Physical Medicine and Rehabilitation

Author: Braddom> Randall L.  

Publisher: Elsevier Health Sciences‎

Publication year: 2010

E-ISBN: 9781437735635

P-ISBN(Paperback): 9781437708844

Subject: R49 rehabilitation medicine

Keyword: 临床医学

Language: ENG

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Description

Physical Medicine and Rehabilitation presents today's best physiatry knowledge and techniques, ideal for the whole rehabilitation team. This trusted reference delivers the proven science and comprehensive guidance you need to offer every patient maximum pain relief and optimal return to function. In this new edition, Dr. Randall L. Braddom covers current developments in interventional injection procedures, the management of chronic pain, integrative medicine, recent changes in the focus of stroke and brain injury rehabilitation, and much more. Access the complete contents online along with 1000 self-assessment questions at www.expertconsult.com.Gain a clear visual understanding of important concepts thanks to 1400 detailed illustrations-1000 in full color. Find and apply the information you need easily with each chapter carefully edited by Dr. Braddom and his associates for consistency, succinctness, and readability. Access the fully searchable text online at www.experconsult.com, as well as 1000 self-assessment questions. Master axial and peripheral joint injections through in-depth coverage of the indications for and limitations of these therapies. Make optimal use of ultrasound in diagnosis and treatment. Get a broader perspective on your field from a new chapter on PM&R in the international community.

Chapter

ACKNOWLEDGMENTS

CONTENTS

Section 1 Evaluation

Chapter 1 - The Physiatric History and Physical Examination

The Physiatric Physical Examination

Assessment, Summary, and Plan

Summary

Ackowledgment

Chapter 2 - Examination of the Pediatric Patient

Diagnostic Evaluations

Standardized Assessment Tools

Summary

Chapter 3 - Adult Neurogenic Communication Disorders

Handedness and Language

Brain Plasticity and Neurorehabilitation

Aphasia and Related Neurobehavioral Disorders

Right Hemisphere Communication Disorders

Communicative and Cognitive Deficits Associated With Dementia

Motor Speech Disorders

Acknowledgments

Chapter 4 - PSYCHOLOGICAL ASSESSMENT AND INTERVENTION IN REHABILITATION

Assessment

Intervention

Pediatric Rehabilitation Psychology

Special Topics

Summary

Chapter 5 - Gait Analysis: Technology and Clinical Applications

Normal Locomotion

Gait Dysfunction

Quantitative Gait Analysis

Pathologic Gait

Summary

Chapter 6 - Impairment Rating and Disability Determination

Disability Agencies

Definitions: Disability and Impairment

Roles of Physicians in Disability Evaluation

Practical Strategies for Disability Evaluation

Further Special Issues in Disability Evaluations

Conclusion

Chapter 7 - NEUROLOGIC AND MUSCULOSKELETAL IMAGING STUDIES

Imaging Modalities

Imaging Artifacts

Imaging of the Spine

Muscle Imaging

Nerve Imaging

Tendon Imaging

Ligament Imaging

Cartilage Imaging

Bone Imaging

Bone and Soft Tissue Tumors

Imaging of Specific Body Regions

Summary

Chapter 8 - Quality and Outcome Measures for Medical Rehabilitation

Quality Improvement

Quality Outcomes/Practice Measures

Measures Development

Rehabilitation Quality Outcome Measures

Accreditation and Medicare Deemed Status

Systems of Measure Endorsement

Measures Implementation

Conclusion

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

Instrumentation

Conclusion

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

Brachial Plexopathies

Radiculopathies

Traumatic Nerve Injuries

Generalized Disorders

Final Electrodiagnostic Conclusions and Report

Summary

Acknowledgment

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

Upper Limb Prostheses

The Bilateral Upper Limb Amputee

Advances in Prosthetic Technology

Prosthetic Training

Follow-up

Acknowledgment

Chapter 13 - Rehabilitation And Prosthetic Restoration In Lower Limb Amputation

Presurgical Management

Postsurgical Management

Prostheses

Partial Foot Amputations

Syme’s Amputation

Transtibial (Below-Knee) Amputation

Transfemoral (Above-Knee) Amputation

Hip Disarticulation and Transpelvic Amputation (Hemipelvectomy)

