Stroke, Body Image, and Self Representation provides a psychoanalytic reading of the subjective difficulties encountered by patients who have suffered a stroke. The book is based on the words of stroke patients and on their self-portraits, which are then compared with the words and portraits of subjects devoid of brain lesions. Pathological and normal self-portraits illustrate in very concrete terms the libidinal investment of our body parts. The author's original data sheds an entirely new light on the subjective effects of a stroke. On the one hand, the permanent sequelae of a stroke can cause a narcissistic injury; on the other, a stroke may affect the brain circuitry involved in the patient's body image, undoing the normal narcissistic reactions. This may happen after right hemisphere lesions and cause spectacular symptoms, such as the personification of a paralyzed hand or the apparent ignorance of a severe paralysis. This double aspect of a stroke is no small problem for rehabilitation therapists, who must avoid two pitfalls: considering any issue as psychological in nature, as if the brain lesion could not produce any organic changes, or, on the contrary, attributing any behavioural problems to brain dysfunction, as if the patient was devoid of normal psychological reactions. One of the aims of this book is to help therapists gaining their bearings in this little-known field. In addition to this clinical interest, the author's psychoanalytic reading brings an original contribution to the physiopathology of cognition and self-representation. The data gathered by Catherine Morin show that self-representation cannot be considered only a cognitive operation. They also suggest that normal cognitive activity relies on both the stability of body image and the repression of the object. Stroke, Body Image, and Self Representation will appeal to psychoanalysts, psychologists, social workers, psychotherapists, psychiatrists, and rehabilitation therapists working with stroke survivors and patients with body image disorders.

Written to provide clinicians, educators, researchers, and students in rehabilitation with a comprehensive overview of the theory, practice, and evidence base of goal setting, this first-of-its-kind reference provides an authoritative, state-of-the-art knowledge of the practice. The authors cover a broad range of different approaches to goal setting, with input from experts from North America, Europe, and Australia. This book is applicable to patients with stroke, traumatic brain injury, neurological disorders, spinal cord injury, and other conditions.

Reveals the mind boggling neuroscience connecting brain, body, mind, and society, by examining a range of brain disorders, in the tradition of Oliver Sacks. Identifying what makes up the nature of the human mind has long been neuroscience's greatest challenge - a mystery perhaps never to be fully understood. Award-winning author and master of science journalism Anil Ananthaswamy smartly explores the concept of self by way of several mental conditions that alter patients' identities, showing how we learn a lot about being human from people with a fragmented or altered sense of self. He travels the world to meet those who suffer from "maladies of the self" interviewing patients, psychiatrists, philosophers and neuroscientists along the way. He charts how the self is affected by Asperger's, autism, Alzheimer's, epilepsy, schizophrenia, among many other mental conditions, revealing how the brain constructs our sense of self. Each chapter is anchored with stories of people who experience themselves differently from the norm. The Man Who Wasn't There is a magical mystery tour of scientific analysis and philosophical pondering, now utterly transformed by recent advances in cutting-edge neuroscience. ***PRAISE FOR THE MAN WHO WASN'T THERE*** 'Ananthaswamy excels at making theoretical concepts and experimental procedures both comprehensible and compelling.' Science 'If you simply want to read a great science book, I can't recommend any more highly than this one.' Forbes 'A compelling and entertaining look at the last untapped mystery, the true final frontier: the nature of our selves. Science journalism at its best.' Daniel J. Levitin, author of The Organized Mind 'An agreeably written travelogue through this mysterious landscape at the frontiers of knowledge.' The Wall Street Journal 'You'll never see yourself-or others-the same way again.' People 'Ananthaswamy's remarkable achievement is to make sense of these unhappy individuals' otherness, while holding on to their human sameness. You'll come away enlightened and chastened, asking searching questions about who you are.' Nicholas Humphrey, author of A History of the Mind 'It is an astonishing journey and an ambitious book, bringing together cutting-edge science and philosophy from West and East. You will not be quite the same self after reading it.' New Scientist

