
Braddom's Physical Medicine and Rehabilitation
- 6th Edition - August 1, 2020
- Imprint: Elsevier
- Author: David X. Cifu
- Language: English
- Hardback ISBN:9 7 8 - 0 - 3 2 3 - 6 2 5 3 9 - 5
Thoroughly updated to reflect the latest advances and technologies, Braddom’s Physical Medicine and Rehabilitation, 6th Edition, remains the market leader in the field of PM&R.… Read more

Purchase options

Institutional subscription on ScienceDirect
Request a sales quoteFocuses more heavily on rehabilitation, with case studies throughout and more comprehensive coverage of stroke evaluation, rehabilitation, and therapies.
Provides expanded information on key topics such as interventional pain management options, gait and prosthetics, USG, fluoroscopy, electrodiagnosis and more.
Features a new chapter on Occupational Medicine and Vocational Rehabilitation, plus enhanced coverage of the neurogenic bladder, rehabilitation and prosthetic restoration in upper limb amputation, and acute medical conditions including cardiac disease, medical frailty, and renal failure.
Discusses quality and outcome measures for medical rehabilitation, practical aspects of impairment rating and disability determination, integrative medicine in rehabilitation, and assistive technology.
Offers highly illustrated, templated chapters that are easy to navigate without sacrificing coverage of key topics.
Includes access to dozens of even more practical videos and hundreds of integrated self-assessment questions for more effective learning and retention.
Enhanced eBook version included with purchase. Your enhanced eBook allows you to access all of the text, figures, and references from the book on a variety of devices.
- Cover image
- Title page
- Table of Contents
- Copyright
- Dedication
- Contributors
- Preface
- Acknowledgments
- Section 1. Evaluation
- 1. The Physiatric History and Physical Examination
- The Physiatric History
- The Physiatric Physical Examination
- Musculoskeletal Examination
- Assessment, Summary, and Plan
- Summary
- 2. Examination of the Pediatric Patient
- History
- Physical Examination
- Summary
- 3. Rehabilitation of Swallowing Disorders
- Swallowing Physiology
- Neurophysiology
- Dysphagia
- Bedside/Clinical Swallow Evaluation
- Treatment of Dysphagia
- 4. Psychological Assessment and Intervention in Rehabilitation
- Psychological Assessment
- Psychological Intervention
- Summary
- 5. Practical Aspects of Impairment Rating and Disability Determination
- Terminology and Conceptualization of Disablement
- From Classification of Causes of Death to International Classification of Functioning, Disability, and Health
- Americans With Disabilities Act and Implications
- Relating Impairment to Disability and Compensation Formulas
- Major U.S. Disability Systems Compared With Attention to the Role of the Examining Physician
- Impairment Rating Guides for Physicians With Attention to Guides, Sixth Edition
- Application of the American Medical Association Guides, Sixth Edition, to Musculoskeletal Impairments
- Independent Medical Examination: Elements and Reporting Expectations
- Legal and Ethical Considerations
- 6. Occupational Medicine and Vocational Rehabilitation
- Introduction
- Occupational Medicine
- Adaptations for People With Impairment/Disabilities
- Vocational Rehabilitation
- Return to Work Interventions
- Conclusion
- 7. Quality and Outcome Measures for Medical Rehabilitation
- Outcome Measures
- Evidence and Guidelines
- Performance Measures and Metrics
- Safety and Accreditation
- Maintenance of Certification and Quality Improvement
- Conclusions
- 8. Electrodiagnostic Medicine
- Clinical Assessment: History and Physical Examination
- Appendix. Physiologic Basis for Electrodiagnostic Testing
