Additional Information
Book Details
Abstract
POCKETBOOK OF NEUROLOGICAL PHYSIOTHERAPY is designed for working with people with neurological problems in any clinical setting. Written by a team of expert contributors, it offers an international perspective on core concepts, irrespective of philosophical frameworks or health care systems. Rapid access to essential information is contained in one concise volume, providing expert knowledge and advice at your fingertips. This pocketbook is a valuable guide to evidence-based practice for student physiotherapists and their teachers, as well as qualified clinicians.
- Background Knowledge including common neurological conditions, neural plasticity, and common motor impairments and their impact on activity
- Clinical Decision Making including assessment and treatment of the acute patient before and during stabilisation; the acute patient with potential for recovery; and the patient with degenerative disease
- Respiratory, communication, cognitive and orthotic management
- Medical investigations and drug treatments
- A glossary of terms and abbreviations
Table of Contents
| Section Title | Page | Action | Price |
|---|---|---|---|
| Front Cover\r | Cover | ||
| Dedication | ii | ||
| Copyright Page | iv | ||
| CONTRIBUTORS | ix | ||
| ACKNOWLEDGEMENTS | xii | ||
| PREFACE | xiii | ||
| CHAPTER 1. Evidence-based practice | 3 | ||
| INTRODUCTION | 3 | ||
| EVIDENCE-BASED PHYSIOTHERAPY | 4 | ||
| LEVELS OF SCIENTIFIC EVIDENCE | 7 | ||
| PRIMARY LITERATURE – RESEARCH DESIGNS | 9 | ||
| IMPLEMENTING EVIDENCE-BASED PRACTICE | 10 | ||
| CONCLUSION | 12 | ||
| References | 13 | ||
| CHAPTER 2. Ensuring patient- and carer-centred care | 17 | ||
| INTRODUCTION | 17 | ||
| THEORETICAL FRAMEWORK FOR SERVICE USER PARTICIPATION | 17 | ||
| PROMOTING INVOLVEMENT IN CARE | 18 | ||
| KEY CLINICAL MESSAGES | 23 | ||
| References | 23 | ||
| CHAPTER 3. The wider context of neurorehabilitation | 25 | ||
| INTRODUCTION | 25 | ||
| THE CONCEPT AND RELEVANCE OF CONTEXT | 25 | ||
| THE CONCEPT AND RELEVANCE OF MEANING | 26 | ||
| CLIENT-CENTRED PRACTICE | 27 | ||
| SUMMARY | 29 | ||
| References | 29 | ||
| CHAPTER 4. Motor control | 31 | ||
| INTRODUCTION | 31 | ||
| THEORIES OF MOTOR CONTROL | 31 | ||
| PRINCIPLES OF MOTOR CONTROL | 31 | ||
| MAJOR CIRCUITS OF THE MOTOR CONTROL SYSTEM | 34 | ||
| SUMMARY | 39 | ||
| References | 39 | ||
| CHAPTER 5. Neural plasticity in motor learning and motor recovery | 41 | ||
| INTRODUCTION | 41 | ||
| NEURAL PLASTICITY | 41 | ||
| PRINCIPLES OF NEURAL PLASTICITY FOR REHABILITATION | 44 | ||
| CONCLUSIONS: UNDERSTANDING PLASTICITY CAN ENHANCE REHABILITATION | 45 | ||
| References | 48 | ||
| CHAPTER 6. Common neurological conditions | 51 | ||
| STROKE | 51 | ||
| TRAUMATIC BRAIN INJURY | 52 | ||
| MULTIPLE SCLEROSIS | 56 | ||
| SPINAL CORD INJURY | 56 | ||
| PARKINSONS’S DISEASE | 56 | ||
| References | 71 | ||
| CHAPTER 7. Common motor impairments and their impact on activity | 73 | ||
| INTRODUCTION | 73 | ||
| PRIMARY MOTOR IMPAIRMENTS | 73 | ||
| SECONDARY MUSCULOSKELETAL IMPAIRMENTS | 84 | ||
| KEY CLINICAL MESSAGES | 87 | ||
| References | 87 | ||
| CHAPTER 8. Guiding principles for neurological physiotherapy | 97 | ||
| INTRODUCTION | 97 | ||
| ROLE OF PHYSIOTHERAPY | 97 | ||
| AIMS OF NEUROLOGICAL PHYSIOTHERAPY | 98 | ||
| FACTORS INFLUENCING MANAGEMENT PRIORITIES | 99 | ||
| GUIDING PRINCIPLES FOR NEUROLOGICAL PHYSIOTHERAPY | 102 | ||
| ISSUES FOR DEBATE | 105 | ||
| KEY CLINICAL MESSAGES | 108 | ||
| References | 109 | ||
| CHAPTER 9. Neurological assessment: the basis of clinical decision making | 113 | ||
| INTRODUCTION | 113 | ||
| SUBJECTIVE ASSESSMENT | 113 | ||
| OBJECTIVE ASSESSMENT | 113 | ||
| UNDERSTANDING THE COMPONENTS OF ASSESSMENT | 115 | ||
| CLINICAL DECISION MAKING: PUTTING IT ALL TOGETHER | 115 | ||
| SUMMARY | 124 | ||
