Chapter
Chapter 1 - The Physiatric History and Physical Examination
The Physiatric Physical Examination
Assessment, Summary, and Plan
Chapter 2 - Examination of the Pediatric Patient
Standardized Assessment Tools
Chapter 3 - Adult Neurogenic Communication Disorders
Brain Plasticity and Neurorehabilitation
Aphasia and Related Neurobehavioral Disorders
Right Hemisphere Communication Disorders
Communicative and Cognitive Deficits Associated With Dementia
Chapter 4 - PSYCHOLOGICAL ASSESSMENT AND INTERVENTION IN REHABILITATION
Pediatric Rehabilitation Psychology
Chapter 5 - Gait Analysis: Technology and Clinical Applications
Quantitative Gait Analysis
Chapter 6 - Impairment Rating and Disability Determination
Definitions: Disability and Impairment
Roles of Physicians in Disability Evaluation
Practical Strategies for Disability Evaluation
Further Special Issues in Disability Evaluations
Chapter 7 - NEUROLOGIC AND MUSCULOSKELETAL IMAGING STUDIES
Bone and Soft Tissue Tumors
Imaging of Specific Body Regions
Chapter 8 - Quality and Outcome Measures for Medical Rehabilitation
Quality Outcomes/Practice Measures
Rehabilitation Quality Outcome Measures
Accreditation and Medicare Deemed Status
Systems of Measure Endorsement
Chapter 9 - Electrodiagnostic Medicine I: FUNDAMENTAL PRINCIPLES
Action Potential Generation
Physiologic Factors Affecting Action Potential Propagation
Waveform Configuration Generation
Nerve and Muscle Waveform Configurations and Characteristics
Muscle Generators of Abnormal Spontaneous Potentials
Neural Generators of Abnormal Spontaneous Potentials
Nerve Injury Classification
Chapter 10 - Electrodiagnostic Medicine II: Clinical Evaluation and Findings
Clinical Assessment: History and Physical Examination
Purpose of Electrodiagnostic Testing
Types of Electrodiagnostic Tests
Needle or Pin Electromyography
Extent of Electrodiagnostic Testing
Limitations of Electrodiagnosis
Standards of Practice for Electrodiagnostic Medicine
Pediatric Electrodiagnosis
Mononeuropathies and Entrapment Neuropathies
Final Electrodiagnostic Conclusions and Report
Chapter 11 - Electrodiagnostic Medicine III: Case Studies
Case 1: Upper Limb Paresthesia and Pain
Case 2: Aching and Numbness of the Left Thumb, Index Finger, and Middle Finger
Case 3: Shoulder Pain and Weakness
Case 4: Hand Numbness and Weakness
Case 5: Painless Weakness
Case 6: Failure to Wean From the Ventilator
Case 7: Foot and Hand Numbness and Pain
Case 8: Bilateral Hand Weakness and Numbness
Case 9: Leg Pain and Weakness
Case 10: Weakness and Fatigue
Case 11: Progressive Lower Greater Than Upper Limb Weakness
Case 12: Acute Right Foot Drop
Case 13: Hand Weakness, Worsening Gait, and Progressive Foot Drop
Case 14: Progressive Lower Limb Weakness and Numbness
Case 15: Progressive Weakness
Case 16: “Drooping” of the Right Face
Section 2 Treatment Techniques and Special Equipment
Chapter 12 - Rehabilitation and Prosthetic Restoration in Upper Limb Amputation
Nomenclature and Functional Levels of Amputations
Principles of Limb Salvage and Amputation Surgery
Acute Management: Preamputation Through Early Rehabilitation
The Bilateral Upper Limb Amputee
Advances in Prosthetic Technology
Chapter 13 - Rehabilitation And Prosthetic Restoration In Lower Limb Amputation
Transtibial (Below-Knee) Amputation
Transfemoral (Above-Knee) Amputation
Hip Disarticulation and Transpelvic Amputation (Hemipelvectomy)
Translumbar Amputation (Hemicorporectomy)
Bilateral Amputee Considerations
Chapter 14 - UPPER LIMB ORTHOTIC DEVICES
Principles and Indications
Biomechanical and Anatomic Considerations
Diagnostic Categories and Splint Examples
International Considerations
Chapter 15 - Lower Limb Orthotic Devices
Principles of Lower Limb Orthoses
Terminology for Lower Limb Orthoses
Chapter 16 - Spinal Orthoses
History of Spinal Orthotic Management
Prefabricated Versus Custom Orthoses
Normal Spine Biomechanics
Chapter 17 - Wheelchairs and Seating Systems
Maximize Functional Independence With Activities of Daily Living
Minimize the Risk of Secondary Injuries
Correct or Accommodate for Skeletal Deformities
Promote Positive and Unobtrusive Self-Image
Geared and Power-Assisted Wheelchairs
Alternative Powered Mobility Systems
Power Wheelchair Transportation
Seating and Mobility Assessment
Pressure Mapping as an Assessment Tool
Manual Wheelchair Versus Power Wheelchair Debate
Considerations for Select Populations
Wheelchair-Mounted Accessories: Assistive Technology
Chapter 18 - THERAPEUTIC EXERCISE
†Accumulating 30 minutes or more of moderate physical activity on most days of the week. It is common to sum risk factors in mak...