- Appendix. Motor Unit Recruitment and Morphology: Assessing Phases
- Appendix. Instrumentation
- Section 2. Treatment Techniques and Special Equipment
- 9. Rehabilitation and Prosthetic Restoration in Upper Limb Amputation
- Demographics, Incidence, and Prevalence
- Nomenclature and Functional Levels of Amputations
- Principles of Limb Salvage and Amputation Surgery
- Acute Management: Preamputation Through Early Rehabilitation
- Upper Limb Prostheses
- Bilateral Upper Limb Amputee
- Advances in Prosthetic Technology
- Prosthetic Training
- Follow-Up
- 10. Lower Limb Amputation and Gait
- Epidemiology
- Amputation Terminology
- Rehabilitation Implications of Amputation Level and Surgical Technique
- Residual Limb and Skin Care
- Pain Management
- Psychological Support
- Pre-prosthetic Phase Rehabilitation Considerations
- Prosthetic Training Phase Considerations
- Functional Classification
- Prosthetic Restoration
- Pediatric Lower Limb Loss
- Normal Human Gait
- Summary
- 11. Upper Limb Orthotic Devices
- Principles and Indications
- Classification
- Biomechanical and Anatomic Considerations
- Diagnostic Categories and Orthotic Devices
- Pediatric Applications
- Special Considerations
- Orthotic Materials
- International Considerations
- Summary
- 12. Lower Limb Orthoses
- Introduction
- Shoes
- Foot Orthoses
- Common Foot Conditions
- Pediatric Shoes
- Ankle-Foot Orthoses
- Knee Orthoses
- Hip Orthoses
- Ambulation Aids
- Pediatric Orthoses
- 13. Spinal Orthoses
- History of Spinal Orthotic Management
- Terminology
- Prefabricated or Custom Orthoses
- Orthotic Prescription
- Spinal Anatomy
- Normal Spine Biomechanics
- Description of Orthoses
- Scoliosis
- Emerging Technology
- Summary
- 14. Wheelchairs and Seating Systems
- Wheelchairs and Seating Systems
- Assessment Tools
- Wheelchairs
- Summary
- 15. Therapeutic Exercise
- General Principles
- Cardiovascular Exercise
- Muscle Physiology
- Flexibility
- Neurofacilitation Techniques
- Exercise for Special Populations
- Summary
- 16. Manipulation, Traction, and Massage
- Overview
- Manipulation
- Historical Perspective of Manual Medicine
- Overview of Manual Medicine Types
- Spinal Mechanics
- Somatic Dysfunction
- Physiologic Rationale for Manual Therapies
- Descending Inhibition
- Indications and Goals of Treatment
- Examination and Diagnosis
- Palpation for Tissue Texture Abnormality
- Assessment of Fascia
- Types of Techniques
- Evidence-Based Use of Manual Therapies in Practice
- Contraindications and Side Effects
- Traction
- Massage
- Evidence-Based Use of Massage
- 17. Physical Agent Modalities
- Cryotherapy
- Superficial Heat
- Spinal Traction
- Deep Heat
- Electrotherapy
- Low-Level Laser Therapy
- Other Modalities: International Perspective
- 18. Integrative Medicine in Rehabilitation
- Introduction
- Whole Medical Systems
- Mind and Body Practices
- Natural Products
- Economics of Complementary and Integrative Healthcare
- Conclusion
- 19. Assistive Technology and Environmental Control Devices
- Defining Assistive Technology
- History and Legislation of Assistive Technology
- Overview of Assistive Technology Devices
- Assistive Technology for Communication Disorders
- Assistive Technology for Mobility Impairments
- Ergonomics and Prevention of Secondary Injuries
- Assistive Technology for Hearing Impairments
- Assistive Technology for Visual Impairments
- Assistive Technology for Cognitive/Learning Disabilities
- Selecting Appropriate Assistive Technologies
- Principles of Clinical Assessment
- Physician Responsibilities
- Funding Assistive Technology
- Summary and Future Directions
- Section 3. Common Clinical Problems
- 20. Neurogenic Lower Urinary Tract Dysfunction
- Neuroanatomy and Physiology
- Evaluation of Neurogenic Bladder Dysfunction