Whether caused by illness, accident, or incident, brain injury requires multi-tiered resources for the patient and considerable external care and support. When recovery is sidelined by depression, anger, grief, or turmoil, family members and the support network have critical roles to play and need their own guidance and compassionate therapeutic interventions. Psychotherapy for Families after Brain Injury offers theoretical frameworks and eclectic techniques for working effectively with adult patients and their families at the initial, active and post-treatment phases of rehabilitation. This practical reference clarifies roles and relationships of the support network in interfacing with the loved one and addresses the understandably devastating and sometimes derailing emotions and psychosocial adversities. The content promotes psychoeducation and guided exercises, delineates "helpful hints" and coping tools and proffers multimedia resources to overcome hurdles. Constructs of awareness, acceptance and realism for all parties are woven throughout, along with ideas to enhance the support network's commitment, adjustment, positivity, hope and longevity. Case excerpts, instructive quotes from caregivers and nuggets of clinical advice assist in analyzing these and other topics in salient detail: The impact of brain injury on different family members. Treatment themes in early family sessions. Family therapy for moderate to severe brain injury, concussion and postconcussion syndrome. Family therapy after organic brain injury: stroke, anoxia, tumor, seizure disorders. Family group treatment during active rehabilitation. End-of-life and existential considerations and positive aspects of care giving. Aftercare group therapy for long-term needs. The hands-on approach demonstrated in Psychotherapy for Families after Brain Injury will enhance the demanding work of a range of professionals, including neuropsychologists, clinical psychologists, rehabilitation psychologists, family therapists, marriage and family counselors, psychiatrists, behavioral/mental health counselors, clinical social workers, rehabilitation specialists such as speech-language pathologists, physical and occupational therapists, and graduate students in the helping professions.

This atlas systematically reviews sensory conduction studies of the median nerve, from pilot human studies in peripheral nerve conduction during the 1950s through to the most recent scientific evidence. Descriptions are provided of a wealth of sensory nerve conduction techniques that were reproduced in the laboratory, including both the originally proposed methods and variants. The methods are organized according to practical criteria for ease of reference. Attention is focused especially on those techniques which have shown higher sensitivity and specificity in the diagnosis of compressive mononeuropathies like carpal tunnel syndrome (CTS), and on the most widely accepted guidelines, recommendations, quality measures, and electrodiagnostic classifications. A detailed, well-illustrated glossary explains the more commonly used terms in electrodiagnostic medicine (EDX). The book is primarily intended for residents and professionals in Neurology, as well as rehabilitation physicians and clinical neurophysiologists. The detailed descriptions of techniques and their practical use will also make the book an invaluable tool for novices and clinical neurophysiology technicians.novices and clinical neurophysiology technicians.

The newest title in the series Survivor Stories, this book tells the story of Paul Allen, a photographer who likes opera and was a good baritone singer. At the age of 56 he sustained a stroke that left him paralysed and speechless. He has Locked-In Syndrome (LIS), a rare consequence of brain damage. Although Paul is fully conscious and his cognitive abilities are intact, he is unable to move or speak due to the paralysis of nearly all his voluntary muscles. However, Paul is keen to communicate and through his eye movements he tells his story, from his early life, career, singing and other interests, to the details of his stroke and the effects it has had on his life. The book also includes contributions from Paul's wife Liz, who tells the story from her point of view, along with Paul's physiotherapists, occupational therapists, speech therapists, psychologists and others from the Raphael Hospital who have assisted in Paul's rehabilitation. In telling of his frustrations, his successes, his views on life and how he sees his future, Paul raises awareness of the quality of life possible for those with LIS. Combining scientific knowledge with personal narrative, this unique and optimistic book is of huge importance to any professional involved in the care of someone with a brain injury, and to the individuals and families touched by LIS.

While virtual reality (VR) has influenced fields as varied as gaming, archaeology and the visual arts, some of its most promising applications come from the health sector. Particularly encouraging are the many uses of VR in supporting the recovery of motor skills following accident or illness. Virtual Reality for Physical and Motor Rehabilitation reviews two decades of progress and anticipates advances to come. It offers current research on the capacity of VR to evaluate, address, and reduce motor skill limitations and the use of VR to support motor and sensorimotor function, from the most basic to the most sophisticated skill levels. Expert scientists and clinicians explain how the brain organizes motor behavior, relate therapeutic objectives to client goals and differentiate among VR platforms in engaging the production of movement and balance. On the practical side, contributors demonstrate that VR complements existing therapies across various conditions such as neurodegenerative diseases, traumatic brain injury and stroke. Included among the topics: Neuroplasticity and virtual reality. Vision and perception in virtual reality. Sensorimotor recalibration in virtual environments. Rehabilitative applications using VR for residual impairments following stroke. VR reveals mechanisms of balance and locomotor impairments. Applications of VR technologies for childhood disabilities. A resource of great immediate and future utility, Virtual Reality for Physical and Motor Rehabilitation distills a dynamic field to aid the work of neuropsychologists, rehabilitation specialists (including physical, speech, vocational and occupational therapists), and neurologists.

