Management Of Spinal Cord Injuries

Combining 25 years of clinical, research and teaching experience, Dr Lisa Harvey provides an innovative 5-step approach to the physiotherapy management of people with spinal cord injury. Based on the International Classification of Functioning, this approach emphasises the importance of setting goals which are purposeful and meaningful to the patient. These goals are related to performance of motor tasks analysed in terms of 6 key impairments. The assessment and treatment performance of each of these impairments for people with spinal cord injury is described in the following chapters: training motor tasks strength training contracture management pain management respiratory management cardiovascular fitness training Dr Harvey develops readers' problem-solving skills equipping them to manage all types of spinal cord injuries. Central to these skills is an understanding of how people with different patterns of paralysis perform motor tasks and the importance of differentmuscles for motor tasks such as: transfers and bed mobility of people wheelchair mobility hand function for people with tetraplegia standing and walking with lower limb paralysis This book is for students and junior physiotherapists with little or no experience in the area of spinal cord injury but with a general understanding of the principles of physiotherapy. It is also a useful tool for experienced clinicians, including those keen to explore the evidence base that supports different physiotherapy interventions.

From a hospital admittance to discharge to outpatient rehabilitation, Spinal Cord Injuries addresses the wide spectrum of rehabilitation interventions and administrative and clinical issues specific to patients with spinal cord injuries. Comprehensive coverage includes costs, life expectancies, acute care, respiratory care, documentation, goal setting, clinical treatment, complications, and activities of daily living associated with spinal cord patients. In addition to physical therapy interventions and family education components, this resource includes content on incidence, etiology, diagnosis, and clinical features of spinal cord injury. Case Studies with clinical application thinking exercises help you apply knowledge from the book to real life situations. Thoroughly referenced, evidence-based content provides the best evidence for treatment based on the most current research. Tables and boxes throughout each chapter organize and summarize important information for quick reference. Clinical Note boxes provide at-a-glance access to helpful tips. Over 500 clinical photos, line drawings, radiographs, and more bring important concepts to life. Highly respected experts in spinal cord injury rehabilitation, editors Sue Ann Sisto, Erica Druin, and Martha Sliwinski, provide authoritative guidance on the foundations and principles of practice for spinal cord injury. Companion DVD includes video clips of the techniques described throughout the book that demonstrate how to apply key concepts to practice.

This easy-to-use handbook is designed to assist in the evaluation and management of spinal cord injuries and the diverse related disorders and conditions. Spinal cord injuries can cause abnormalities in all body systems due to dysfunction of the somatic motor and sensory systems and damage to the autonomic nerve system. The latter gives rise to respiratory and cardiac problems, temperature regulation disorders, endocrine system disorders, and many associated metabolic disorders. Other potential consequences of spinal cord injuries include pressure injuries and various disabilities and obstacles, ranging from physical limitations to social embarrassment. This handbook offers extensive guidance on medical management in different scenarios from the acute phase to long-term care, with a particular focus on information of importance for the solution of clinical problems commonly encountered in daily practice. It will be ideal for practitioners in rehabilitation medicine, neurosurgery, orthopedics, neurology, and other relevant specialties that deal with patients with spinal cord injuries.

Spinal paralysis is probably the most devastat the President of the International Medical So ing of all the illnesses that can befall man. Only ciety of Paraplegia. He has made many signifi a few years ago, 80% of spinal victims were cant contributions, both in the initial treatment dead within three years due to the complica and in the later rehabilitation of spinal cord tions that frequently accompany the condition. victims. He is a man who truly cares about peo Today, the situation is quite diH'erent and 80% ple. He is superbly organized, meticulous in his of spinal victims have a relatively normal life planning, and energetic in his execution of expectancy. The author of this book was one of goals. He demands and receives perfection the first to realize that if a paraplegic patient is from his staff. As a result, his Spinal Unit in carefully looked after in the early stages of his Perth, Australia is one of the best treatment illness and if all of the potential complications and rehabilitation centers in the world. His are prevented, that individual can eventually knowledge, from both the scientific and prac recover sufficient function to live a productive tical viewpoints, is truly staggering-a fact that and independent life. This basic concept un is quite obvious from the details contained in derlies the modern approach to the treatment this book. of spinal injuries.

This comprehensive, up-to-date guide to the rehabilitation care of persons with spinal cord injuries and disorders draws on the ever-expanding scientific and clinical evidence base to provide clinicians with all the knowledge needed in order to make optimal management decisions during the acute, subacute, and chronic phases. A wealth of information is presented on the diverse medical consequences and complications encountered in these patients and on the appropriate rehabilitative measures in each circumstance. The coverage encompasses all forms of spinal cord injury and all affected organ systems. Readers will also find chapters on the basics of functional anatomy, neurological classification and evaluation, injuries specifically in children and the elderly, and psychological issues. The book will be an invaluable aid to assessment and medical care for physicians and other professional personnel in multiple specialties, including physiatrists, neurosurgeons, orthopedic surgeons, internists, critical care physicians, urologists, neurologists, psychologists, and social workers.

This second edition updates and expands on the original bestseller, Contemporary Management of Spinal Cord Injuries, with completely new chapters on applied biomechanics, pediatric spinal cord injury, patient selection and timing of the surgery, NASCIS 3 and other spinal cord injury drug trials. In addition, the text reviews the management of spinal cord injured patients with sports injuries from epidemiology to return to play, and the nutritional assessment and management of spina cord-injured patients. Contemporary Management of Spinal Cord Injuries, Second Edition provides significant value to the neurosurgeons, orthopedic surgeons, physiatrists, urologists, rehab specialist and others caring for the victims of spinal cord injury. This must-have text will teach the reader to: Identify the most common spine fractures Understand and evaluate today's state-of-the-art concepts regarding the management of spinal cord injury Understand the appropriate surgical technique Develop a multidisciplinary approach to the management of the spinal cord injured-patient (Distributed by Thieme for the American Association of Neurological Surgeons)

Following injury or disease, neural circuitry can be altered to varying degrees leading to highly individualized characteristics that may or may not resemble original function. In addition, lost or partially damaged circuits and the effects of biological recovery processes coupled with learned compensatory strategies create a new neuroanatomy with capabilities that are often not functional or may interfere with daily life. To date, the majority of approaches used to treat neurological dysfunction have focused on the replacement of lost or damaged function, usually through the suppression of surviving neural activity and the application of mechanical assistive devices. Restorative Neurology of Spinal Cord Injury offers a different and novel approach. Focusing on the spinal cord and its role in motor control, the book details the clinical and neurophysiological assessment process and methods developed throughout the past half century by basic and clinical scientists. Then, through the use of specialized clinical and neurophysiological testing methods, conduction and processing performed within the surviving neural circuitry is examined and characterized in detail. Based on the results of such assessment, treatment strategies, also described in this book, are applied to augment, rather than replace, the performance of surviving neural circuitry and improve the functional capacity of people who have experienced injury to their spinal cords.