Physical Management for Neurological Conditions

5th Edition - October 4, 2023
Editors: Sheila Lennon, Gita Ramdharry, Geert Verheyden
Language: English
Paperback ISBN:
9 7 8 - 0 - 3 2 3 - 8 8 1 3 2 - 6
eBook ISBN:
9 7 8 - 0 - 3 2 3 - 8 8 2 6 3 - 7

Physical Management for Neurological Conditions comprehensively covers the essentials of neurorehabilitation starting with thirteen guiding principles, and a new chapter on clinic… Read more

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Physical Management for Neurological Conditions comprehensively covers the essentials of neurorehabilitation starting with thirteen guiding principles, and a new chapter on clinical reasoning and assessment. It discusses the physical management of common neurological conditions such as stroke, traumatic brain injury, spinal cord injury, multiple sclerosis and Parkinson’s followed by less common conditions such as inherited neurological conditions, motor neuron disease, polyneuropathies and muscle disorders.

Produced by a team of international editors and experts, this fifth edition is the most up-to-date evidence-based textbook available for undergraduate students and qualified health professionals alike, focusing on selecting appropriate evidence-based tools rather than subscribing to any specific treatment approaches. It is a core physiotherapy textbook designed to provide students with everything they need to pass the neurological component of their degree.

Cover image
Title page
Table of Contents
Copyright
Contributors
Preface
Acknowledgements
Section 1: Background Knowledge
1. Guiding Principles in Neurological Rehabilitation
Outline
Introduction
Why is a Theoretical Framework Important?
Key Points
Guiding Principles for Neurological Rehabilitation
Conclusion
Self-Assessment Questions
References
2. Clinical Reasoning in Neurological Physiotherapy: Assessment and Treatment Principles
Outline
Introduction
A CR Framework for Neurological Physiotherapy
Primary CR Components
Putting it All Together in Case Scenarios
Conclusion
Self-Assessment Questions
References
3. Common Impairments and the Impact on Activity
Outline
Introduction
Weakness
Fatigue
Disorders of Muscle Tone
Key Points
Disorders of Coordination
Disorders of Motor Planning
Vestibular Disorders
Visuospatial Disorders
Sensory Disorders
Secondary Complications
Conclusion
Self-Assessment Questions
References
4. Observation and Analysis of Movement
Outline
Walking
Sit to Stand
Rolling and Getting Out of Bed
Reach and Grasp
Posture and Balance
Key Messages
Self-Assessment Questions
References
5. Measurement Tools
Outline
Introduction
Types of Measurement Tools
Psychometric Properties
Applied Measurement Science: Towards Clinical Implementation
Conclusion
Self-Assessment Questions
References
6. Goal Setting in Rehabilitation
Outline
Introduction
Definitions and Assumptions
Pragmatic Person-Centred Goal Setting
Goal Setting in Stroke Rehabilitation – Addressing the Changing Needs from Acute Care to Community Life
Goal Achievement As an Outcome Measure – Challenging Current Assumptions
Conclusion
Self-AssessmentQuestions
References
Section 2: Management of Specific Conditions
7. Stroke
Outline
Introduction
Epidemiology
Pathophysiology
Diagnosis
Medical Management
Setting
Interdisciplinary Team
Clinical Presentation
Assessment
Interventions
Lower Limb and Locomotor Recovery
Conclusion
Case Study
Self-Assessment Questions
References
8. Traumatic Brain Injury
Outline
Introduction
Epidemiology
Pathophysiology
Diagnosis
Medical Management
Clinical Presentation
Assessment
Prognosis/Time Course
Interventions
Other Considerations
Covid Update
Conclusion
Case Presentation
Self-AssessmentQuestions
References
9. Spinal Cord Injury
Outline
Introduction
Epidemiology
Aetiology
Pathophysiology
Diagnosis
Prognosis
Incomplete Syndromes
Early Acute Management
Respiratory Assessment
Respiratory Treatment
Clinical Presentation
Assessment
Physical Management
Special Considerations
Paediatric Considerations
Discharge Planning and Lifelong Care
Conclusion
Case Study
Self-Assessment Questions
References
Useful Websites
10. Multiple Sclerosis
Outline
Introduction
Pathophysiology
Clinical Presentation
Diagnosis
Classification
Medical Management
Interventions
Secondary Complications
Conclusion
Case Study
Self-Assessment Questions
References
11. Parkinson’s
Outline
Introduction
Epidemiology and Aetiology
Pathophysiology
Neuroanatomy
Medical Management
Team Management
Physiotherapy Management
Conclusion
CASE STUDY: Use of Exercise Through the Three Stages of Parkinson’s
Self Assessment Questions
References
Resources
Acknowledgement
12. Inherited Neurological Conditions
Outline
Introduction
Huntington’s Disease
Hereditary Ataxias
Hereditary Spastic Paresis
Summary
Case Study
Self-Assessment Questions
Acknowledgement
References
13. Motor Neurone Disease
Outline
Introduction
Epidemiology
Anatomy and Pathophysiology
Genetic Factors
Geographical and Environmental Factors
Clinical Phenotypes
Diagnosis
