Now in its third edition, ACSM's Exercise Management for Persons With Chronic Diseases and Disabilities offers both exercise and health professionals the latest research and applications for integrating exercise into the treatment of 49 chronic diseases and disabilities. This reference was developed by the American College of Sports Medicine (ACSM) and written by contributors with significant clinical and research experience in exercise programming for people with chronic conditions.

ACSM's Exercise Management for Persons With Chronic Diseases and Disabilities, Third Edition, contains tools to assist in the coordination of exercise within an integrated model of patient care. The updated edition presents a framework for determining functional capacity in persons with chronic diseases and disabilities and offers guidance in developing appropriate exercise programming to optimize functional capacity and reduce the compounding effects of exercise intolerance.

Unlike textbooks on special populations, ACSM's Exercise Management for Persons With Chronic Diseases and Disabilities provides an overview of exercise management and addresses a wider spectrum of chronic diseases and disabilities. A consistent and concise format allows readers quick access to the pathology of interest, training and response to exercise, management of medications, and recommendations and special considerations of exercise testing and programming. Within the text, diseases and disorders are organized into seven sections: cardiovascular diseases; pulmonary diseases; metabolic diseases; immunological and hematological disorders; orthopedic diseases and disabilities; neuromuscular disorders; and cognitive, psychological, and sensory disorders. Information presented for each of the 49 conditions is based on the most current clinical research.

The third edition includes an added color and contains new chapters on metabolic syndrome, stress and neuropsychiatric disorders, multiple chronic conditions, and fibromyalgia. Information on professional preparation in serving patients with chronic diseases or disabilities has also been added. In addition, reformatted tables provide quicker reference for testing and prescription data. Recommended readings found at the end of the book offer resources for more in-depth study.

The text also includes case studies for each condition. These cases, drawn from the contributors clinical practice, illustrate how scientific research and clinical experience can combine in the development of an informed program of care for each patient. Case studies follow a set format, beginning with an overview and a subjective objective assessment plan (SOAP) report, followed by an exercise program and a follow-up statement for select cases.

ACSM's Exercise Management for Persons With Chronic Diseases and Disabilities, Third Edition, presents exercise as a viable component in the care and treatment of chronic disease and disability and offers guidance for appropriate exercise prescription that can positively affect functional capacity and slow or prevent exercise intolerance. As the prescription of exercise for persons with chronic conditions increases, exercise and health professionals require the appropriate data and tools to serve these individuals. ACSM's Exercise Management for Persons With Chronic Diseases and Disabilities will assist professionals in translating the science of exercise physiology into the art of practicing exercise medicine.

Contents

Part I: Framework

J. Larry Durstine, PhD, FACSM
Chapter 1. Introduction

Geoffrey E. Moore, MD, FACSM, Scott O. Roberts, PhD, FACSM, and J. Larry Durstine, PhD, FACSM

Concept of Exercise Is Medicine

Evidence-Based Guidelines

How to Use This Book

Problem-Oriented Management

How to Use the Tables

How to Read the Tables

Whats in the Tables

Whats Not in the Tables
Chapter 2. Approach to Exercise and Disease Management

Geoffrey E. Moore, MD, FACSM, J. Larry Durstine, PhD, FACSM, and Anthony P. Marsh, PhD

Problem-Oriented Exercise Management

Categories of Exercise Tests Measures

Exercise and Medications

Exercise Dose"Response

Risk, Cost, and Benefit

Putting It All Together
Chapter 3. Exercise Is Medicine

J. Larry Durstine, PhD, FACSM, J. Brent Peel, MS, Michael J. LaMonte, PhD, FACSM, Steven E. Keteyian, PhD, FACSM, Emma Fletcher, MA, and Geoffrey E. Moore, MD, FACSM

Terminology

Epidemiology

Exercise and Cardiovascular Diseases

Biological Plausibility

Current and Future Priorities

Education for Exercise Professionals

Summary
Chapter 4. Managing Exercise in Persons With Multiple Chronic Conditions

Geoffrey E. Moore, MD, FACSM, Patricia L. Painter, PhD, FACSM, G. William Lyerly, MS, and J. Larry Durstine, PhD, FACSM

