Every year, around the world, between 250,000 and 500,000 people suffer a spinal cord injury (SCI). Those with an SCI are two to five times more likely to die prematurely than people without a spinal cord injury, with worse survival rates in low- and middle-income countries. Dynamic aerobic requires integrated physiologic responses across the musculoskeletal, cardiovascular, autonomic, pulmonary, thermoregulatory, and immunologic systems. Moreover, regular aerobic exercise beneficially impacts these same systems, reducing the risk for a range of diseases and maladies. This book will present comprehensive information on the unique physiologic effects of SCI and the potential role of exercise in treating and mitigating these effects. In addition, it will incorporate work from scientists across a number of disciplines and have contributors at multiple levels of investigation and across physiologic systems. Furthermore, SCI can be considered an accelerated form of aging due to the severely restricted physical inactivity imposed, usually at an early age. Therefore, the information presented may have a broader importance to the physiology of aging as it relates to inactivity. Lastly, the need for certain levels of regular aerobic exercise to engender adaptations beneficial to health is not altered by the burden of an SCI. Indeed, the amounts of exercise necessary may be even greater than the able-bodied due to ‘passive’ ambulation. This book will also address the potential health benefits for those with an SCI that can be realized if a sufficient exercise stimulus is provided.

Exercise Physiology in Special Populations covers the prevalent health conditions that are either linked to an inactive lifestyle or whose effects can be ameliorated by increasing physical activity and physical fitness. The book explores physiological aspects of obesity and diabetes before moving on to cardiac disease, lung disease, arthritis and back pain, ageing and older people, bone health, the female participant, neurological and neuromuscular disorders, and spinal chord injury. The author team includes many of the UK's leading researchers and exercise science and rehabilitation practitioners that specialise in each of the topic areas.·Structured in an easy accessible way for students and lecturers·Well referenced, including a further reading list with each chapter..·Written by a group of highly experienced experts.

Advanced Neuromuscular Exercise Physiology uses a mix of biochemistry, molecular biology, neurophysiology, and muscle physiology to provide a synthesis of current knowledge and research directions in the field. The first text devoted solely to the topic, Advanced Neuromuscular Exercise Physiology assists readers in identifying current directions in research and new avenues for exploration. Recognizing the rapid changes occurring in the field of neuromuscular exercise physiology, the text provides readers with a foundation of knowledge while detailing the most recent findings. Though the text is written at an advanced level, the author succeeds at making the content accessible. Analyses of research findings and research applications are highlighted in special sidebars. Detailed illustrations and graphs assist readers in understanding research findings. Chapter summaries also help readers determine the key issues presented for each topic. The author draws attention to a variety of important topics in the field, beginning with a discussion of motor unit types, muscle blood flow, and metabolic pathways in control of metabolism, including a special discussion of the effects of type 2 diabetes. Next, the topic of fatigue is discussed. The author explains possible peripheral and central contributors to fatigue. Chapters 6 and 7 focus on whole-body endurance training, including the effects of aerobic endurance training on the protein profiles of muscle fibers and on the central nervous system. Of particular interest is the applicability of research information to the exercise rehabilitation of individuals with compromised nervous system function, such as spinal cord injury, other trauma, and neuromuscular diseases. The final chapters are devoted to resistance training, including the phenotypic responses of muscles to isometric, slow isotonic, lengthening, and plyometric training. An overview of the effects of resistance training on the nervous system is offered along with clinical applications. Within the dynamic field of neuromuscular exercise physiology, ideas of how nerves and muscles collaborate during acute and chronic exercise are continually evolving. Advanced Neuromuscular Exercise Physiology offers an authoritative perspective of current research in the field as it seeks to encourage discussion, further study, and new research directions. Human Kinetics’ Advanced Exercise Physiology Series offers books for advanced undergraduate and graduate students as well as professionals in exercise science and kinesiology. These books highlight the complex interaction of the various systems both at rest and during exercise. Each text in this series offers a concise explanation of the system and details how each is affected by acute exercise and chronic exercise training. Advanced Neuromuscular Exercise Physiology is the third volume in the series.

The Physiological Basis of Rehabilitation Medicine: Second Edition presents a comprehensive examination of the management of patients with functional impairments due to disease or trauma. It discusses the distinction between disabilities and impairments per se. It addresses the method in which the human body adapts and compensates for the stress produced by physical injuries. Some of the topics covered in the book are the physiology of cerebellum and basal ganglia; description of upper and lower motor neurons; anatomy of the vascular supply to the brain; characteristics of the autonomic nervous system; structure, chemistry, and function of skeletal muscle; the receptors in muscle; and cardiopulmonary physiology. The role of muscle spindles in perception of limb position and movement is fully covered. An in-depth account of the physiology of synovial joints and articular cartilage are provided. The cellular and glandular components of the skin are completely presented. A chapter is devoted to the factors involve in wound healing. Another section focuses on the nerve conduction and neuromuscular transmission. The book can provide useful information to doctors, dermatologists, students, and researchers.

Part of the esteemed IOC Handbook of Sports Medicine and Science series, this new volume on Training and Coaching the Paralympic Athlete will be athlete-centred with each chapter written for the practical use of medical doctors and allied health personnel. The chapters also consider the role of medical science in the athlete’s sporting career and summarize current international scientific Paralympic literature. Provides a concise, authoritative overview of the science, medicine and psycho-social aspects of training and coaching disabled and Paralympic athletes Offers guidance on medical aspects unique to the training and coaching of Paralympic athletes Endorsed by both the International Olympic Committee (IOC) and the International Paralympic Committee (IPC) Written and edited by global thought leaders in sports medicine

Physical rehabilitation for walking recovery after spinal cord injury is undergoing a paradigm shift. Therapy historically has focused on compensation for sensorimotor deficits after SCI using wheelchairs and bracing to achieve mobility. With locomotor training, the aim is to promote recovery via activation of the neuromuscular system below the level of the lesion. What basic scientists have shown us as the potential of the nervous system for plasticity, to learn, even after injury is being translated into a rehabilitation strategy by taking advantage of the intrinsic biology of the central nervous system. While spinal cord injury from basic and clinical perspectives was the gateway for developing locomotor training, its application has been extended to other populations with neurologic dysfunction resulting in loss of walking or walking disability.

Combining 25 years of clinical, research and teaching experience, Dr Lisa Harvey provides an innovative 5-step approach to the physiotherapy management of people with spinal cord injury. Based on the International Classification of Functioning, this approach emphasises the importance of setting goals which are purposeful and meaningful to the patient. These goals are related to performance of motor tasks analysed in terms of 6 key impairments. The assessment and treatment performance of each of these impairments for people with spinal cord injury is described in the following chapters: - training motor tasks - strength training - contracture management - pain management - respiratory management - cardiovascular fitness training Dr Harvey develops readers' problem-solving skills equipping them to manage all types of spinal cord injuries. Central to these skills is an understanding of how people with different patterns of paralysis perform motor tasks and the importance of differentmuscles for motor tasks such as: - transfers and bed mobility of people - wheelchair mobility - hand function for people with tetraplegia - standing and walking with lower limb paralysis This book is for students and junior physiotherapists with little or no experience in the area of spinal cord injury but with a general understanding of the principles of physiotherapy. It is also a useful tool for experienced clinicians, including those keen to explore the evidence base that supports different physiotherapy interventions.