Translumbar Amputation (Hemicorporectomy)

Bilateral Amputee Considerations

Pediatric Amputation

Chapter 14 - UPPER LIMB ORTHOTIC DEVICES

Principles and Indications

Classification

Biomechanical and Anatomic Considerations

Design Categories

Diagnostic Categories and Splint Examples

Special Considerations

Orthotic Materials

International Considerations

Summary

Chapter 15 - Lower Limb Orthotic Devices

Principles of Lower Limb Orthoses

Terminology for Lower Limb Orthoses

Shoes

Foot Orthoses

Ankle-Foot Orthoses

Knee-Ankle-Foot Orthoses

Knee Orthoses

Pediatric Orthoses

Ambulation Aids

Forearm Orthoses

Prescription

Summary

Acknowledgments

Chapter 16 - Spinal Orthoses

History of Spinal Orthotic Management

Terminology

Prefabricated Versus Custom Orthoses

Orthotic Prescription

Spinal Anatomy

Normal Spine Biomechanics

Description of Orthoses

Scoliosis

Future Technology

Summary

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

Ensure Comfort

Promote Positive and Unobtrusive Self-Image

Manual Wheelchairs­

Geared and Power-Assisted Wheelchairs

Power Wheelchairs

Scooters

Stand-Up Wheelchairs

Alternative Powered Mobility Systems

Power Wheelchair Transportation

Wheelchair Standards

Seating and Positioning

Seating and Mobility Assessment

Seating Principles

Pressure Mapping as an Assessment Tool

Manual Wheelchair Versus Power Wheelchair Debate

Reimbursement

Fitting and Delivery

Outcome Measures

Considerations for Select Populations

Wheelchair-Mounted Accessories: Assistive Technology

Summary

Chapter 18 - THERAPEUTIC EXERCISE

General Principles

Cardiovascular Exercise

Muscle Physiology

†Accumulating 30 minutes or more of moderate physical activity on most days of the week. It is common to sum risk factors in mak...

