The assessment of sport-related concussions is hindered by lack of a neuroanatomic or neurophysiologic assessment of injury severity and recovery timeframe. We set out to determine if motor evoked potentials are different between acutely concussed and non-concussed collegiate athletes and determine if any relationships exist between MEP changes, self-reported symptoms and neurocognitive deficits. MEP thresholds, latencies, and amplitudes, scores on a self-reported symptoms checklist; and scores from a neurocognitive test battery were evaluated in 18 collegiate athletes (9 concussed, 9 controls). The observed MEP changes provide electrophysiological evidence for the acute effects of cerebral concussion in an athletic population. Alterations in neurochemical and neurometabolic processes following concussions may explain these abnormal MEPs, post-concussive symptoms, and deficits in neurocognitive function.

A proven method for Beating Low Back Pain Forever Award-winning osteopath Gavin Routledge and former international rugby star Gavin Hastings OBE, who suffered from bouts of back pain during his playing career, here join forces to help sufferers of low back pain get better and live a more active life. The key to Routledge's approach lies in: UNDERSTANDING: demystifying the anatomy of your back and its condition so that you can prevent the same problem occurring again MOTIVATION: if you give up you'll stiffen up Using techniques employed by successful sports and business people you will fi nd real commitment to follow your recovery programme RELAXATION: comfortable body positions and the importance of balancing gentle exercise with adequate rest GENTLE EXERCISE: a carefully-devised regime of gradual movement with step-by-step photographs POSTURE AND MOVEMENT: including how to sit, stand, lie down, bend, lift, carry, drive or cycle And all your questions are answered in this easy-to-follow manual including: ● Where should I go for help? ● What tests, investigation or surgery might be involved? ● What drug or other options for pain relief might be useful? ● What sports are safe to play and what movements should I avoid? ● How can I avoid back problems in pregnancy? GAVIN ROUTLEDGE D.O.(Hons) was awarded the Gold Medal for Distinction by the British School of Osteopathy. He has practised in London, New Zealand and now has clinics in Edinburgh, West Lothian and Fife in Scotland: Active X Osteopaths. GAVIN HASTINGS O.B.E. was fi rst treated for low back pain by Routledge only weeks before a crucial international match. The techniques and advice given then enabledhim to play pain free until his retirement from International Rugby following the 1995 World Cup in South Africa.

A comprehensive resource for focusing on returning injured athletes to their optimal performance! This book discusses exercise principles; muscle fatigue, muscle damage, and overtraining concepts; pathophysiology of overuse injuries; core evaluation in sports-specific testing; physiological basis of exercise specific to sport; and special considerations for the athlete. Secial features such as evidence-based clinical application boxes provide the reader with a solid body of research upon which to base their practice. Aligned to the Guide to Physical Therapy Practice to help learn how to work with athletes' injuries and help them make a physical comeback while following best practices. Incorporation of muscle physiology demonstrates it as the basis for athlete's exercise prescription. Coverage of pathophysiology of overuse injuries illustrates the damage to the musculoskeletal system. Inclusion of treatment and training approaches for athletic rehabilitation shows how to restore the musculoskeletal system back to full flexibility, strength, power, and endurance. Evidence-based clinical application boxes found throughout the book cite key studies and provide real-world application to a clinical setting. Extensive photographs show hands-on demonstrations of important rehabilitation techniques, helping the cinician to accurately apply them during treatment.

Vocational Rehabilitation offers a practical introduction for healthcare practitioners to this burgeoning field. The book provides an explanation of current UK practice as well as guidance on a range of relevant interventions for vocational rehabilitation services, focusing on therapeutic assessments and treatments. It is an invaluable source of best practice information for those currently providing return to work services as well as those intending to develop them.
Vocational Rehabilitation is structured over five sections, the first providing contextual information; followed by assessment strategies; action planning; interventions and services.

The Speech and Language Activity Resource Book offers a flexible and readily available set of activities and worksheets designed to support speech and language therapists as they deliver personalised and engaging therapy sessions. With topics based on seasons, hobbies, sports and celebrations, etc, the worksheets can be selected to suit a client's interests as well as targeting specific skills and needs. The engaging activities encourage conversation and participation, promoting skill development in a way that is easily translated into everyday communication. Key features of this book include: A range of activities, arranged by level of difficulty, that can be selected based on the client's individual need A person-centred approach to therapy, enabling the time-poor practitioner the opportunity to personalise their care with ease Photocopiable and downloadable sheets that can be completed during therapy sessions or sent out to the client for home practice, as well as blank worksheets that can be used to create new, appropriate activities Easily adaptable for group sessions, one-on-one therapy sessions and home activities, this is an essential tool for speech and language therapists and occupational therapists, as well as families and other practitioners supporting adults with a range of acquired communication difficulties.

