1st Edition
Clinical Exercise Pathophysiology for Physical Therapy Examination, Testing, and Exercise Prescription for Movement-Related Disorders
In order to effectively examine, test, and treat patients with exercise, physical therapists need to understand how physiology from the cellular to the systems level provides the basis for normal responses to exercise. But that is not enough. Knowledge about pathophysiology, the changes that lead to abnormal responses to exercise in different patient populations, is also essential.
Clinical Exercise Pathophysiology for Physical Therapy: Examination, Testing, and Exercise Prescription for Movement-Related Disorders is a comprehensive reference created to answer the “why” and the “how” to treat patients with exercise by offering both comprehensive information from the research literature, as well as original patient cases.
Dr. Debra Coglianese, along with her contributors, have arranged Clinical Exercise Pathophysiology for Physical Therapy into three parts: foundations of physiological responses, pathophysiology of deconditioning and physiology of training, and pathophysiology considerations and clinical practice. The chapters present the physiology and pathophysiology for defined patient populations consistent with the American Physical Therapy Association’s Guide to Physical Therapy Practice.
Patient cases also supplement each chapter to illustrate how understanding the content of the chapter informs physical therapy examination, testing, and treatment. The patient/client management model from the Guide to Physical Therapy Practice defines the structure of the patient cases, and the International Classification of Function, Disability, and Health (ICF) model of disablement has been inserted into each patient case. Highlighted “Clinician Comments” appear throughout each patient case to point out the critical thinking considerations.
Included with the text are online supplemental materials for faculty use in the classroom.
Clinical Exercise Pathophysiology for Physical Therapy: Examination, Testing, and Exercise Prescription for Movement-Related Disorders is a groundbreaking reference for the physical therapy student or clinician looking to understand how physiology and pathophysiology relate to responses to exercise in different patient populations.
About the Editor i
Dedication
Foreword by Cynthia Coffin-Zadai, DPT, MS, FAPTA
Preface
Acknowledgments
Section I Foundations of Physiological Responses
Chapter 1 Cardiovascular and Pulmonary System
Daniel Malone, PT, PhD, CCS
Chapter 2 Developing Systems: Birth to Adolescence
David Chapman, PT, PhD
Case Study 2-1 (Jill)
Joanell A. Bohmert, PT, DPT, MS
Case Study 2-2 (Jack)
Kathleen Coultes, PT, PCS
Chapter 3 System Changes in the Aging Adult
Alison L. Squadrito, PT, DPT, GCS, CEEAA
Case Study 3-1 (Ms. Arbor) 1
Alison L. Squadrito, PT, DPT, GCS, CEEAA
Section II Pathophysiology of Deconditioning and Physiology of Training
Chapter 4 Fatigue and Deconditioning
LeeAnne Carrothers, PT, PhD
Case Study 4-1 (Mr. Biscotti)
Kerri Lang, PT, DPT
Chapter 5 Principles of Training and Exercise Prescription
Skye Donovan, PT, PhD, OCS and LeeAnne Carrothers, PT, PhD
Case Study 5-1 (Mr. Cedar)
Lola Sicard Rosenbaum, PT, DPT, MHS
Case Study 5-2 (Ms. Caster) 197
Mary Jane Myslinski, PT, EdD
Section III Pathophysiological Considerations and Clinical Practice
Chapter 6 Individuals With Cardiovascular Pump Dysfunction
Daniel Malone, PT, PhD, CCS and Scot Irwin, PT, DPT, CCS
Case Study 6-1 (Ms. Damask)
Scot Irwin, PT, DPT, CCS
Chapter 7 Individuals With Peripheral Vascular Disorders
Cheryl L. Brunelle, PT, MS, CCS, CLT
Case Study 7-1 (Mr. Eagle)
Cheryl L. Brunelle, PT, MS, CCS, CLT; Paul D. Gaspar, PT, DPT, CCS; and Robert M. Snow, PT, DPT, OCS, ATC
Chapter 8 Individuals With Ventilatory Pump Disorders
Jane L. Wetzel, PT, PhD
Case Study 8-1 (Mr. Fortnight)
Jane L. Wetzel, PT, PhD
Chapter 9 Individuals With Gas-Exchange Disorders
Jane L. Wetzel, PT, PhD and Brian D. Roy, PT, DPT, MS, CCS
Case Study 9-1 (Ms. Garden)
Brian D. Roy, PT, DPT, MS, CCS
Chapter 10 Individuals With Localized Musculoskeletal and Connective Tissue Disorders
Debra Coglianese, PT, DPT, OCS, ATC
Case Study 10-1 (Mr. Halo)
Debra Coglianese, PT, DPT, OCS, ATC
Chapter 11 Individuals With Systemic Musculoskeletal and Connective Tissue Disorders
Susan L. Edmond, PT, DSc, OCS
Case Study 11-1 (Ms. Icon)
Susan L. Edmond, PT, DSc, OCS
Chapter 12 Individuals With Motor Control and Motor Function Disorders
Lisa Brown, PT, DPT, NCS
Case Study 12-1 (Mr. Julep)
Laura Klassen, DipPT, BPT, MSc
Case Study 12-2 (Mrs. Jelly)
Vanina Dal Bello-Haas, PT, PhD
Chapter 13 Individuals With Multi-System Disorders
Melanie A. Gillar, PT, DPT, MA
Case Study 13-1 (Dr. Lacrosse)
Melanie A. Gillar, PT, DPT, MA
Case Study 13-2 (Ms. Ledger)
Melanie A. Gillar, PT, DPT, MA and Nancy Gage, PT, DPT
Financial Disclosures
Index
Biography
Debra Coglianese, PT, DPT, OCS, ATC is a clinical specialist with the Mercy Health System, with over three decades’ experience. She holds her Doctor of Physical Therapy from the MGH Institute of Health Professions and her MS in physical therapy from the University of Southern California. After initially practicing in a thoracic surgery ICU, Dr. Coglianese focused on treating musculoskeletal patients in outpatient settings and is specialty board certified in orthopedics. She has lectured nationally, taught for four years as a section leader for the Comprehensive Case course for entry-level DPT students at MGH Institute of Health Professions, and frequently supervised students in clinical training. Prior to her current practice in Pennsylvania, she practiced with the University of Michigan Health System, Massachusetts General Hospital, and Beth Israel Deaconess Medical Center. Still earlier, she served as a physical therapist assistant at the Idaho State School and Hospital and then as an athletic trainer at the College of Idaho. Dr. Coglianese has previously been published in the Journal of Orthopaedic & Sports Physical Therapy and as a regular abstractor and book reviewer for the Journal of Physical Therapy. She continues to be certified as an athletic trainer.
“This is a useful addition to the field of physical therapy. Chapters are comprehensive, well organized, and easy to follow, enabling both students and licensed physical therapists to get the most from the book.”
- Michelle Layton, DPT, OCS, MTC, CMTPT, FAAOMPT, Bethesda Physiocare, Doody’s Review Service
