Clinics in Developmental Medicine No. 178

For most children with cerebral palsy, the extent to which they can use their hands is critical to their overall development. Over the last two decades there have been major advances in the understanding of hand function. Particularly in children with cerebral palsy, assessment of hand function has become more exact and the range of possible interventions has expanded. Changes in treatment approaches can be seen in neurorehabilitation, orthopaedic management, developmental pediatrics and rehabilitation including occupational and physical therapy practices.In this book, selected experts from around the world in the fields of neuroimaging, neurology, orthopaedics, anatomy, motor control and motor learning provide fundamental theoretical information for the development of hand function in children with cerebral palsy. The book also shows how theory can be translated into practice by clinicians who provide assessment and intervention services to improve hand use in this population in sections written by researchers in occupational and physical therapy. Linking different fields of knowledge, this book highlights new perspectives and provides the best evidence for different types of intervention. By focusing only on hand function this essential book highlights new concepts for clinicians and others working towards the overall well-being of children with cerebral palsy.

The purpose of this book is to provide public health, disability, and rehabilitation professionals and practitioners evidence-based science with respect to health disparities faced by people with disabilities, especially people with mobility limitations; alternative methods of rehabilitation and exercise science for this population; assistive device technology; and, improved access to health care, employment, and social participation. According to the National Institute on Disability, Independent Living, and Rehabilitation Research (NIDILRR), approximately 57 million Americans live with a disability. Disability severity and types vary considerably, such that each individual with a disability faces unique physical, social, and environmental barriers in order to enjoy quality of life and full participation in society. A large research literature shows that people with disabilities face substantial employment and health disparities compared to people without disabilities. People with mobility limitations often experience secondary conditions to compound their primary disability. Hollar (2013) and Hollar and Lewis (2015) showed that people with mobility limitations were significantly more likely to experience obesity and lack of access to physical exercise. Other studies have shown that access to proper physical examination facilities and equipment remain a substantial barrier in many clinics and hospitals despite the enactment of the Americans with Disabilities Act 25 years ago. Research on alternative exercise programs and new assistive device technologies offers promise to improve physical functioning and exercise for people with mobility limitations. Furthermore, increased focus on biopsychosocial over traditional medical models for disability will help policymakers and the public to recognize the complex, contextual issues (e.g., personal, social, environmental) that affect the lives of people with disabilities. Readership includes public health practitioners and educators, disability and rehabilitation researchers, clinicians and sports medicine practitioners, and disability advocates. There have been general handbooks on disability, but advances in technology and alternative exercise programs, as well as novel disability health programs, are dispersed in the research literature. This book will help to highlight these programs for health policy experts, especially given the high health and social disparities experienced by this population.

This book includes procedures for assessing clients, techniques, and clinical applications for treating clients using aquatic therapy.

Written by two leading experts in the field, Acupuncture in Neurological Conditions aims to improve patient care by combining Western and Traditional Chinese Medicine (TCM) concepts of treatment. The language of TCM is uniquely combined with that of evidence-based clinical reasoning to provide an approach relevant to both acupuncture and physiotherapy clinical practice. All major types of neurological conditions encountered in clinical practical are examined. Chinese medical patterns relevant to the application of acupuncture are described, as well as key patterns of dysfunction based on a Western medical perspective. The place of acupuncture within the overall management of different neurological conditions is also discussed. Clinical reasoning options from both TCM and Western medical perspectives are provided, and illustrated by real cases from clinical practice forming a sound platform for true integrated medicine. Fully evidence-based Provides clinical reasoning options from TCM and Western medical perspectives Illustrates clinical reasoning with real cases from clinical practice Provides detailed examination of all major types of neurological conditions encountered in clinical practice.

Guest Editors Alan Catanzariti and Robert Mendicino have assembled an informative collection of topics on current ankle arthritis techniques, including: "Supramalleolar Osteotomies," "Tibiotalocalcaneal arthrodesis," "Ankle cartilage," "Preliminary report comparing pre vs. post-op ankle distraction MRIs" and more!

Provides precise and concise explanation of all of all the content which is necessary for a strong foundation for practical and clinical assessment, and encompasses the assessment of all specialities taught under the headings of physiotherapy in a very simplified manner and making it easy to understand. While maintaining its simplicity, covers assessment in different specialities, thereby undergraduate and postgraduate students do not require referring many books. The content is formulated with consideration to the course syllabus prescribed by the academic council of various universities in India. First of its kind as it combines all specialities assessment under one heading.

Guest editor Jerome Steck takes a comprehensive look at Revisional Foot and Ankle Surgery with topics such as: "The First Ray," "Flatfoot," "Hindfoot arthrodesis hindfoot," "Charcot," "Ankle Fractures" and more!