Human Hand Function is a multidisciplinary book that reviews the sensory and motor aspects of normal hand function from both neurophysiological and behavioral perspectives. Lynette Jones and Susan Lederman present hand function as a continuum ranging from activities that are essentially sensory in nature to those that have a strong motor component. They delineate four categories of function along this sensorimotor continuum--tactile sensing, active haptic sensing, prehension, and non-prehensile skilled movements--that they use as a framework for analyzing and synthesizing the results from a broad range of studies that have contributed to our understanding of how the normal human hand functions.
The book begins with a historical overview of research on the hand and a discussion of the hand's evolutionary development in terms of anatomical structure. The subsequent chapters review the research in each of the four categories along the continuum, covering topics such as the intensive spatial, temporal, and thermal sensitivity of the hand, the role of hand movements in recognizing common objects, the control of reaching and grasping movements, and the organization of keyboard skills. Jones and Lederman also examine how sensory and motor function develops in the hand from birth to old age, and how the nature of the end effector (e.g., a single finger or the whole hand) that is used to interact with the environment influences the types of information obtained and the tasks performed. The book closes with an assessment of how basic research on the hand has contributed to an array of more applied domains, including communication systems for the blind, haptic interfaces used in teleoperationand virtual-environment applications, tests used to assess hand impairments, and haptic exploration in art. Human Hand Function will be a valuable resource for student and professional researchers in neuroscience, cognitive psychology, engineering, human-technology interaction, and physiology.

This is a comprehensive review manual designed to prepare physical therapist assistant students for the National Physical Therapist Assistant Exam (NPTAE). With questions similar in style to the National Exam, reflecting the current scenario format, all content has been researched by the authors for accuracy and relevance.

Aphasia and Related Neurogenic Language Disorders Rapid advances in neural imaging, particularly in regard to neural plasticity and brain changes, have resulted in an evolving neurorehabilitation paradigm for aphasia and related language disorders. Aphasia and Related Neurogenic Language Disorders has been adopted worldwide as a text for aphasia courses. This new 5th edition by Leonard LaPointe and Julie Stierwalt encompasses state-of-the-art concepts and approaches from an impressive cadre of experts who work in research labs, classrooms, clinics, and hospitals-including the world-renowned Mayo Clinic. As in previous editions, this book embraces a humanistic approach to treatment, addressing multicultural and multilinguistic considerations and social model interventions. The text encompasses a full continuum of cognitive-language disorder management-from everyday practicalities, assessment, and treatment to disorder-specific cases with evidence-based data. Additions to the 5th edition include chapters on pragmatics and discourse, telepractice, digital and electronic advances, funding and reimbursement, and comprehension, syntax, and linguistic based disorders. Key Features: A new chapter on neuroanatomical basics features exquisite illustrations An in-depth look at neurogenic communication disorders from Mayo Clinic provides firsthand insights on treating patients in an acute care hospital setting Discussion and test questions, case studies, and clinical pearls offer invaluable didactic guidance A chapter on expanded traumatic brain injury covers blast injuries and multisystem injuries This is the most comprehensive yet concise resource on aphasia and related disorders available today. New legions of speech language pathology students, residents, course directors, and practitioners will discover a remarkable guide on the treatment of communication disorders.

This manual provides expert practical guidelines for the management of severely malnourished children. Addressed to doctors and other senior health workers, the manual explains exactly what must be done to save lives, achieve successful management and rehabilitation, prevent relapse, and thus give these children the greatest chance of full recovery. Throughout, the importance of treating severe malnutrition as both a medical and a social disorder is repeatedly emphasized. As successful management does not require sophisticated facilities and equipment or highly qualified personnel, the manual also performs a persuasive function, encouraging health professionals to do all they can to save these children and meet their great need for care and affection. Recommended procedures draw on extensive practical experience as well as several recent therapeutic advances. These include improved solutions of oral rehydration salts for the treatment of dehydration, better understanding of the role of micronutrients in dietary management, and growing evidence that physical and psychological stimulation can help prevent long-term consequences of impaired growth and psychological development. Noting that the physiology of malnourished children is seriously abnormal, the manual gives particular attention to aspects of management - whether involving the interpretation of symptoms or the use of specific interventions - that differ considerably from standard procedures for well-nourished children. Details range from the reasons why IV infusion easily causes overhydration and heart failure, through a list of treatments that have no value and should never be used, to the simple reminder that underarm temperature is not a reliable guide to body temperature in a malnourished child during rewarming. Further practical guidance is provided in eight appendices, which use numerous tables, charts, sample recording forms, instructions for preparing feeds, and examples of easily constructed toys to help ensure that management is thorough, safe, and in line with the latest knowledge.