(Early) Medical Management
Signs, Symptoms and Clinical Presentation
Assessment and Prognosis
Time Course and Corresponding Management
Treatment Selection and Secondary Complications and Special Problems
Conclusion
Case Study
Self-Assessment Questions
References
14. Polyneuropathies
Outline
Introduction
Anatomy and Physiology
Causes of Neuropathy
Specific Types of Neuropathy
Assessment of People with Polyneuropathies
Physical Management and Rehabilitation Approaches for People with Polyneuropathies
Case Study
Self-Assessment Questions
References
15. Neuromuscular Disorders
Outline
Introduction
Anatomy and Physiology of Neuromuscular Disorders
Overview of Causes of Neuromuscular Disorders
Principles of Assessment and Management
Specific Types of Neuromuscular Disorders
Self-Assessment Questions
References
16. Functional Motor Disorders
Outline
Key Points
Introduction
Historical Perspective
Epidemiology
Pathophysiology
Diagnosis
Prognosis
Clinical Presentations
Role of the Multidisciplinary Team
Evidence for Rehabilitation of Functional Motor Disorder
Before Commencing Rehabilitation
Assessment
Physiotherapy Interventions
Considerations for Treatment
Concluding Treatment
Conclusion
Case Study
Self-assessment Questions
References
17. Vestibular Rehabilitation
Outline
Introduction
Epidemiology
Anatomy and Physiology of the Vestibular System
Vestibular Ocular Reflex and Vestibulospinal Reflex
Pathophysiology
Peripheral Disorders
Central Disorders
Other Causes of Dizziness
Diagnosis
Medical and Surgical Management
Assessment
Prognosis
Interventions
Other Considerations
Conclusion
Case Studies
Self-assessment Questions
References
Section 3: Specific Management
18. Respiratory Management
Outline
Introduction
Central Nervous Control of Breathing
Respiratory Assessment of the Neurological Patient
Early Mobilisation
Respiratory Treatment and Management
Respiratory Function in Neurological Conditions
Management of Traumatic Brain Injury
Conclusion
Self-Assessment Questions
References
19. Self-Management
Outline
Introduction
Self-management: What is it and Why Now?
Self-management Programmes: Theory and Research
Self-management Programmes: The Evidence Base for Neurological Conditions
Supporting Self-management: Providing Information Alone is not Enough
Conclusion
Self-Assessment Questions
References
20. Neurorehabilitation Technologies
Outline
Introduction
Role of Technologies in Neurological Rehabilitation
Types of Technologies used in the Rehabilitation Setting
Current Evidence
Practical Tips for Choosing Technologies
Conclusion
Case History
Self-Assessment Questions
References
21. Falls and Their Management
Outline
Introduction
Falls and Falling
Assessing People at Risk of Falling
Preventing Falls and Managing People Who Have Fallen
Multifactorial Approach to Fall Prevention
Conclusion
Self-Assessment Questions
References
22. Physical Activity and Exercise in Neurological Rehabilitation
Outline
Neurological Conditions
Physical Activity
Assessment and Monitoring of Exercise
Conclusion
Summary of Exercise Prescription Guidance
Self-Assessment Questions
References
23. Pain Management
Outline
Introduction
Anatomy and Pathophysiology
Signs and Symptoms and Clinical Presentation
Epidemiology of Pain Associated with Neurological Conditions
Diagnosis, Assessment and Prognosis
Principles of Pain Management
Pain Treatment Selection, Goal Setting and Outcome Monitoring
Conclusions
Case Studies
Self-Assessment Questions
References
24. Clinical Neuropsychology in Rehabilitation
Outline
Introduction
Neuropsychological Assessment
Neuropsychological Interventions
Neuropsychological Consequences of Neurological Disorders
Process of Rehabilitation
Conclusion
Self-Assessment Questions
Acknowledgements
References
25. Selected Topics in Physical Management for Neurological Conditions
Outline
Introduction
Musculoskeletal Integration in Neurological Upper Limb Approach — Movement and Muscle Activation of the Shoulder Complex After Stroke: a Musculoskeletal View on Poststroke Shoulder Assessment and Rehabilitation
Spasticity: When and How to Treat the Clinical Problem in Neurological Rehabilitation
On the Road with Multiple Sclerosis – Challenges in Screening, Assessment and Training of Driving
Physical Management of People with Prolonged Disorder of Consciousness – Disability Management, Ethics and Legal Frameworks
Adults with Cerebral Palsy
Self-Assessment Questions
References
Appendix. Answers to Self-Assessment Questions
CHAPTER 1
CHAPTER 2
CHAPTER 3
CHAPTER 4
CHAPTER 5
CHAPTER 6
CHAPTER 7
CHAPTER 8
CHAPTER 9
CHAPTER 10
CHAPTER 11
CHAPTER 12
CHAPTER 13
CHAPTER 14
CHAPTER 15
CHAPTER 16
CHAPTER 17
CHAPTER 18
CHAPTER 19
CHAPTER 20
CHAPTER 21
CHAPTER 22
CHAPTER 23
CHAPTER 24
CHAPTER 25
Abbreviations
Index

Life Sciences

Physical Sciences & Engineering

Social Sciences & Humanities

Health

Physical Management for Neurological Conditions

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Sheila Lennon

Gita Ramdharry

Geert Verheyden