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Journal of Clinical Exercise Physiology
The official journal of the Clinical Exercise Physiology Association
www.cepa-acsm.org
An Effort Shared By Many
Clinton A. Brawner and Jonathan K. Ehrman
Journal of Clinical Exercise Physiology. 2014;3(1):1
All rights reserved. No part of this material can be reproduced without written
consent of the Clinical Exercise Physiology Association.
The Journal of Clinical Exercise Physiology is a benefit for members of the
Clinical Exercise Physiology Association.
The Journal of Clinical Exercise Physiology is published by Healthy Learning,
P.O. Box 1828, Monterey, CA 93942 for CEPA. The online version of the Journal
and additional information about the journal and CEPA membership is available at
www.cepa-acsm.org
Copyright © 2014 Clinical Exercise Physiology Association (CEPA).
401 W. Michigan St, Indianapolis, IN 46202-3233.
ISSN 2165-6193 (print), ISSN 2165-7629 (online)
Volume 2, Number 1 | February 2013
Journal of Clinical Exercise Physiology
The offi cial journal of the Clinical Exercise Physiology Association
www.cepa-acsm.org
CONTENTS
From the Editors
Avoiding the Sophomore JinxJonathan K. Ehrman and Clinton A. Brawner
Reviews
Cancer Rehabilitation and Cancer-Related FatigueCarole M. Schneider and Reid Hayward
Resistance Training Strategies for the Clinician: Focus on the Novice ExerciserAnn M. Swank and Nicholas A. Ratamess
High Intensity Interval Training in Patients With Cardiovascular Disease: A Brief Review of Physiologic Adaptations and Suggestions for Future ResearchSteven J. Keteyian
Updates and Evidence Concerning Concussion in the Physically Active PopulationJohna K. Register-Mihalik
Exploring Avenues for Raising HDL CholesterolBenjamin Gordon and J. Larry Durstine
Case Study
Exercise Training for Peripheral Arterial DiseaseMatthew A. Saval and Dennis J. Kerrigan
Point/Counterpoint
Exercise Testing in Patients With Heart Disease Who Participate in Exercise Training
POINT: High Quality or Just Average—The Need for Exercise Testing Before Cardiac RehabilitationLarry F. Hamm
COUNTERPOINT: All Patients Do Not Need an Exercise Test Before Starting Cardiac RehabilitationTimothy R. McConnell
www.healthylearning.com
ISSN 2165-6193 (print)ISSN 2165-7629 (online)
CEPA’S PARTNER IN KNOWLEDGE
Healthy Learning is honored to partner with CEPA in bringing you this journal, “to advance the scientifi c and practical application of clinical exercise physiology for the betterment of the health, fi tness, and quality of life for patients at high risk or living with a chronic disease.”
And, when you need professional resources, keep in mind that Healthy Learning has thousands of DVDs and books in both hard copy and digital format.
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Earn the CDE® Credential and Demonstrate Your Knowledge and Competence
Clinical Exercise Physiologists Clinical Exercise Physiologists (CEP) with an active ACSMClinical Exercise Specialist® (CES) or Registered Clinical Exercise Physiologist® (RCEP) certification are eligible to earn theCertified Diabetes Educator®
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The number of patients yousee with diabetes will continueto increase. The CDE® credential shows you have taken the extra step to ensure you have knowledge your patients need to effectively manage their diabetes.
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Study the authoritative text for ACSM RCEP certi� cationClinical Exercise Physiology, Third Edition, provides a comprehensive look at the clinical aspects of exercise physiology by thoroughly examining the relationship between exercise and chronic disease. Updated and markedly revised throughout, this edition re� ects important changes that have occurred in the � eld. A must-have study tool for those preparing for the ACSM Registered Clinical Exercise Physiologist Examination, the text provides in-depth coverage of all the clinical populations that bene� t from physical activity and exercise.
Clinical Exercise Physiology, Third Edition, includes the following features:• A new chapter on intellectual disability lends evidence to how the fi eld has evolved in
considering patients with more widely diagnosed diseases and conditions.• Case studies covering 27 diseases and populations provide real-world examples of how
to use the information in practice.• Practical application boxes offer tips on maintaining a professional environment for
client–clinician interaction, a literature review, and a summary of the key components of prescribing exercise.
• Clinical Exercise Physiology Pearls describe vital bits of information to be applied to the patient population.
The text also features a test package and presentation package plus image bank for instructors at www.HumanKinetics.com/ClinicalExercisePhysiology.
©2013 • Hardback • 776 pp Print: ISBN 978-1-4504-1280-3$94.00 ($104.95 CDN, £63.99 UK, €83.20 EURO, $124.10 AUS, $154.60 NZ)E-book: ISBN 978-1-4504-5898-6$52.00 ($55.95 CDN, £35.99 UK, €46.80 EURO, $62.90 AUS, $77.70 NZ)
College Instructors:To request an exam copy, please visit our website at www.Human Kinetics.com/Higher-Education.