Neurofacilitation Techniques
Exercise for Special Populations
Chapter 19 - Manipulation, Traction, And Massage
Chapter 20 - Physical Agent Modalities
Chapter 21 - ELECTRICAL STIMULATION
Stimulation Variables and Parameters
Clinical Applications for the Upper Limb
Clinical Applications for the Lower Limb
Clinical Applications for the Bladder
Clinical Applications for Respiration
Other Effects and Applications
Chapter 22 - INTEGRATIVE MEDICINE IN REHABILITATION
Alternative Medical Systems
Biologically Based Therapies
Manipulation and Body-Based Therapies
How to Discuss Integrative Medicine With Your Patient
Chapter 23 - COMPUTER ASSISTIVE DEVICES AND ENVIRONMENTAL CONTROLS
Defining Assistive Technology
History, Legislation, and Utilization of Assistive Technology
Overview of Assistive Technology Devices
Assistive Technology for Communication Disorders
Assistive Technology for Mobility Impairments
Assistive Technology for Ergonomics and Prevention of Secondary Injuries
Assistive Technology for Hearing Impairments
Assistive Technology for Visual Impairments
Assistive Technology for Cognitive and Learning Disabilities
Selecting Appropriate Assistive Technologies
Physician Responsibilities
Summary and Future Directions
Chapter 24 - PERIPHERAL JOINT AND SOFT TISSUE INJECTION TECHNIQUES
Purpose: Diagnostic or Therapeutic
Novel Treatments for Tendinopathy
Chapter 25 - SPINAL INJECTION TECHNIQUES
General Procedural Considerations
Epidural Steroid Injections
Zygapophysial Joint Interventions
Sacroiliac Joint Interventions
Zygapophysial and Sacroiliac Joint Summary
Intrathecal Delivery Systems
Additional Procedures and Emerging Interventions
Section 3 Common Clinical Problems
Chapter 26 - ACHIEVING FUNCTIONAL INDEPENDENCE
Chapter 27 - REHABILITATION OF PATIENTS WITH SWALLOWING DISORDERS
Human Development and Aging
Pathophysiology of Swallowing Dysfunction
Prevention of Aspiration Pneumonia
Psychologic Considerations
Chapter 28 - MANAGEMENT OF BLADDER DYSFUNCTION
Neuroanatomy and Physiology
Neurogenic Bladder Dysfunction and Classification
Management of Specific Diseases
Chapter 29 - NEUROGENIC BOWEL: DYSFUNCTION AND REHABILITATION
Neuroanatomy and Physiology of the Gastrointestinal Tract
Gastrointestinal Neurosensory System
Gastrointestinal Neuromotor System
Physiology of Normal Defecation
Pathophysiology of Gastrointestinal Dysfunction
Gastrointestinal Dysfunction in Common Neurologic Disorders
Chapter 30 - SPASTICITY MANAGEMENT
Evaluation and Measurement
Nonpharmacologic Treatments
Chapter 31 - SEXUAL DYSFUNCTION AND DISABILITY
Sexual Response and Behavior
Types of Sexual Dysfunction
Sexual Dysfunction in Disability and Chronic Disease
Sexual Dysfunction and Medications
Evaluation of Sexual Dysfunction
Treatment of Sexual Dysfunction
Chapter 32 - PREVENTION AND MANAGEMENT OF CHRONIC WOUNDS
Wound Physiology and Pathophysiology
Clinical Wound Assessment
General Principles of Treatment
Diagnosis and Treatment of Specific Ulcer Types
Infection, Surgical Repair, and the Transition From Outpatient to Acute Inpatient Management
Chapter 33 - CARDIAC REHABILITATION
Epidemiology of Cardiovascular Disease
Risk Factors for Coronary Artery Disease
Medications in Cardiac Rehabilitation
