Neurologic Rehabilitation: A Guide to Diagnosis, Prognosis and Treatment Planning

Author: Virginia M. Mills
Published: August 1997
Publisher: Blackwell Publishers
ISBN: 0865425140
Paperback Book
Number of Pages: 355

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This book describes a model of neurorehabilitation that emphasizes an understanding of the neurologic disorders that rehabilitation clinicians encounter in the patients they treat. It provides descriptions for most commonly treated neurorehabilitation disorders, describes a systematic approach to diagnosis and prognosis for those disorders and discusses specific examples of rehabilitative treatment strategies and methods based on the neurorehabilitation model. The main premise of the book is that diagnosis, prognosis and an understanding of the natural history of a patient's disorder should provide a framework for guiding rehabilitative treatment. This book presents the neurologic rehabilitation model as a diagnostic approach for determining functional prognosis in patients with disabling brain injuries. The text presents the neurologist's orientation to rehabilitation rather than a physiatric approach. This book details brain neuroanatomy, diagnosis, and prediction of recovery, but it does not address the physical, biomechanical, and medical consequences of neurological disease. This book presents the neurologic rehabilitation model as a construct for treatment planning and provides examples of its application to common brain diseases including stroke, traumatic brain injury, anoxic brain injury, enchephalitis, and multiple sclerosis. The book is intended for students and practitioners of rehabilitation, including physicians, nurses, physical therapists, occupational therapists, and speech pathologists. However, because this book has a heavy emphasis on neuroanatomy and neurological diagnosis, its usefulness to non-medically trained professionals is questionable. This book is an attractive paperback of appropriate length for its stated objectives. The table of contents is well organized and has a logical progression. The illustrations include many brain scans and pathological specimens that are helpful additions to the text. Each chapter has a list of current references, including many excellent papers on neurological outcome. Because the book has a focus on prognosis and neurological recovery, it is surprising that a chapter on neuroplasticity is lacking. This book presents a concise description of a neurological approach to predicting recovery and outcome in patients with disabling brain injury. Unfortunately, theeditors present a negative view of rehabilitation within the preface as ""...a prosthesis that is structurally sophisticated, but therapeutically primitive."" However, physicians caring for patients with brain injury will find this text useful for enhancing their ability to counsel patients on prognosis of recovery and guiding interdisciplinary rehabilitation teams. In contrast, this book does not provide detailed recommendations for treatment. Provides a foundation for understanding neurologic disorders that rehabilitation clinicians encounter in their patients, using an innovative, conceptual approach to rehabilitation called the neurologic rehabilitation model. Chapters on various disorders follow this model to describe a systematic approach to diagnosis and prognosis and discuss specific examples of rehabilitative treatment strategies and methods, with case examples. Ideal as an introduction for students and a reference for professionals in physical and occupational therapy, speech pathology, neuropsychology, neurology, psychiatry, and social work. . Mills, Virginia M. , MS, PT, CCM; Cassidy, John W., MD (Baylor Coll of Medicine); Katz, Douglas I., MD (Boston Univ)The contributors represent the specialties of neurology, psychiatry, and neurorehabilitation. Most come from universities and rehabilitation centers in the U.S., including Boston Univ and Community Rehabilitation Care Inc.

Table of Contents
Contributors
Foreword
Preface
1 The Neurologic Rehabilitation Model in Clinical Practice 1
2 Medical, Neurologic, and Functional Outcome of Stroke Survivors 29
3 Specific Stroke Syndromes 59
4 Traumatic Brain Injury 105
5 Anoxic-Hypotensive Brain Injury and Encephalitis 145
6 Multiple Sclerosis 177
7 Use of the Neurologic Rehabilitation Model in Assessment and Treatment 207
8 Assessment of Impaired ADL/Functional Activities: An Activities Assessment Algorithm 221
9 The Use of the Neurologic Rehabilitation Model in the Assessment and Treatment of Patients with Balance Impairments 237
10 Use of the Neurologic Rehabilitation Model in the Assessment and Treatment of Patients with Functional Memory and Daily Planning Problems 283
11 Problem Patients: Outliers in Rehabilitation 307
Index 339

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