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This issue, "Contemporary Issues Related to Management of the Upper Limb in Persons with Tetraplegia", is the third issue of Hand Clinics dedicated entirely to research and clinical interventions for restoration of hand and arm function in persons with tetraplegia. As a direct result of international collaboration, surgical techniques and assistive technologies for improved upper limb function have greatly advanced - giving persons with spinal cord injury monumental capabilities for engagement in work, self-care and leisure. Moreover, an international and more practical understanding of meaningful outcomes - those that are important to people with tetraplegia - has emerged, enabling researchers and clinicians to better meet the expectations of those receiving upper limb care. This issue of Hand Clinics addresses contemporary principles related to the upper limb in tetraplegia - outcomes assessments and measurement issues, surgical technique and rehabilitation of elbow extension transfers and management of the hand of persons with incomplete injuries. In addition, contemporary perspectives internationally will be summarized and presented. Lastly and with much enthusiasm, topics related to shoulder modeling and wheelchair propulsion will be introduced as important areas of consideration when managing the upper limb of persons with spinal cord injury.
Surgical Rehabilitation of the Upper Limb in Tetraplegia summarises all knowledge available on the management of the upper limb in tetraplegics. It gives full coverage of the process of patient evaluation, outlines spinal cord injuries in relation to the upper limb, and reviews both surgical and non-surgical rehabilitation in every type of patient, from the very weak to the strong. For every clinical situation the absolute indications and contraindications, operative detail, post-operative management, expected outcome and common complications are reviewed so that the clinician is able to make a clear decision as to the best course of action in each type of patient. Every aspect of rehabilitation is covered in detail, making this a one-stop resource for both clinicians and therapists All surgical options are reviewed, giving surgical detail, post-operative care, possible complications, expected outcomes and salvage procedures Every class of patient is covered individually, from the very weak to the strong, and recommendations are made on the best clinical choice in each class of patient Hentz is one of the world leaders in upper limb rehabilitation, and the French co-author will provide the European perspective on management, so giving a balanced overview of clinical practice worldwide.
This publication updates the important topics covered in the 1st edition. It summarizes all knowledge available on the management of the upper limb in tetraplegics and gives full coverage of the process of patient evaluation, outlines spinal cord injuries in relation to the upper limb, and reviews both surgical and non-surgical rehabilitation in every type of patient.
From a hospital admittance to discharge to outpatient rehabilitation, Spinal Cord Injuries addresses the wide spectrum of rehabilitation interventions and administrative and clinical issues specific to patients with spinal cord injuries. Comprehensive coverage includes costs, life expectancies, acute care, respiratory care, documentation, goal setting, clinical treatment, complications, and activities of daily living associated with spinal cord patients. In addition to physical therapy interventions and family education components, this resource includes content on incidence, etiology, diagnosis, and clinical features of spinal cord injury. Case Studies with clinical application thinking exercises help you apply knowledge from the book to real life situations. Thoroughly referenced, evidence-based content provides the best evidence for treatment based on the most current research. Tables and boxes throughout each chapter organize and summarize important information for quick reference. Clinical Note boxes provide at-a-glance access to helpful tips. Over 500 clinical photos, line drawings, radiographs, and more bring important concepts to life. Highly respected experts in spinal cord injury rehabilitation, editors Sue Ann Sisto, Erica Druin, and Martha Sliwinski, provide authoritative guidance on the foundations and principles of practice for spinal cord injury. Companion DVD includes video clips of the techniques described throughout the book that demonstrate how to apply key concepts to practice.
Extensively illustrated and easy to use, this practical resource offers clear guidelines and step-by-step sequences for moving and working with individuals with differing levels of paralysis. It serves as both an ideal student textbook and a valuable clinical manual for therapists who see tetraplegic and paraplegic patients. Clear, practical, concise chapters present important information in an easily understandable approach.Spiral-bound format enables the book to lay flat for easy reference in the clinical setting or classroom.Excellent coverage of wheelchairs and wheelchair management is included. All illustrations have been redrawn for increased clarity, to enhance the clinical usefulness of this resource.Audit and evidence-based practice is incorporated throughout.Discussion of patient empowerment is included.The chapter on hands has been expanded to provide more in-depth coverage of this important topic.New discussion of levers has been added to this edition.New chapter on aging offers insight and considerations for treating aging and elderly patients with spinal cord injury.Expanded section on equipment provides details on current and state-of-the-art equipment used in practice.
Combining 25 years of clinical, research and teaching experience, Dr Lisa Harvey provides an innovative 5-step approach to the physiotherapy management of people with spinal cord injury. Based on the International Classification of Functioning, this approach emphasises the importance of setting goals which are purposeful and meaningful to the patient. These goals are related to performance of motor tasks analysed in terms of 6 key impairments. The assessment and treatment performance of each of these impairments for people with spinal cord injury is described in the following chapters: training motor tasks strength training contracture management pain management respiratory management cardiovascular fitness training Dr Harvey develops readers' problem-solving skills equipping them to manage all types of spinal cord injuries. Central to these skills is an understanding of how people with different patterns of paralysis perform motor tasks and the importance of differentmuscles for motor tasks such as: transfers and bed mobility of people wheelchair mobility hand function for people with tetraplegia standing and walking with lower limb paralysis This book is for students and junior physiotherapists with little or no experience in the area of spinal cord injury but with a general understanding of the principles of physiotherapy. It is also a useful tool for experienced clinicians, including those keen to explore the evidence base that supports different physiotherapy interventions.
This comprehensive and practical reference is the perfect resource for the medical specialist treating persons with spinal cord injuries. The book provides detail about all aspects of spinal cord injury and disease. The initial seven chapters present the history, anatomy, imaging, epidemiology, and general acute management of spinal cord injury. The next eleven chapters deal with medical aspects of spinal cord damage, such as pulmonary management and the neurogenic bladder. Chapters on rehabilitation are followed by nine chapters dealing with diseases that cause non-traumatic spinal cord injury. A comprehensive imaging chapter is included with 30 figures which provide the reader with an excellent resource to understand the complex issues of imaging the spine and spinal cord.
Physical rehabilitation for walking recovery after spinal cord injury is undergoing a paradigm shift. Therapy historically has focused on compensation for sensorimotor deficits after SCI using wheelchairs and bracing to achieve mobility. With locomotor training, the aim is to promote recovery via activation of the neuromuscular system below the level of the lesion. What basic scientists have shown us as the potential of the nervous system for plasticity, to learn, even after injury is being translated into a rehabilitation strategy by taking advantage of the intrinsic biology of the central nervous system. While spinal cord injury from basic and clinical perspectives was the gateway for developing locomotor training, its application has been extended to other populations with neurologic dysfunction resulting in loss of walking or walking disability.
Specialised chapters about biomechanics, paediatric spinal cord injury and high cervical injuries Insight into the lived experience of individuals with a spinal cord injury Documentation of the patient journey from injury to total rehabilitation Practical information on mobility devices and returning to driving Appendix of common assessments for spinal cord injuries Includes an eBook with purchase of the print book
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