Exercise physiology for health care professionals

As exercise becomes a cornerstone of more treatment modalities, it's critical that physical therapists and other health care professionals understand how to apply general exercise physiology concepts in clinical settings. Exercise Physiology for Health Care Professionals is an exciting text that provides the essential information to make the important leap from the classroom to the clinic.

The authors-both respected authorities in the field-draw from more than 40 years of combined experience teaching physical therapists and other health care professionals. They present dozens of fascinating case studies that bring the study of exercise physiology to life and provide rich opportunities for instructors and students to work through problems.

Exercise Physiology for Health Care Professionals is unique in its focus on both the healthy and the unhealthy, providing valuable information not available in other exercise physiology texts. Students will learn how to apply the vital principles of exercise physiology to various populations and avoid trial and error once they are in actual clinical settings.

The book's practical problem-solving approach effectively engages the reader in interactive thinking and helps to make the material real and relevant. Exercise Physiology for Health Care Professionals identifies the essential information students need to know in an easy-to-absorb and easy-to-remember format. Features include the following:

-54 case studies help you quickly grasp the many different applications of these concepts.

-Seven chapters cover how various diseases and age affect clinical aspects of exercise physiology.

-Highlighted key terms and concepts reinforce the most critical information.

-Review material summarizes each chapter.

-Glossary and index make it easy to find information.

-Answers to chapter review questions, provided in an appendix, allow students to test their understanding.
With strong emphasis on understanding rather than memorizing, this practical text will thoroughly prepare students to problem solve and make sound judgments in situations specific to professional environments.

Author Notes

Frank Cerny, PhD, has been involved in the clinical/applied aspects of physiology since the beginning of his 30-year career as an exercise physiologist. In 1985, he joined the faculty of the department of physical therapy and exercise science at the State University of New York at Buffalo. As chair of the department since 1991, he has been involved in many clinical aspects of physical therapy. An award-winning teacher, Dr. Cerny has an established scientific reputation in the areas of understanding the exercise response in patients with cystic fibrosis and in developing programs for these patients as part of their treatment. He earned his PhD from the University of Wisconsin at Madison and conducted postdoctoral research at the Sports Medicine Clinic in Freiburg, Germany. Dr. Cerny is a fellow in the American College of Sports Medicine (ACSM).

Harold Burton, PhD, has been teaching exercise physiology for 14 years. Currently, he is with the State University of New York at Buffalo where he is an associate professor and has been director of the program in exercise science for the past six years. He is a consultant to sports medicine clinics, professional sports teams, and many physical therapists. His research has been published in leading journals in the field. Dr. Burton is a fellow in the ACSM.

To the Instructor	p. ix
To the Student	p. xi
Acknowledgments	p. xv
Chapter 1 Bioenergetics	p. 1
Sources of Energy	p. 1
Oxygen Consumption	p. 2
Work, Power, and Energy	p. 3
Metabolic Calculations	p. 4
Chapter 2 Nutrition	p. 9
Carbohydrates	p. 9
Fats	p. 11
Proteins	p. 14
Vitamins and Minerals	p. 16
Chapter 3 Energy Balance	p. 23
Physical Activity	p. 23
Special Requirements for Disease States	p. 27
Weight Management	p. 29
Assessing Physical Activity	p. 35
Chapter 4 Metabolism	p. 39
Sources of ATP	p. 39
Glycolysis	p. 41
Tricarboxylic Acid (TCA) Cycle	p. 46
Oxidation	p. 46
Lipid Oxidation	p. 47
Metabolic Integration	p. 49
Chapter 5 Metabolic Diseases	p. 59
Diabetes	p. 59
McArdle's Disease	p. 69
Chapter 6 Neural Control of Movement	p. 73
Transmission of Neural Information	p. 74
Input, Conduction, and Output Signals	p. 77
Organization of Sensory and Motor System	p. 82
Proprioception	p. 86
Major Functional Systems	p. 90
Motor Units	p. 91
Chapter 7 Neuropathies of the Nervous System	p. 105
Infections and Inflammation of the CNS	p. 106
Degenerative Diseases of the CNS	p. 108
Vascular Lesions: Stroke	p. 114
Peripheral Nervous System	p. 116
Chapter 8 Skeletal Muscle Structure and Function	p. 121
Muscle Development	p. 122
Muscle Structure	p. 123
Contractile Function	p. 127
Contractile Properties	p. 129
Factors Affecting Exercise Performance	p. 138
Chapter 9 Muscle Plasticity	p. 149
Basic Principles of Muscle Training	p. 149
Conditioning and Deconditioning	p. 155
General Principles of Rehabilitation	p. 161
Exercise-Induced Muscle Injury	p. 162
Chapter 10 Muscular Diseases	p. 169
Muscular Dystrophy	p. 169
Congenital Myopathies	p. 171
Corticosteroid-Induced Alterations in Muscle	p. 173
Chapter 11 Pulmonary System	p. 177
Gas Exchange	p. 178
Respiratory Mechanics	p. 186
Control of Ventilation	p. 189
Oxygen Transport	p. 192
Carbon Dioxide Transport	p. 193
Special Considerations	p. 193
Chapter 12 Pulmonary Diseases	p. 197
Obstructive	p. 197
Restrictive	p. 205
Rehabilitation	p. 205
Chapter 13 Cardiovascular System	p. 213
Cardiac Output	p. 214
Anatomy and Function of the Heart	p. 216
Basic Electrocardiography	p. 221
Blood Pressure Responses	p. 223
Volume Versus Pressure Overload of the Heart	p. 227
Chapter 14 Cardiovascular Diseases	p. 233
Risk Factors	p. 233
Cardiac Diseases	p. 235
Vascular Diseases	p. 236
Prevention and Rehabilitation	p. 237
Chapter 15 Pediatrics	p. 245
Growth and Development	p. 245
Growth and Development of Exercise Capacities	p. 250
Activity and Growth	p. 254
Chapter 16 Aging	p. 257
Primary Versus Secondary Aging	p. 257
Decline in Functional Capacity	p. 260
Physical Activity and Aging	p. 267
Chapter 17 Exercise in Various Environments	p. 273
Exercise in the Heat	p. 273
Exercise Responses to Heat Stress	p. 275
Exercise at Altitude	p. 284
Chapter 18 Exercise Testing and Prescription	p. 291
Reasons for Exercise Testing	p. 291
Types of Exercise Tests	p. 293
Safety Considerations	p. 296
Exercise Prescription	p. 297
The Cardiovascular Exercise Prescription	p. 302
Appendix A Calculation of Oxygen Consumption (VO[subscript 2])	p. 307
Appendix B Energy Expenditure Calculations for Treadmill or Cycle Ergometer Exercise	p. 309
Appendix C Compendium of Physical Activities	p. 313
Appendix D Body Fat Estimates	p. 327
Appendix E Questionnaires	p. 331
Appendix F Answers and Possible Solutions to Review Questions	p. 335
Credits	p. 351
Glossary	p. 353
Index	p. 367
About the Authors	p. 383

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