Physical Therapy – Treatment of Common Orthopedic Conditions is a highly illustrated, evidence-based guide to the treatment of a range of common orthopaedic disorders, edited by US based experts in the field. Divided into sixteen chapters, across three sections, the book begins with a section on upper extremity, including conditions such as thoracic outlet syndrome, rotator cuff impingement, and carpal tunnel syndrome. The second section covers the spine, including sprains and strains, and cervical radiculopathy. The final section focuses on lower extremity, covering conditions such as hamstring strain, tendinopathy, and medial tibial stress syndrome. Each chapter begins with an overview of important information for diagnosis, followed by detailed evaluation and treatment approaches, which include conservative therapy, as well as complimentary, alternative, medical and surgical interventions. The text is enhanced by 850 full colour images and illustrations. Physical Therapy – Treatment of Common Orthopedic Conditions references more than 1700 journal articles and books, ensuring authoritative content throughout this valuable resource for physiotherapists. Key Points Evidence-based guide to the treatment of a range of common orthopaedic conditions USA-based, expert editorial team References from over 1700 authoritative journal articles and books 850 full colour images and illustrations

This book presents an update on new trends and developments in broadly defined medical disciplines. The whole range of multidisciplinary topics are tackled, regarded as being important for advancing the understanding of disease pathogenicity, diagnostic methods, and patient management. The topics include a holistic approach to physiotherapy, with proprioceptive neuromuscular facilitation at the core of it, potential ways to protect kidneys during ischemic coronary interventions, and psychosocial aspects in cancer survivors. Other topics deal with growth hormone deficiency in short children and responses of molecular markers of bone metabolism to growth hormone replacement therapy and with the modern use of transcranial laser-induced photobiomodulation showing surprising benefits in autism disorder. The expert contributions take on the challenges presented to medical professionals by ever growing medical knowledge and various individual and contextual issues that require a multidisciplinary approach in patient management. The authors present a bench-to-bed clinical research to make useful additions to the knowledge on contemporary diagnostic procedures, therapy, and quality of life of patients. The book aims to provide stimulus for new research ideas and to give new perspectives on practical clinical issues. The book is intended for primary care clinicians, family physicians, medical scholars, and other clinicians who treat and manage patients.

An advanced introduction to the field of structural bodywork which focusses on the issues of postural and functional dysfunction. The text builds on the theories of Ida Rolf (Rolfing) and Feldenkrais and reviews them in the broader context of massage therapy and other complementary therapies based on bodywork techniques including chiropractic. The book is in 3 main parts. Part 1 looks at the background of structural bodywork and how it has developed before defining it as it is understood today. Part 2 looks at the theory of structural body work in more depth and relates it to human anatomy and clinical presentations. It draws together various strands of theory and practice which have not been considered together before but are all related to bodywork practice. Part 3 is a major part of the book and is a practical guide to structural bodywork techniques. This latter section is highly illustrated with photographs and line drawings. Content is highly readable, academically sound, and grounded firmly in bodywork practice. Previously unrelated theories are discussed and applied to practice. The well-known theories of Rolf and Feldenkrais are reviewed. A comprehensive practical manual section provides numerous techniques and models for a variety of musculoskeletal skeletal problems. Numerous illustrations provide a better understanding of text content.

This thoroughly revised edition of the authoritative reference Fascial Release for Structural Balance includes all of the most current research on the role of fascia and myofascia in the body, and how treatment affects it. James Earls and Thomas Myers have taken advantage of more sophisticated testing to explore in greater detail the relationship between anatomical structure and function, making this updated edition an even more essential guide. Fascia, the soft tissue surrounding muscles, bones, and organs, plays a crucial role in supporting the body. By learning to intelligently manipulate it, a bodyworker or therapist can help with many chronic conditions that their clients suffer from, providing immediate pain relief as well as reducing the strains that may contribute to the patient's ongoing aches and pains and leading to rapid, effective, and lasting pain relief. The authors argue that approaching the fascia requires "a different eye, a different touch, and tissue-specific techniques." Offering a detailed introduction to structural anatomy and fascial release therapy, including postural analysis, complete technique descriptions, and the art of proper assessment of a patient through "bodyreading," the book features 150 color photographs that clearly demonstrate each technique. Earls and Myers, both respected bodywork professionals, provide any bodywork practitioner using manual therapy-including physiotherapists, osteopaths, chiropractors, myofascial and trigger point therapists, and massage therapists-the information they need to deliver effective treatments and create long-lasting, systemic change in clients' shape and structure.