This book is a comprehensive review of the main acquired disorders of reading: hemianopic, pure and central alexia. The authors review the diagnostic criteria for each of the different types of disorder, and the efficacy of the therapeutic studies that have attempted to remediate them. The different theoretical models of adult reading, which largely rest on how the reading system responds to injury, are also discussed and evaluated. Focal brain injury caused by stroke and brain tumors are discussed in depth as are the effects of dementia on reading. This book starts with a chapter on normal reading, followed by chapters on hemianopic alexia, pure alexia and central alexia, each structured in the same way, with: a description of the condition; a historical review of cases to date; psychophysics; consideration of the causative lesions; evidence from functional imaging studies on patients and, most importantly, a review of the evidence base for treating each condition. Finally, there is a chapter on how patient data has informed how we think about reading. Alexia: Diagnosis, Treatment and Theory is aimed at neuropsychologists (both experimental and clinical), neurologists, speech therapists and others who deal with patients whose reading has been affected by an acquired brain injury, as well as interested students studying language disorders.

This comprehensive interdisciplinary synthesis focuses on the clinical and occupational intervention processes enabling workers to return to their jobs and sustain employment after injury or serious illness as well as ideas for improving the wide range of outcomes of entry and re-entry into the workplace. Information is accessible along key theoretical, research, and interventive lines, emphasizing a palette of evidence-informed approaches to return to work and stay at work planning and implementation, in the context of disability prevention. Condition-specific chapters detail best return to work and stay at work practices across diverse medical and psychological diagnoses, from musculoskeletal disorders to cancer, from TBI to PTSD. The resulting collection bridges the gap between research evidence and practice and gives readers necessary information from a range of critical perspectives. Among the featured topics: Understanding motivation to return to work: economy of gains and losses. Overcoming barriers to return to work: behavioral and cultural change. Program evaluation in return to work: an integrative framework. Working with stakeholders in return to work processes. Return to work after major limb loss. Improving work outcomes among cancer survivors.Return to work among women with fibromyalgia and chronic fatigue syndrome. The Handbook of Return to Work is an invaluable, unique and comprehensive resource for health, rehabilitation, clinical, counselling and industrial psychologists, rehabilitation specialists, occupational and physical therapists, family and primary care physicians, psychiatrists and physical medicine and rehabilitation as well as occupational medicine specialists, case and disability managers and human resource professionals. Academics and researchers across these fields will also find expert guidance and direction in these pages. It is an essential reading for all return to work and stay at work stakeholders.

Accurate assessment of hand function is critical to any treatment regimen of the hand compromised patient. Hand Function is a practical, clinical book which provides the knowledge needed to distinguish the different dimensions of hand function, particularly impairment, disability and handicap. Beginning with an overview of basic principles and examination, subsequent chapters evaluate the hand function in specific afflicted populations, including the rheumatoid patient, the stroke patient, the trauma patient, the geriatric patient and the pediatric patient, as well as special populations such as diabetes mellitus patients and musicians. An appendix containing hand function scales essential to the assessment of disability is also included. Rheumatologists, physiatrists, hand surgeons, orthopedists, occupational therapists and physical therapists will all find Hand Function a useful and valuable addition to their clinical references.

