Physical Activity for the Chronically Ill and Disabled

Authors: Durstine J.L.1; Painter P.2; Franklin B.A.3; Morgan D.4; Pitetti K.H.5; Roberts S.O.6

Source: Sports Medicine, Volume 30, Number 3, 1 September 2000 , pp. 207-219(13)

Publisher: Adis International

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Abstract:

Exercise prescription principles for persons without chronic disease and/or disability are based on well developed scientific information. While there are varied objectives for being physically active, including enhancing physical fitness, promoting health by reducing the risk for chronic disease and ensuring safety during exercise participation, the essence of the exercise prescription is based on individual interests, health needs and clinical status, and therefore the aforementioned goals do not always carry equal weight. In the same manner, the principles of exercise prescription for persons with chronic disease and/or disability should place more emphasis on the patient's clinical status and, as a result, the exercise mode, intensity, frequency and duration are usually modified according to their clinical condition. Presently, these exercise prescription principles have been scientifically defined for clients with coronary heart disease. However, other diseases and/or disabilities have been studied less (e.g. renal failure, cancer, chronic fatigue syndrome, cerebral palsy). This article reviews these issues with specific reference to persons with chronic diseases and disabilities.

Keywords: Exercise prescription; Exercise therapy; Handicapped

Document Type: Review article

Affiliations: 1: Department of Exercise Science, University of South Carolina, Columbia, South Carolina, USA 2: Department of Physiologic Nursing, University of California, San Francisco, California, USA 3: Cardiac Rehabilitation and Exercise Laboratories, William Beaumont Hospital and Department of Physiology, School of Medicine, Wayne State University, Detroit, Michigan, USA 4: Department of Exercise and Sport Sciences, University of North Carolina - Greensboro, Greensboro, North Carolina, USA 5: Department of Public Health Sciences, College of Health Professions, Witchita State University, Wichita, Kansas, USA 6: Department of Physical Education, Health, and Leisure Services, Central Washington University, Ellensburg, Washington, USA

Publication date: 2000-09-01

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