Overview of the Pathophysiology

Effects on the Exercise Response

Role of Exercise Training

Recommendations for Exercise Testing

Recommendations for Exercise Programming

Case Study
Chapter 5. Physical Activity for Children and Adolescents

William F. Riner, PhD, FACSM and Richard J. Sabath, EdD, FACSM

Effects of Health Status and Physical Activity on Growth and Development

Normal Responses to Physical Activity in Children and Adolescents

Exercise Testing of Children and Adolescents

General Physical Activity Concerns for Children With a Chronic Health Condition or Disability

Selected Diseases and Disorders of Children and Youth

Summary

Part II. Cardiovascular Diseases

Scott O. Roberts, PhD, FACSM and Peter H. Brubaker, PhD, FACSM
Chapter 6. Myocardial Infarction

Barry A. Franklin, PhD, FACSM

Overview of the Pathophysiology

Effects on the Exercise Response

Effects of Exercise Training

Management and Medications

Special Precautions

Recommendations for Exercise Testing

Recommendations for Exercise Programming

Case Study
Chapter 7. Revasculariztion: CABG and PTCA or PCI

Barry A. Franklin, PhD, FACSM

Overview of the Pathophysiology

Effects on the Exercise Response

Effects of Exercise Training

Management and Medications

Recommendations for Exercise Testing

Recommendations for Exercise Programming

Case Study
Chapter 8. Angina and Silent Ischemia

Daniel Friedman, MD, FACSM and Scott O. Roberts, PhD, FACSM

Overview of the Pathophysiology

Effects on the Exercise Response

Effects of Exercise Training

Management and Medications

Recommendations for Exercise Testing

Recommendations for Exercise Programming

Case Study
Chapter 9. Atrial Fibrillation

J. Edwin Atwood, MD and Jonathan N. Myers, PhD, FACSM

Overview of the Pathophysiology

Effects on the Exercise Response

Effects of Exercise Training

Management and Medications

Recommendations for Exercise Testing

Recommendations for Exercise Programming

Case Study
Chapter 10. Pacemakers and Implantable Cardioverter Defibrillators

Michael West, MD and Scott O. Roberts, PhD, FACSM

Overview of the Pathophysiology

Effects on the Exercise Response

Effects of Exercise Training

Management and Medications

Recommendations for Exercise Testing

Recommendations for Exercise Programming

Case Study
Chapter 11. Valvular Heart Disease

Daniel Friedman, MD, FACSM and Scott O. Roberts, PhD, FACSM

Overview of the Pathophysiology

Effects on the Exercise Response

Effects of Exercise Training

Management and Medications

Surgical Considerations

Recommendations for Exercise Testing

Recommendations for Exercise Programming

Special Considerations

Case Study
Chapter 12. Chronic Heart Failure

Jonathan N. Myers, PhD, FACSM and Peter H. Brubaker, PhD, FACSM

Overview of the Pathophysiology

Effects on the Exercise Response

Effects of Exercise Training

Management and Medications

Recommendations for Exercise Testing

Recommendations for Exercise Programming

Case Study
Chapter 13. Cardiac Transplant

Ross Arena, PhD, PT, FACSM and Reed Humphrey, PhD, PT, FACSM

Overview of the Pathophysiology

Effects on the Exercise Response

Effects of Exercise Training

Management and Medications

Recommendations for Exercise Testing

Recommendations for Exercise Programming

Case Study
Chapter 14. Hypertension

Neil F. Gordon, MD, PhD, MPH, FACSM

Overview of the Pathophysiology

Effects on the Exercise Response

Effects of Exercise Training

Management and Medications

Recommendations for Exercise Testing

Recommendations for Exercise Programming

Case Study
Chapter 15. Peripheral Arterial Disease

Christopher J. Womack, PhD, FACSM, Andrew W. Gardner, PhD, and Raha Nael, MD

Overview of the Pathophysiology

Effects on the Exercise Response

Effects of Exercise Training

Management and Medications

Recommendations for Exercise Testing

Recommendations for Exercise Programming

Case Study
Chapter 16. Aneurysms

Jonathan Myers, PhD, FACSM

Overview of the Pathophysiology

Effects on the Exercise Response

Effects of Exercise Training

Management and Medications

Recommendations for Exercise Testing

Recommendations for Exercise Programming

Special Considerations

Case Study

Part III. Pulmonary Diseases

Christopher B. Cooper, MD, FACSM
Chapter 17. Chronic Obstructive Pulmonary Disease