Cardiac Rehabilitation as a Continuum of Care
Cardiac Rehabilitation for Specific Groups
Cognitive and Mood Disorders in Cardiac Rehabilitation
Women and Cardiac Rehabilitation
Diffuse Atherosclerotic Vascular Disease
Sexual Rehabilitation in Cardiac Rehabilitation
Chapter 34 - PULMONARY REHABILITATION
Treatment Options in Pulmonary Rehabilitation
Management Options for Individuals With Severe Lung Disease
Long-Term Results of Pulmonary Rehabilitation
Chapter 35 - EMPLOYMENT OF PERSONS WITH DISABILITIES
The Concept of Disability
Data: Impairment and Disability
Socioeconomic Effect of Disability
Disability-Related Programs and Policies
Vocational Rehabilitation
Disincentives for Vocational Rehabilitation
Incentives for Vocational Rehabilitation
Chapter 36 - Rheumatic Diseases
General Introduction to Rheumatic Diseases
Kinesiology: The Structure and Function of Joints
An Overview of Common Rheumatic Diseases
Less Common Rheumatic Diseases
Management Options for Osteoarthritis
Management Options for Rheumatoid Arthritis
Clinical Outcome Measures
Functional Status and Health Status Measures
Section 4 Issues in Specific Diagnoses
Chapter 37 - COMMON NECK PROBLEMS
Common Clinical Disorders
Chapter 38 - MUSCULOSKELETAL DISORDERS OF THE UPPER LIMB
Upper Limb Physical Examination
Rehabilitation Principles of Upper Limb Injury
Musculoskeletal Problems of the Upper Limb
Chapter 39 - MUSCULOSKELETAL DISORDERS OF THE LOWER LIMB
Lower Limb Physical Examination
Rehabilitation Principles of Lower Limb Injury
Musculoskeletal Disorders of the Lower Limb
Chapter 40 - LOW BACK PAIN
Anatomy and Biomechanics of the Lumbar Spine
The History and Physical Examination of the Low Back
Clinical Evaluation: Diagnostics
Differential Diagnosis and Treatment: The Prototype of Back Pain Greater Than Leg Pain
Prognosis of Low Back Pain
Differential Diagnosis and Treatment: Leg Pain Greater Than Back Pain
Chapter 41 - OSTEOPOROSIS
Bone Function and Structure
Classification of Osteoporosis
Hormones and Physiology of Bone
Other Factors Affecting Bone Mass
Effect of Aging on Bone Mass
Clinical Manifestations of Osteoporosis
Diagnostic Studies in Osteoporosis
Chapter 42 - Chronic Pain
Physiology and Pathophysiology of Pain
Psychologic Issues Related to Chronic Pain
Behavioral Treatment Approaches
Chapter 43 - MUSCLE PAIN SYNDROMES
Etiology and Classification of Muscle Pain
The Basic Science of Myofascial Trigger Points
Diagnosis of Myofascial Pain
Management of Myofascial Pain Syndrome
Inactivation of Active Myofascial Trigger Points
Recommended Myofascial Trigger Point Injection Techniques
Chapter 44 - SPORTS MEDICINE
Role of the Team Physician
Principles of Conditioning and Training
Injury Prevention and Rehabilitation
Preparticipation Examination
Emergency Assessment and Care
Specific Diagnoses in Sports Medicine
Chapter 45 - OCCUPATIONAL REHABILITATION
Independent Medical Examinations
Medicolegal Aspects of Occupational Rehabilitation
Chapter 46 - Motor Neuron Diseases
Classification of Motor Neuron Diseases
Clinical Evaluation in Motor Neuron Diseases
Chapter 47 - REHABILITATION OF PATIENTS WITH NEUROPATHIES
Classification of Neuropathies
Evaluation of Generalized Neuropathies