This book is designed primarily to help recently qualified staff and professionals to develop an insight into the implications of spinal cord injury and the role that they play in enabling the patient and their family to tolerate the complex and time consuming process of care and rehabilitation. It will also provide support to those newly injured and their families, helping them to place their own reactions in context. Explaining the prognosis, rehabilitation, returning to work and sexual functioning are discussed in detail. Suitable for all professionals including doctors and those working in rehabilitation such as nurses, physiotherapists and psychologists.

This book provides home health therapists with a portable reference guide, offering them the clinical information they need to serve their diverse patient populations. Divided into six sections it covers fundamentals, paediatric populations, adult populations, emergency situation and pharmacology. A special section of appendices includes necessary reference information such as a listing of suggested home care resources, etc. Most of the book is set out in a tabular format, along with checklists and sample forms, making it easy for the therapist to find exactly what they need. Describes over a hundred practical assessment tools and measures. Provides easy-to-retrieve and easy-to-access information in a convenient format. Includes forms and checklists that show the reader the tools needed in a home care environment. Includes documentation guidelines for appropriately filling out paperwork. Provides emergency procedures and protocols that can be accessed quickly in case of an emergency. Contains pharmacology information to give the therapist a quick reference guide to recognize side effects, drug interactions, and proper therapeutic medication level guidelines. Provides ICD-9 CM Common Therapy Diagnoses and HIM-11 Coverage of Services information regarding billing and insurance. Includes multidisciplinary tools helpful to physical therapists, occupational therapists and rehab nurses.

Polio infantile paralysis was until recently a greatly feared disease, but is now preventable by a vaccine, which has largely eradicated it from the Western hemisphere; a global eradication campaign is underway. This book tells of the story of polio in fascinating and personal detail, through a series of essays written by those who experienced the disease: its victims, those who cared for them and those who worked to eliminate it altogether.The opening chapter recounts the history of polio from its earliest depiction in Egyptian art to the present day; it is followed by three personal descriptions of the experiences of patients who were paralysed in youth by polio, but went on to build successful lives. The challenges of caring for polio sufferers are described by two physicians who worked on polio wards at the height of the epidemic. The story of the cultivation of poliovirus and the testing of the vaccines is related by two research scientists who devoted much of their careers to the laboratories where the breakthroughs were achieved. The final essays describe the public health vaccination campaigns which successfully eradicated polio from the Americas, as experienced by those who directed them.Dr THOMAS M. DANIEL is Professor Emeritus of Medicine and International Health and Director of the Center for International Health at Case Western Reserve University; Dr FREDERICK C. ROBBINS is University Professor and Dean Emeritus of the School of Medicine at Case Western Reserve University.Contributors: THOMAS M. DANIEL, FREDERICK C. ROBBINS, MICHAEL W.R. DAVIS, ANN L. MCLAUGHLIN, RUTH E. FRISCHER, ROBERT M. EIBEN, MARTHA LIPSON LEPOW, JOAO BAPTISTA RISI, JR., CIRO A. DE QUADROS

Chapters on pain definition and assessment, basic mechanisms, and epidemiology provide a foundation for a detailed discussion of the most common pain syndromes. The identification and treatment of specific syndromes are highlighted in separate chapters on headache, neuropathic pain, low back pain, fibromyalgia and myofascial pain, arthritis and cancer pain. An entire section devoted to therapeutics provides current information about a broad spectrum of analgesic approaches, including drug therapy, anesthetic techniques, surgery, physiatric modalities, and psychologic interventions.

I am a country man, raised in the fields and woods of north-central Georgia. I do not care for cities, and so I live in the forest on a ridge over Wildcat Creek, a bold stream that flows, half a mile away, into the Oconee River....

