This issue of Physical Medicine and Rehabilitation Clinics of North America will cover musculoskeletal ultrasound in the outpatient. The articles will include: Fundamental Considerations for Ultrasound-Guided Musculoskeletal Interventions, Ultrasound-Guided Shoulder Procedures, Ultrasound-Guided Elbow Procedures, Ultrasound-Guided Hand and Wrist Procedures, Ultrasound-Guided Hip Procedures Ultrasound-Guided Knee Procedures, Ultrasound-Guided Foot and Ankle Procedures, Ultrasound-Guided Spine and Pelvis Procedures and many more exciting topics!

PSYCHOLOGY

InterACT Treatment Manual & Participant Workbook

for Addictive Disorders based on the self-help

theory of Jim Maclaine.

Melinda L. Lake

This treatment manual has been developed for health professionals working with people suffering from addictive disorders to develop a self-help recovery process. It includes practical session guides and worksheets for participants. It follows the therapy methods of author psychologist Melinda L. Lake, in which participants undertake all 15 sessions in sequence, ideally over a five day period.

The modules are best undertaken in a small group setting of 8 to 12, however are easily adapted for use in private practice. People suffering directly from addiction may also find this manual helpful.

The InterACT Programme is a treatment protocol specifically targeting the addicted brain. It links the psycho-education of current neuroscience with cognitive therapy and the therapeutic principles of Acceptance Commitment Therapy. It is an inter-personal (group based) treatment method which lays the foundation for a solid self-help recovery process, and it moves participants through Prochaska & DiClemente's (1982) stages of change from a contemplative state to the maintenance stage.

It aims to break the pathological attachment to the intoxicated state and the various defensive processes that protect that attachment.

The approach is based on the Interact Therapy Program devised by Psychologist Jim Maclaine in the 1980's. A programme that successfully treated thousands of patients with addictions and emotional disturbances for several decades in Australian accredited private hospitals.

For more information on this treatment approach or implementing the programme at your facility please contact the author at www.re-psycle.com.au

On October 1, 2014 the ICD-9 code sets used to report medical diagnoses and inpatient procedures will be replaced by ICD-10 code sets. The transition to ICD-10 is required for everyone covered by the Health Insurance Portability Accountability Act (HIPAA). Also, the Middle Class Tax Relief and Jobs Creation Act of 2012 (MCTRJCA; Section 3005(g)) published at http: //www.gpo.gov/fdsys/pkg/CRPT-112hrpt399/pdf/CRPT-112hrpt399.pdf states that "The Secretary of Health and Human Services shall implement, beginning on January 1, 2013, a claims-based data collection strategy that is designed to assist in reforming the Medicare payment system for outpatient therapy services subject to the limitations of section 1833(g) of the Social Security Act (42 U.S.C. 1395l(g)). Such strategy shall be designed to provide for the collection of data on resident function during the course of therapy services in order to better understand resident condition and outcomes." This reporting and collection system requires claims for therapy services to include non-payable G-codes and related modifiers. These non-payable G-codes and severity/complexity modifiers provide information about the beneficiary's functional status at the outset of the therapy episode of care, at specified points during treatment, and at the time of discharge. These G-codes and related modifiers are required on specified claims for outpatient therapy services-not just those over the therapy caps. This book can help occupational therapists, physical therapists, and speech therapists understand Medicare standards for subacute care programs that aim to be compliant with Medicare MDS 3.0 standards and state regulations. Documenting and billing strategies are also discussed in this book. This book has been updated to discuss the new MDS assessment schedule, distinct days of therapy, co-treatment, the allocation of group therapy minutes, the revised student supervision provisions, the EOT (End of Therapy) OMRA (Other Medicare Required Assessment) and new resumption items, and the new PPS assessment-COT (Change of Therapy) OMRA. Appropriate billing and documentation should be present in the medical record. Medicare is increasingly reviewing therapy claims to ensure that the therapy provided did require the skills of a therapist. This book discusses establishing medical necessity, refusing to care for a resident, restraints, safety, creating incident reports, supervising assistive personnel, and resident privacy. Coding and billing for subacute and long-term care settings are also covered in this book, along with denial and appeal management, regulatory guidelines for insurers, and improving cash flow with denial management strategies. Proper coding and documentation ensures that facilities will keep their money upon a post-payment medical record audit. The information provided here in no way represents a guarantee of payment. Benefits for all claims will be based on the resident's eligibility, provisions of the law, and regulations and instructions from the Centers for Medicare & Medicaid Services (CMS). It is the responsibility of each provider or practitioner submitting claims to become familiar with Medicare coverage and its requirements.

