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9780397551514

Neurological Disabilities Assessment and Treatment

by ;
  • ISBN13:

    9780397551514

  • ISBN10:

    0397551517

  • Format: Hardcover
  • Copyright: 1998-02-27
  • Publisher: LWW

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Supplemental Materials

What is included with this book?

Summary

Never before has this conceptual model of analysis and treatment been presented in one text! This practical text presents a framework for the assessment and treatment of adults with neurological dysfunction. Emphasis is placed on identifying disabilities and their underlying impairments. Readers will learn to understand and assess disabilities and impairments through detailed review of the anatomy of movement, and through discussion of the basic concepts of treatment. Coverage includes the four most common impairments: weakness, balance dysfunction, incoordination, and sensory/perceptual loss. The text's unique problem-solving approach is from the perspective of the physical therapist as movement scientist -- readers develop problem solving skills that can be used to assess any patient.

Table of Contents

CHAPTER 1 Conceptual Models of Disability
1(12)
Conceptual Models
2(7)
Nagi Model
2(2)
The ICIDH Model
4(2)
Comparison of the Two Models
6(1)
Application of the ICIDH Model
7(2)
Analysis and Treatment
9(1)
Quality of Life
9(1)
Standardized Measures of Disability
10(3)
CHAPTER 2 Anatomy of Movement: Why Movement Problems Exist
13(24)
Functional Neuroanatomy
14(17)
Movement Pathways
14(1)
Anatomy Overview
15(15)
Integration of Sensory Information
30(1)
Neuroplasticity
31(1)
Summary of Movement Pathways
31(1)
Impairments Resulting From Lesions of the Movement Pathways
31(6)
CHAPTER 3 Analysis of Functional Mobility
37(32)
Neurophysiologic Theories of Movement and a Model of Neurological Rehabilitation
39(6)
Reflex Model
39(1)
Hierarchical Model
40(2)
Systems Model
42(3)
Neurological Rehabilitation Model
45(1)
Task-Oriented Model
45(1)
Description of Functional Movement
46(6)
Movement Strategies in Healthy Adults
46(6)
Disabilities
52(1)
Neurological Assessment
52(4)
Assessment Model--Rationale
54(1)
Schenkman and Butler Model
54(1)
Contrasting the Traditional Models for Neurological Assessment
55(1)
Assessment Procedures
56(9)
Step 1: Observation
58(1)
Step 2: Testing for Disabilities
59(2)
Step 3: Testing for the Presence of Impairments
61(2)
Step 4: Observation After Assessment
63(1)
Step 5: Community Mobility
64(1)
Standardized Scales for Functional Assessment
65(4)
CHAPTER 4 Theoretical Approach to Treatment
69(16)
Traditional Theorists and Their Approaches
70(6)
Rood
70(2)
Karl and Berta Bobath: Neurodevelopmental Treatment (NDT)
72(2)
Brunnstrom
74(1)
Kabat, Knott, and Voss--Proprioceptive Neuromuscular Facilitation (PNF)
75(1)
Summary of Traditional Theorists' Contributions
76(1)
Contemporary Task-Oriented Model
76(3)
Carr and Shepherd
77(1)
Gordon
78(1)
Horak
79(1)
Summary of the Task-Oriented Model
79(1)
Theories of Motor Control and Motor Learning
79(3)
Integrated Treatment in the Task-Oriented Model
82(3)
CHAPTER 5 Weakness
85(46)
Impairment: Muscle Weakness
86(3)
Strength
86(1)
Muscle Weakness
87(1)
Abnormal Tone
87(2)
Anatomy Overview
89(3)
Lesions
90(2)
Assessing Disabilities Resulting From Muscle Weakness
92(9)
Rolling
92(1)
Supine-to-Sitting Maneuver
92(1)
Stable Sitting Posture
93(1)
Sit-to-Stand Maneuver
93(1)
Stable Standing Posture
94(1)
Transfers
95(1)
Ambulation
96(3)
Case Study
99(2)
Assessing the Impairment: Muscle Weakness
101(4)
Active Range of Motion
101(1)
Manual Muscle Test
101(1)
Hand-Held Dynamometer
102(1)