Our house is halfway down the ridge, just before it plummets sharply to the creek. I have found archaic chert scrapers on our property, more recent potsherds with intricate decorations. I say that we own these seven acres, but we're really just passing through.

With his opening lines Philip Lee Williams defines the territory of this intricate and lyrical memoir: life with his young family on the ridge, his coming of age, and the legacy of his southern family. That legacy, which includes a love of literature, a passion for music, and an insatiable curiosity about the natural world, also includes a defective heart valve.

Crossing Wildcat Ridge combines the drama of Williams's open-heart surgery with contemplative essays on the natural world. The gentle counterpoint between the two elements illuminates both in remarkable and profound ways. Confronting his mortality, the author struggles to determine his place in the world. His sober consideration of things left undone is juxtaposed with the contemplation of a mound of fire ants: "There is no uncertainty in that world; each knows his job, doesn't know why, can't ask. None knows he will die". As the author slips into depression during his post-operative recovery, he studies the flora and fauna of the ridge, its lights and shadows, the dunes beneath the waters of the creek. With poetic imagery, he shares not only his crystalline observations of nature but also their healing effects -- how he learns to receivethe gift of a mockingbird's song, how the tracks of elusive woodland creatures bolster his faith in the existence of things we cannot see, how sensory memories reconnect him to the boy he was and the man he hopes to be.

All thinking, feeling adults search for the right path to self-discovery. Philip Lee Williams's luminous account of his journey is one satisfying and effective road map.

MOVE BETTER, FEEL BETTER - TREATING ARTHRITIS THE NATURAL WAY Hundreds of thousands of people with arthritis have been helped by the Margaret Hills Clinic and by Margaret's bestselling books, Treating Arthritis: The Drug Free Way and The Treating Arthritis Diet Book. This companion title, completely updated with new exercises, routines and the latest insights into arthritis and joint function, offers a full program to help restore mobility and flexibility for those who are struggling with pain or discomfort. Embracing the simple principles that make the Margaret Hills drug-free protocol so effective, this book will give stepped and manageable exercises that work to improve fitness and function in anyone experiencing inflammation or pain. You don't need to be fit, athletic or flexible to derive benefits from this book, no special equipment is necessary, and you can commit as little (or as much) time as fits your routine. Used in conjunction with the diet and lifestyle management from the companion titles above, you can significantly improve not only your physical condiiton but also your mental and emotional wellbeing.

This book is designed as a comprehensive educational resource not only for basketball medical caregivers and scientists but for all basketball personnel. Written by a multidisciplinary team of leading experts in their fields, it provides information and guidance on injury prevention, injury management, and rehabilitation for physicians, physical therapists, athletic trainers, rehabilitation specialists, conditioning trainers, and coaches. All commonly encountered injuries and a variety of situations and scenarios specific to basketball are covered with the aid of more than 200 color photos and illustrations. Basketball Sports Medicine and Science is published in collaboration with ESSKA and will represent a superb, comprehensive educational resource. It is further hoped that the book will serve as a link between the different disciplines and modalities involved in basketball care, creating a common language and improving communication within the team staff and environment.

Alle im Praxisalltag auftretenden Fragen zur Rehabilitation von Herz- und Gefasspatienten werden in dem Buch ausfuhrlich behandelt. Die Autoren stellen sowohl Moglichkeiten und Grenzen der kardiovaskularen Rehabilitation im stationaren (Anschlussheilbehandlung) als auch im ambulanten Bereich (Herzgruppen) kritisch dar. Dazu gehoren Therapieempfehlungen, mogliche Komplikationen oder Gefahren, Kontraindikationen und die Abwagung, wann welche Massnahme in welcher Institution und bei welchen Patienten sinnvoll einzusetzen ist.
Das Buch wird erganzt durch Empfehlungen fur die personelle, apparative und logistische Ausstattung von Rehabilitationskliniken und ambulanten Herzgruppen. Somit leistet das Buch einen fundierten und praxisbezogenen Beitrag zur kardiologischen Rehabilitationsmedizin.
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A practical guide to the many simple things that can be done to help children with cerebral palsy grow and develop in the best possible way. Addressed to the mid-level rehabilitation worker, the manual describes training activities, to be performed with the assistance of family members, that promote the child's mobility, self-care, and independence. Using simple text and abundant illustrations, the manual also provides advice on the early detection of cerebral palsy and the assessment of a child's developmental level. Information ranges from a list of questions frequently asked by families, to instructions for constructing special seats and tables from cardboard boxes, to detailed guidelines for the assessment and treatment of contractures. Proposed exercises and activities are in line with the need to make training practical and relevant to family life, a part of the daily routine, and fun for the child. Emphasizing the need to prevent deformities as well as to promote development, the manual also shows how to construct splints and other equipment using local, readily available materials. Particular attention is given to the importance of good handling and positioning of the child's body.