This atlas systematically reviews motor conduction studies of the median nerve, from pilot human studies in peripheral nerve conduction during the 1950s through to the most recent scientific evidence. Descriptions are provided of a wealth of motor nerve conduction techniques that were reproduced in the laboratory, including both the originally proposed methods and variants. The techniques are organized according to practical criteria for ease of reference. Attention is focused especially on those techniques which have shown higher sensitivity and specificity in the diagnosis of compressive mononeuropathies like carpal tunnel syndrome (CTS) and on the most widely accepted guidelines, recommendations, quality measures, and electrodiagnostic classifications. The volume is completed with a detailed, well-illustrated glossary explaining the more commonly used terms in electrodiagnostic medicine (EDX). The atlas is primarily intended for residents and professionals in Neurology, as well as rehabilitation physicians and clinical neurophysiologists. The detailed descriptions of techniques and their practical use will also make the book an invaluable tool for novices and clinical neurophysiology technicians.

Presenting a logical, comprehensive approach to the patient with a massive rotator cuff tear, this book begins with the pathoanatomy and diagnostic work-up for this common injury, including imaging. Both non-operative and operative treatment options for massive tears follow, including arthroscopy, the use of biologics and patches, tendon transfers, and hemiarthroplasty and reverse total shoulder arthroplasty. A practical treatment algorithm for clinicians treating patients with massive rotator cuff tears is also included. Each chapter opens with pearls and pitfalls covering the main key points for quick reference. The overarching theme of this book is that patients with similar imaging findings may demonstrate very different clinical presentations, and the final treatment recommendation should be made based on their complaints and expectations. As such, it will be an excellent resource for orthopedic surgeons, sports medicine and shoulder physicians, physiatrists, physical medicine and rehab specialists, and occupational therapists.

This book provides clear instruction on the surgical treatment of joint problems in adult hemophilia patients. The procedures applicable to specific joints, including the shoulder, elbow, hip, knee and ankle, are carefully reviewed with the aid of high-quality illustrations. The surgical treatment of articular hemophilic pseudotumors and bone cysts is also considered. In addition, clinically relevant information is provided on a range of topics, such as the treatment of hemophilic hemarthrosis, the imaging of hemophilic joints, hematological perioperative management, anesthesia, rehabilitation and pharmacoeconomics. Finally, the controversial issues of postoperative thromboembolic prophylaxis and the role of COX-2 inhibitors in hemophiliacs are reviewed. The guidance provided draws on both the authors' extensive personal experience and an in-depth review of the pertinent literature. The book offers an excellent, up-to-date account of knowledge on musculoskeletal problems and approaches to joint surgery in adults with hemophilia. It will be of value to orthopedic surgeons, rehabilitation physicians, hematologists, radiologists and pharmacy researchers.

Now in a revised and expanded second edition including ten new chapters, this classic text on the diagnosis and management of posterior cruciate ligament injuries represents the state of the art. Comprehensive and used-friendly, the book covers PCL anatomy and biomechanics, diagnosis and evaluation, and both surgical and non-surgical treatment strategies. Surgical chapters discuss graft selection and open and arthroscopic techniques, including both primary and revision surgery and combined reconstruction with other knee ligaments. New chapters illustrate cutting-edge and advanced surgical techniques in reconstruction and primary repair, articular cartilage resurfacing and meniscus transplant in the PCL injured knee, mechanical graft tensioning, the role of osteotomy, treatment of PCL injuries in children, results of treatment and outcomes data in PCL injuries, clinical case studies, and the editor’s experience chapter based on 24 years of treating PCL injuries. Complications, bracing and rehabilitation round out the presentation. Written and edited by leaders in the management of injuries to the knee, this will be an invaluable text for orthopedic surgeons and sports medicine practitioners alike.

Biomaterials are used in many areas of medicine, particularly in surgery and d- tistry. In orthopedic surgery, total hip arthroplasty has been extremely successful, and has been called 'the operation of the 20th century'. Total hip arthroplasty is r- tinely performed every day in most orthopedic departments. Over the last decades, many efforts have been made to better integrate the components within the recipient bones, to decrease the friction at the prosthetic interface, and to minimize wear. Minimally invasive procedures have been developed, and various designs are inte- ed to preserve as much as possible of the bone stock of young patients. By contrast, the clinical results have been less favorable after various hand and wrist joint replacements. Many early designs have failed, the clinical data of the current pr- theses are frequently quite limited, and there is often insufficient biomechanical information available, although trapezio-metacarpal arthroplasty in particular has become quite popular in recent years. In order to promote progress in hand and wrist arthroplasty, Antonio Merolli and Thomas J. Joyce have edited this lovely book, whose chapters discuss current research and recent advances in hand and wrist arthroplasty. The problems of metacarpophalangeal joint prostheses are particularly developed.