Doc, I Want My Brain Back is the compelling true story about a scuba diver who suffered a brain injury and was misdiagnosed by well over thirty medical professionals before receiving successful treatment. After being jailed and committed to the state mental hospital, the diver's parents intervened and made provisions for him to be transferred to another mental hospital, where he was improperly drugged with pharmaceutical psychotropic medications. Meanwhile, most of his friends and family "wrote him off" as merely another mental case; however, his father researched delayed hyperbaric oxygen treatments, well outside of the prescribed limitations and found supporting evidence for a therapy that Dr. Paul G. Harch had successfully applied to another diver. Unlike any other brain injury rehabilitation book, Doc, I Want My Brain Back chronicles the events of Dan Greathouse's life that led Dr. Harch to discover the tip of the iceberg for neurorehabilitation. With this successful case in brain injury repair, Hyperbaric oxygen therapy takes its place in medical history. Doc, I Want My Brain Back is the story of a medical breakthrough written from the patient's perspective.

PT Made Simple: How to be successful in Physical Therapy is a great book for anyone interested in the career of PT. The book covers all aspects of outpatient orthopedics and how to be successful in the clinic. Whether you are a student, clinician, staff PT, or manager, there is a section that you can benefit from. You will learn how to become a PT, find the right job, make the most salary, treat a lot of patients, properly document, increase your insurance reimbursement from Medicare and other insurances, increase your revenue and improve your PT business. You will learn how to treat athletes, post-surgical patients, and deal with the tough complex pain in the butt patients. This book was written about how to become a successful physical therapist by a successful physical therapist. This book is great for everyone no matter how much you know about PT. This book will get you on the right path to get into PT school, pass the board exam, and become a successful licensed PT. Brian Grenda is a real licensed PT that manages a PT clinic in Florida. His real life experiences will teach you how to be successful from his successes and failures. Learn firsthand how to be successful and what steps and strategies you can easily implement to be a great PT.

"As foreign assistance flows into post-conflict regions to rebuild economies, roads, and schools, it is important that development professionals retain a focus on the purely human element of rebuilding lives and societies. This book provides perspective on just how to begin that process so that the trauma people suffered is not passed on to future generations long after the violence has stopped." - Amy T. Wilson, Ph.D., Gallaudet University, Washington, DC "This ground-breaking text provides the reader with an excellent and comprehensive overview of the existing field of trauma rehabilitation. It also masterfully navigates the intricate relationships among theory, research, and practice leaving the reader with immense appreciation for its subject matter." - Hanoch Livneh, Hanoch Livneh, Ph.D., LPC, CRC, Portland State University Fear, terror, helplessness, rage: for soldier and civilian alike, the psychological costs of war are staggering. And for those traumatized by chronic armed conflict, healing, recovery, and closure can seem like impossible goals. Demonstrating wide-ranging knowledge of the vulnerabilities and resilience of war survivors, the collaborators on Trauma Rehabilitation after War and Conflict analyze successful rehabilitative processes and intervention programs in conflict-affected areas of the world. Its dual focus on individual and community healing builds on the concept of the protective "trauma membrane," a component crucial to coping and healing, to humanitarian efforts (though one which is often passed over in favor of rebuilding infrastructure), and to promoting and sustaining peace. The book's multiple perspectives-including public health, community-based systems, and trauma-focused approaches-reflect the complex psychological, social, and emotional stresses faced by survivors, to provide authoritative information on salient topics such as: Psychological rehabilitation of U.S. veterans, non-Western ex-combatants, and civilians Forgiveness and social reconciliation after armed conflict Psychosocial adjustment in the post-war setting Helping individuals heal from war-related rape The psychological impact on prisoners of war Rehabilitating the child soldier Rehabilitation after War and Conflict lucidly sets out the terms for the next stage of humanitarian work, making it essential reading for researchers and professionals in psychology, social work, rehabilitation, counseling, and public health.

Written to satisfy a wide audience, from basic scientist to clinical researcher, this volume explores such varied concepts as: the influence of CBF in the pathotrajectory of TBI, modeling TBI as a means to understand underlying pathological states associated with brain injury victims, disrupted vasculature following head trauma and advanced imaging techniques, vasoreactive substances underlying disrupted blood flow, the role of age and sex on injury outcome, and the latest pre-clinical rationale for focusing on CBF and strategies to improve blood flow as a means to improve outcome in patients suffering the effects of TBI.

Written by traumatic brain injury survivor, chiropractor and nutritionist, Dr. Susan Plank, shares the nutritional protocols and associated research she relied upon to boost her memory and cognitive function. Dr. Plank suffered her traumatic brain injury (TBI) while volunteering in Slidell, Louisiana after Hurricane Katrina. She intimately understands the frustration of struggling with forgetfulness, balance issues, insomnia, depression and anger outbursts that are all hallmarks of brain injury. She is keenly aware of the changes traumatic brain injury makes in a survivor's personality and how survivors and family members are looking for more improvement to return to the person they once were. Reversing Brain Injury Naturally is a must read for those who have suffered traumatic or acquired brain injury or even those that might be losing their "cognitive edge" due to aging or environmental factors. Easy to read and implement it's a fantastic self-help book for those individuals or families that are suffering the effects of brain injury and the hope of further improvement for their physical, mental and emotional health. Dr. Plank says her cognitive rehab therapy was invaluable for her recovery but feels the eight steps outlined in this book improved her overall health dramatically when her cognitive therapy ended. She hopes it will help empower other brain injury survivors as well