John Gibbons looks at one of the most neglected areas of the body: the gluteal muscles. The Vital Glutes takes you on a fascinating journey of enlightenment, teaching the reader to recognize pain and dysfunctional patterns that arise from the gluteal muscles. Questions answered in the book include: Why are the glutes potentially causing pain and dysfunction to distant sites of the body? How does the gait pattern contribute to pain and dysfunction? And, how can the application of gluteal specific Muscle Energy Techniques aid full body wellbeing? This book also offers the reader step-by-step tasks to identify and correct a number of dysfunctional patterns, and functional gluteal exercises in order to aid recovery.

The book provides readers with a comprehensive overview of the state of the art in the field of gait and balance rehabilitation. It describes technologies and devices together with the requirements and factors to be considered during their application in clinical settings. The book covers physiological and pathophysiological basis of locomotion and posture control, describes integrated approaches for the treatment of neurological diseases and spinal cord injury, as well as important principles for designing appropriate clinical studies. It presents computer and robotic technologies currently used in rehabilitation, such as exoskeleton devices, functional electrical stimulation, virtual reality and many more, highlighting the main advantages and challenges both from the clinical and engineering perspective. Written in an easy-to-understand style, the book is intended for people with different background and expertise, including medical and engineering students, clinicians and physiotherapists, as well as technical developers of rehabilitation systems and their corresponding human-compute interfaces. It aims at fostering an increased awareness of available technologies for balance and gait rehabilitation, as well as a better communication and collaboration between their users and developers.

Focusing on assessment through therapist-driven protocols, this valuable tool provides an overview of the assessment process and fundamentals needed for success. It offers discussion of the top five treatment protocols: oxygen, hyperinflation , bronchial hygiene and bronchodilator therapies, as well as mechanical ventilation. Using a case study approach, students learn to manage an entire case from beginning to end. Each time they assess the patient, they use the SOAP format: Subjective, Objective, Assessment, and Plan reasoning, giving them practice in documenting history and developing care plans.

It provides the reader with a contemporary review examining the notion of practice knowledge gained from professional experience and its relationship to professional practice expertise. It is divided into four sections: the first broadly examines the nature and forms of knowledge and the relationships between knowledge and practice; the second considers the nature of professional expertise; the third explores these principles in action and the fourth looks at future developments. An essential purchase for all students, educators, researchers and practitioners of physiotherapy, occupational therapy, nursing and indeed all those in the health sciences field. An essential purchase for all students, educators, researchers and practitioners of physiotherapy, occupational therapy, nursing and indeed all those in the health sciences field. * Brings the modern practitioner completely up to date with trends and developments in the field * Relates theoretical examples to professional practice * Explores how professional knowledge and expertise can be developed

Further management strategies including clinimetry, cranio-cervical posture and 'psychological' management of chronic facial pain are described and discussed in relation to their integration in daily practice. Difficult clinical problems such as cervical headache, chronic ear pain in children, KISS syndrome, facial paralysis, tinnitus, craniomandibular dysfunction amongst others are described and discussed. A clinical reasoning approach to problem solving is emphasized throughout. This book is recommended for those interested in manual assessment and management of the craniofacial region including clinicians, physiotherapists, dentists, orthodontics, ENT-specialists, neurologists, maxillofacial surgeons, chiropractors and osteopaths. Foreword by Professor Mariano Racobado, Santiago, Chile. Contributors: HAJ Oudhof: Skull Growth in relation to mechanical stimulation Dr H Biedermann: Features of cranial tissue as a basis for clinical pattern recognition on management Dr med H Biederman: Primary and secondary cranial asymmetry in Kiss-children R Spermon-Marijne: Manual Therapy of the craniofacial region as therapeutic Dr J R Spermon: approach in children with long term ear disease P Westerhuis: Cervicogenic headache: a clinician's perspective and Cervicogenic Headache, physical examination and management David Butler: Experience of pain and the craniofacial region D Fitzgerald and Lynn Bryden: The influence of posture and alteration of function upon the cranio-cervical and craniofacial region M Jones: Clinical reasoning. A basis for examination and treatment in the cranial region F Winters: Pain management by patients with chronic craniofacial pain G Aufdemkampe: The relevance of clinimetrie by patients with cranial facial pain * Prestigious text with expert international contributors including acclaimed anatomists and cranial morphologists * Highly practical text with a page of text facing a page of high quality black and white photographs * Geoff Maitland has endorsed this text

This book is an introductory text to spinal disorders. Based on the highly successful forerunner to this volume, Practical Orthopaedic Medicine, the book still retains the original philosophy of this text which is to systematically cover all the joints discussing examination, diagnosis and treatment. The full spectrum of therapies is covered with particular emphasis on Maitland's widely practised spinal manipulation techniques - how they are assessed clinically and their role in the management of spinal problems. A complete review of the current literature has been undertaken and a valuable new chapter on the spine in sport has been added. This book will be essential reading for students and practitioners involved in sports medicine, orthopaedic medicine and physiotherapy.

