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Handbook Of Rehabilitation Medicine

Handbook Of Rehabilitation Medicine

Yap Samantha Giok Mei | Kong Keng He | Loh Yong Joo

(2016)

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Book Details

Table of Contents

Section Title Page Action Price
Contents IX
Preface V
List of Contributors VII
1 Functional Assessment in Rehabilitation Medicine 1
Introduction 1
Rehabilitation medicine functional assessment 2
Functional measurements 5
2 Deconditioning and Immobility in Hospitalised Patients 9
Definition of deconditioning 9
Degree of deconditioning 9
Pathophysiology of deconditioning 9
Differential diagnosis (especially in critical care areas or in post critical care patients) 12
Interventions that are useful 12
3 Stroke Rehabilitation 15
Introduction 15
Common stroke deficits 15
Common terminology used to describe stroke deficits 16
Stroke recovery 18
Types of motor rehabilitation therapies post stroke 20
Other therapeutic approaches to stroke rehabilitation 21
Rehabilitation of stroke deficits 22
Neuropharmacology in stroke 26
Scales used in rehabilitation 27
Emerging rehabilitation modalities 29
Blood markers associated with stroke risk 29
4 Spinal Cord Injury Rehabilitation 31
Causes of spinal cord injury (SCI) 31
Assessment of SCI patient on admission to rehabilitation 31
SCI clinical syndromes 33
Common cardiovascular complications 33
Respiratory issues and management 35
Bladder management 38
Bowel management 42
Pressure relief measures 43
Pain 43
Sexuality 44
Will I walk again? 44
Functional outcomes by neurological level of injury 45
References 46
Appendix 1. Projected functional outcome for completete traplegics 47
Appendix II. Potential outcome for complete paraplegics 48
5 Traumatic Brain Injury Rehabilitation 49
Introduction 49
Classification of TBI severity 49
TBI rehabilitation assessment 49
Predictors of functional and neurobehavioural outcome 52
Assessment of neurobehavioural impairments after TBI 53
Functional outcome after TBI 56
Disorders of consciousness (DOC) 56
Cognitive rehabilitation in brain injury 58
Medications for cognitive remediation in TBI 60
6 Geriatric Rehabilitation 61
Introduction 61
Criteria for selection 61
Assessment 62
Management 63
Psychosocial issues 64
Rehabilitation of older people in community settings 64
Healthcare directives, alternate decision maker and ethics 64
Specialised rehabilitation programmes for older people 65
Recommended reading 73
7 Lower Limb Amputee Rehabilitation: Basic Grounding 75
Introduction 75
Prognosticating functional recovery and goal setting in amputee rehabilitation 77
Immediate post-operation phase 79
Assessment of first visit amputee at amputee clinic 81
Prosthetic gait training phase 82
Trouble shooting prosthetic use problem 83
Community reintegration phase 84
Maintenance phase 84
Conclusion 84
8 Cardiopulmonary Rehabilitation 85
Introduction 85
Indications 85
Goals and benefits of cardio-pulmonary rehabilitation 85
Contraindications for cardiopulmonary exercise programs 86
Assessment for cardiorespiratory fitness 86
Steps of cardiopulmonary rehabilitation 87
Recommended reading 91
9 Rehabilitation of Low Back Pain 93
Introduction and epidemiology 93
Clinical anatomy 93
Clinical biomechanics 93
Pathophysiology of intervertebral disc 94
Pathophysiology: lumbar degeneration 95
Causes of low back pain 95
History 95
Physical examination 96
Investigation and clinical correlation 97
Management 98
Prognosis 99
10 Rehabilitation Approach to Common Cancer-related Problems 101
Cancer-related fatigue 101
Metastatic bone involvement 104
Cancer and treatment related neuropathies 108
Lymphedema 109
Cancer pain 110
11 Adult Joint Reconstruction Rehabilitation 111
Hip osteoarthritis (OA) 111
Knee osteoarthritis 112
Knee osteoarthritis rehabilitation 113
Arthritis self management program (ASMP) 113
Osteoporosis 118
Total hip arthroplasty (THA) 118
Total knee arthroplasty (TKA) 119
Complications of total joint replacement 120
Goals of rehabilitation after THA 125
Goals of rehabilitation after TKA 126
Total joint replacement rehabilitation program 126
Outcome measures after total joint replacement 130
Recommended reading 131
12 Rehabilitation in the Intensive Care Unit 133
Background and introduction 133
Common sequelae in ICU survivors 133
Definition 134
Is it safe? 134
Is it good? 134
Goals of early rehabilitation assessment 134
Principles of rehabilitation assessment 135
Goals of early physical therapy in ICU 136
When to mobilise? 137
When not to mobilise? 137
How to progress? 137
Assistive equipment 137
Rehabilitation team 138
Other important medical/surgical professionals in the ICU 138
Summary 139
Recommended reading 139
13 Pain issues in the Rehabilitation Patient Population—a Systems Approach 141
Ten reasons why optimal pain management is important 141
Ten keys to a good pain assessment 142
Ten prescriptions for the rehabilitation team to better serve our patients with pain 143
Ten important footnotes for the practising rehabilitation professional 144
Recommended reading 145
14 Practical Approach to Spasticity 147
Definition 147
Causes of spasticity 147
Clinical signs of spasticity 148
Complications of spasticity 148
Assessment of spasticity 151
Management of spasticity 153
References 158
15 Medical Emergencies and Complications in Rehabilitation 159
Chest pain 159
Shortness of breath 164
Bleeding gastrointestinal tract (BGIT) 165
Altered mental status 166
Electrolyte abnormalities 168
Fever 174
16 Walking Aids and Lower\rLimb Orthotics 177
Walking aids 177
Lower limb orthotics 183
17 Upper Limb Assistive Devices and \rWheelchair Prescription 187
Introduction 187
Equipment for activities of daily living (ADLs) 188
Typing and writing 189
18 Rehabilitation Technology 193
Rehabilitation technology 193
Rehabilitation engineering 193
Assistive technology device 193
Assistive technology service 193
Neuromuscular electrical stimulation (NMES) 194
Assistive technology devices 195
Rehabilitation robotics 198
Virtual reality rehabilitation 200
Recommended reading 203
19 Acupuncture in Rehabilitation 205
What is acupuncture? 205
What are the scientific mechanisms behind the effectiveness of acupuncture? 205
What does an acupuncture treatment session typically involve? 205
What are the side effects of acupuncture? 206
What are the contraindications to acupuncture? 206
Is acupuncture effective? 206
What is the role of acupuncture in the rehabilitation setting? 207
Acknowledgment 209