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Clinical Exercise Physiology, Third Edition, provides a comprehensive look at the clinical aspects of exercise physiology by thoroughly examining the relationship between exercise and chronic disease. Updated and markedly revised throughout, this third edition reflects important changes that have occurred in the field. It provides professionals and students with fundamental knowledge of disease-specific pathology and treatment guidelines while also guiding readers through exercise testing and training principles for patients with chronic diseases.
The third edition of Clinical Exercise Physiology builds on information presented in the previous editions with reorganized chapters, updated and revised content, and the latest information on the key practice areas of clinical exercise physiology: endocrinology, the metabolic system, the cardiovascular system, the respiratory system, oncology, the immune system, bone and joint health, and the neuromuscular system. The detailed chapters address 27 diseases and populations that clinical exercise physiologists encounter in their work and provide guidance for the expert care of the populations discussed. Each chapter covers the scope of the condition; its physiology, pathophysiology and treatment options; clinical considerations, including the administration of a graded exercise test; and exercise prescription.
Clinical Exercise Physiology, Third Edition, also details how clinical exercise physiologists can most effectively address issues facing special populations, including children and the elderly. Updates to this edition include the following:
• Patient case studies allow students to gain additional insight regarding the material and put their knowledge into practice.
• Revised and updated content throughout the entire book reflects the recent changes in exercise testing and training principles and practices.
• A new chapter on intellectual disability lends evidence to how the field has evolved in considering patients with more widely diagnosed diseases and conditions.
• Practical application boxes offer tips on maintaining a professional environment for client–clinician interaction, a literature review, and a summary of the key components of prescribing exercise.
• Discussion questions highlight important concepts that appear throughout the text to encourage critical thinking.
• Updated ancillaries, including a test package and presentation package plus image bank, allow instructors to more effectively convey the concepts presented in the text and prepare students for careers in the field.
Clinical Exercise Physiology, Third Edition, is the most up-to-date resource for professionals looking to enhance their knowledge on emerging topics and applications in the field. This comprehensive resource is an asset to new and veteran clinical exercise physiologists as well as those preparing for the American College of Sports Medicine Registered Clinical Exercise Physiologist (ACSM RCEP) certification. A must-have study tool for examination candidates, the text provides in-depth coverage of all the clinical populations that benefit from physical activity and exercise.
Audience
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.
Table of Contents
Part I Introduction to Clinical Exercise Physiology
Chapter 1. Introduction
Jonathan K. Ehrman, PhD, FACSM
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. Behavioral Approaches to Physical Activity Promotion
Gregory W. Heath, DHSc, MPH
Benefits of Physical Activity
Participation in Regular Physical Activity
Conclusion
Chapter 3. General Principles of Pharmacology
Steven J. Keteyian, PhD
General Properties About Drugs
Pharmacotherapy
Conclusion
Chapter 4. General Interview and Examination Skills
Quinn R. Pack, MD
General Interview
Physical Examination
Conclusion
Chapter 5. Graded Exercise Testing and Exercise Prescription
Steven J. Keteyian, PhD
Exercise Testing
Exercise Prescription
Conclusion
Part II: Endocrinology and Metabolic Disorders
Chapter 6. Diabetes
Ann L. Albright, PhD, RD
Definition
Scope
Pathophysiology
Clinical Considerations