Designing Inclusive Interactions contains the proceedings of the fifth Cambridge Workshop on Universal Access and Assistive Technology (CWUAAT), incorporating the 8th Cambridge Workshop on Rehabilitation Robotics, held in Cambridge, England, in March 2010. It contains contributions from an international group of leading researchers in the fields of Universal Access and Assistive Technology. This conference will mainly focus on the following principal topics: 1. Designing assistive and rehabilitation technology for working and daily living environments 2. Measuring inclusion for the design of products for work and daily living 3. Inclusive interaction design and new technologies for inclusive design 4. Assembling new user data for inclusive design 5. The design of accessible and inclusive contexts: work and daily living environments 6. Business advantages and applications of inclusive design 7. Legislation, standards and government awareness of inclusive design

Patellofemoral disorders are extremely prevalent in athletes and can lead to chronic pain, instability, weakness, and inconsistent or poor athletic performance. These disorders can be difficult to diagnose. Treatment options can vary depending upon several factors, including the sport and the time during the sports season when the symptoms occur. Treatment also varies depending on the age of the patient and their competition level.

"The Patellofemoral Joint in the Athlete" provides an extensive review of the physical examination, radiographic evaluation, differential diagnoses, and treatment options of common patellofemoral disorders, including patellar chondrosis, pain and instability. The contributors are nationally recognized experts in the patellofemoral joint that treat athletes of all ages and abilities. Appropriate for orthopedic surgeons, sports medicine physicians, rehabilitation physicians and physical therapists, this book is a comprehensive guide to the unique and sport-specific concerns of athletes of all ages and abilities with regard to the patellofemoral joint."

When all you need is a basic understanding of joint mobilization techniques, supplemented by succinct and demonstrative examples, look to Cram Session in Joint Mobilization Techniques: A Handbook for Students & Clinicians for quick, at-your-fingertips facts. Cram Session in Joint Mobilization Techniques by Dr. David C. Berry and Leisha M. Berry is a descriptive quick reference that provides the rehabilitation professional with a detailed yet easy-to-digest approach to joint mobilization techniques. Organized into quick-reference tables and concise descriptions of each technique, this resource offers an efficient way to learn the cognitive and psychomotor skills necessary to competently perform joint mobilization techniques. What is in your Cram Session: Easy-reference tables of joint complex osteology and arthrology Photographs depicting mobilization techniques for each joint Case studies in mobilization Quiz questions to test your knowledge Instructors in educational settings can visit www.efacultylounge.com for additional materials to be used for teaching in the classroom. Cram Session in Joint Mobilization Techniques: A Handbook for Students & Clinicians is an informative, well-organized handbook for all students and clinicians in athletic training, physical therapy, occupational therapy, osteopathic medicine, and other rehabilitation professions.

For people with severe/profound and multiple disabilities, managing the basic necessities of daily life often poses myriad challenges. Despite great odds, advances in assistive technology are making a difference in these individuals' lives. Advances in microswitches, voice outcome communication aids, and computer-based systems are creating new opportunities for living independently, improving basic life skills, and reducing problem behaviors among individuals with combined motor, sensory, and intellectual disabilities. This unique volume examines how education and rehabilitation can improve the lives of even those individuals most affected by severe/profound and multiple disabilities. Interventions currently in use and in experimental stages are surveyed in terms of how they work and their applicability to clients with various needs. In addition, it examines the characteristics of developmentally disabled populations and offers guidelines for choosing suitable technologies. It presents empirical evidence on the advances in improving interaction with caregivers, control of the home environment, handling self-care tasks, and other core skills. Assistive Technology examines interventions that are innovative, respectful of the dignity of clients, and practical for ongoing use, including: * Microswitches in habilitation programs. * Speech-generating devices for communication and social development. * Instructional technology for promoting academic, work, and leisure skills. * Assistive technology for promoting ambulation. * Orientation systems for promoting movement indoors. * Assistive technology for reducing problem behaviors. A state-of-the-art guide to a growing field, Assistive Technology is an invaluable resource for researchers, clinicians, graduate students as well as clinicians and allied professionals in developmental psychology, rehabilitation and rehabilitative medicine, learning and instruction, occupational therapy, speech-language pathology, and educational technology.

