Stroke Rehabilitation

A Function-Based Approach

5th Edition - September 13, 2020
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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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 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.

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

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Stroke Rehabilitation

A Function-Based Approach

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Glen Gillen

Dawn M. Nilsen