Isokinetic Dynamometer
103(1)
Electromyography
104(1)
Assessing Strength in Patients With Synergy
105(1)
Percent of Isolated Active Range of Motion
105(1)
Brunnstrom's Stages of Motor Recovery
105(1)
Assessing Strength in Patients With Spasticity
106(1)
Case Study
106(1)
Treatment of Muscle Weakness
107(1)
Strengthening Patients With Flaccidity
108(6)
Task-Oriented Treatment
108(1)
Selected Techniques of Facilitation to Enhance Functional Postures or Movement
109(3)
Other Treatment for Flaccidity
112(1)
Progression of Treatment for Patients With Flaccidity
112(2)
Strengthening Patients With Weakness
114(11)
Task-Oriented Activities
115(3)
Other Treatments for Strengthening
118(4)
Case Study
122(3)
Increasing Range of Motion
125(6)
CHAPTER 6 Sensory and Perceptual Dysfunction
131(26)
Impairment: Sensory and Perceptual Dysfunction
132(1)
Anatomy Overview
132(3)
Lemniscal System
132(1)
Spinothalamic System
133(1)
Dorsal Spinocerebellar Tract
133(1)
Ventral Cerebellar Tract
133(1)
Lesions
134(1)
Assessing the Disability
135(4)
Rolling
136(1)
Supine-to-Sit Maneuver
136(1)
Static Sit and Static Stand
137(1)
Sit-to-Stand Maneuver
137(1)
Transfers
137(1)
Ambulation
138(1)
Climbing Stairs
138(1)
Case Study
138(1)
Assessing the Impairment
139(10)
Sensation
140(1)
Perception
141(7)
Case Study
148(1)
Treatment of Deficits
149(8)
Sensory
150(1)
Perceptual
151(2)
Case Study
153(4)
CHAPTER 7 Incoordination
157(24)
Impairment: Coordination
158(1)
Motor Control
158(1)
Timing and Accuracy
159(1)
Anatomy Overview
159(3)
Lesions
160(2)
Assessing the Disability
162(4)
Rolling
163(1)
Supine-to-Sit Maneuver
163(1)
Stable Sitting Posture
163(1)
Sit-to-Stand Maneuver
163(1)
Stable Standing Posture
163(1)
Transfers
163(1)
Ambulation
164(1)
Climbing Stairs
164(1)
Case Study
164(2)
Assessing the Impairment: Incoordination
166(6)
Clinical Tests to Assess Coordination
166(2)
Standardized Tests to Measure Coordination
168(2)
Tests of Higher Functional Coordination
170(1)
Case Study
170(2)
Treatment of Incoordination
172(9)
Functional Activities
172(2)
Coordination Exercise
174(3)
Case Study
177(4)
CHAPTER 8 Balance Dysfunction
181(40)
Impairment: Balance Dysfunction
182(3)
Motor Response to Balance Perturbation
183(1)
Sensory System
184(1)
Anatomy Overview
185(1)
Assessing the Disability
186(5)
Rolling
187(1)
Supine-to-Sitting Maneuver
187(1)
Stable Sitting Posture
187(1)
Sit-to-Stand Maneuver
187(1)
Stable Standing Posture
188(1)
Transfers
188(1)
Ambulation
188(1)
Climbing Stairs
189(1)
Case Study
189(2)
Assessing the Impairment: Balance Dysfunction
191(5)
Determining the Origin of the Impairment
191(3)
Case Study
194(2)
General Balance Tests
196(8)
Romberg Test (Static)
196(1)
Clinical Test for Sensory Interaction in Balance (Static)
197(1)
Fregly and Graybiel Quantitative Ataxia Test Battery (Static and Dynamic)
197(3)
Berg Balance Scale (Static and Dynamic)
200(1)
"Get Up and Go" Test (Static and Dynamic)
201(1)
Timed "Up and Go" Test (Dynamic)
201(1)
Clinical Balance Assessment (Static)
201(1)
Functional Reach (Dynamic)
202(1)
Tinnetti Tests (Static and Dynamic)
202(1)
Fukuda Stepping Test (Dynamic)
203(1)
Postural Stress Test
204(1)
Laboratory Results
204(1)
Platform Perturbation Test
204(1)
Caloric Tests
205(1)
Rotational Tests
205(1)
Treatment of Balance Dysfunction
205(16)
Weakness
206(1)
Vestibular Dysfunction
206(2)
Somatosensory Loss
208(1)
General Balance Program
209(6)
General Strengthening/Aerobic Exercise
215(1)
Case Study
216(5)
APPENDIX A Standardized Measures of Disability 221(10)
APPENDIX B Validity and Reliability of Standardized Instruments 231(4)
Glossary 235(10)
Index 245

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