Sports Medicine

, Volume 30, Issue 3, pp 207–219 | Cite as

Physical Activity for the Chronically Ill and Disabled

  • J. Larry Durstine
  • Patricia Painter
  • Barry A. Franklin
  • Don Morgan
  • Kenneth H. Pitetti
  • Scott O. Roberts
Review Article


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 manner, the principles of exercise prescription for persons with chronic disease and/or disability should place more emphasis on the patient’s clinical status and, as a result, the exercise mode, intensity, frequency and duration are usually modified according to their clinical condition. Presently, these exercise prescription principles have been scientifically defined for clients with coronary heart disease. However, other diseases and/or disabilities have been studied less (e.g. renal failure, cancer, chronic fatigue syndrome, cerebral palsy). This article reviews these issues with specific reference to persons with chronic diseases and disabilities.


Physical Activity Cerebral Palsy Exercise Programming Chronic Fatigue Syndrome Regular Physical Activity 
These keywords were added by machine and not by the authors. This process is experimental and the keywords may be updated as the learning algorithm improves.


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Copyright information

© Adis International Limited 2000

Authors and Affiliations

  • J. Larry Durstine
    • 1
  • Patricia Painter
    • 2
  • Barry A. Franklin
    • 3
  • Don Morgan
    • 4
  • Kenneth H. Pitetti
    • 5
  • Scott O. Roberts
    • 6
  1. 1.Department of Exercise ScienceThe University of South CarolinaColumbiaUSA
  2. 2.Department of Physiologic NursingUniversity of CaliforniaSan FranciscoUSA
  3. 3.Cardiac Rehabilitation and Exercise Laboratories, William Beaumont Hospital and Department of Physiology, School of MedicineWayne State UniversityDetroitUSA
  4. 4.Department of Exercise and Sport SciencesUniversity of North Carolina - GreensboroGreensboroUSA
  5. 5.Department of Public Health Sciences, College of Health ProfessionsWitchita State UniversityWichitaUSA
  6. 6.Department of Physical Education, Health, and Leisure ServicesCentral Washington UniversityEllensburgUSA

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