Christopher B. Cooper, MD, FACSM

Overview of the Pathophysiology

Effects on the Exercise Response

Effects of Exercise Training

Management and Medications

Recommendations for Exercise Testing

Recommendations for Exercise Programming

Case Study
Chapter 18. Chronic Restrictive Pulmonary Disease

Connie C.W. Hsia, MD

Overview of the Pathophysiology

Effects on the Exercise Response

Effects of Exercise Training

Management and Medications

Recommendations for Exercise Testing

Recommendations for Exercise Programming

Case Study
Chapter 19. Asthma

Christopher J. Clark, MD and Lorna M. Cochrane, MD

Overview of the Pathophysiology

Effects on the Exercise Response

Effects of Exercise Training

Management and Medications

Recommendations for Exercise Testing

Recommendations for Exercise Programming

Case Study
Chapter 20. Cystic Fibrosis

Patricia A. Nixon, PhD, FACSM

Overview of the Pathophysiology

Effects on the Exercise Response

Effects of Exercise Training

Management and Medications

Recommendations for Exercise Testing

Recommendations for Exercise Programming

Special Considerations

Case Study
Chapter 21. Lung and Heart-Lung Transplantation

David L. Balfe, MD and David J. Ross, MD

Overview of the Pathophysiology

Effects on the Exercise Response

Effects of Exercise Training

Management and Medications

Recommendations for Exercise Testing

Recommendations for Exercise Programming

Special Considerations

Case Study

Part IV. Metabolic Diseases

Patricia L. Painter, PhD, FACSM and J. Larry Durstine, PhD, FACSM
Chapter 22. Hyperlipidemia

J. Larry Durstine, PhD, FACSM, Geoffrey E. Moore, MD, FACSM, and Donna Polk, MD, MPH

Overview of the Pathophysiology

Effects on the Exercise Response

Effects of Exercise Training

Management and Medications

Recommendations for Exercise Testing

Recommendations for Exercise Programming

Case Study
Chapter 23. End-Stage Metabolic Disease: Renal Failure and Liver Failure

Patricia L. Painter, PhD, FASCM and Joanne B. Krasnoff, MS

Overview of the Pathophysiology

Effects on the Exercise Response

Effects of Exercise Training

Management and Medications

Recommendations for Exercise Testing

Recommendations for Exercise Programming

Case Study
Chapter 24. Diabetes

W. Guyton Hornsby, Jr., PhD, CDE, FACSM and Ann L. Albright, PhD, CDE

Overview of the Pathophysiology

Effects on the Exercise Response

Effects of Exercise Training

Management and Medications

Recommendations for Exercise Testing

Recommendations for Exercise Programming

Case Study
Chapter 25. Obesity

Janet P. Wallace, PhD, FACSM and Shahla Ray, PhD

Overview of the Pathophysiology

Effects on the Exercise Response

Effects of Exercise Training

Management and Medications

Recommendations for Exercise Testing

Recommendations for Exercise Programming

Special Considerations

Case Study
Chapter 26. Frailty

Constance Mols Bayles, PhD, FACSM, Selena Chan, BS, and Joseph Robare, MS, RD, LDN

Overview of the Pathophysiology

Effects on the Exercise Response

Effects of Exercise Training

Management and Medications

Recommendations for Exercise Testing

Recommendations for Exercise Programming

Case Study

Part V. Immunological and Hematological Disorders

Geoffrey E. Moore, MD, FACSM and Michael J. LaMonte, PhD, FACSM
Chapter 27. Cancer

Anna L. Schwartz, PhD, ARNP, FAAN

Overview of the Pathophysiology

Effects on the Exercise Response

Effects of Exercise Training

Management and Medications

Recommendations for Exercise Testing

Recommendations for Exercise Programming

Case Study
Chapter 28. Acquired Immune Deficiency Syndrome (AIDS)

Gregory A. Hand, PhD, FACSM, G. William Lyerly, MS, and Wesley D. Dudgeon, PhD

Overview of the Pathophysiology

Effects on the Exercise Response

Effects of Exercise Training

Management and Medications

Recommendations for Exercise Testing

Recommendations for Exercise Programming

Special Considerations

Case Study
Chapter 29. Abdominal Organ Transplant (Kidney, Liver, Pancreas)

