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

The American College of Sports Medicine (ACSM), founded in 1954, is a professional membership society with more than 50,000 national, regional, and international members in more than 90 countries dedicated to improving health through science, education, and medicine. ACSM members work in a 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.

• Part I. Foundations of Exercise in Chronic Disease and DisabilityGeoffrey E. Moore, J. Larry Durstine, and Patricia L. PainterChapter 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. MooreDefinitions 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. MooreStep 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. PainterCommon 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 ComorbiditiesGeoffrey E. Moore and J. Larry DurstineChapter 5. Approach to the Common Chronic Conditions Geoffrey E. Moore, Patricia L. Painter, J. Larry Durstine, and Benjamin T. GordonNature 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. KrausHypertension 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. PhillipsChronic Obstructive Pulmonary Disease Coronary Artery Disease and Atherosclerosis Angina and Silent Ischemia Peripheral Arterial Disease Suggested Readings Additional Resources Chapter 8. Cancer Kathryn SchmitzBasic 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 MackoDepression as a Comorbidity Lower-Limb Amputation Frailty Suggested Readings Additional Resource Part III. Cardiovascular DiseasesJonathan N. Myers and Peter H. BurbakerChapter 10. Chronic Heart Failure Peter H. Brubaker and Jonathan N. MyersBasic 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 AtwoodBasic 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 LewisPermanent 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. ParkerBasic 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. MyersManagement 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 DiseasesTony BabbChapter 16. Chronic Restrictive Pulmonary Disease Connie C. W. HsiaBasic 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. RundellBasic 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 TakkenManagement 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 ChinManagement 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 FailureDavid C. NiemanChapter 20. Chronic Kidney and Liver Disease Patricia L. PainterRenal 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. DudgeonBasic 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. NiemanBasic 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. NiemanBasic 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. NiemanBasic 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 ConditionsElizabeth J. Protas and Richard MackoChapter 25. Stroke, Brain Trauma, and Spinal Cord Injuries Richard MackoBasic 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-MackoBasic 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 Désirée MaltaisBasic 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 SealeBasic 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. StanleyBasic 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 BartelsBasic 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 DisordersBradley D. HatfieldChapter 31. Dementia and Alzheimer's Disease Jessica S. Oldham, Jo B. Zimmerman, and Bradley D. HatfieldBasic 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. HatfieldBasic 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 StudiesGeoffrey E. MooreAbdominal 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