Flexibility

Neurofacilitation Techniques

Exercise for Special Populations

Conclusion

Chapter 19 - Manipulation, Traction, And Massage

Manipulation

Traction

Massage

Conclusion

Chapter 20 - Physical Agent Modalities

Modality Prescription

Heat

Cryotherapy

Hydrotherapy

Other Modalities

Conclusion

Chapter 21 - ELECTRICAL STIMULATION

History

Physiology

Stimulation Variables and Parameters

System Components

Clinical Applications for the Upper Limb

Clinical Applications for the Lower Limb

Clinical Applications for the Bladder

Electroejaculation

Clinical Applications for Respiration

Other Effects and Applications

Conclusion

Chapter 22 - INTEGRATIVE MEDICINE IN REHABILITATION

Alternative Medical Systems

Mind-Body Therapies

Biologically Based Therapies

Manipulation and Body-Based Therapies

Energy 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

Overview and History

Purpose: Diagnostic or Therapeutic

Medications

General Considerations

Technical Guide

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

Radiofrequency Neurotomy

Discography

Intrathecal Delivery Systems

Spinal Cord Stimulation

Sympathetic Blocks

Additional Procedures and Emerging Interventions

Conclusion

Section 3 Common Clinical Problems

Chapter 26 - ACHIEVING FUNCTIONAL INDEPENDENCE

Treatment

Self-Maintenance

Functional Mobility

Productive Activity

Leisure

Conclusion

Chapter 27 - REHABILITATION OF PATIENTS WITH SWALLOWING DISORDERS

Normal Swallowing

Human Development and Aging

Pathophysiology of Swallowing Dysfunction

Treatment of Dysphagia

Prevention of Aspiration Pneumonia

Psychologic Considerations

Chapter 28 - MANAGEMENT OF BLADDER DYSFUNCTION

Neuroanatomy and Physiology

Bladder Function

Neurogenic Bladder Dysfunction and Classification

Management of Specific Diseases

Summary

Chapter 29 - NEUROGENIC BOWEL: DYSFUNCTION AND REHABILITATION

Epidemiology

Impact

Neuroanatomy and Physiology of the Gastrointestinal Tract

Enteric Nervous System

Gastrointestinal Neurosensory System

Gastrointestinal Neuromotor System

Physiology of Normal Defecation

Pathophysiology of Gastrointestinal Dysfunction

Gastrointestinal Dysfunction in Common Neurologic Disorders

Comprehensive Evaluation

Management

Complications

Treatment Outcomes

Chapter 30 - SPASTICITY MANAGEMENT

Causes of Spasticity

Evaluation and Measurement

Physiologic Mechanisms

Goal Setting

Nonpharmacologic Treatments

Pharmacologic Treatments

Surgical Interventions

Conclusion

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

Conclusion

Chapter 32 - PREVENTION AND MANAGEMENT OF CHRONIC WOUNDS

Scope of the Problem

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

Nutrition

Wound Pain

Wound Care Centers

Conclusion

Acknowledgments

Chapter 33 - CARDIAC REHABILITATION

Definition and Goals

Historical Development

Epidemiology of Cardiovascular Disease

Types of Heart Disease

Risk Factors for Coronary Artery Disease

Exercise Physiology

Aerobic Training

Cardiac Evaluation

Cardiac Testing

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

Return to Work

Sexual Rehabilitation in Cardiac Rehabilitation

Summary

Chapter 34 - PULMONARY REHABILITATION

Principles

Treatment Options in Pulmonary Rehabilitation

Management Options for Individuals With Severe Lung Disease

Special Considerations

Long-Term Results of Pulmonary Rehabilitation

Summary

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

Disability Prevention

Conclusion

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

Conclusion

Section 4 Issues in Specific Diagnoses

Chapter 37 - COMMON NECK PROBLEMS

Common Clinical Disorders

Conclusion

Chapter 38 - MUSCULOSKELETAL DISORDERS OF THE UPPER LIMB

Upper Limb Physical Examination

Rehabilitation Principles of Upper Limb Injury

Musculoskeletal Problems of the Upper Limb

Conclusion

Chapter 39 - MUSCULOSKELETAL DISORDERS OF THE LOWER LIMB

Lower Limb Physical Examination

Hip Tests

Knee Tests

Ankle Tests

Rehabilitation Principles of Lower Limb Injury

Musculoskeletal Disorders of the Lower Limb

Conclusion

Chapter 40 - LOW BACK PAIN

Epidemiology

Anatomy and Biomechanics of the Lumbar Spine

Centralization and Pain

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

Acknowledgment

Chapter 41 - OSTEOPOROSIS

Bone Function and Structure

Bone Remodeling

Pathogenesis

Classification of Osteoporosis

Hormones and Physiology of Bone

Role of Sex Steroids

Other Factors Affecting Bone Mass

Effect of Aging on Bone Mass

?