| References | 125 | ||
| CHAPTER 10. Treatment: minimizing impairments, activity limitations and participation restrictions | 127 | ||
| INTRODUCTION | 127 | ||
| 10.1 The acute patient before and during stabilization: stroke, TBI and GBS | 127 | ||
| STAGE 1: PRE-PHYSIOTHERAPY ASSESSMENT | 127 | ||
| STAGE 2: PHYSIOTHERAPY ASSESSMENT | 128 | ||
| STAGE 3: PHYSIOTHERAPY INTERVENTION | 128 | ||
| 10.2 The stable acute patient with potential for recovery: stroke, TBI and GBS | 136 | ||
| ASSESSMENT | 136 | ||
| GOAL SETTING | 139 | ||
| INTERVENTION | 139 | ||
| KEY CLINICAL MESSAGES | 139 | ||
| 10.3 The acute patient with limited potential for recovery: complete spinal cord injury | 146 | ||
| INTRODUCTION | 146 | ||
| KEY ASSESSMENT INFORMATION | 147 | ||
| TREATMENT CONSIDERATIONS IN THE ACUTE PHASE | 153 | ||
| TREATMENT CONSIDERATIONS IN THE REHABILITATION PHASE | 156 | ||
| KEY CLINICAL MESSAGES | 159 | ||
| 10.4 The patient with degenerative disease: multiple sclerosis | 161 | ||
| INTRODUCTION | 161 | ||
| KEY ASSESSMENT INFORMATION | 162 | ||
| KEY APPROACHES TO PHYSIOTHERAPY MANAGEMENT | 164 | ||
| ESSENTIAL PHYSIOTHERAPY MANAGEMENT STRATEGIES | 167 | ||
| ONGOING REVIEW AND SUPPORT | 171 | ||
| KEY CLINICAL MESSAGES | 172 | ||
| 10.5 The patient with degenerative disease: Parkinson’s disease | 175 | ||
| INTRODUCTION | 175 | ||
| KEY ASSESSMENT INFORMATION | 176 | ||
| PHYSICAL INTERVENTION | 178 | ||
| MANAGEMENT CONSIDERATIONS | 185 | ||
| KEY CLINICAL MESSAGES | 186 | ||
| CHAPTER 11. Outcome measurement | 191 | ||
| WHY MEASURE? | 191 | ||
| WHAT TO MEASURE? | 191 | ||
| CHOOSING A MEASURE | 193 | ||
| WHAT MEASUREMENTS TO USE? | 193 | ||
| KEY MESSAGES | 198 | ||
| References | 199 | ||
| CHAPTER 12. Continuity of care | 203 | ||
| INTRODUCTION | 203 | ||
| ENABLING INTEGRATION OF HEALTHCARE SERVICES FOR THE INDIVIDUAL | 204 | ||
| TRANSITION TOWARDS SELF-MANAGEMENT | 207 | ||
| SUMMARY | 209 | ||
| References | 210 | ||
| CHAPTER 13. Respiratory considerations | 213 | ||
| INTRODUCTION | 213 | ||
| AIMS OF PHYSIOTHERAPY | 213 | ||
| ASSESSMENT | 214 | ||
| RESPIRATORY FUNCTION IN NEUROLOGICAL CONDITIONS | 216 | ||
| MANAGEMENT OF TRAUMATIC BRAIN INJURY | 221 | ||
| PHYSIOTHERAPY INTERVENTIONS IN PATIENTS WITH ACUTE TRAUMATIC BRAIN INJURY | 223 | ||
| References | 226 | ||
| CHAPTER 14. Cognitive perceptual considerations | 229 | ||
| INTRODUCTION | 229 | ||
| COGNITIVE EFFECTS | 229 | ||
| HYPOXIC/ANOXIC INJURY | 231 | ||
| BEHAVIOURAL AND EMOTIONAL DISORDERS | 231 | ||
| EMOTIONAL PROBLEMS | 238 | ||
| KEY CLINICAL MESSAGES | 239 | ||
| Acknowledgements | 239 | ||
| References | 239 | ||
| CHAPTER 15. Communication considerations | 243 | ||
| INTRODUCTION | 243 | ||
| SPEECH VERSUS LANGUAGE | 243 | ||
| AETIOLOGY OF ACQUIRED NEUROLOGICAL COMMUNICATION DISORDERS | 244 | ||
| WHAT SPEECH AND LANGUAGE THERAPY HAS TO OFFER PEOPLE WITH ACQUIRED NEUROLOGICAL COMMUNICATION DISORDERS | 257 | ||
| SIDE-EFFECTS OF MEDICATIONS ON COMMUNICATION | 257 | ||
| KEY MESSAGES | 257 | ||
| References | 258 | ||
| Acknowledgement | 259 | ||
| CHAPTER 16. Orthotic management | 261 | ||
| INTRODUCTION | 261 | ||
| POTENTIAL AIMS AND LIMITATIONS OF INTERVENTION | 263 | ||
| TYPES OF ORTHOSES AND APPLICATIONS | 266 | ||
| COMPLIANCE, CHOICE AND COMPROMISE | 270 | ||
| ACCESSING AN ORTHOTIC SERVICE | 270 | ||
| References | 271 | ||
| APPENDIX 1: Neurological investigations | 275 | ||
| INTRODUCTION | 275 | ||
| BRAIN AND SPINAL CORD IMAGING INVESTIGATIONS | 275 | ||
| ELECTRODIAGNOSTIC TESTS | 275 | ||
| LUMBAR PUNCTURE AND THE CEREBROSPINAL FLUID (CSF) | 283 | ||
| MUSCLE BIOPSY | 284 | ||
| OTHER TESTS | 284 | ||
| APPENDIX 2: Drug treatment in neurological rehabilitation | 285 | ||
| References | 299 | ||
| APPENDIX 3: Abbreviations | 301 | ||
| APPENDIX 4: Glossary of terms | 303 | ||
| INDEX | 309 |