By American College of Sports Medicine
This moment variation is designed to supply a source for workout clinicians operating with sufferers being affected by a large choice of persistent illnesses and disabilities past cardiovascular and pulmonary illness, together with orthopedic, neurologic, metabolic, musculoskeletal, neoplastic, and immunodeficiency stipulations. Following the authors' professional recommendation and illustrative case reviews, readers will paintings with those usually underserved populations through supplying them with workout evaluate, prescription, supervision, schooling, and end result overview. each one bankruptcy, devoted to a selected ailment or ailment, provides an outstanding realizing of epidemiology, pathophysiology, prognosis, and scientific and surgical treatments.
A spouse web site will provide the totally searchable textual content and interactive quizzes.
Read or Download ACSM's Resources for Clinical Exercise Physiology: Musculoskeletal, Neuromuscular, Neoplastic, Immunologic and Hematologic Conditions (2th Edition) PDF
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Extra info for ACSM's Resources for Clinical Exercise Physiology: Musculoskeletal, Neuromuscular, Neoplastic, Immunologic and Hematologic Conditions (2th Edition)
Local anesthetics can be used diagnostically to differentiate between dynamic deformity and fixed contracture or to evaluate the performance of antagonist muscles and to determine the potential functional effects of longeracting agents. Injection of the drugs within the target muscle in the vicinity of the myoneural junction produces the maximum blockade effect. No well-controlled studies have documented the effectiveness of alcohol injection in modifying spasticity in those with CP. Reports in peer-reviewed literature indicate that the clinical effects of alcohol vary in duration and that there are occa- sional complications, including the need for anesthetic because of the pain.
Alberts MJ, Easton JD. Stroke best practices: A team approach to evidence-based care. JAMA 2004;96(4 Supplement):5S–20S. 26. Macko RF, DeSouza CA, Tretter LD, et al. Treadmill aerobic exercise training reduces the energy expenditure and cardiovascular demands of hemiparetic gait in chronic stroke patients. A preliminary report. Stroke 1997;28(2):326–330. 27. Wolf PA, Claggett GP, Easton JP, et al. Preventing Ischemic Stroke in Patients With Prior Stroke and Transient Ischemic Attack: A Statement for Healthcare Professionals From the Stroke Council of the American Heart Association.
A positive response rate of 70% has been reported in appropriately selected ambulatory patients (34). Massin and Allington (39) demonstrated that botulinum A toxin was effective in reducing the energy cost of movement and in improving the endurance of spastic muscles in children with CP. Postoperative pain in children with CP is often a problem and may be difficult to manage with traditional analgesics, such as opiates and benzodiazepines. Barwood et al. (40) conducted a double-blind, randomized, placebo-controlled clinical trial looking at the analgesic affect of botulinum A toxin in children with CP following surgery.
ACSM's Resources for Clinical Exercise Physiology: Musculoskeletal, Neuromuscular, Neoplastic, Immunologic and Hematologic Conditions (2th Edition) by American College of Sports Medicine