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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.
When a child has a health problem, parents want answers. But when a child has cerebral palsy, the answers don't come quickly. A diagnosis of this complex group of chronic conditions affecting movement and coordination is difficult to make and is typically delayed until the child is eighteen months old. Although the condition may be mild or severe, even general predictions about long-term prognosis seldom come before the child's second birthday. Written by a team of experts associated with the Cerebral Palsy Program at the Alfred I. duPont Hospital for Children, this authoritative resource provides parents and families with vital information that can help them cope with uncertainty. Thoroughly updated and revised to incorporate the latest medical advances, the second edition is a comprehensive guide to cerebral palsy. The book is organized into three parts. In the first, the authors describe specific patterns of involvement (hemiplegia, diplegia, quadriplegia), explain the medical and psychosocial implications of these conditions, and tell parents how to be effective advocates for their child. In the second part, the authors provide a wealth of practical advice about caregiving from nutrition to mobility. Part three features an extensive alphabetically arranged encyclopedia that defines and describes medical terms and diagnoses, medical and surgical procedures, and orthopedic and other assistive devices. Also included are lists of resources and recommended reading.
Providing an introduction to the basic concepts of neurology, neurological conditions the differing methods of physiotherapy, this text brings together contributions from an experienced team of experts in the field.
Neurorehabilitation Technology provides an accessible, practical overview of the all the major areas of development and application in the field. The initial chapters provide a clear, concise explanation of the rationale for robot use and the science behind the technology before proceeding to outline a theoretical framework for robotics in neurorehabilitative therapy. Subsequent chapters provide detailed practical information on state-of-the-art clinical applications of robotic devices, including robotics for locomotion; posture and balance and upper extremity recovery in stroke and spinal cord injury. Schematic diagrams, photographs and tables will be included to clarify the information for the reader. The book also discusses standard and safety issues and future perspectives.
This issue of Physical Medicine and Rehabilitation Clinics, Guest Edited by Dr. Francois Bethoux, is devoted to the topic of Ambulation in Adults with Central Neurologic Disorders. Ambulation, or the restoration thereof, is an extremely important part of recovery from any number of ailments or surgeries, from stroke to hip replacements. This issue will focus on the restoration of ambulation in adults suffering from central neurologic disorders, which is a major area for physiatrists. It will include articles on MS, stroke, Parkinson’s disease, and spinal cord injuries. It will also offer information on how to measure and analyze ambulation in recovery, and medical treatments to improve ambulation.
- UPDATED! Best evidence for interventions; clear, concise tables; graphics and pictures; and current literature engage you in the spectrum of neurologic conditions and interventions. - NEW! Autism Spectrum Disorder chapter covers clinical features, diagnosis, and intervention, with a special focus on using play and aquatics, to support the integral role of physical therapy in working with children and families with autism. - NEW! Common threads throughout the Children section focus on motor competence as a driving force in a child's cognitive and language development and highlight how meaningful, fun activities with family and friends encourage children with disabilities to participate. - UPDATED! Neuroanatomy chapter provides a more comprehensive review on nervous system structures and their contributions to patient function and recovery after an injury or neurologic condition. - UPDATED! Adult chapters feature updated information on medical and pharmacological management. - NEW! The Core Set of Outcome Measures for Adults with Neurologic Conditions assists you in measuring common outcomes in the examination and evaluation of patients. - NEW! Emphasis on the evidence for locomotor training, dual-task training, and high intensity gait training are included in the intervention sections.
'Neurorehabilitation in Parkinson's Disease' serves as a reference for the treatment of patients with Parkinson's disease. In addition to providing treatment models for physical therapy, occupational therapy, & speech-language pathology, the text covers topics such as review of pathophysiology, & symptomatology.