Exercise Prescription
Exercise Training
Conclusion
Chapter 7. Obesity
David C. Murdy, MD
Jonathan K. Ehrman, PhD
Definition
Scope
Pathophysiology
Clinical Considerations
Exercise Prescription
Exercise Training
Conclusion
Chapter 8. Hypertension
Aashish S. Contractor, MD, Med, Terri L. Gordon, MPH, and Neil F. Gordon, MD, PhD, MPH
Definition
Scope
Pathophysiology
Clinical Considerations
Exercise Prescription
Conclusion
Chapter 9. Hyperlipidemia and Dyslipidemia
Peter W. Grandjean, PhD, CES, Benjamin Gordon, MS, Paul G. Davis, PhD, RCEP, and J. Larry Durstine, PhD
Definition
Scope
Pathophysiology
Clinical Considerations
Exercise Prescription
Exercise Training
Conclusion
Chapter 10. Metabolic Syndrome
Mark D. Peterson, PhD, and Paul M Gordon, PhD, MPH
Definition
Scope
Pathophysiology
Clinical Considerations
Exercise Prescription
Exercise Training
Conclusion
Chapter 11. End-Stage Renal Disease
Samuel Headley, PhD, and Michael Germain, MD
Definition
Scope
Pathophysiology
Clinical Considerations
Exercise Prescription
Exercise Training
Conclusion
Part III: Cardiovascular Diseases
Chapter 12. Acute Coronary Syndromes: Unstable Angina Pectoris and Acute Myocardial Infarction
Ray W. Squires, PhD
Scope
Pathophysiology
Clinical Considerations
Exercise Prescription
Exercise Programming for Overweight Coronary Patients
Conclusion
Chapter 13. Revascularization of the Heart
Mark A. Patterson, MEd, RCEP
<cona>Definition
Scope
Pathophysiology
Clinical Considerations
Exercise Testing
Exercise Prescription
Conclusion
Chapter 14. Chronic Heart Failure
Steven J. Keteyian, PhD
Definition
Scope
Pathophysiology
Medical and Clinical Considerations
Exercise Testing
Exercise Prescription
Exercise Training
Conclusion
Chapter 15. Peripheral Artery Disease
Ryan J. Mays, PhD, Ivan P. Casserly, MB, BCh, and Judith G. Regensteiner, PhD
Definition
Scope
Pathophysiology
Clinical Considerations
Exercise Prescription
Exercise Training
Conclusion
Chapter 16. Cardiac Electrical Pathophysiology
Kerry J. Stewart, EdD, and David D. Spragg, MD
Definition
Scope
Pathophysiology
Clinical Considerations
Exercise Testing
Exercise Prescription
Conclusion
Part IV: Diseases of the Respiratory System
Chapter 17. Chronic Obstructive Pulmonary Disease
Ann M. Swank, PhD, and N. Brian Jones, PhD
Definition
Scope
Pathophysiology
Clinical Considerations
Exercise Prescription
Exercise Training
Conclusion
Chapter 18. Asthma
Brian W Carlin, MD
Definition
Scope
Pathophysiology
Clinical Considerations
Exercise Prescription
Exercise Training
Conclusion
Chapter 19. Cystic Fibrosis
Michael J. Danduran, MS, and Julie Biller, MD
Definition
Scope
Pathophysiology
Clinical Considerations
Exercise Prescription
Exercise Training
Conclusion
Part V: Oncology and the Immune System
Chapter 20. Cancer
Dennis J. Kerrigan, PhD, John R. Schairer, DO, and Lee W. Jones, PhD
Definition
Scope
Pathophysiology
Medical and Clinical Considerations
Exercise Prescription
Exercise Training
Conclusion
Chapter 21. Human Immunodeficiency Virus
Edward Archer, PhD, MS, Helmut Albrecht, MD, and Gregory A. Hand, PhD, MPH
Definition
Scope
Pathophysiology
Clinical Considerations
Exercise Testing
Exercise Prescription
Exercise Training
Conclusion
Part VI: Disorders of the Bone and the Joints
Chapter 22. Arthritis
Andrew B. Lemmey, PhD
Definition
Scope
Pathophysiology
Clinical Considerations
Exercise Prescription
General Exercise Prescription Recommendations
Exercise Training
Conclusion
Chapter 23. Osteoporosis
David L. Nichols, PhD, and Andjelka Pavlovic, MS
Definition
Scope
Pathophysiology
Clinical Considerations
Exercise Prescription
Exercise Training
Conclusion
Chapter 24. Nonspecific Low Back Pain
Jan Perkins, PT, PhD, and J. Tim Zipple, PT, DSc, OCS
Definition
Scope
Pathophysiology
Clinical Considerations
Exercise Prescription
Conclusion
Part VII: Selected Neuromuscular Disorders
Chapter 25. Spinal Cord Injury
David R. Gater, Jr., MD, PhD, and Stephen F. Figoni, PhD, RKT
Definition
Scope
Pathophysiology
Clinical Considerations
Exercise Prescription
Conclusion
Chapter 26. Multiple Sclerosis
Jane Kent-Braun
Definition
Scope
Pathophysiology
Clinical Considerations
Exercise Prescription