Clinical Manifestations of Osteoporosis

Fractures and Management

Diagnostic Studies in Osteoporosis

Treatment

Chapter 42 - Chronic Pain

Historical Overview

History

Physiology and Pathophysiology of Pain

Psychologic Issues Related to Chronic Pain

Behavioral Treatment Approaches

Sleep and Chronic Pain

Assessment

Treatment

Conclusion

Chapter 43 - MUSCLE PAIN SYNDROMES

Etiology and Classification of Muscle Pain

Myofascial Pain Syndrome

Myofascial Trigger Point

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

Fibromyalgia Syndrome

Chapter 44 - SPORTS MEDICINE

Role of the Team Physician

Event Administration

Principles of Conditioning and Training

Injury Prevention and Rehabilitation

Biomechanics of Sports

Pharmacology in Sports

Preparticipation Examination

Emergency Assessment and Care

Specific Diagnoses in Sports Medicine

Specific Populations

Chapter 45 - OCCUPATIONAL REHABILITATION

Epidemiology

History

Principles

Evaluations

Independent Medical Examinations

Treatment

Case Closure

Medicolegal Aspects of Occupational Rehabilitation

Chapter 46 - Motor Neuron Diseases

Classification of Motor Neuron Diseases

Clinical Evaluation in Motor Neuron Diseases

Dedication

Chapter 47 - REHABILITATION OF PATIENTS WITH NEUROPATHIES

Anatomy and Physiology

Classification of Neuropathies

Evaluation of Generalized Neuropathies

Complications of Neuropathies

Specific Neuropathies

Mononeuropathies

Chapter 48 - MYOPATHIC DISORDERS

Classification of Myopathies

Specific Hereditary Myopathies

Specific Acquired Myopathies

Rehabilitation of Myopathic Disorders

Future Areas of Research

Chapter 49 - TRAUMATIC BRAIN INJURY

Definitions

Epidemiology

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

Pediatrics

Neuroimaging Modalities in Traumatic Brain Injury Research

Outcomes, Community Integration, Resources, and Prevention

Chapter 50 - STROKE SYNDROMES

Definitions

Epidemiology of Stroke

Stroke Pathophysiology

The Anatomic Basis of Stroke Syndromes

Clinical Stroke Syndromes

Acute Stroke Management

Rehabilitation of Stroke-Related Impairment and Disability

Special Patient Considerations

Transition to the Community, Follow-up, and Aftercare

Rehabilitation Outcomes

Conclusion

Chapter 51 - DEGENERATIVE MOVEMENT DISORDERS OF THE CENTRAL NERVOUS SYSTEM

Pathophysiology

Genetic Considerations in Movement Disorders

Summary

Chapter 52 - MULTIPLE SCLEROSIS

Disease Overview

Medical Management

Rehabilitation

Acknowledgments

Chapter 53 - CEREBRAL PALSY

Epidemiology

Etiology

Classification

Diagnosis

Functional Prognosis

Medical Management

Outcome Measures

Therapeutic Management

Management of Hypertonia

Orthopedic Management

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

Epidemiology

Embryology and Etiology

Prenatal Counseling (Diagnosis and Management)

Neonatal Management

Childhood Management

Myelomeningocele in Adults

Conclusion

Chapter 55 - SPINAL CORD INJURY

Historical Perspective

Model Systems of Care

Subspecialty of Spinal Cord Injury Medicine

Epidemiology

Anatomy, Mechanics, and Syndromes of Traumatic Injury

Classification of Spinal Cord Injury

Nontraumatic Spinal Cord Injury

Outcomes of Traumatic Spinal Cord Injury

Acute Phase of Injury

Rehabilitation Phase of Injury

Chronic Phase of Injury

Secondary Conditions

Special Populations

Summary

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

Conclusion

Acknowledgment

Chapter 57 - CANCER REHABILITATION

Epidemiology

Disease Considerations

Constitutional Symptoms

Impairments in Cancer

Rehabilitation Approaches

Precautions in Cancer Rehabilitation

Conclusion

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

Polytrauma and Burns

Peripheral Neuropathies

Catabolism and Metabolic Abnormalities

Nutrition and Swallowing in Burns

Heterotopic Ossification

Dressing Choices and Hydrotherapy

Hypertrophic Scarring

Contractures

Scar Measurement

Sleep After Burn Injury

Inpatient Rehabilitation Admission for Burn Patients

Psychosocial Adjustment

Community Integration

Conclusion

Chapter 59 - GERIATRIC REHABILITATION

Frailty

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

Geriatric Amputation

Pain Management in the Elderly

Aging With a Disability

Architectural and Design Impact on the Elderly

Funding for Care

Summary

Chapter 60 - TRANSPLANTATION OF ORGANS: REHABILITATION to maximize OUTCOMES

Historical Success and Rehabilitation Options

Chapter Focus

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

Summary

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

Conclusion

Index

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