Stroke Rehabilitation
A Function-Based Approach
- 5th Edition - July 7, 2020
- Imprint: Mosby
- Authors: Glen Gillen, Dawn M. Nilsen
- Language: English
- Hardback ISBN:9 7 8 - 0 - 3 2 3 - 6 3 9 9 4 - 1
- eBook ISBN:9 7 8 - 0 - 3 2 3 - 6 3 9 9 6 - 5
Learn to confidently manage the growing number of stroke rehabilitation clients with Gillen’s Stroke Rehabilitation: A Function-Based Approach, 5th Edition. Using a holistic… Read more
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Request a sales quoteLearn to confidently manage the growing number of stroke rehabilitation clients with Gillen’s Stroke Rehabilitation: A Function-Based Approach, 5th Edition. Using a holistic and multidisciplinary approach, this unique text remains the only comprehensive, evidence-based stroke rehabilitation resource for occupational therapists. This new fifth edition has been extensively updated to include the research, trends, and best practices in the field. As with previous editions, this comprehensive reference uses an application-based method that integrates background medical information, samples of functionally based evaluations, and current treatment techniques and intervention strategies.
- Case studies challenge you to apply rehabilitation concepts to realistic scenarios.
- Evidence-based clinical trials and outcome studies clearly outline the basis for stroke interventions.
- A survivor's perspective is included in one chapter to give you a better understanding of the stroke rehabilitation process from the client point-of-view.
- Multidisciplinary approach highlights discipline-specific distinctions in stroke rehabilitation among occupation and physical therapists, physicians, and speech-language pathologists.
- Review questions in each chapter help you assess your understanding of rehabilitation concepts.
- Key terms and chapter objectives at the beginning of each chapter help you study more efficiently.
- Cover image
- Title page
- Table of Contents
- Copyright
- Dedication
- Contributors
- Preface
- Part 1. Foundations of Stroke Rehabilitation
- chapter 1. Stroke Diagnosis, Acute Treatment, Prevention, and Medical Management
- Prevalence and Impact of Stroke
- Epidemiology of Stroke
- Pathogenesis and Pathology of Stroke
- Stroke Diagnosis
- Workup for Cause of Stroke of TIA
- Medical Stroke Management
- Prevention of Stroke Recurrence
- Prevention of Complications and Long-Term Sequelae
- Future Trends in Medical Stroke Management
- Introcuction to Acute Stroke Rehabilitation
- The Importance of Early Intervention
- Team Approach
- Monitoring the Intensive Care Unit and Acute Stroke Survivor
- Assessments Used in Acute Stroke Rehabilitation
- Interventions for Acute Stroke Rehabilitation
- Edema Management
- Shoulder Management
- Increasing Spatial Awareness By Arranging The Environment
- Early Cognitive Management
- Skin Protection and Prevention of Breakdown
- Communication
- Dysphagia Screening
- Self-Care Training
- Family Training
- Goal Setting in Acute Care
- Discharge Planning
- Summary
- chapter 2. Improving Participation and Quality of Life through Occupation
- Concepts Central to Enabling Participation
- Occupation
- Client-Centered Care
- Quality of Life
- Assessment of Participation
- Assessment of Quality of Life
- Barriers to Participation and Quality of Life
- How to Foster Participation Throughout the Continuum of Care
- chapter 3. Task-Oriented Approach to Stroke Rehabilitation
- Theoretical Assumptions and Model Underlying the OT-TOA
- Systems View of Motor Development
- Contemporary View of Motor Learning
- Systems Model of Motor Behavior
- Evaluation Framework Using the OT-TOA
- Treatment Principles Using the OT-TOA
- Evidence Supporting the OT-TOA
- Summary
- chapter 4. Client Centeredness: A Survivor’s Perspective
- Introduction
- The Event
- Therapy
- Going Home
- Concluding Remarks
- P.S.
- Epilogue
- Part 2. Maximizing Participation in Everyday Activities
- chapter 5. Enhancing Performance of Activities of Daily Living Tasks
- Occupational Therapy Intervention Process Model
- Assessment of Motor and Process Skills
- Adl Taxonomy
- chapter 6. Adaptations for Managing Daily Activities with Hemiparesis
- Introduction
- Assessment
- Modifying the Environment for Success
- Energy Conservation and Work Simplification Techniques
- General Considerations
- Performance of BADLs
- Dressing
- Performance of Instrumental ADLs
- Summary
- chapter 7. Functional Mobility
- Terminology
- Overview of the Literature
- Functional Mobility: Relationship to Activities and Participation
- Influence of Contextual Factors on Functional Mobility
- Functional Mobility: The Outcome of Multiple Processes
- Impairment of Body Functions and Structures and Skills
- Functional Mobility Tasks
- Activities in the Supine Position
- Activities in Sitting
- Activities in Standing
- Consideration of Mobility and Valued Positions
- Adjunct Techniques to Enhance Skill Acquisition
- Evaluation Tools
- Anticipating Changing Environments
- Summary
- chapter 8. Gait Awareness
- Terminology
- Reliable Gait Parameters
- Causes of Gait Deviations
- Osteoporosis
- Treatment Interventions
- Other Atypical Gait Patterns
- Assistive Devices
- Gait Patterns
- Guarding Techniques
- Summary
- chapter 9. Work after Stroke
- Is return to work an option?
