise Prescription

Exercise Training

Conclusion

Part V. The Immune System

Chapter 21. Cancer

Dennis J. Kerrigan, PhD, John R. Schairer, DO, and Kerry S. Courneya, PhD

Definition

Scope

Pathophysiology

Clinical Considerations

Exercise Prescription

Exercise Training

Conclusion

Chapter 22. Human Immunodeficiency Virus

Mansueto Neto, PhD

Definition

Scope

Pathophysiology

Clinical Considerations

Exercise Prescription

Exercise Training

Conclusion

Part VI. Disorders of the Bones and the Joints

Chapter 23. Arthritis

Andrew B. Lemmey, PhD

Definition

Scope

Pathophysiology

Clinical Considerations

Exercise Prescription

Exercise Training

Conclusion

Chapter 24. Osteoporosis

Lora M. Giangregorio, PhD

Definition

Scope

Pathophysiology

Clinical Considerations

Exercise Prescription

Exercise Training

Conclusion

Chapter 25. Nonspecific Low Back Pain

Jan Perkins, PT, PhD, and J. Tim Zipple, PT, DSc

Definition

Scope

Pathophysiology

Clinical Considerations

Exercise Prescription and Training

Conclusion

Part VII. Neuromuscular Disorders

Chapter 26. Spinal Cord Injury

Mary P. Galea, PhD, L. Eduardo Cofré Lizama, PhD, and Andisheh Bastani, PhD

Definition

Scope

Pathophysiology

Clinical Considerations

Exercise Prescription

Exercise Training

Conclusion

Chapter 27. Multiple Sclerosis

Linda H. Chung, PhD

Definition

Scope

Pathophysiology

Clinical Considerations

Exercise Prescription

Exercise Training

Conclusion

Chapter 28. Cerebral Palsy

Désirée B. Maltais, PT, PhD

Definition

Scope

Pathophysiology

Clinical Considerations

Exercise Prescription

Exercise Training

Conclusion

Chapter 29. Stroke

Christopher J. Womack, PhD

Definition

Scope

Pathophysiology

Clinical Considerations

Exercise Prescription

Exercise Training

Conclusion

Chapter 30. Parkinson’s Disease

Angela L. Ridgel, PhD, and Brandon S. Pollock, PhD

Definition

Scope

Pathophysiology

Clinical Considerations

Exercise Prescription

Exercise Training

Conclusion

Part VIII. Special Populations

Chapter 31. Children

Timothy J. Michael, PhD, and William A. Saltarelli, PhD

Definition

Scope

Clinical Considerations

Exercise Prescription

Exercise Training

Conclusion

Chapter 32. Aging

Jerome L. Fleg, MD, and Daniel E. Forman, MD

Definition

Scope

Pathophysiology

Clinical Considerations

Exercise Prescription and Training

Conclusion

Chapter 33. Depression

Benson M. Hoffman, PhD, Krista A. Barbour, PhD, and James A. Blumenthal, PhD

Definition

Scope

Pathophysiology

Clinical Considerations

Exercise Prescription and Training

Conclusion

Chapter 34. Intellectual Disability

Bo Fernhall, PhD, and Tracy Baynard, PhD

Definition

Scope

Pathophysiology

Clinical Considerations

Exercise Prescription

Exercise Training

Conclusion

Interviews

Text for upper-undergraduate- and graduate-level clinical exercise physiology courses and a study resource for ACSM Clinical Exercise Physiologist certification. Also a reference for clinical exercise physiologists, sports medicine practitioners, exercise and sport science educators, physical therapists, athletic trainers, and physicians interested in treating their patients with exercise.