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Book Details
Abstract
From a hospital admittance to discharge to outpatient rehabilitation, Spinal Cord Injuries addresses the wide spectrum of rehabilitation interventions and administrative and clinical issues specific to patients with spinal cord injuries. Comprehensive coverage includes costs, life expectancies, acute care, respiratory care, documentation, goal setting, clinical treatment, complications, and activities of daily living associated with spinal cord patients. In addition to physical therapy interventions and family education components, this resource includes content on incidence, etiology, diagnosis, and clinical features of spinal cord injury.
- Case Studies with clinical application thinking exercises help you apply knowledge from the book to real life situations.
- Thoroughly referenced, evidence-based content provides the best evidence for treatment based on the most current research.
- Tables and boxes throughout each chapter organize and summarize important information for quick reference.
- Clinical Note boxes provide at-a-glance access to helpful tips.
- Over 500 clinical photos, line drawings, radiographs, and more bring important concepts to life.
- Highly respected experts in spinal cord injury rehabilitation, editors Sue Ann Sisto, Erica Druin, and Martha Sliwinski, provide authoritative guidance on the foundations and principles of practice for spinal cord injury.
- Companion DVD includes video clips of the techniques described throughout the book that demonstrate how to apply key concepts to practice.
Table of Contents
Section Title | Page | Action | Price |
---|---|---|---|
Front Cover | Cover | ||
Spinal Cord Injuries: Management and Rehabilitation | iii | ||
Copyright Page | iv | ||
CONTENTS | xv | ||
Dedication | v | ||
CONTRIBUTORS | vi | ||
FOREWORD | ix | ||
PREFACE | xi | ||
ACKNOWLEDGMENTS | xiii | ||
AN INTRODUCTION: PROFILES IN TENACITY, RESILIENCE, COURAGE, AND HOPE | xvii | ||
Chapter 1. Understanding Spinal Cord Injury and Advances in Recovery | 1 | ||
HISTORY AND EPIDEMIOLOGY | 1 | ||
ANATOMY | 2 | ||
CLINICAL ASSESSMENT OF SPINAL CORD INJURY | 7 | ||
CLASSIFICATION OF SPINAL CORD INJURY | 9 | ||
INCOMPLETE SPINAL CORD INJURY | 11 | ||
PROGNOSIS FOR RECOVERY AND PREDICTION OF OUTCOME | 13 | ||
PHARMACOLOGICAL AND SURGICAL INTERVENTIONS TO ENHANCE RECOVERY AND REGENERATION | 14 | ||
SUMMARY | 16 | ||
Chapter 2. Medical Management and Complications of Spinal Cord Injury | 18 | ||
MANAGEMENT OF SPINAL STABILITY: SPINAL ORTHOSES | 18 | ||
MEDICAL COMPLICATIONS | 21 | ||
GASTROINTESTINAL DISTURBANCES | 26 | ||
SUMMARY | 34 | ||
Chapter 3. Nursing Care and Education for Patients with Spinal Cord Injury | 37 | ||
ALTERED AUTONOMIC FUNCTION | 38 | ||
ALTERED BLADDER FUNCTION | 41 | ||
ALTERED BOWEL FUNCTION | 46 | ||
SEXUALITY | 50 | ||
ALTERED SENSATION: PAIN | 52 | ||
ALTERED SKIN INTEGRITY | 54 | ||
ALTERED MOBILITY | 59 | ||
PATIENT AND FAMILY EDUCATION | 60 | ||
SUMMARY | 65 | ||
Chapter 4. Respiratory Treatment and Equipment | 69 | ||
RESPIRATORY ANATOMY | 69 | ||
PHYSIOLOGY OF RESPIRATION | 74 | ||
MECHANICS OF VENTILATION | 74 | ||
EVALUATION | 75 | ||