At a time when the accepted standard treatment for alcoholism is long-term and expensive, solution-focused therapy, as developed at the Brief Family Therapy Center in Milwaukee, offers a brief and cost-effective alternative. Insoo Kim Berg and Scott D. Miller believe that a focus on solutions, rather than pathology, is the most constructive strategy for working with problem drinkers; their foremost concern is with what works. To this end they don't reject traditional treatment programs; rather, they view them as one part of a flexible and multidimensional approach to alcohol abuse treatment. The authors successfully utilize solution-focused therapy in their work with problem drinkers, but it is their philosophy of working with clients and within clients' belief systems to encourage change that is at the heart of their model. The model, grounded in the philosophy of solution-focused brief therapy, introduces a paradigmatic change in the approach to substance abuse treatment. Rather than treating a problem drinker, Berg and Miller work with clients to treat problem drinking. The authors' refreshing blend of respect for their clients and optimism about their ability to stop abusive drinking offers hope to clients who can't fit into traditional long-term programs or who have given up on themselves. This book shows how clients can be helped to construct a future where drinking or substance abuse is no longer a problem. Solution-focused therapy, based on respect for and collaboration with the client, concentrates on success and solutions. Therapists develop goals with the client, rather than imposing "appropriate" treatment objectives. If one solution doesn't work, the technique not the client is blamed and client and therapist go on to "do something different." The authors' model is much more than a list of interventions; it is a multi-faceted approach to treatment, which can adapt to anything that works, whether brief therapy, AA, or more formal inpatient programs."

Die Neuauflage dieses Buches, das sich auf Anhieb in der Praxis bewahrt hat, umfasst den gesamten Themenkomplex des Dekubitalulkus auf der Basis wissenschaftlicher Forschung. Aktuelle Ergebnisse aus der Pflegeforschung und der Physik bilden das Fundament fur die sinnvolle Umsetzung der gewonnenen Erkenntnisse in die Pflegepraxis. Ein besonderer Schwerpunkt liegt wiederum auf der Qualitat der Lagerungsbehandlung. Neue Entwicklungen druckA+tlastender Lagerungsformen werden vorgestellt; Lagerungsversuche auf der Wechseldruckmatratze eroffnen neAe wichtige Forschungsaufgaben. Die physikalische Definition des Dekubitus ermoglicht quantitative Aussagen zur Druckverteilung in der Gewebstiefe und im Beruhrungsgebiet. Bewusst werden auch die todlichen Krankheitsverlaufe beim Dekubitus analysiert und beschrieben. Die Ergebnisse bestatigen, dass Dekubitusprophylaxe so fruh wie moglich - bereits beim Eiweissmangelsyndrom und der Katabolie - beginnen sollte. Der Leser erhalt mit diesem Buch eine umfassende, wissenschaftlich fundierte Darstellung, die ihm als Orientierungshilfe bei der Kontrolle und Begrundung eigener Massnahmen dienen kann.

A footballer dies of dementia, younger than he should. A teenage rugby player plays on through multiple blows - and never wakes up from the last one. A scientist reveals endemic brain disease in NFL players and is discredited. From the gladiator arenas of history to the rugby pitches of today, athletes have always forfeited their bodies for sport, with grievous bodily contact consistently celebrated as the ultimate performance of toughness and masculinity. But at what cost? This is the story of Chronic Traumatic Encephalopathy (CTE) - a degenerative brain disease caused by repeated blows to the head, and whose impact in the sporting world is only now coming to light. A Delicate Game is a searing investigation that explores the truth about brain injury in sport and beyond it, from the social dynamics that send young men into violent and dangerous pursuits, to the scientists searching for truth and the families living with the consequences - and it will change the way you think about sport forever. 'Beautifully written, deeply moving and absolutely mind-blowing' Julia Ebner 'A clarion call of great conviction and urgency' Irish Examiner