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Neurological Physiotherapy Pocketbook E-Book

Neurological Physiotherapy Pocketbook E-Book

Sheila Lennon | Gita Ramdharry | Geert Verheyden

(2018)

Abstract

The second edition of the Neurological Physiotherapy Pocketbook is the only book for physiotherapists that provides essential evidence-based information in a unique and easy-to-use format, applicable to clinical settings.

Written by new international editors and contributors, this pocketbook provides quick and easy access to essential clinical information.

Pocketbook size for when out on clinical placement or working in clinical practice

Revised and brand new chapters on neurological rehabilitation and essential components

Concentrates on the six most common conditions: including stroke, traumatic brain, and spinal cord injury

Key messages highlighted for assessment, treatment, and measurement of the most common neurological conditions


Table of Contents

Section Title Page Action Price
Front Cover Cover
IFC ES1
Neurological Physiotherapy Pocketbook i
Copyright ii
CONTENTS iii
PREFACE v
ACKNOWLEDGEMENTS vii
CONTRIBUTORS ix
1 - BACKGROUND KNOWLEDGE 1
1 - Guiding principles in neurological rehabilitation 3
INTRODUCTION 3
NEUROLOGICAL TREATMENT APPROACHES 3
A CONCEPTUAL FRAMEWORK FOR NEUROLOGICAL REHABILITATION 4
Principle 1: The International Classification of Functioning (ICF) 5
Principle 2: Team Work 6
Principle 3: Person-Centred Care 6
Carer support and involvement 6
Principle 4: Prediction 8
Principle 5: Neural Plasticity 8
What Type of Training Drives Neural Plasticity and Recovery of Function? 9
Principle 6: Motor Control: A Systems Model 9
Principle 7: Functional Movement Re-Education 10
Recovery 11
Adaptation (Compensation) 11
Maintenance 11
Prevention 12
Principle 8: Skill Acquisition 12
Principle 9: Self-Management (Self-efficacy) 14
Principle 10: Health Promotion 15
CONCLUSIONS 16
References 16
2 - Motor control: structure and function of the nervous system 21
INTRODUCTION 21
THEORIES OF MOTOR CONTROL 21
STRUCTURE AND FUNCTION OF THE MOTOR SYSTEM 21
VOLUNTARY MOVEMENT 24
Motor Control Hierarchy 24
Sensory Feedback 25
Role of the Cerebellum 25
Role of the Basal Ganglia 26
UPPER LIMB MOVEMENT 26
LOWER LIMB MOVEMENT 28
EFFECT OF LESION LOCATION 31
NEUROPLASTICITY 33
WHAT CAN WE LEARN FROM TRANSCRANIAL MAGNETIC STIMULATION? 35
IMPLICATIONS FOR NEUROPHYSIOTHEARPY 37
References 37
3 - Motor training 43
INTRODUCTION 43
ESSENTIAL COMPONENTS OF MOTOR TRAINING 45
CRITICAL FEATURES OF FUNCTIONAL ACTIVITIES: A REMINDER 48
References 52
4 - Neurological assessment: the basis of clinical decision making 55
INTRODUCTION 55
Why Assess? 56
HOW TO COMPLETE A NEUROLOGICAL ASSESSMENT 57
Is Your Patient Medically Stable? 57
Subjective Assessment 58
The Objective Examination 59
The Physical Examination 61
Using Standardised Measurement Tools 66
INTERPRETING THE ASSESSMENT 67
The Problem List 67
Collaborative Goal Setting 68
Developing a Treatment Plan 69
Implementing the Treatment Plan 70
Evaluation 71
RECORD KEEPING: DOCUMENTING YOUR INTERVENTION 72
PUTTING IT ALL TOGETHER: A CASE SCENARIO 73
References 81
5 - Clinical neurology and neurological investigations 83
INTRODUCTION 83
THE NEUROLOGICAL HISTORY 83
THE NEUROLOGICAL EXAMINATION 84
THE NEUROLOGIST AND THE NEUROLOGICAL PHYSIOTHERAPIST 85
NEUROLOGICAL INVESTIGATIONS 86
IMAGING THE NERVOUS SYSTEM 86
Computed Tomography 86
Magnetic Resonance Imaging (MRI, MR Angiography, Spectroscopy, Tractography, Functional MRI) 87
Vascular Ultrasound 91
NEUROPHYSIOLOGICAL INVESTIGATION OF NERVOUS SYSTEM FUNCTION 91
Electroencephalography (EEG) 91
Evoked Potentials 93
Nerve Conduction Studies and Electromyography 94
OTHER INVESTIGATIONS IN NEUROLOGICAL DISEASE 96
Cerebrospinal Fluid (CSF) Sampling 96
Muscle and Nerve Biopsy 97
Molecular and Genetic Testing 97
Further Reading 99
6 - Management of common neurological impairments and their impact on activity 101
INTRODUCTION 101
WEAKNESS 102
FATIGUE 103
DISORDERS OF TONE 103
Hypertonus 104
Spasticity (Summed up from De Baets et al (2018) with Permission) 105
Hypotonus 105
Dystonia 106
Involuntary Muscle Spasms 107
Dyskinesias 107
Rigidity 107
DISORDERS OF COORDINATION 108
Cerebellar Ataxia 108
Sensory Ataxia 109
Resting Tremor 109
Intention Tremor 109
DISORDERS OF MOTOR PLANNING 110
Apraxia 110
Bradykinesia/Akinesia 110
Freezing of Gait 111
Vestibular Disorders 111
VISUOSPATIAL DISORDERS 112
Hemianopia 112
Unilateral Neglect 112
Contraversive Pushing (Pusher Syndrome) 112
SENSORY DISORDERS 112
Sensory Loss 112
Paraesthesia and Dysaesthesia 113
Pain 113
SECONDARY COMPLICATIONS 113
References 115
7 - Respiratory management 121
INTRODUCTION 121
Central Nervous Control of Breathing 121
Relationship Between Brain Function and Lung Function 122
RESPIRATORY ASSESSMENT OF THE NEUROLOGICAL PATIENT 122
Lung Function 124
Peak Cough Flow 124
Arterial Blood Gases 125
Chest Radiographs 126
Respiratory Pattern 126
Respiratory Reserve (PaO2/FiO2 Ratio) 126
Early Mobilisation 127
RESPIRATORY TREATMENT AND MANAGEMENT 128
Maintenance of a Patent Airway 128
Respiratory Muscle Training 130
Management of Acute Respiratory Failure 130
Tracheostomy and weaning 132
RESPIRATORY FUNCTION IN NEUROLOGICAL CONDITIONS 132
Spinal Cord Injury and Disease 133
Anterior Horn Cell Conditions 134
Neuropathy 135
Neuromuscular Junction 135
Muscle Conditions 135
MANAGEMENT OF TRAUMATIC BRAIN INJURY 136
References 141
2 - MANAGEMENT OF COMMONCONDITIONS 143
8 - Stroke 145
List of abbreviations 227
INDEX 229
A 229
B 229
C 229
D 230
E 230
F 230
G 231
H 231
I 231
J 231
K 231
L 231
M 232
N 232
O 233
P 233
R 234
S 234
T 235
U 236
V 236
W 236
IBC ES2