Complications of Neuropathies
Chapter 48 - MYOPATHIC DISORDERS
Classification of Myopathies
Specific Hereditary Myopathies
Specific Acquired Myopathies
Rehabilitation of Myopathic Disorders
Chapter 49 - TRAUMATIC BRAIN INJURY
Pathophysiology Associated With Traumatic Brain Injury
Evaluation and Treatment of Traumatic Brain Injury
Behavioral Measures of Responding and Cognition
Inpatient Rehabilitation Assessment and Management
Behavioral, Emotional, and Mood Issues in Rehabilitation
Neuroimaging Modalities in Traumatic Brain Injury Research
Outcomes, Community Integration, Resources, and Prevention
Chapter 50 - STROKE SYNDROMES
The Anatomic Basis of Stroke Syndromes
Clinical Stroke Syndromes
Rehabilitation of Stroke-Related Impairment and Disability
Special Patient Considerations
Transition to the Community, Follow-up, and Aftercare
Chapter 51 - DEGENERATIVE MOVEMENT DISORDERS OF THE CENTRAL NERVOUS SYSTEM
Genetic Considerations in Movement Disorders
Chapter 52 - MULTIPLE SCLEROSIS
Chapter 53 - CEREBRAL PALSY
Complementary and Alternative Medicine
Transition to Adulthood and Aging With Cerebral Palsy
Summary and Future Directions
Chapter 54 - MYELOMENINGOCELE AND OTHER SPINAL DYSRAPHISMS
Terminology and Historical Background
Prenatal Counseling (Diagnosis and Management)
Myelomeningocele in Adults
Chapter 55 - SPINAL CORD INJURY
Subspecialty of Spinal Cord Injury Medicine
Anatomy, Mechanics, and Syndromes of Traumatic Injury
Classification of Spinal Cord Injury
Nontraumatic Spinal Cord Injury
Outcomes of Traumatic Spinal Cord Injury
Rehabilitation Phase of Injury
Chapter 56 - LOWER LIMB PERIPHERAL VASCULAR DISEASE
Arterial Disease of the Lower Limb
Venous Disorders of the Lower Limb
Lymphatic Disease in the Lower Limbs
Chapter 57 - CANCER REHABILITATION
Rehabilitation Approaches
Precautions in Cancer Rehabilitation
Chapter 58 - BURN REHABILITATION
Epidemiology of Burn Injury
Timing of Physiatric Assessment of the Patient With a Burn
Acute Physiatric Assessment of the Burn Patient
Acute Surgical Procedures in Burn Injuries
Presence of Inhalation Injury
Catabolism and Metabolic Abnormalities
Nutrition and Swallowing in Burns
Dressing Choices and Hydrotherapy
Inpatient Rehabilitation Admission for Burn Patients
Chapter 59 - GERIATRIC REHABILITATION
Changes in the Body With Aging
Diseases That Are More Common in the Elderly
Evaluating the Elderly Patient
Management Issues in the Elderly
Hip Fracture Rehabilitation
Pain Management in the Elderly
Architectural and Design Impact on the Elderly
Chapter 60 - TRANSPLANTATION OF ORGANS: REHABILITATION to maximize OUTCOMES
Historical Success and Rehabilitation Options
Physiatric Interventions in Enhancing Outcomes
Rehabilitation Through Renal Transplantation
Options to Enhance Exercise After Kidney Transplantation
Rehabilitation of the Person Through Cardiac Transplantation
Rehabilitation Through Lung Transplantation
Rehabilitation Through Liver Transplantation
Chapter 61 - INTERNATIONAL PHYSICAL MEDICINE AND REHABILITATION
International Society of Physical and Rehabilitation Medicine
Education in Physical Medicine and Rehabilitation: International Perspectives—Challenges and Opportunities for Mutual Growth