Conditioning With Physical Disabilities is the first practical, authoritative exercise guide for all classifications and levels of physical disabilities. In this easy-to-read manual, Kevin Lockette and Ann Keyes, physical therapists and certified strength and conditioning specialists, share the successful exercise prescriptions they created at the highly regarded Rehabilitation Institute of Chicago. Their pioneering strength and conditioning program offers safe and easy-to-use exercises specifically designed for people with physical disabilities. In this book readers will find conditioning activities that enable people with various physical disabilities to enjoy the benefits of exercise:
Improved overall functioning
Fewer medical problems
Greater stamina in everyday activities
Enhanced self-esteem and confidence
Step-by-step descriptions and more than 250 illustrations show how to perform the exercises correctly. And because the programs are tailored to specific disabilities and levels of functioning, virtually anyoneregardless of disabilitywill be able to use the programs without fear of injury.
Part I identifies the elements of a well-rounded fitness program. Readers will learn what preparation must be done to safely engage in regular exercise. They will also discover how to design strength training and aerobic training programs along with stretching exercises designed to enhance flexibility, an important but often neglected fitness component.
Each chapter in Part II focuses on a specific classification of disability and the medical and physical characteristics that may affect the ability to exercise. The authors then present multiple exercise programs for each classification of disability. Readers select the appropriate program and, using the guidelines provided, can modify it to meet specific needs.
Part III presents the actual exercises that comprise each conditioning program. Here readers will find detailed descriptions and illustrations showing how to perform the exercises correctly. The authors also include information on maximizing space, time, staff, and equipment by organizing an exercise class.
Full of complete and accurate training information, Conditioning With Physical Disabilities is a practical fitness manual for people with physical disabilities, their parents, and their caregivers as well as a comprehensive reference for others who work with people with physical disabilities.
AUDIENCE
Reference for fitness and health professionals.
CONTENTS
Preface
Acknowledgments
Reviewers
Part I: Components of Physical Conditioning
Chapter 1. Exercise Readiness Assessment
Medical History and Evaluation
Insight Into Your Disability
Age-Related Concerns
Equipment Availability
Assessing Your Exercise Starting Point
Chapter 2. Strength Training
Your Body's Response
Muscle Soreness and Overwork Weakness
Muscle Contractions
Basic Training Principles and Considerations
Considerations and Special Concerns
Choosing the Appropriate Exercises
Maintaining an Exercise Log
Basic Variables of Exercise Program Design
Program Progression
Chapter 3. Aerobic Training
Your Body's Response
Modes of Aerobic Training
Monitoring Your Exercise Intensity
Aerobic Exercise Program Design
Rate of Progression
Chapter 4. Flexibility Training
When Should I Stretch?
Principles of Stretching
Basic Stretching Rules
Stretching Techniques for Developing Flexibility
Flexibility Exercises
Part II: Disability Profiles and Conditioning Programs
Chapter 5. Conditioning With Cerebral Palsy, Stroke, and Head Injury
Cerebral Palsy
Stroke
Head Injury
Classification and Exercise Guidelines
Chapter 6. Conditioning With Spinal Cord Injuries, Spina Bifida, and Poliomyelitis
Spinal Cord Injury
Spina Bifida
Poliomyelitis
Classification and Exercise Guidelines
Chapter 7. Conditioning With Amputations
About Amputations
Classification and Exercise Guidelines
Chapter 8. Conditioning With Other Disabilities
Visual Impairments
Multiple Sclerosis
Neuromuscular Diseases
Postpolio Syndrome
Dwarfism
Osteogenesis Imperfecta
Arthrogryposis
Classification and Exercise Guidelines
Part III: Conditioning Exercises and Classes
Chapter 9. Upper Extremity Exercises
Upper Extremity Multi-joint
Upper Extremity Single Joint
Chapter 10. Abdominal and Trunk Exercises
Chapter 11. Lower Extremity Exercises
Lower Extremity Multi-joint
Lower Extremity Single Joint
Chapter 12. Elements of a Good Exercise Class
Group Leader
Exercise Guidelines
Exercise Routines
Endurance and Strength Class Programs
Appendix A. Accessible Exercise Equipment
Appendix B. Fitness and Sport Associations
Glossary
Sources
Book Evaluation
Index
About the Authors
ABOUT THE AUTHOR
Kevin F. Lockette and Ann M. Keyes are the developers of a renowned strength and conditioning program for people with physical disabilities. Created at the Rehabilitation Institute of Chicago, named by experts as the best rehabilitation facility in the United States, their program is now the largest of its kind in the country. It promotes wellness and the prevention of medical complications, allowing people with physical disabilities to live more active lives.
Trained as a physical therapist and certified strength and conditioning specialist, Kevin Lockette is also a leading coach in disabled sports. Since 1990 he has held international coaching positions in weightlifting and powerlifting, including duties as head powerlifting coach for the Disabled Sports Team representing the United States at the 1992 Paralympics. Kevin lectures at national and international conferences in the fields of medicine, adapted physical activity, and strength and conditioning. His knowledge in these areas has allowed him to bridge the gap between medicine and exercise and develop effective exercise programs for people with physical disabilities.
Kevin earned his bachelor's degree in physical therapy from the University of Missouri. He and his wife, Ginger, live in Honolulu, Hawaii, where he works at the Rehabilitation Hospital of the Pacific. Kevin likes to spend his leisure time lifting weights, jogging, and playing the blues harmonica.
Ann Keyes is a successful physical therapist and certified strength and conditioning specialist. Since 1989 she has combined these areas of expertise as a head coach and consultant for the highly acclaimed strength and conditioning program at the Rehabilitation Institute of Chicago. Her administrative and clinical positions at RIC have allowed her to research and develop fitness assessments and exercise programs for people with a variety of physical disabilities. She also has updated several exercise programs in the physical therapy departments at Northwestern Memorial Hospital and at RIC.
Ann graduated with Academic Merit Recognition from Indiana University School of Medicine in 1987. She is a member of the American Physical Therapy Association and the National Strength and Conditioning Association. Her interests include reading, running, working out, and traveling.
WORDS OF PRAISE
"Lockette and Keyes present the most current reference and most useful resource regarding exercise for people with physical disabilities. Conditioning With Physical Disabilities provides the practical guidelines and customized programs to meet your special needs."
Kirk Bauer
National Director, National Handicapped Sports
"Recognizing the lack of fitness and recreation programs for people with disabilities in the United States, Kevin Lockette and Ann Keyes provide an excellent guide to fitness, giving health professionals and fitness providers the necessary resources to introduce these concepts to a broad base of audiences."
G. Andrew Fleming
President and CEO, 1996 Atlanta Paralympic Organizing Committee