- Nonpharmacologic Treatment of Neurogenic Lower Urinary Tract Dysfunction
- Pharmacologic Treatment of Neurogenic Bladder Dysfunction
- Surgical Treatment of Neurogenic Bladder Dysfunction: To Increase Capacity
- Surgical Treatments for Neurogenic Bladder Dysfunction: To Increase Contractility
- Surgical Treatment of Neurogenic Bladder Dysfunction: To Increase Outlet Resistance
- Surgical Treatment of Neurogenic Bladder Dysfunction: To Decrease Outlet Resistance
- Other Methods of Decreasing Outflow Resistance
- Differential Diagnosis of Neurogenic Bladder Dysfunction
- Complications of Neurogenic Voiding Dysfunction
- Summary
- 21. Neurogenic Bowel: Dysfunction and Rehabilitation
- Introduction
- Epidemiology
- Impact
- Neuroanatomy and Physiology of the Gastrointestinal Tract
- Enteric Nervous System
- Enteric Nervous System: Relationships to the Spinal Cord and Brain
- The Alimentary Neuromotor System
- Pathophysiology of Gastrointestinal Dysfunction
- Defecatory Dysfunction: Constipation and Fecal Incontinence
- Reflexic Upper Motor Neurogenic Bowel
- Areflexic Lower Motor Neuron Bowel
- Gastrointestinal Dysfunction in Common Neurologic Disorders
- Management
- Treatment Approaches and Rationale
- 22. Sexual Dysfunction and Disability
- Sexual Response and Behavior
- Types of Sexual Dysfunction
- Sexual Dysfunction in Disability and Chronic Disease
- Sexual Dysfunction Related to Medication Use in Individuals With Disability
- Evaluation of Sexual Dysfunction
- Treatment of Sexual Dysfunction
- Conclusion
- 23. Spasticity
- Introduction
- Pathophysiology
- Clinical Presentation, Goal Setting, and Assessment
- Management
- 24. Prevention and Management of Chronic Wounds
- Introduction
- Abnormal Wound Healing
- Treatment
- Conclusion
- 25. Vascular Diseases
- Arterial Diseases
- Arterial Evaluation
- Management
- Venous Disease
- Venous Evaluation
- Management
- Lymphatic Disease
- Evaluation
- Treatment of Lymphedema
- Conclusion
- 26. Burns
- Epidemiology of Burn Injury
- Acute Physiatric Assessment of the Burned Individual
- Acute Wound Care
- Acute Pain Management
- Acute Surgical Procedures in Burn Injuries
- Other Acute Conditions Treated in the Burn Center
- Presence of Inhalation Injury
- Polytrauma and Burns
- Catabolism and Metabolic Abnormalities
- Nutrition and Swallowing in Burns
- Peripheral Neuropathies
- Heterotopic Ossification
- Hypertrophic Scarring
- Contractures
- Burn Scar Pruritus
- Scar Measurement
- Inpatient Rehabilitation Admission for Burned Individuals
- Psychosocial Adjustment
- Community Reintegration
- 27. Acute Medical Conditions: Cardiopulmonary Disease, Medical Frailty, and Renal Failure
- Cardiopulmonary Rehabilitation
- Cardiac Anatomy and Physiology
- Pulmonary Anatomy and Physiology
- Pulmonary Rehabilitation
- Cardiac Rehabilitation
- Conclusion
- Frailty
- Renal Failure
- 28. Chronic Medical Conditions:: Pulmonary Disease, Organ Transplantation, and Diabetes
- Pulmonary Rehabilitation
- Classification of Pulmonary Disease
- Symptoms of Pulmonary Disease
- Treatment Options in Pulmonary Disease
- Management Options for Individuals With Severe Lung Disease and Long-Term Outcomes
- Special Considerations
- Summary
- Organ Transplantation
- Renal Transplantation
- Future
- Heart Transplantation
- Rehabilitation in Lung Transplantation
- Liver Transplantation
- Rehabilitation Management
- Postoperative
- Future
- Rehabilitation Management of Diabetes Mellitus
- Conclusion
- 29. Cancer Rehabilitation
- Epidemiology
- Disease Considerations
- Constitutional Symptoms
- Impairments in Cancer
- Rehabilitation Approaches
- Precautions in Cancer Rehabilitation
- Conclusion
- 30. Geriatrics
- Changes in the Body With Aging
- Evaluation of the Elderly Patient
- Conditions and Diseases in the Elderly
