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Spinal Cord Injuries - E-Book

Spinal Cord Injuries - E-Book

Sue Ann Sisto | Erica Druin | Martha Macht Sliwinski

(2008)

Additional Information

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