IF you are among the millions of people searching for a solution to make you look and feel younger, live longer, and have the stamina, energy reserves, and positive outlook to make it happen, you've come to the right place. The author of Electro-Therapy For Pain Relief. Live A Happier, Longer Life: The Importance of pH Balance presents an easy to understand approach to getting your body's pH in balance. You'll see amazing results as you work toward your goal of cleansing your body of harmful toxins. Take the "Interactive Checklist" quiz in the bonus section of the book, and discover why lifestyle and environment affect pH balance. If you've been searching for a good resource to discover the history of gastroenterology, the Importance of cell composition in your body, or you want to learn how DNA instructs the cells, this book is for you. If you want to reach peak performance, but have always settled for any performance you could manage, get your hands on the book that outlines in simple detail the six chemical functions required for peak health, six chemical functions required for perk performance, eight traits necessary to maintain peak performance, the benefits of Pulsed Electro Magnetic Field Therapy in Restoring pH Balance, and healing. IF you've always felt you needed clarification on why pH balance is so important to your maximum good health, then you owe it to yourself to find out why we are often our own worst enemy when it comes to healing injured tissues. Find out firsthand the benefits you can derive from electrical muscle stimulation, stop the suffering and stop the pain, and follow this book along as it instructs you on how to help yourself reach your goals to a happier, healthier life. IF you know little about using ionic water to re-establish your body's pH balance, or have questioned the hydrating effects of using alkaline water, you need to read chapter 4. IF you've been injured in an accident, and have just about given up hope of

When people think about physical exercise, they imagine athletic competitions and sculpted bodies. More than simply a way to achieve the best performance or a beautiful shape, physical exercise can promote and reestablish health. Physical therapy is a specific area of the health sciences specialised in treating and recovering the human body impaired by illness, an accident or surgeries. In order to restore the human body's functionality, physical therapy has several different techniques and resources that include physical exercises as an important tool used in rehabilitation programs. Throughout this book, you will encounter different physical exercises used in physical therapy to evaluate and establish rehabilitation programs. These are aimed at revitalising the body's function in five different areas: cardiorespiratory, orthopedics, neurology, gynecology and gerontology. In the cardiorespiratory section, you will understand the importance of oxygen provision during postural challenges a dynamic exercises. In addition, this same section explains the beneficial effects of physical exercises for patients with coronary artery disease and how physical exercises are used for pulmonary rehabilitation. The orthopedics section has very important concepts about how physical exercises are used to treat patellofemoral pain, knee osteoarthritis and shoulder dysfunctions. The neurology section brings actual concepts about the use of gait training for neurological rehabilitation; it explains the importance of strength training applied to neurorehabilitation and how physical exercises can be used to treat children with cerebral palsy. The gerontology section demonstrates the importance of motivation and adherence to physical exercises by elderly adults and also their dropout. Finally, the gynecology section brings concepts and physical exercises to evaluate and rehabilitate the pelvic floor muscles. It also brings to light the effects of physical activity on these muscles in pregnant women. After reading this book, you will increase your knowledge about how physical exercise can assess, treat and promote health for the life of your patients and your own life.

At a critical juncture during brain surgery, Alex Dixon, age 12, had a stroke . . . Alex was a normal, bright, and healthy little girl, when the sudden onset of a mysterious illness began to take over her life. Months of physical therapy and medication failed to provide relief from acute pain and muscle spasms. Doctors across the country were at a loss for answers. A last-ditch attempt at treatment-brain surgery-ended up stopping the spasms but with unexpected, dire consequences. A Stroke of Luck is the remarkable true story of a close-knit family that meets challenge after challenge with resilience, hope, and love.

Acquired brain injury (ABI) describes damage to the brain that occurs after birth, caused by traumatic injury such as an accident or fall, or by non-traumatic cause such as substance abuse, stroke, or disease. Today's medical techniques are improving the survival rate for people of all ages diagnosed with ABI, and current trends in rehabilitation are supporting these individuals returning to live, attend school, and work in their communities. Yet strategies on the best way of providing community participation vary among rehabilitation experts. Because many of survivors of ABI do not and will not return to the status quo of their former lives it is important to examine what constitutes best and promising practices in this area. This casebook is the world's first compilation of evidence-informed programmes that foster community participation for people of all ages with brain injury. With this review, the authors elicited and carefully examined existing programmatic efforts that combine emphasis on the individual, the social, and the service systems in a way that captures community participation as a complex process of interactive change in the person-environment relationship - programmes that do not divorce ABI survivors from their contexts, and where participation efforts facilitate positive change in the social and political context. They considered community-based programmes to be programmes where individuals and families actively participate in their own therapy (rehabilitation) and take responsibility for their own health or that of a family/community member. Each case study chapter depicts a programme chosen on its extraordinary merits to provide community participation to its clients. The chapters are cowritten by the stakeholder and a researcher, giving a complete perspective of how the programme was established and continues to operate, and provides evidence of excellence.