- Management Issues in the Elderly
- Summary
- 31. Rheumatologic Rehabilitation
- Introduction to Rheumatic Diseases
- Osteoarthritis
- Management of Osteoarthritis
- Rheumatoid Arthritis
- Ankylosing Spondylitis
- Psoriatic Arthritis
- Gout and Other Crystal-Related Arthropathies
- Systemic Lupus Erythematosus
- Septic Arthritis
- Rehabilitative Management of Rheumatic Diseases
- Summary
- Section 4. Issues in Specific Diagnoses
- 32. Common Neck Problems
- Introduction and Epidemiology
- Neuroanatomy of the Cervical Spine
- Common Clinical Disorders
- Conclusion
- 33. Low Back Disorders
- Epidemiology
- Public Health Perspective
- Anatomy and Biomechanics of the Lumbar Spine
- Pain Generators of the Lumbar Spine
- History and Physical Examination of the Low Back
- Clinical Evaluation: Diagnostics
- Differential Diagnosis and Treatment: Back Pain Greater Than Leg Pain
- Procedures for Facet-Mediated Back Pain
- Treatment of Low Back Pain
- Prognosis of Low Back Pain
- Spinal Fractures
- Differential Diagnosis and Treatment: Leg Pain Greater Than Back Pain
- Low Back Pain in Special Populations
- 34. Osteoporosis
- Bone Function and Structure
- Bone Remodeling
- Pathogenesis
- Classification of Osteoporosis
- Hormones and Physiology of Bone
- Role of Sex Steroids
- Other Factors Affecting Bone Mass
- Effect of Aging on Bone Mass
- Clinical Manifestations of Osteoporosis
- Fractures and Management
- Vertebral Fractures
- New Hypothesis on the Most Effective Exercise to Reduce Risk for Vertebral Fracture
- Vertebroplasty and Kyphoplasty
- Hip Fracture
- Hip Pads for Fracture Prophylaxis
- Sacral Insufficiency Fracture
- Diagnostic Studies in Osteoporosis
- Treatment
- Posture Training Program and the Osteoporotic Skeletal Frame
- Pharmacologic Interventions
- 35. Upper Limb Pain and Dysfunction
- Introduction
- Upper Limb Physical Examination
- Rehabilitation Principles of Upper Limb Injury
- Musculoskeletal Problems of the Upper Limb
- Conclusion
- 36. Lower Limb Pain and Dysfunction
- Introduction
- Part I: Disorders of the Hip and Groin
- Part II: Disorders of the Thigh and Knee
- Part III: Disorders of the Lower Limb, Ankle, and Foot
- Summary
- 37. Chronic Pain
- Prevalence
- Historical Overview
- Physiology and Pathophysiology of Pain
- Behavioral Treatment Approaches
- Diagnostic Categories Common in Patients With Chronic Pain
- Sleep and Chronic Pain
- Assessment
- Treatment
- Anticonvulsant Medications
- Summary
- 38. Pelvic Floor Disorders
- Pelvic Floor Neuromusculoskeletal Anatomy
- Overview of Terminology
- Physical Examination of the Pelvic Floor
- Types of Pelvic Floor Dysfunction
- Overlap of Pelvic Floor Disorders and Chronic Pelvic Pain
- Conclusion
- 39. Sports Medicine and Adaptive Sports
- Role of the Team Physician
- Principles of Conditioning and Training
- Injury Prevention and Rehabilitation
- Biomechanics of Sports
- Pharmacology in Sports
- Preparticipation Examination
- Emergency Assessment and Care
- Specific Diagnoses in Sports Medicine
- Specific Populations
- Adaptive Sports Medicine
- Event Administration
- 40. Motor Neuron Diseases
- Definition
- Classification
- Diagnosis
- Treatment
- Conclusions
- 41. Neuropathies
- Anatomy and Physiology
- Mechanism and Classification of Neuropathies
- Mononeuropathies
- Focal Neuropathies of the Upper Extremity
- Focal Neuropathies of the Lower Extremities
- Generalized Peripheral Neuropathies
- Complications of Neuropathies
- Specific Neuropathies
- 42. Myopathic Disorders
- Physiology and Anatomy of Muscle Function
- Clinical and Diagnostic Evaluation in Myopathic Disease
- Specific Myopathies
- Duchenne and Becker Muscular Dystrophy (Dystrophinopathies)
- Disease-Modifying Treatments
- Emery-Dreifuss Muscular Dystrophy