For more information or to order, visit www.HumanKinetics.com or call:(800) 747-4457 US • (800) 465-7301 CDN • 44 (0) 113-255-5665 UK(08) 8372-0999 AUS • 0800 222 062 NZ • (217) 351-5076 International
HUMAN KINETICSThe Information Leader in Physical Activity & Health
C852
true breath-by-breath metabolic analysis
to learn more visit www.mgcdiagnostics.com
TEST MODES (STANDARD)
˚ Spirometry: FVC, SVC, MVV
˚ Integrated 12 Lead ECG
˚ O2 and CO2 Exercise Testing
˚ HAST: High Altitude Simulation Test
˚ Elevated FiO2 Test
˚ ABG: Arterial Blood Gas Entry
˚ Direct Fick Cardiac Output
ADDITIONAL TEST MODES (OPTIONAL)
˚ Bronchial Provocation
˚ NICO: Indirect Fick Cardiac Output
˚ Nutritional Assessment
Treadmill & Ergometer compatible
Cost effective testing with disposable and reusable testing supplies
CONFIGURATIONS
SOFTWARE FEATURES (STANDARD)
˚ ATS/ERS Error Codes
˚ Device Control
˚ Disability Reports
˚ HIPAA/HITECH Security
˚ Manual Data Entry
˚ Microsoft® SQL Database
˚ O2 Kinetics
˚ OUES: Oxygen Updake
Efffi ciency Slope
˚ Pediatric Incentives
˚ Report Designer
˚ Trend Reports
˚ User-Defi ned Predicteds
˚ VE/VCO2 Slope
˚ VO2/Work SlopeUltima™ CardiO2
® gas exchange analysis system
Got an idea for a book?
EMAIL US [email protected] SUBMISSION GUIDELINES
888.229.5745 www.heal thylearning.com
1
An Effort shared By many
With this issue of the Journal of Clinical Exercise Physiology (JCEP), we are happy to announce JCEP’s inaugural team of section editors (see
page iv). The addition of section editors is an important step in preparing JCEP for future growth, such as a more fre-quent publication schedule and an open submission for arti-cles. We are grateful that these individuals are willing to contribute their time to JCEP. Our gratitude also extends to the individuals who have authored and reviewed articles for JCEP. Because this is a new publication that is not yet indexed by the US National Library of Medicine’s Medline®, publishing in JCEP does not currently carry the same pro-fessional weight as would publication in an indexed journal. Finally, thanks also go out to all who see JCEP and its poten-tial to be the go-to professional journal for the clinical exer-cise physiologist.
One of our goals when JCEP was conceptualized was to provide review articles that would have some shelf life, thereby being a resource for students and professionals to get up to speed on a topic and provide a foundation for fur-ther study. At the same time, we knew the topics had to be diverse, even though more than 75% of clinical exercise physiologists work primarily with patients with cardiovas-cular disease. Diversity is important because of the high prevalence of comorbidities in these patients and the
growing body of knowledge on the benefits of physical activity and exercise training among individuals with other conditions, such as cancer. This diversity is seen in the cur-rent issue of JCEP. Among the reviews in this issue, Dr. Lynette Craft and Dr. Anne Fish shed light on evidence-based practice and the development of scientific statements and Dr. Brad Roy and colleagues discuss the potential of health and wellness coaching to improve patient adherence to behavioral change. In addition, Dr. Dennis Kerrigan and colleagues present an interesting case study on postural orthostatic tachycardia syndrome. In the point/counterpoint, Drs. Paul Visich, Gregory Dwyer, and Donald Cummings discuss the merits of different undergraduate routes of study in exercise science with a goal of a career in clinical exercise physiology. Finally, with this issue of JCEP, we introduce a new section: Expert Commentaries. In this section, Mr. Rob-ert Berry discusses programmatic considerations in anticipa-tion of the US Medicare’s coverage of cardiac rehabilitation for patients with heart failure and Dr. Quinn Pack reviews several new guidelines related to cardiovascular disease.
Finally, it is with a heavy heart that we share the passing of one our colleagues and previous contributors to JCEP: Dr. Carole Schneider. She was a pioneer in cancer and exercise rehabilitation. We appreciate the contribution from Cathy Heise in Dr. Schneider’s memory.
Clinton A. Brawner, PhD, ACSM-RCEPJonathan K. Ehrman, PhD, ACSM-CESCo-Editors-in-Chief, Journal of Clinical Exercise PhysiologyHenry Ford Hospital, Detroit, MI
From thE Editors