- Understanding the Job and Workplace
- Assessing the Client’s Work Abilities and Limitations
- After the Assessment
- Designing Treatment to Address Return to Work After Stroke
- Where can ot address return to work after stroke?
- Appendix A: Job Performance Measure21
- Review Questions
- Acknowlegments
- chapter 10. Driving and Community Mobility as an Instrumental Activity of Daily Living
- Introduction
- Screening and Evaluation Process for Driving and Community Mobility
- Summary
- Suggested Resources for Driving and Community Mobility
- chapter 11. Parenting after Stroke
- Research on Parent/Child Collaboration
- Research on Baby Care Adaptive Equipment
- Visual History
- Ot Assessment to Guide Baby Care Adaptations
- Intervention Model
- Providing Adaptive Baby Care Equipment
- Examples of Equipment on the Market
- Transition Navigating Social Obstacles Integral to Parenting
- Review Questions
- chapter 12. Sexual Function and Intimacy
- Normal Human Sexual Response
- Sexuality and Neurologic Function
- Effects of Stroke on Sexual Function
- Societal Attitudes
- Role of Occupational Therapy
- Developing Competency
- Specific Suggestions for Treatment
- Evidence-Based Interventions
- Summary
- chapter 13. Leisure Participation after Stroke
- Definition of Leisure
- Leisure, Stroke, and Occupational Therapy
- Factors Affecting Leisure Performance
- Leisure Activities During Occupational Therapy
- Leisure Interventions for Stroke Survivors: Evidence-Based Practice
- Adapting the Leisure Task
- Summary
- chapter 14. Caregiving after Stroke
- Overview of Caregiving in the United States
- OT Role with Caregivers of Persons with Stroke
- Summary
- Online Caregiver Resources
- Part 3. Maximizing Outcomes for Specific Problem Areas Following Stroke
- chapter 15. Psychological Aspects of Stroke Rehabilitation
- Psychological Factors as Predictors of Stroke
- Emotional Reaction to Stroke
- Personality Change After Stroke
- Psychiatric and Emotional Disorders
- Screening for Psychological Conditions
- Biologic Intervention
- Coping with Illness, Recovery, and Rehabilitation
- Children with Stroke
- Impact of Stroke on the Family
- Considerations for the Recovery Process
- Occupational Therapy Intervention
- Summary
- chapter 16. Approaches to Motor Control Dysfunction: An Evidence-Based Review
- Introduction
- Traditional Approach
- Current Approaches: Task Oriented Approach
- Current Approaches: Constraint Induced Movement Therapy and Modified Constraint Induced Movement Therapy
- Current Approaches: Robotic Training
- Current Approaches: Mirror therapy
- Current Approaches: Mental Practice/Motor Imagery
- Current Approaches: Action Observation
- Current Approaches: virtual reality
- Summary
- chapter 17. Seated Postural Control: Supporting Functional Independence
- An Overview of Common Trunk Impairments that may Interfere with Daily Function
- Functional Trunk Anatomy
- Motor Control Considerations
- General Considerations for Evaluation and Treatment of the Trunk
- Evaluation Process
- Treatment Techniques to Enhance Trunk Control During Task Performance
- Using Adls and Mobility Tasks
- chapter 18. Standing Postural Control: Supporting Functional Independence
- Introduction
- Postural Control
- Systems Involved in Postural Control
- Common Standing Postural Control Impairments After Hemispheric Stroke
- Comprehensive Evaluation
- Intervention Principles
- Summary
- chapter 19. Vestibular Rehabilitation and Stroke
- Overview of the Vestibular System
- Stroke Syndromes
- Vestibular Rehabilitation
- chapter 20. Upper Extremity Function and Management
- Overview of Occupational Therapy Perspective
- Definitions and Classifications
- Activity Analysis of Select Upper Extremity Tasks
- Selected Evaluation Tools
- Use of the Involved Upper Extremity to Support Task Performance: Suggestions for Intervention
- Goals, Task Choices, and Interventions to Promote Function
- Selected Adjunct Interventions Used With a Task-Oriented Approach
- Impairments to Consider During Evaluation and Intervention
- Complex Regional Pain Syndrome Type I
- General Treatment Principles
- chapter 21. Rehabilitation Technologies to Promote Upper Limb Recovery After Stroke
- Rationale for Development
- Theories Guiding Technology Development
- Robot-Assisted Therapy
- Robots for Proximal Training of the Shoulder and Elbow
- Robots for Distal Training Focused on the Hand
- Bilateral Arm Training
- Functional Electrical Stimulation
- Other Devices for Repetitive Task Practice