- Facioscapulohumeral Muscular Dystrophy
- Oculopharyngeal Muscular Dystrophy
- Limb Girdle Muscular Dystrophy
- Congenital Muscular Dystrophy
- Distal Inherited Muscular Dystrophies
- Dystrophic Myotonias
- Congenital Myopathies
- Nondystrophic Myotonias
- Metabolic Myopathies
- Disorders of Glycogen Metabolism
- Disorders of Lipid Metabolism
- Mitochondrial Myopathies
- Progressive External Ophthalmoplegia
- Specific Acquired Myopathies (Table 42.8)
- Acquired Metabolic Myopathies
- Toxic Myopathies
- General Rehabilitation Principles in Myopathic Disorders
- The Interdisciplinary Team
- Swallowing Disorders
- Nutritional Management
- Rehabilitation and Exercise Management
- Adaptive Equipment for Impaired Upper Extremity Function
- Conclusions and Future Directions
- 43. Traumatic Brain Injury
- Definitions
- Pathophysiology Associated With Traumatic Brain Injury
- Evaluation and Treatment of Traumatic Brain Injury
- Inpatient Rehabilitation Assessment and Management
- Pediatrics
- Acute Prognostic Indicators of Outcome: A Clinical and Translational Research Perspective
- Neuroimaging Modalities in Traumatic Brain Injury Research
- Outcomes, Community Integration, Resources, and Prevention
- Traumatic Brain Injury Prevention
- 44. Stroke Rehabilitation
- Introduction
- Types of Strokes
- Initial Workup/Management
- Complications of Stroke
- Rehabilitation: Treatment of Stroke Sequelae
- Prognosis
- Summary
- 45. Degenerative Movement Disorders of the Central Nervous System
- Introduction
- Hypokinetic Disorders
- Parkinson Plus Syndromes
- Summary
- 46. Multiple Sclerosis
- Costs
- Epidemiology
- Pathogenesis
- Pharmacologic Management
- Rehabilitation, Exercise, and Symptom Management
- Neurogenic Bladder, Neurogenic Bowel, and Sexual Dysfunction
- Cognitive Impairment
- Pediatric Multiple Sclerosis
- Multiple Sclerosis in Pregnancy
- Summary
- 47. Cerebral Palsy
- Introduction
- Medical Management
- Therapeutic Management
- Orthopedic Management
- Complementary and Alternative Medicine
- Transition to Adulthood and Aging With Cerebral Palsy
- 48. Myelomeningocele and Other Spinal Dysraphisms
- Historical Background, Terminology, and Nomenclature
- Epidemiology
- Risk Factors/Etiology
- Genetic Factors
- Embryology
- Prenatal Diagnosis and Management
- Neonatal and Early Management
- Childhood Management
- Myelomeningocele in Adults
- Summary
- 49. Spinal Cord Injury
- Historical Perspective
- Model Systems of Care
- Subspecialty of Spinal Cord Injury Medicine
- Epidemiology
- Anatomy, Mechanics, and Syndromes of Traumatic Injury
- Classification of Spinal Cord Injury
- Nontraumatic Spinal Cord Injury
- Outcomes of Traumatic Spinal Cord Injury
- Acute Phase of Injury
- Rehabilitation Phase of Injury
- Exoskeletal Ambulation Training
- Epidural Spinal Cord Stimulation
- Chronic Phase of Injury
- Secondary Conditions
- Other (Neuropathic) Pain
- Hip and Spine Deformities in Children
- Summary
- 50. Auditory, Vestibular, and Visual Impairments
- Auditory Impairments and Hearing Loss
- Overview of Auditory Anatomy and Physiology
- Auditory Assessment
- Risk Factors for Hearing Impairments
- Symptoms of Hearing Loss
- Auditory Rehabilitation
- Vestibular Impairments
- Overview of Vestibular Anatomy and Physiology
- Vestibular Symptoms
- Vestibular Assessment
- Risk Factors, Comorbidities, and the Epidemiology of Vestibular Disorders
- Vestibular Rehabilitation
- Efficacy of Vestibular Rehabilitation
- Visual Impairments
- Overview of Vision Anatomy and Physiology
- Risk Factors for Developing Vision Impairments
- Vision Assessment
- Conclusion
- Index
- Instructions for online access
- Edition: 6
- Published: August 1, 2020
- Imprint: Elsevier
- Language: English
- Hardback ISBN: 9780323625395
DC