Over the past decade, the scientific information on psychology of injury has increased considerably. Despite dramatic advances in physical education of coaches, field of medicine, athletic training, and physical therapy, the sport-related traumatic injuries is our major concern. Athletic injuries, both single and multiple, have a tendency to grow dramatically. Accordingly, prevention of sport-related injuries is a major challenge facing the sport medicine world today. The purpose of this book is to accumulate the latest development in psychological analyses, evaluation, and management of sport-related injuries, including traumatic brain injuries. No two traumatic injuries are alike in mechanism, symptoms, or symptoms resolution. There is still no agreement upon psychological diagnosis and there is no known comprehensive treatment for sport-related injuries for regaining pre-injury status. Physical symptoms resolution is not an indication of "psychological trauma" resolution.

Biomechanics applies the principles and rigor of engineering to the mechanical properties of living systems. This book integrates the classic fields of mechanics--statics, dynamics, and strength of materials--using examples from biology and medicine. Fundamentals of Biomechanics is excellent for teaching either undergraduates in biomedical engineering programs or health care professionals studying biomechanics at the graduate level. Extensively revised from a successful first edition, the book features a wealth of clear illustrations, numerous worked examples, and many problem sets. The book provides the quantitative perspective missing from more descriptive texts, without requiring an advanced background in mathematics. It will be welcomed for use in courses such as biomechanics and orthopedics, rehabilitation and industrial engineering, and occupational or sports medicine.

The Physiology of the Joints, conceived and written more than forty years ago by Dr. A. I. Kapandji, deals with biomechanics, a subject until then mentioned only incidentally in textbooks of anatomy. Following his lead, every anatomy textbook nowadays has a large component devoted to the functional aspect of the locomotor system, which has become an essential scientific subject. The seventh edition of this volume deals with the head and the spinal column and has been expanded with the inclusion of new diagrams and text dealing in particular with: The role of the femurs during the different stages of labour The concepts of mass, weight and barycentre How to localise the barycentres Joint hypermobility The law of parsimony and the law of universal profusion This book is intended for medical and physical therapy students; and for practising physicians and surgeons wishing to increase their knowledge of the functional anatomy of the locomotor system.

The new edition of this book provides an up-to-date and comprehensive overview of whiplash-associated disorders, focusing in particular on a functional approach to clinical and instrumental diagnosis and rehabilitative treatment. It fully reflects the changes in our understanding of whiplash injuries since the first edition, and in particular the increased awareness that whiplash is a whole-body trauma in which forces act progressively from the lumbar region to the brain, through the cervical spine. Detailed attention is paid to the functional connections between the sense organs of the inner ear, the sympathetic system, and the spine with a view to optimizing diagnosis and treatment. It is explained how various treatment options can be employed to best effect in patients with different symptoms, following, but updating, the well-known Quebec Task Force guidelines. Underestimated aspects such as positional vertigo, somatic tinnitus, temporomandibular disorders, and back pain are also considered. This book will be an invaluable tool in everyday clinical practice for all who are involved in the diagnosis and treatment of whiplash injury.

Breast Cancer and Gynecological Cancer Rehabilitation provides clinicians with a concise and accessible resource covering the holistic rehabilitation of breast cancer patients. This book begins with the epidemiology, genetics and pathophysiology of breast cancer and moves into clinical assessment and treatment options before providing comprehensive coverage of rehabilitation. Containing practical information, best practices and the latest advances and research, this book provides a valuable reference for physical medicine and rehabilitation physicians and residents, as well as occupational therapists and physical therapists. Provides a clear understanding of the current medical, surgical, and radiation treatments for breast cancer. Covers the whole spectrum of breast cancer rehabilitation, including the role of physical and occupational therapy, treatment of anxiety and depression, pain syndromes, integrative care, nutritional rehabilitation, palliative care, and more. Offers a timely and convenient resource written by leading experts in breast cancer and rehabilitation.

While brain injury can be a potentially devastating childhood medical condition this book explores the developing field of neuropsychology to suggest it is not inevitable. It draws together contributions from leading international clinicians and researchers to provide an authoritative guide to help children with brain injury using neuropsychology.