RESPIRATORY COMPLICATIONS AFTER SPINAL CORD INJURY | 76 | ||
TREATMENT | 78 | ||
SPECIAL CONSIDERATIONS FOR THE PATIENT WITH HIGH-LEVEL TETRAPLEGIA | 86 | ||
RESPIRATORY CARE CERTIFICATION | 97 | ||
SUMMARY | 101 | ||
Chapter 5. Psychological Adjustment to Spinal Cord Injury | 104 | ||
ISSUES IN THE ACUTE PHASE | 105 | ||
PHYSICAL SEQUELAE | 107 | ||
PSYCHOLOGICAL CONSEQUENCES AND ADJUSTMENT | 109 | ||
PSYCHIATRIC DIAGNOSES | 111 | ||
PSYCHOSOCIAL IMPLICATIONS | 114 | ||
CLINICAL IMPLICATIONS AND INTERVENTIONS | 116 | ||
SUMMARY | 118 | ||
Chapter 6. Evaluation | 121 | ||
EVALUATION PROCEDURES | 121 | ||
SETTING GOALS TO ACHIEVE THE BEST CLINICAL OUTCOMES | 148 | ||
SUMMARY | 150 | ||
Chapter 7. Intervention Principles and Position Changes | 153 | ||
INTERVENTION PRINCIPLES | 153 | ||
CONSIDERATIONS FOR POSITION CHANGES | 165 | ||
SUMMARY | 182 | ||
Chapter 8. Transfer Techniques | 185 | ||
PATIENT CHARACTERISTICS | 185 | ||
TRANSFER RISKS | 187 | ||
TRANSFER ERGONOMICS | 189 | ||
WHEELCHAIR MANAGEMENT | 192 | ||
TYPES OF TRANSFERS | 194 | ||
SPECIAL CONSIDERATIONS FOR SPECIFIC SURFACES | 202 | ||
SUMMARY | 207 | ||
Chapter 9. Activities of Daily Living | 210 | ||
LEVEL OF INJURY | 210 | ||
FEEDING | 212 | ||
GROOMING | 214 | ||
BATHING | 218 | ||
DRESSING | 220 | ||
SKIN CARE | 223 | ||
BLADDER MANAGEMENT | 225 | ||
BOWEL MANAGEMENT | 226 | ||
COMMUNICATION | 227 | ||
HOME MANAGEMENT | 229 | ||
CHILD CARE | 230 | ||
SUMMARY | 234 | ||
Chapter 10. Management of the Upper Limb in Individuals with Tetraplegia | 237 | ||
EVALUATION OF THE UPPER LIMB IN INDIVIDUALS WITH TETRAPLEGIA | 237 | ||
ORTHOTIC INTERVENTION | 239 | ||
NEUROPROSTHESES FOR THE UPPER LIMB IN TETRAPLEGIA | 243 | ||
SURGICAL RECONSTRUCTION FOR RESTORATION OF ARM AND HAND FUNCTION | 243 | ||
SERIAL CASTING OF THE UPPER LIMB IN TETRAPLEGIA | 248 | ||
SUMMARY | 251 | ||
Chapter 11. Seating and Positioning | 254 | ||
COMPONENTS OF A COMPREHENSIVE SEATING AND WHEELED MOBILITY EVALUATION | 254 | ||
POSTURAL CONSIDERATIONS | 259 | ||
MANUAL WHEELCHAIRS | 265 | ||
POWER WHEELCHAIRS | 276 | ||
WHEELCHAIR CUSHIONS | 286 | ||
SUMMARY | 292 | ||
Chapter 12. Assessment and Match for Effective Assistive Technology | 296 | ||
DEFINING ASSISTIVE TECHNOLOGY DEVICES AND SERVICES | 296 | ||
IMPORTANCE OF THE ASSISTIVE TECHNOLOGY ASSESSMENT PROCESS | 298 | ||
MATCHING THE INDIVIDUAL AND TECHNOLOGY: A PROCESS FOR ENSURING ASSISTIVE TECHNOLOGY SUCCESS | 298 | ||
SUMMARY | 307 | ||
Chapter 13. Using Assistive Technology | 310 | ||
EVALUATION | 310 | ||
MEDIA OF TRANSMISSION | 311 | ||
SWITCH ACCESS | 314 | ||
USING ELECTRONIC AIDS TO DAILY LIVING | 315 | ||
POWER MOBILITY INTEGRATION | 319 | ||
ERGONOMICS AND COMPUTER WORKSTATION SETUP | 319 | ||
MAINSTREAM TECHNOLOGY | 320 | ||
ASSESSMENT IN REHABILITATION AND IN USER SATISFACTION | 323 | ||
SUMMARY | 324 | ||
Chapter 14. Accessible Home Modi. cation and Durable Medical Equipment | 326 | ||
REHABILITATION CENTER ENVIRONMENT | 326 | ||
INSTITUTIONAL AND GROUP CARE ENVIRONMENTS | 326 | ||
ACCESSIBLE HOUSING | 327 | ||
HOME MODIFICATIONS | 330 | ||
DURABLE MEDICAL EQUIPMENT | 340 | ||
SUMMARY | 348 | ||
Chapter 15. Wheelchair Skills | 351 | ||