Lippincott (R) Connect Featured Title Purchase of the new print edition of this Lippincott (R) Connect title includes access to the digital version of the book, plus related materials such as videos and multiple-choice Q&A and self-assessments. This updated fourth edition of Hazel Clarkson's Musculoskeletal Assessment: Joint Motion and Muscle Testing offers a student-friendly approach to both Joint Motion and Muscle Testing (MMT) and Range of Motion (ROM). Now in striking full color, the fourth edition provides just the right amount of detail students need to prepare for effective practice. Each chapter is devoted to a separate anatomical region to help physical therapists-in-training hone their understanding of pertinent surface and deep anatomy. The clear narrative outlines the steps of taking the assessments and interpreting the results and is enhanced by a strong art program with meticulously created illustrations and photographs that demonstrate patient and therapist positions and instrument placement. NEW! Full-color photos and colorized line illustrations help students master key techniques and anatomical structures. NEW! Online Practical Testing Forms list the criteria and correct sequence for performing each assessment-an ideal tool for students. NEW! Online Instructor Resources include a Test Bank and pre-loaded PowerPoint slides for use in building course materials and lectures. UNIQUE! Coverage of both muscle testing and goniometry, allows you to cover both topics in just one book. VISUAL: A Physical Therapy video library of over 100 videos covering MMT and ROM is accessible online via thePoint. Clear step-by-step instructions for muscle testing make it easy for students to master key concepts and techniques. Clinical tie-ins give students opportunities to apply the material they are learning to clinical situations. Lippincott (R) Connect features: Full access to the digital version of the book with the ability to highlight and take notes on key passages for a more personal, efficient study experience. Carefully curated resources, such as interactive diagrams, audio and video tutorials, and self-assessment, all designed to facilitate further comprehension. Lippincott (R) Connect also allows users to create Study Collections to further personalize the study experience. With Study Collections you can: Pool content from books across your entire library into self-created Study Collections based on discipline, procedure, organ, concept or other topics. Display related text passages, video clips and self-assessment questions from each book (if available) for efficient absorption of material. Annotate and highlight key content for easy access later. Navigate seamlessly between book chapters, sections, self-assessments, notes and highlights in a single view/page.

Thorough and easy-to-read text which provides an introduction to contemporary approaches in musculoskeletal physical therapy. Features key points boxes and summaries to guide the reader and ensure retention. With over 250 illustrations, the text provides authoritative coverage of neurodynamics, gait analysis, physiology of motor control and much more.

Back Pain and Spinal Manipulation: a practical guide presents a highly-illustrated, didactic guide to the diagnosis and manipulative treatment of back pain. Based on a diagnostic approach to back pain the text is extremely practical and includes how-to-do-it-yourself tips based on the authors' many years of practical experience. The second edition of this popular text has been extensively revised and updated to include the developments that have taken place within the field in recent years. New illustrations have been added, and the format has been redesigned to produce a text that makes the information more easily accessible. New for the second edition: * manipulation techniques for the thoracic spine * sacro-iliac disorders and treatment * muscle stretching techniques * muscle energy techniques Features includes: key check points, classification of techniques, charts on technique/directness/specificity and do's and don'ts, and position of the patient/position of the therapist. With an emphasis throughout on practical information that is easy to follow, the book is essential reading for all practitioners, physiotherapists, chiropractors and osteopaths involved in the diagnosis and treatment of back pain.

