This is in part a reflection of improved acute medical therapies and intensive care and also related to the development of a more holistic approach to recovery, embracing the principles of the WHO International Classification of Functioning as a model for rehabilitation. Traditionally, rehabilitation services have tended to develop piecemeal according to local resources and need. By definition such services should be driven by a patient-centered approach and thus there is wide variety in service provision nationally and internationally.
This chapter describes the background to current service set-ups and provision, exploring models of rehabilitation delivery and common presentations in neurological rehabilitation.
Relevant legislation and guidance documents are reviewed. The text provides an overview of different aspects of rehabilitation services including acute and inpatient provision, outpatient services, community-based rehabilitation, residential facilities, and vocational services. Neurorehabilitation is based on the assumption that motor learning contributes to motor recovery after injury. However, little is known about how learning itself is affected by brain injury, how learning mechanisms interact with spontaneous biological recovery, and how best to incorporate learning principles into rehabilitation training protocols.
Here we distinguish between two types of motor learning, adaptation and skill acquisition, and discuss how they relate to neurorehabilitation. Functional recovery can occur through resolution of impairment reacquisition of premorbid movement patterns and through compensation use of alternative movements or effectors to accomplish the same goal ; both these forms of recovery respond to training protocols.
The emphasis in current neurorehabilitation practice is on the rapid establishment of independence in activities of daily living through compensatory strategies, rather than on the reduction of impairment. Animal models, however, show that after focal ischemic damage there is a brief, approximately 3—4-week, window of heightened plasticity, which in combination with training protocols leads to large gains in motor function.
Analogously, almost all recovery from impairment in humans occurs in the first 3 months after stroke, which suggests that targeting impairment in this time-window with intense motor learning protocols could lead to gains in function that are comparable in terms of effect size to those seen in animal models.
Skip to content. Neurological Rehabilitation. Neurological Rehabilitation6. Neurological Rehabilitation6 Book Review:. Author : Janet H. Carr,Roberta B. Neurological Rehabilitation Book Review:. Neurological Rehabilitation 2 e. Neurological Rehabilitation 2 e Book Review:. Author : Michael P. Barnes,David C. Handbook of Neurological Rehabilitation. Author : Richard J.
Greenwood,Thomas M. McMillan,Michael P. Barnes,Christopher D. Handbook of Neurological Rehabilitation Book Review:. Bobath Concept. Bobath Concept Book Review:. Author : Anand D. Pandyan,Hermie J. Hermens,Bernard A. Music Therapy and Neurological Rehabilitation. Neurological Rehabilitation of Parkinson s Disease.
Neurological Rehabilitation E Book. Umphred s Neurological Rehabilitation E Book. Author : Rolando T. Lazaro,Sandra G. Physical Management in Neurological Rehabilitation.
Oxford Textbook of Neurorehabilitation. Oxford Textbook of Neurorehabilitation Book Review:. Author : D. Each case includes clinical. This book provides a comprehensive introduction to the basic concepts of neurology, specific neurological conditions, and the related physical therapy treatment approaches used in rehabilitation. It brings together contributions from an experienced, multidisciplinary team of clinicians in the field of neurological rehabilitation, ensuring the reader will come away with practical.
Neurorehabilitation is an expanding field with an increasing clinical impact because of an ageing population. During the last 20 years neurorehabilitation has developed from a discipline with little scientific background, separated from other medical centers, to a medical entity largely based on the principles of 'evidenced based medicine' with strong ties. Home Neurological Rehabilitation. Neurological Rehabilitation6.
Neurological Rehabilitation by Janet H. Carr,Roberta B. Neurological Rehabilitation 2 e by Anonim. Neurological Rehabilitation by Michael P. Barnes,David C. Handbook of Neurological Rehabilitation by Richard J. You have successfully created a MyAccess Profile for alertsuccessName.
Previous Chapter. Next Chapter. Kegelmeyer D. Kegelmeyer, Deborah A. Neurologic Exam. Nichols-Larsen D. Deborah S. Nichols-Larsen, et al. McGraw Hill; Accessed November 23, Neurologic exam.