- Task-Oriented Robotics: Autocite and Adapt
- Clinical Use of Rehabilitation Technologies
- Summary
- chapter 22. Edema Control
- Etiology of Stroke Hand Edema
- Edema Evaluation Methods
- Current PostStroke Hand Edema Treatment Methods
- Summary
- chapter 23. Orthotic Devices after Stroke
- Historical Perspective
- Limited Evidence: Orthoses After Stroke
- Dorsal Versus Volar Orthotic Devices
- Review of Orthoses Commonly Used for Patients After Stroke
- Considerations in Prescribing and Designing an Orthosis for the Distal Extremity After Stroke
- Decision-Making Process
- General Guidelines for the use of Orthotic Devices
- General Fabrication Guidelines
- Specific Fabrication Guidelines
- Summary
- chapter 24. Managing Visual and Visuospatial Impairments to Optimize Function
- Visual Processing During Functional Activities
- Visual Screening
- Managing Visual Acuity Impairments
- Managing Visual Field Deficits with an Emphasis on Hemianopsia
- Managing Diplopia
- Visuospatial and Spatial Relations Impairments
- chapter 25. Impact of Neurobehavioral Deficits on Activities of Daily Living
- The A-One Instrument
- Activities of Daily Living
- Neurobehavior: The Process of Linking Occupation to Neuronal Activity
- Detecting the Effect of Neurobehavioral Deficits on Activity Performance
- Function of the Cerebral Cortex: The Foundation of Task Performance
- Processing During Task Performance
- Dysfunction of Activities of Daily Living Due to Stroke
- Clinical Reasoning Involved in Using the A-ONE
- Assessment Methods
- Summary
- chapter 26. Treatment of Cognitive-Perceptual Deficits: A Function-Based Approach
- Neurobehavior
- Appropriate Outcomes: Improving Occupational Performance for Those With Cognitive and Perceptual Impairments
- Functional/Adaptation Approach
- Assessment Decisions
- Treatment Considerations
- Neurobehavioral Impairments in the Stroke Population
- Intervention Strategies
- Group Treatment
- Treatment Approaches for Specific Neurobehavioral Impairments
- Goals
- chapter 27. Seating and Wheeled Mobility Prescription
- Societal Attitudes and Expectaions of Persons With Disabilities
- Rehabilitation Services
- Manufacturer Production of Durable Medical Equipment
- Reimbursement Policies
- System and Policy Changes: Development of Standards and Organizations to Monitor Assistive Technology Services
- Sitting: Body Function and Structures
- Asymmetrical Pelvic Positions, Concerns and Common Causes
- Wheelchair and Seating System Assessment
- Matching Equipment to Client Function: Seating System Principles
- General Seating System Principles for Individuals With Stroke
- Matching Equipment to Client Function: Seating Systems
- Fitting the Person Based on Functional Status
- Mobility Base Considerations
- chapter 28. Managing Speech and Language Deficits after Stroke
- The Role of the Speech-Language Pathologist Across the Continuum of Care
- Impact of Communication Impairment Following Stroke
- Incidence and Prevalence of Communication Disorders
- The Types of Communication Problems Found in Stroke
- The Management of Motor Speech Disorders
- Language Disorders Associated With Stroke
- Cognitive Communicative Impairment
- Summary
- Review Questions
- chapter 29. Dysphagia Management
- Normal Anatomy and Physiology of the Swallowing Mechanism
- Signs of Dysphagia Associated with Stroke
- Medical Complications Associated with Dysphagia in Stroke
- Role of the Swallowing Team
- Evaluation of Swallowing
- Outcome Scales
- Evaluation Impressions and Recommendations
- Alternative Means of Nutrition
- Dysphagia Intervention in Stroke
- chapter 30. Home Evaluation and Modifications
- Basic Guidelines and Wheelchair Information
- Evaluating the Home
- Home Evaluation Forms
- Modifications
- Fall Prevention
- chapter e31. A Survivor’s Perspective II: Stroke
- appendix 1. Assessment Appendix
- appendix 2. Medications Commonly Used to Treat Stroke and Its Comorbidities
- Index
- Edition: 5
- Published: July 7, 2020
- Imprint: Mosby
- No. of pages: 752
- Language: English
- Hardback ISBN: 9780323639941
- eBook ISBN: 9780323639965
GG
Glen Gillen
Affiliations and expertise
Associate Director and Associate Professor, Rehabilitation and Regenerative Medicine (Occupational Therapy), Columbia University Medical Center, New York, New YorkDN
Dawn M. Nilsen
Affiliations and expertise
Associate Professor of Regenerative and Rehabilitation Medicine (Occupational Therapy) at Columbia University Medical Center, Programs in Occupational Therapy, Columbia University, New York, New York