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Cardiac Rehabilitation: Exercise Testing and Prescription, vol. 2.


Cardiac Rehabilitation Cardiac Rehabilitation Definition

Cardiac rehabilitation is a comprehensive exercise, education, and behavioral modification program designed to improve the physical and emotional condition of patients with heart disease.
: Exercise Testing and Prescription, vol 2 This comprehensive test was compiled by editors who intended to reach professionals in the areas of athletic training athletic training Sports medicine The practice of physical conditioning and reconditioning of athletes and prevention of injuries incurred by athletes. See Athlete, Athletic trainer.  and rehabilitation rehabilitation: see physical therapy. , cardiac rehabilitation, corporate and hospital-based fitness and wellness programs, nutrition, and sports medicine sports medicine, branch of medicine concerned with physical fitness and with the treatment and prevention of injuries and other disorders related to sports. Knee, leg, back, and shoulder injuries; stiffness and pain in joints; tendinitis; "tennis elbow"; and . The book's content is very appropriate for this intended audience. The text is divided into four sections.

Part 1, Administrative Concerns, includes an extensive overview of insurance, a brief discussion of cardiac rehabilitation equipment, approaches for improving physician involvement, and an interesting chapter on who should administer cardiac rehabilitation--the nurse, exercise physiologist, physician, or physical therapist. Job descriptions for some key personnel in a cardiac rehabilitation unit are outlined. A detailed performance appraisal Performance appraisal, also known as employee appraisal, is a method by which the performance of an employee is evaluated (generally in terms of quality, quantity, cost and time).  is provided as a very useful tool for employee evaluation in a cardiac rehabilitation setting.

Part 2, Cardiac Rehabilitation and Exercise Prescription Concerns, and Part 3, Exercise Testing, are more involved with applied physiological principles. These sections cover prescribing exercise for the well-conditioned patient, upper extremity upper extremity
n.
The shoulder, arm, forearm, wrist, or hand. Also called superior limb, thoracic limb.
 exercise, energy cost of occupational work, counseling for leisure activity, the importance of behavioral intervention behavioral intervention Behavior modification, behavior 'mod', behavioral therapy, behaviorism Psychiatry The use of operant conditioning models, ie positive and negative reinforcement, to modify undesired behaviors–eg, anxiety. , and the different approaches to exercise testing.

The last section, Drug and Nondrug Treatment of Coronary Artery Disease coronary artery disease, condition that results when the coronary arteries are narrowed or occluded, most commonly by atherosclerotic deposits of fibrous and fatty tissue. , is a very short discussion on the nonpharmacological and pharmacological treatment of the disease, including sections on the effects of sodium and fat restriction, weight reduction, exercise, smoking, and alcohol on hypertension and dyslipidemia.

The material in this text is well written and organized. The outlines presented in the discussions of the performance appraisal, job descriptions, and steps for a leisure-counseling program are concise and clear. One outstanding feature of the text is the degree of research cited, which can be used to clarify points made in the text.

Much of this book is concerned with managerial information, so those physical therapy practitioners searching for resource material about the basics of cardiac rehabilitation would do well to find another source of information. Because the text is well written and cites knowledgeable references, however, it is well suited for those individuals initiating new cardiac rehabilitation programs (who already have obtained entry-level competencies in cardiac rehabilitation) or for those professionals working in existing programs, to upgrade their procedures. Students probably would find this text useful only for research and reference.
COPYRIGHT 1989 American Physical Therapy Association, Inc.
No portion of this article can be reproduced without the express written permission from the copyright holder.
Copyright 1989, Gale Group. All rights reserved. Gale Group is a Thomson Corporation Company.

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Article Details
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Author:Croft, Janice J.
Publication:Physical Therapy
Article Type:Book Review
Date:Sep 1, 1989
Words:371
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