McGraw Hill. Download citation file: RIS Zotero. Burton, Rolando T. Lazaro, Margaret L. Clinicians will find the book to be a valuable refresher.
Each case includes clinical tips, evidence-based practice recommendations, analysis, and references. Features National Physical Therapy Examination-style review questions accompany each case to prepare students for the boards Provides students with practical experience before working with patients Analysis of case includes remediation content, saving students the necessity of having to go a textbook for answers"--Provided by publisher. Janet Carr and Roberta Shepherd head up a new team of eminent authors for the second edition of this definitive text on neurological physiotherapy.
In the first edition, the authors described a model of neurological rehabilitation for individuals with motor dysfunction based on scientific research in the areas of neuromuscular control, biomechanics, motor skill learning, and the link between cognition and action, together with developments in pathology and adaptation. The new edition continues to advance this model while identifying and incorporating the many advances that have occurred in the last decade in the understanding and treatment of adults with neurological conditions, whether caused by accident or disease.
The training guidelines outlined are based on biomechanical constructs and motor relearning research, applied to enhance brain reorganization and muscle contractility, and encourage functional recovery of the patient. It connects science and clinical practice enabling students and practitioners to develop their knowledge and use new clinical methods based on modern scientific understanding.
Using a problem-solving approach based on clinical evidence, Neurological Rehabilitation, 6th Edition covers the therapeutic management of people with functional movement limitations and quality of life issues following a neurological event. It reviews basic theory and covers the latest screening and diagnostic tests, new treatments, and interventions commonly used in today's clinical practice.
This edition includes the latest advances in neuroscience, adding new chapters on neuroimaging and clinical tools such as virtual reality, robotics, and gaming. Written by respected clinician and physical therapy expert Darcy Umphred, this classic neurology text provides problem-solving strategies that are key to individualized, effective care.
A section on neurological problems accompanying specific system problems includes hot topics such as poor vision, pelvic floor dysfunction, and pain. A problem-solving approach helps you apply your knowledge to examinations, evaluations, prognoses, and intervention strategies. Evidence-based research sets up best practices, covering topics such as the theory of neurologic rehabilitation, screening and diagnostic tests, treatments and interventions, and the patient's psychosocial concerns Information.
Case studies use real-world examples to promote problem-solving skills. Non-traditional approaches to neurological interventions in the Alternative and Complementary Therapies chapter include the movement approach, energy approach, and physical body system approaches therapies. Updated illustrations provide current visual references.
NEW chapters on imaging and robotics have been added. Updated chapters incorporate the latest advances and the newest information in neuroscience and intervention strategies. Authored by members of the British Bobath Tutors Association, Bobath Concept: Theory and Clinical Practice in Neurological Rehabilitationis a practical illustrated guide that offers a detailed exploration of the theoretical underpinning and clinical interventions of the Bobath Concept.
The evolution of the Bobath concept is brilliantly captured in this volume. The recognition that the best inhibition may come from engaging the patient in normal activities is an example of the way one of the notions central to the original Bobath Concept has developed. In short, the Bobath Concept lies at the heart of an approach to neurorehabilitation that is ready to take advantage of the rapidly advancing understanding, coming from neuroscience, of brain function in, in particular, of the effects of and responses to damage, and the factors that may drive recovery.
It is no coincidence that neuroplasticity figures so prominently in the pages that follow. Covers the theoretical underpinning of the Bobath Concept. Presents a holistic, hour approach to functional recovery. Focuses on efficient movement and motor learning, to maximise function. Forges links between theory and clinical practice. Illustrated throughout. This book is the first attempt at bringing together a volume of work from a range of professionals with an interest in spasticity.
The framework for the definition was developed in part by the authors contributing chapters that make up this volume. The book represents the current "state-of-the-art" regarding definition, measurement, pathophysiology all state-of-the-art summaries and simultaneously gives clinicians guidance on clinical management.
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