Clinical Science of Neurologic Rehabilitation

Author: Bruce H. Dobkin
Published: January 2003
Publisher: Oxford University Press
ISBN: 0195150643
Hardcover Book
Number of Pages: 632

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The Second Edition of this single-authored volume integrates multiple disciplines of basic and clinical research to help clinicians further develop the best possible care for the rehabilitation of patients with neurologic diseases. From the readable descriptions of the structures and functions of pathways for movement and cognition the reader comes to understand the potential for training induced, pharmacologic, and near-future biologic interventions to enhance recovery. Dr. Dobkin shows how functional neuroimaging serves as a marker for whether physical, cognitive, and neuromodulating therapis work and how they sculpt the plasticity of the brain. Themes, such as hwo the manipulation of sensory experience can serve as a formidable tool for rehabilitation, run throughout the text, built from the level of the synapse to behaviors such as grasping, walking, and thinking. From illustrating how we may one day repair the brain and spinal cord to how to retrain spared and new pathways, Dr. Dobkin draws insights from a broad swath of fundamental research to give clinicians tools they can translate into bedside practices. The book treats the medical complications and therapeutic approaches to neurologic diseases as an interconnected matrix. The management of common medical issues, impairments, and disabilities are described across diseases. Special problems posed by patients with stroke, myelopathies, brain injury, multiple sclerosis, degenerative diseases, and motor unit disorders receive individual comment. Short-term and delayed pulse interventions for patients, along with clinical trials, are dissected and put into perspective. The First Edition of this book was titles NeurologicRehabilitation. The title has been changed to reflect Dr. Dobkin's sense that fundamental research now drives the field of neurologic rehabilitation even more than it could in 1996 when the First Edition was published. The Second Edition features entirely new chapters on functional neuroimaging of observations relevant to the clinician; and extensive updating and expansion of all chapters. Readers, whether clincians serving the rehabilitation team, or students or researchers in neuroscience, neurology, physical medicine, allied health, or bioengineering, will acquire new insights and tools for creative pursuits that aim to physical medicine, allied health, or bioengineering, will acquire new insights and tools for creative pursuits that aim to lessen the disabilities of patients.

Table of Contents:

Pt. I Neuroscientific Foundations for Rehabilitation
1 Organizational Plasticity in Sensorimotor and Cognitive Networks 3
2 Biologic Adaptations and Neural Repair 76
3 Functional Neuroimaging of Recovery 147
4 Neurostimulators and Neuroprostheses 193
Pt. II Common Practices Across Disorders
5 The Rehabilitation Team 213
6 Approaches for Walking 250
7 Assessment and Outcome Measures for Clinical Trials 271
8 Acute and Chronic Medical Management 323
Pt. III Rehabilitation of Specific Neurologic Disorders
9 Stroke 375
10 Acute and Chronic Myelopathies 451
11 Traumatic Brain Injury 497
12 Other Central and Peripheral Disorders 547
Index 579

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