MANUAL WHEELCHAIRS | 351 | ||
SUMMARY | 377 | ||
Chapter 16. Ambulation | 380 | ||
WHAT IS WALKING? | 380 | ||
PROGNOSIS FOR WALKING | 381 | ||
BENEFITS AND COSTS | 381 | ||
CONSIDERATIONS FOR CONVENTIONAL GAIT TRAINING | 382 | ||
OUTCOMES | 383 | ||
CONVENTIONAL GAIT TRAINING | 384 | ||
ADJUNCTIVE THERAPIES | 393 | ||
EMERGING APPROACHES TO REHABILITATION OF WALKING | 394 | ||
SUMMARY | 403 | ||
Chapter 17. Functional Electrical Stimulation | 407 | ||
HISTORY | 407 | ||
USES OF FUNCTIONAL ELECTRICAL STIMULATION IN SPINAL CORD INJURY | 407 | ||
CONTRAINDICATIONS AND PRECAUTIONS | 408 | ||
PHYSIOLOGY OF FUNCTIONAL ELECTRICAL STIMULATION | 409 | ||
FUNCTIONAL ELECTRICAL STIMULATION SYSTEMS | 409 | ||
EFFECTS OF FUNCTIONAL ELECTRICAL STIMULATION | 414 | ||
CARDIOVASCULAR RECONDITIONING | 415 | ||
RESTORATION OF UPPER LIMB FUNCTION | 418 | ||
STANDING AND GAIT | 420 | ||
OTHER USES OF FUNCTIONAL ELECTRICAL STIMULATION | 423 | ||
SUMMARY | 427 | ||
Chapter 18. Exercise and Fitness with Spinal Cord Injury | 430 | ||
DEFINITIONS OF FITNESS, EXERCISE, AND BENEFITS | 430 | ||
EFFECT OF EXERCISE ON FITNESS PARAMETERS | 431 | ||
PHYSIOLOGICAL SYSTEMS CONSIDERATIONS AND ADAPTATIONS WITH SPINAL CORD INJURY | 432 | ||
EFFECTS OF EXERCISE ON UPPER LIMB REPETITIVE STRAIN | 437 | ||
EXERCISE SCREENING | 437 | ||
EXERCISE PRESCRIPTION | 440 | ||
BARRIERS TO IMPLEMENTATION | 445 | ||
SUMMARY | 450 | ||
Chapter 19. Sports and Recreation for People with Spinal Cord Injuries | 455 | ||
TRAINING TECHNIQUES | 455 | ||
RECREATIONAL AND COMPETITIVE SPORTS | 459 | ||
SCUBA | 467 | ||
ORGANIZATIONAL STRUCTURE OF SPORTS FOR PEOPLE WITH SPINAL CORD INJURY | 470 | ||
RESEARCH RELATED TO WHEELCHAIR SPORTS | 472 | ||
SUMMARY | 474 | ||
Chapter 20. Wheelchair Transportation Safety | 478 | ||
CRASH SAFETY ISSUES INFLUENCING WHEELCHAIR TRANSPORTATION | 478 | ||
WHEELCHAIR TRANSPORTATION TECHNOLOGIES | 481 | ||
WHEELCHAIR TRANSPORTATION STANDARDS AND REGULATIONS | 485 | ||
BRIEF SYNOPSIS OF WHEELCHAIR TRANSPORTATION SAFETY RESEARCH | 489 | ||
SUMMARY | 492 | ||
Chapter 21. Transportation, Driving, and Community Access | 495 | ||
UNDERSTANDING ACCESSIBLE TRANSPORTATION | 495 | ||
TRANSPORTATION MODE CHOICES | 497 | ||
FAMILY OF TRANSPORTATION SERVICES | 498 | ||
DRIVER REHABILITATION EVALUATION PROCESS | 504 | ||
BARRIERS TO TRANSPORTATION AND COMMUNITY ACCESS | 509 | ||
ACCESSIBLE COMMUNITY INFRASTRUCTURE | 510 | ||
TRAVEL TRAINING | 512 | ||
ADVOCACY: WHOSE RESPONSIBILITY IS IT? | 513 | ||
SUMMARY | 516 | ||
Chapter 22. Functional and Psychosocial Aspects of Aging with Spinal Cord Injury | 519 | ||
INTERACTION OF PSYCHOSOCIAL FACTORS, HEALTH STATUS, AND FUNCTIONING IN SPINAL CORD INJURY | 519 | ||
MAINTAINING QUALITY OF LIFE WHILE LIVING WITH SPINAL CORD INJURY | 527 | ||
RECOGNIZING AND SCREENING FOR DEPRESSION IN INDIVIDUALS LIVING WITH SPINAL CORD INJURY | 528 | ||
IMPACT OF AGE CHANGES ON THE FAMILY | 531 | ||
SUMMARY | 534 | ||
Chapter 23. Quality of Life After Spinal Cord Injury | 537 | ||
CHALLENGE OF DEFINING QUALITY OF LIFE | 537 | ||
MEASUREMENT OF QUALITY OF LIFE | 541 | ||
FACTORS AFFECTING QUALITY OF LIFE AFTER SPINAL CORD INJURY | 543 | ||
SUMMARY | 549 | ||
Index | 553 |