This forward-looking reference defines and illustrates the process and themes of formulation in neuropsychology and places it in the vanguard of current practice. The book explains the types of information that go into formulations, how they are gathered, and how they are synthesized into a clinically useful presentation describing psychological conditions resulting from neurological illness or injury. Cases highlight the relevance and flexibility of narrative- and diagram-based formulation methods in approaching a diverse range of issues and conditions, from decisional capacity to cultural considerations, Huntington's disease to deep dyslexia. Throughout this volume, formulation is shown as integral to treatment and rehabilitation planning alongside clinical assessment, cognitive testing, and diagnosis. Included among the topics: The interface of neuroimaging with neuropsychological findings in traumatic brain injury. Neuropsychological aspects of temporal-lobe epilepsy: seeking evidence-based practice. An integrative approach to differential diagnosis of subarachnoid hemorrhage and Korsakoff's dementia. Educational disengagement following mild TBI in childhood. Themes in the formulation of repeat assessments. Cognitive neuropsychological formulation. Formulation is essential in good neuropsychological assessment as it provides the foundation for appropriate intervention by bringi ng together the results of different evaluations into a coherent whole. . . . Macniven's compelling and constructive book has assembled internationally known experts from diverse backgrounds to provide illumination of their own views and approaches to formulation, which makes the book a pleasure to read and should establish it as essential reading on clinical psychology and neuropsychology training courses. - Professor Barbara A. Wilson OBE, Ph.D., D.Sc. Neuropsychologists, clinical psychologists, and rehabilitation specialists will find Neuropsychological Formulation of critical importance not only to the literature of the field, but also to the developing role of clinical neuropsychology within healthcare systems.

This, the third edition of Berta Bobath's classic work, shows the continuation and development of treatment, while the underlying concept on which treatment was based has not changed. However, the emphasis on treatment is now more on the patient's active participation in partnership with the therapist in the holistic approach to the patient's individual problems. Moreover, treatment is no longer confined to academic exercises divorced from daily life, but makes use of familiar daily items, for example beds, tables, chairs, walls and stairs so that the patient can apply the treatment 'sessions' to daily activities. Berta Bobath has introduced some 25 per cent of new material consisting of the nature of the handicap, neurophysiological considerations, normal automatic postural reactions and abnormal postural reflex activity. In addition to the new artwork included, most of the existing artwork has been replaced. All the remaining sections have been considerably revised, updated and expanded. This new edition enables both therapy students and their teachers to increase their awareness of the problems and needs of individual patients and so increase their ability to provide the greatest possible assistance.

Describes the genesis, pathology, clinical features, presentation, syndromes, clinical examination, investigation procedures, treatment, prophylaxis, and surgery of common vertebral joint problems.New edition of a highly successful, widely acclaimed book Completely updated to take account of recent developments in research and practice The Gray's Anatomy" of spinal musculoskeletal pain - now the essential reference for all involved in the treatment of vertebral conditions The only single book to offer a comprehensive survey of the whole field Covers the genesis, pathology, clinical features, presentation, syndromes, clinical examination, investigation procedures, treatment, prophylaxis, and surgery of common vertebral joint problems Gives the reader a thoughtful and critical digest of more than 2500 references - two-thirds of theseSuperbly illustrated: 412 photographs and 206 line illustrations"

Before you can master your role in physical therapy, you must first master the basics of patient care! Pierson and Fairchild's Principles & Techniques of Patient Care, 7th Edition provides a solid foundation in the knowledge and skills needed for effective patient care. Clear, step-by-step instructions show how to safely perform common procedures and tasks such as assessment of vital signs, positioning and draping, range of motion exercises, and patient transfer activities. Rationales make it easy to understand why specific techniques are used. Written by physical therapy experts Sheryl Fairchild and Roberta O'Shea, this book includes an enhanced eBook - free with each new print purchase - with video clips demonstrating procedures and techniques. Content based on the World Health Organization's ICF model (International Classification of Functioning, Disability, and Health) - the model currently endorsed by the APTA and AOTA - ensures you are referencing the most current theories and practice guidelines of physical and occupational therapy. More than 800 full-color photographs illustrate the concepts and techniques used in the assessment and management of patients in the rehabilitation setting. Procedure boxes include clear guidelines for performing each step of patient care tasks such as proper lifting techniques, patient transfers, basic wound care, and assessment of vital signs. Insights into physiological principles and rationales explain why specific techniques and procedures are used. Guidelines, principles, and precautions boxes offer additional tips for optimal assessment and management of patients in the rehabilitation setting. Self-study and problem-solving activities include case studies at the end of each chapter to help you understand important concepts and practice your decision-making and problem-solving skills. Coverage of professionalism, professional values, and ethics discusses workplace guidelines and describes how to apply those guidelines to your patient interactions. NEW! Revised content provides the current information you need to be an effective practitioner in physical therapy and occupational therapy, and includes input from clinical experts. NEW! Content on COVID-19 includes instructions on donning and doffing PPE, and is aligned with the latest CDC guidelines. NEW! Updated patient questions and documentation guidelines on wound care are included. NEW! Coverage of preventive patient positioning and objectively assessing patient pain is updated and expanded. NEW sections address early mobilization and exercise in the ICU. NEW! Enhanced eBook version - included with print purchase - allows you to access all of the text, figures, and references from the book on a variety of devices. NEW! Video clips are included in the eBook, demonstrating techniques and procedures.