Patricia L. Painter, PhD, FACSM, Joanne B. Krasnoff, PhD

Overview of the Pathophysiology

Effects on the Exercise Response

Effects of Exercise Training

Management and Medications

Recommendations for Exercise Testing

Recommendations for Exercise Programming

Case Study
Chapter 30. Chronic Fatigue Syndrome

Stephen P. Bailey, PhD, PT, FACSM

Overview of the Pathophysiology

Effects on the Exercise Response

Effects of Exercise Training

Management and Medications

Recommendations for Exercise Testing

Recommendations for Exercise Programming

Special Considerations

Case Study
Chapter 31. Fibromyalgia

Kathy Lemley and Barbara Meyer, PhD

Overview of the Pathophysiology

Effects on the Exercise Response

Effects of Exercise Training

Management and Medications

Recommendations for Exercise Testing

Recommendations for Exercise Programming

Special Considerations

Case Study
Chapter 32. Anemia

Kirsten L. Johansen, MD

Overview of the Pathophysiology

Effects on the Exercise Response

Effects of Exercise Training

Management and Medications

Recommendations for Exercise Testing

Recommendations for Exercise Programming

Case study
Chapter 33. Bleeding and Clotting Disorders

Geoffrey E. Moore, MD, FACSM and Michael Lockard, MA

Overview of the Pathophysiology

Effects on the Exercise Response

Effects of Exercise Training

Management and Medications

Recommendations for Exercise Testing

Recommendations for Exercise Programming

Special Considerations

Case Study

Part VI. Orthopedic Diseases and Disabilities

Kenneth H. Pitetti, PhD, FACSM
Chapter 34. Arthritis

Marian A. Minor, PhD, PT and Donald R. Kay, MD

Overview of the Pathophysiology

Effects on the Exercise Response

Effects of Exercise Training

Management and Medications

Recommendations for Exercise Testing

Recommendations for Exercise Programming

Case Study
Chapter 35. Lower Back Pain Syndrome

Maureen J. Simmonds, PhD, PT, MCSP, and Tamar Derghazarian, PT

Overview of the Pathophysiology

Effects on the Exercise Response

Effects of Exercise Training

Management and Medications

Recommendations for Exercise Testing

Recommendations for Exercise Programming

Case Study
Chapter 36. Osteoporosis

Susan S. Smith, PhD, FACSM, Che-Hsiang Elizabeth Wang, PT, MS, and Susan A. Bloomfield, PhD, FACSM

