Handbook of Neurological Rehabilitation

Author: Richard J. Greenwood
Published: November 2001
Publisher: Taylor & Francis, Inc.
ISBN: 0863777570
Hardcover Book
Number of Pages: 720

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Changes in the focus of neurological practice worldwide have led to the need for new standard texts that reflect the current state of this expanding area of clinical expertise. The second edition of the Handbook of Neurological Rehabilitation is a major reference source that fulfils this need, providing an invaluable resource for all professionals who work with patients suffering from neurological disorders. It brings restorative neurology to the bedside and shows how a reiterative, goal-orientated, problem-solving training programme can benefit patients, sometimes on a scale not achieved by pharmacological or surgical interventions. The book is divided into three sections all of which have been updated. Section 1 explores the clinical and biological principles underpinning rehabilitation practice in the context of neurological disablement. Section 2 describes the assessment, treatment and management of the major physical, cognitive and behavioural impairments, and the functional deficits that may follow or accompany neurological disease. The final section explores in more detail these problems and their management in relation to the more common specific disorders of the nervous system. The text emphasises the fact that rehabilitation is an on-going process involving multi-disciplinary problem-solving, goal-setting and education; in which organised care is more effective than unorganised care; and the breakdown of professional barriers within rehabilitation, to facilitate the use of combined treatment techniques, improves outcome. It describes the contribution made by neural reorganisation and compensatory mechanisms to recovery of function, focuses on the avoidance of secondary deficit, and explores the physical, cognitive, affective and behavioural problems that may occur after neurological damage. At a time when new medical technologies threaten to fragment the integrity of medical care at individual and societal levels, it is crucial that all those involved in the management of complex disablement resulting from neurological disease have a working knowledge of the contents of this book. Their perspective on clinical practice will then be truly integrated and holistic and their patients will benefit accordingly.

Table of Contents:

Contributors
Foreword
Preface to the second edition
Preface to the first edition
1 The epidemiology of disabling neurological disorders 5
2 The rehabilitation process: A neurological perspective 15
3 Organisation of neurological rehabilitation services 29
4 The rehabilitation team 41
5 Measurement of disability and handicap 51
6 Ethical implications of disablement 63
7 Mechanisms of cellular damage and recovery 71
8 Neural plasticity and recovery of function 99
9 Neural tissue transplantation 113
10 Learning and skill acquisition 131
11 Motor control and learning: Implications for neurological rehabilitation 143
12 Spasticity 157
13 Tremor and ataxia 171
14 Physical therapies 179
15 Physical consequences of neurological disablement 191
16 Biomechanics and rehabilitation engineering 223
17 Assistive technology: Mobility aids, environmental control systems, and communication aids 231
18 Functional neurostimulation in rehabilitation 245
19 Pain relief in neurological rehabilitation 261
20 Special senses 275
21 Neurogenic bladder dysfunction and its management 287
22 Sex and relationships in neurological disability 299
23 Neurogenic respiratory failure 313
24 Chronic fatigue 327
25 The assessment and management of swallowing disorders 341
26 Dysarthria 357
27 Therapy for the language impairment in aphasia 365
28 Rehabilitation of memory disorders 377
29 Assessment and rehabilitation of the dysexecutive syndrome 387
30 The rehabilitation of visuospatial, visuoperceptual, and apraxic disorders 403
31 Behaviour problems 419
32 Psychiatry in neurological rehabilitation 433
33 Psychosomatic disorders 443
34 Psychosocial consequences of brain injury 453
35 Head injury rehabilitation 465
36 Stroke rehabilitation: The evidence 487
37 The epilepsies 505
38 Parkinsonism and dystonia 523
39 Multiple sclerosis 533
40 Huntington's disease 553
41 Rehabilitation in Alzheimer's disease and other dementias 567
42 The young adult with neurological disabilities with particular reference to cerebral palsy and spina bifida 577
43 Malignant cerebral gliomas: Rehabilitation and care 595
44 Spinal injury 611
45 Non-traumatic myelopathies 631
46 Motor neurone disease 641
47 Management of brachial plexus injuries 663
48 Disorders of the peripheral nerves 695
49 Muscle disorders 705
Index 727

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