m o c . p u o r g e m o h t p . w w w m o c . p u o r g e m o h t p . w w w 0674 ch FM(i-xxviii).ps 9/22/05 2:35 PM Page i Basis of Human Movement in Health and Disease m o c . p u o r g e m o h t p . w w w 0674 ch FM(i-xxviii).ps 9/22/05 2:35 PM Page ii m o c . p u o r g e m o h t p . w w w 0674 ch FM(i-xxviii).ps 9/22/05 2:35 PM Page iii Basis of Human Movement in Health and Disease m Stanley P. Brown, PhD, FACSM, FSGC Dean, School of Health Sciences o c Our Lady of the Lake College . Baton Rouge, Louisiana p u Wayne C. Miller, PhD, FACSM o r Professor, Department of Exercise Science g The George Washington University Medical Center e Washington, District of Columbia m o Jane M. Eason, PhD, PT h Associate Professor t p Department of Physical Therapy . Louisiana State University Health Sciences Cwenter New Orleans, Louisiana w w 0674 ch FM(iv-iv).ps 10/25/05 9:10 AM Page iv Acquisition Editor: Emily Lupash Development Manager: Nancy Peterson Managing Editor: Linda Napora Editorial Coordinator: Katherine Staples Marketing Manager: Christen D. Murphy Production Editor: Kevin Johnson Designer: Risa Clow Artist: Mark M. Miller Compositor: Maryland Composition Inc Printer: RR Donnelley & Sons Copyright © 2006 Lippincott Williams & Wilkins 351 West Camden Street Baltimore, MD 21201 530 Walnut Street Philadelphia, PA 19106 m o All rights reserved. This book is protected by copyright. No part of this book may be reproduced in acny form or by any means, including photocopy- ing, or utilized by any information storage and retrieval system without written permission from t.he copyright owner. p The publisher is not responsible (as a matter of product liability, negligence, or otherwise) fuor any injury resulting from any material contained here- in. This publication contains information relating to general principles of medical care thoat should not be construed as specific instructions for indi- vidual patients. Manufacturers’ product information and package inserts should be reviewed for current information, including contraindications, r dosages, and precautions. g e Printed in the United States of America m Library of Congress Cataloging-in-Publication Data o Brown, Stanley P. h Exercise physiology : basis of human movement in health atnd disease / Stanley Brown, Wayne Miller, Jane Eason. p p. ; cm. . w Includes bibliographical references and index. ISBN 0-7817-3592-0 w 1. Exercise—Physiological aspects. I. Miller, Wayne C. II. Eason, Jane. III. Title. [DNLM: 1. Exercise—physiology. 2. Movwement—physiology. 3. Exercise Therapy. 4. Physical Fitness—physiology. WE 103 B8792e 2006] QP301.B889 2006 612(cid:2).04—dc22 2005022533 The publishers have made every effort to trace the copyright holders for borrowed material. If they have inadvertently overlooked any, they will be pleased to make the necessary arrangements at the first opportunity. To purchase additional copies of this book, call our customer service department at (800) 638-3030or fax orders to (301) 824-7390.International customers should call (301) 714-2324. Visit Lippincott Williams & Wilkins on the Internet: http://www.LWW.com.Lippincott Williams & Wilkins customer service representatives are avail- able from 8:30 am to 6:00 pm, EST. 06 07 08 09 10 1 2 3 4 5 6 7 8 9 10 0674 ch FM(i-xxviii).ps 9/22/05 2:35 PM Page v Dedication To Yvonne for her love and uncommon patience—SB Dedicated to all those from whom I have obtained knowledge, wisdom, and understanding throughout my life—WM To my husband, Neil Delude, for his support of my continual involvement in projects that keep me working long hours; to my parents, Claire and Louis, who instilled in me the value of an education and taught me that anything is possible with faith and perseverance; and to my nephews, Adam and Zachary, who remind me of the joy in the simple things of life—JE m o c . p u o r g e m o h t p . w w w 0674 ch FM(i-xxviii).ps 9/22/05 2:35 PM Page vi m o c . p u o r g e m o h t p . w w w 0674 ch FM(i-xxviii).ps 9/22/05 2:35 PM Page vii Foreword I n recent years, the number of resources available to stu- The purpose of this Foreword is not to engage in that dents in the study exercise physiology has been impres- debate, but rather to endorse Exercise Physiology: Basis of sive. In many ways, texts have reflected the growth and Human Movement in Health and Diseaseas a new and excel- diversification of exercise physiology as an area of fo- lent resource that embraces the needs of students as they cused study—and possibly a career. consider the path they may choose to follow in the study of I think of this in the context of my own career path. exercise. As we engage the health care challenges of the 21st As an undergraduate and even graduate student at the century, the knowledge of basic and applied physiology is master’s degree level in the mid-1970s, exercise physiolo- fundamentally important for anyone involved in improved gy was unique to preparation of physical educators and, public health—from physical educators to exercise physi- to a limited degree in the evolving area of clinical ologists to physical therapists and, yes, even physicians. exercise physiology, for newly-emerging treatment pro- The authors have amddressed the contemporary need to grams in cardiac rehabilitation. Beyond the master’s appreciate exercise physiology as both a basic and applied o degree level at that time, advanced study of basic and science, and have extended their reach to important clini- c applied research of specialized areas within exercise phys- cal applications across the life span. Whether the reader is . iology extended the knowledge base of exercise science. interested pin promoting play among children, improving As my own career branched into the clinical exercise the peruformance of athletes, resolving physical impair- management of people with cardiovascular, pulmonary, menots in the injured, or preventing or rehabilitating people ormetabolic disease, studying the variants of normal exer- with chronic disease, this text represents the contemporary r cise physiology in the context of these pathologies was gevolution of preparatory resources available in the broad essential. e application of exercise physiology in health and disease. In recent years, research has demonstrated the efficamcy of exercise training as an important intervention for Reed Humphrey, PT, PhD, FACSM, FAACVPR o numerous other pathologies and conditions. Indeed, there Professor of Physical Therapy h is active debate as to whether exercise physiology is an Kasiska College of the Health Professions t academic discipline or a profession in its owpn right. Idaho State University . w w w vii 0674 ch FM(i-xxviii).ps 9/22/05 2:35 PM Page viii m o c . p u o r g e m o h t p . w w w
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