Overview of the Pathophysiology

Effects on the Exercise Response

Effects of Exercise Training

Management and Medications

Recommendations for Exercise Testing

Recommendations for Exercise Programming

Special Considerations

Case Study
Chapter 37. Lower-Limb Amputation

Kenneth H. Pitetti, PhD, FACSM and Mark H. Pedrotty, PhD

Overview of the Pathophysiology

Effects on the Exercise Response

Effects on Exercise Training

Management and Medications

Recommendations for Exercise Testing

Recommendations for Exercise Programming

Case Study

Part VII. Neuromuscular Disorders

Terry Nicola, MD, MS
Chapter 38. Stroke and Brain Injury

Karen Palmer-McLean, PhD, PT and Kimberly B. Harbst, PhD, PT

Overview of the Pathophysiology

Effects on the Exercise Response

Effects of Exercise Training

Management and Medications

Recommendations for Exercise Testing

Recommendations for Exercise Programming

Case Study
Chapter 39. Spinal Cord Disabilities: Paraplegia and Tetraplegia

Stephen F. Figoni, PhD, RKT, FACSM

Overview of the Pathophysiology

Effects on the Exercise Response

Effects of Exercise Training

Management and Medications

Recommendations for Exercise Testing

Recommendations for Exercise Programming

Special Considerations

Case Study
Chapter 40. Muscular Dystrophy

Mark A. Tarnopolsky, MD, PhD

Overview of the Pathophysiology

Effects on the Exercise Response

Effects of Exercise Training

Management and Medications

Recommendations for Exercise Testing

Recommendations for Exercise Programming

Special Considerations

Case Study
Chapter 41. Epilepsy

Karl Otto Nakken, MD, PhD

Overview of the Pathophysiology

Effects on the Exercise Response

Effects of Exercise Training

Management and Medications

Recommendations for Exercise Testing

Recommendations for Exercise Programming

Case Study
Chapter 42. Multiple Sclerosis

Kurt Jackson, PhD, PT, GCS, and Janet A. Mulcare, PhD, FACSM

Overview of the Pathophysiology

Effects on the Exercise Response

Effects of Exercise Training

Management and Medications

Recommendations for Exercise Testing

Recommendations for Exercise Programming

Special Considerations

Case Study
Chapter 43. Polio and Post-Polio Syndrome

Thomas J. Birk, PhD, MPT, FACSM

Overview of the Pathophysiology

Effects on the Exercise Response

Effects of Exercise Training

Management and Medications

Recommendations for Exercise Testing

Recommendations for Exercise Programming

Special Considerations

Case Study
Chapter 44. Amyotrophic Lateral Sclerosis

Vanina Dal Bello-Haas, PhD and Lisa Stroud Krivickas, MD

Overview of the Pathophysiology

Effects on the Exercise Response

Effects of Exercise Training

Management and Medications

Recommendations for Exercise Testing

Recommendations for Exercise Programming

Special Considerations

Case Study
Chapter 45. Cerebral Palsy

James J. Laskin, PhD, PT

Overview of the Pathophysiology

Effects on the Exercise Response

Effects of Exercise Training

Management and Medications

Recommendations for Exercise Testing

Recommendations for Exercise Programming

Case Study
Chapter 46. Parkinsons Disease

Elizabeth J. Protas, PhD, PT, FACSM, Rhonda K. Stanley, PhD, PT, and Joseph Jankovic, MD

Overview of the Pathophysiology

Effects on the Exercise Response

Effects of Exercise Training

Management and Medications

Recommendations for Exercise Testing

Recommendations for Exercise Programming

Case Study

Part VIII. Cognitive, Psychological, and Sensory Disorders

Lorraine E. Colson Bloomquist, EdD, FACSM
Chapter 47. Intellectual Disabilities

Patricia Fegan, PhD

Overview of the Pathophysiology

Effects on Exercise Response

Effects of Exercise Training

Management and Medications

Recommendations for Exercise Testing

Recommendations for Exercise Programming

Special Considerations

Case Study
Chapter 48. Alzheimers Disease

James H. Rimmer, PhD and Donald L. Smith, MS, RCEP

Overview of the Pathophysiology

Management and Medications

Effects on the Exercise Response and Exercise Training

Recommendations for Exercise Testing

Recommendations for Exercise Programming

Special Considerations

Case Study
Chapter 49. Mental Illness

Gary S. Skrinar, PhD, FACSM and Dori S. Hutchinson, ScD

Overview of the Pathophysiology

Effects on the Exercise Response

Effects of Exercise Training

Management and Medications

Recommendations for Exercise Testing

Recommendations for Exercise Programming

Case Study
Chapter 50. Stress and Anxiety Disorders

Gregory A. Hand, PhD, FACSM, Jason R. Jaggers, MS, and Wesley D. Dudgeon, PhD

Overview of the Pathophysiology

Effects on the Exercise Response

Effects of Exercise Training

Management and Medications

Recommendations for Exercise Testing

Recommendations for Exercise Programming

Special Considerations

Case Study
Chapter 51. Deaf and Hard of Hearing

M. Kathleen Ellis, PhD and Tracy Karasinski, MSW

Overview of the Pathophysiology

Effects on the Exercise Response

Effects of Exercise Training

Recommendations for Exercise Testing

Recommendations for Exercise Programming

Special Considerations

Case Study
Chapter 52. Visual Impairment

Larry J. Leverenz, PhD, ATC

Overview of the Pathophysiology

Effects on the Exercise Response

Effects of Exercise Training

Management and Medications

Recommendations for Exercise Testing

Recommendations for Exercise Programming

Case Study

Audiences

A reference for exercise physiologists, physical therapists, rehabilitation specialists, nurses, physicians, health and fitness instructors, and clinical program directors; also a textbook for students studying chronic disease, disabilities, or multiple conditions.

The American College of Sports Medicine (ACSM), founded in 1954, is a professional membership society with more than 20,000 national, regional, and international members in more than 70 countries dedicated to improving health through science, education, and medicine. ACSM members work in a wide 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.