Physical Activity for the Chronically Ill and Disabled
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Sports Med 2000 Sep; 30 (3): 207-219 0112-1642/00/0009-0207/$20.00/0 © Adis International Limited. All rights reserved.
Physical Activity for the Chronically Ill and Disabled J. Larry Durstine,1 Patricia Painter,2 Barry A. Franklin,3 Don Morgan,4 Kenneth H. Pitetti5 and Scott O. Roberts6 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
Contents Abstract . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1. Consequences of Inactivity . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2. Mobility . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3. Research Limitations . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 4. Exercise Programming Considerations . . . . . . . . . . . . . . . . . . . . . . . . . . 4.1 Accessibility . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 4.2 Safety . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 4.3 Effectiveness . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 4.4 Enjoyment . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 5. Exercise Prescription Principles . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 6. Incorporation of Physical Activity and Physical Functioning into the Overall Health Care Plan . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 7. Call for Action and Conclusion . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Abstract
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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 manne
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