Clinical Exercise Testing and Prescription: Theory and Application.Roberts SO, Robergs RA, Hanson P. Boca Raton, FL 33431, CRC Press, 1997, hardcover, 316 pp, illus, $79.95. This text provides the reader with an excellent overview of the state of the art in exercise testing and prescription. The information included is valuable for any physical therapist or other rehabilitation specialist concerned with the safe and effective application of therapeutic exercise. The book's 14 chapters cover the important issues involved in exercise testing and prescription with a remarkable degree of both breadth and depth. The first chapter contains a quick review of exercise physiology, including definitions and examples of work, power, and intensity. This review is reinforced in chapters 2 and 3, which cover cardiovascular and pulmonary function-related adaptations to exercise. These chapters detail the elements of cardiovascular function, oxygen transport, and oxygen consumption. The next chapter covers neuromuscular function-related adaptations to exercise. The chapter on aspects of exercise influenced by sex and aging is full of valuable information. The effects of sex and aging on aerobic and anaerobic anaerobic /an·aer·o·bic/ (an?ah-ro´bik) 1. lacking molecular oxygen. 2. growing, living, or occurring in the absence of molecular oxygen; pertaining to an anaerobe. power, muscular strength, and coordination in addition to the effects of exercise on menstrual function and pregnancy are addressed. The effects of age on basal metabolic rate basal metabolic rate n. Abbr. BMR The rate at which energy is used by an organism at complete rest, measured in humans by the heat given off per unit time, and expressed as the calories released per kilogram of body weight or per square , maximum oxygen consumption and heart rate, oxygen transport, stroke volume, and training adaptations are discussed. This chapter includes brief discussions on motor function, muscle strength, flexibility, osteoporosis, hormones, and exercise safety. Five chapters directly address issues regarding exercise testing. These chapters explain the physiological basis, modes, and contraindications and indications for exercise testing in detail. The guidelines for exercise testing cite standards developed and promoted by the American College of Cardiology The American College of Cardiology (ACC) is a nonprofit medical association established in 1949 to educate, research and influence health care public policy. The president for the 2006–2007 year is Steven E. Nissen. [1] The organization has 39 chapters in the U.S. , the American Heart Association American Heart Association (AHA), n.pr a national voluntary health agency that has the goal of increasing public and medical awareness of cardiovascular diseases and stroke, and thereby reducing the number of associated deaths and disabilities. , and the American College of Sports Medicine '''Founded in 1954, the AMERICAN COLLEGE OF SPORTS MEDICINE is the largest sports medicine and exercise science organization in the world. More than 20,000 international, national and regional members are dedicated to advancing and integrating scientific research to provide educational . Different exercise test protocols are compared along with information on test preparation and conduct. Interpretation of electrocardiography electrocardiography (ĭlĕk'trōkärdēŏg`rəfē), science of recording and interpreting the electrical activity that precedes and is a measure of the action of heart muscles. , stress electrocardiography, and radionuclide tests each receive a full chapter. These chapters are easily read and understood, except for the images of 12-lead electrocardiograms, which are small and lack detail. Chapter 12 covers exercise prescription and includes topics such as warmup, cool-down, mode, intensity, frequency, duration, progression, and rest. Special considerations for conditions -- including, but not limited to, peripheral vascular disease Peripheral Vascular Disease Definition Peripheral vascular disease is a narrowing of blood vessels that restricts blood flow. It mostly occurs in the legs, but is sometimes seen in the arms. (PVD), diabetes, hypertension, chronic obstructive pulmonary disease chronic obstructive pulmonary disease n. Abbr. COPD A chronic lung disease, such as asthma or emphysema, in which breathing becomes slowed or forced. (COPD COPD chronic obstructive pulmonary disease. COPD abbr. chronic obstructive pulmonary disease Chronic obstructive pulmonary disease (COPD) ), cancer, and arthritis--are discussed. The book culminates in chapters devoted to behavioral change and the overall effects of exercise on health or disease. The book is well-illustrated with more than 180 figures, and any reader requiring additional information in any topic covered will find more than 900 references. This book will make an excellent addition to the library of any individual interested in exercise testing and prescription. John P Sanko, EdD, PT University of Scranton Scranton, Pa Dr Sanko is an Associate Professor in the Physical Therapy Department. He is primarily responsible for the cardiopulmonary and research courses and is currently involved in researching factors that influence heart rate and blood pressure variability. |
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