Exercise Training
Conclusion
Chapter 27. Cerebral Palsy
Amy E. Rauworth, MS, and James H. Rimmer, PhD
Definition
Scope
Pathophysiology
Clinical Considerations
Exercise Testing
Exercise Prescription
Exercise Training
Conclusion
Chapter 28. Stroke
Christopher J. Womack, PhD
Definition
Scope
Pathophysiology
Clinical Considerations
Exercise Prescription
Exercise Training
Conclusion
Part VIII: Special Populations
Chapter 29. Children
Timothy J. Michael, PhD, and William A. Saltarelli, PhD
Definition
Scope
Clinical Considerations
Exercise Prescription
Exercise Training
Conclusion
Chapter 30. Aging
Daniel E. Forman, MD, and Jerome L. Fleg, MD
Definition
Scope
Pathophysiology
Clinical Considerations
Exercise Prescription
Exercise Training
Conclusion
Chapter 31. Depression
Krista A. Barbour, PhD, Benson M. Hoffman, PhD, and James A. Blumenthal, PhD
Definition
Scope
Pathophysiology
Clinical Considerations
Exercise Prescription
Conclusion
Chapter 32. Intellectual Disability
Bo Fernhall, PhD, and Tracy Baynard, PhD
Definition
Scope
Pathophysiology
Clinical Considerations
Exercise Prescription
Exercise Training
Conclusion
About the Editor
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 Association 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.
Reviews
“…this book supports all of its information with the latest findings from the peer-reviewed literature in addition to the expertise of the authors….[it] remains near the top of the list of books in this field.”
--Doody’s Book Review (5-star review)
“The comprehensive range of topics that are discussed and a focus upon evidence-based guidelines for exercise prescription will continue to make this book a valuable resource for those who are studying as clinical exercise physiologists, and for those who are seeking an appropriate accreditation from the Canadian Society of Exercise Physiology or the American College of Sports Medicine.”
--Applied Physiology, Nutrition, and Metabolism
“The third updated edition of Clinical Exercise Physiology provides college-level health and sports holdings alike with an in-depth examination of the clinical aspects of exercise physiology as it applies to chronic disease, and has been revised throughout to reflect the many changes that have affected the field. Charts, black and white illustrations, discussions of therapy side effects and literature review, and practical applications based on the latest research lend to an in-depth reference perfect for any health or sports collection appealing to professionals and students alike.”
--Midwest Book Review
Excerpts
Exercise prescription for peripheral artery diseasePrevention and treatment of abnormal blood glucose before and after exercise
Treatment, control, and management of hypertension
Ancillaries
All ancillaries are free to course adopters and available at www.HumanKinetics.com/ClinicalExercisePhysiology.Test package. Contains more than 570 true-or-false and multiple-choice questions.
Chapter quizzes. Include 10 to 16 multiple-choice and true-or-false questions per chapter. These ready-made quizzes are compatible with learning management systems to test student understanding.
Presentation package plus image bank. Includes more than 850 PowerPoint slides of text, artwork, and tables from the book that can be used for class discussion and presentation. The slides in the presentation package can be used directly within PowerPoint or printed to make transparencies or handouts for distribution to students. Instructors can easily add, modify, and rearrange the order of the slides.
The companion image bank includes most of the figures, content photos, and tables from the text, sorted by chapter. These can be used in developing a customized presentation based on specific course requirements.
The presentation package plus image bank is also available for purchase • ISBN 978-1-4925-6721-9
Web resource. Features more than 40 case studies that depict real-life scenarios and include discussion questions. Sample answers are provided to instructors for convenient grading.
The web resource is also available for purchase separately • ISBN 978-1-4925-6724-0
