In his review of the Proceedings of the First International Workshop on Respiratory Muscles in Chronic Obstructive Pulmonary Disease, organized in Montescano in 1986, Thomas K. Aldrich stated that "there is little information on nutrition". We felt that the need to supplement the evaluation of respiratory muscles by studying nutritional problems was an important enough matter to justify producing a specific study on the subject. This book is the result of the efforts made in this direction. Since 1986, many of the problems associated with nutrition and ventilatory function have been elucidated, and we hope that the contents of this book may contribute towards spreading interest and knowledge in this sector, particularly among those working in the field of respiratory rehabilitation. The physiological and clinical aspects of nutritional problems and the therapeutic approaches adopted in different disease conditions are dealt with in these pages by some of the best-known researchers in the field, providing abundant evidence, if any should be needed, that rehabilitation is not merely exercise. The picture strongly emerging over these last few years is that rehabilitation is not merely a matter of knowledge of lung or respiratory muscles, but also of heart-lung interaction, metabolic equilibrium and nutrition. So much for recent developments, but what does the future hold in store? May 1992 RENATO CORSICO Preface Nutrition and ventilation are inextricably related.

Loneliness Among Children With Special Needs is a groundbreaking volume that examines this vitally important, but heretofore neglected topic. Based on the shared view, from both clinical experience and research, that children with disabilities experience more loneliness than nondisabled children. This book integrates the existing knowledge, research, and applications in order to provide a model for the examination and understanding of the loneliness experiences of children with learning disabilities, behavior disorders, mild mental retardation, and emotional difficulties. Divided into five sections, the first attempts to clarify the characteristics of the lonely child, followed by a section with chapters devoted to environments and interpersonal relations. The third section is concerned with the subtyping of loneliness and adjustment and the fourth section discusses the outcomes comes of loneliness through coping and interventions. The final section provides a summary of the research using the proposed loneliness model for children with disabilities. This volume is essential reading for all researchers, clinicians, educators and students who work with children with special needs and who, as stated in the Preface, "see the importance of companionship for promoting growth of children with special needs and the costs of loneliness for current life and future adjustment."

In recent years concern has been growing ab out the preservation ofworld peace, while over the past few decades there has been a vast increase in the amount of international sporting activity and hence more opportunities to advance international understanding and peace. It is this situation which caused the Congress on Sport and International Understanding to be convened, the idea for it ftrst having arisen after the Helsinki Conference on Security and Co-operation in Europe in 1975. The venue for the Congress was, as for the Conference on Security and Co-operation, Finlandia Hall. It was held under the auspices ofthe International Council ofSport and Physica1 Educa tion (ICSPE) and was organised by the Finnish member organisations, the Finnish Society for Research in Sport and Physica1 Education (organising association), Finnish Central Sport Federation (SVUL) and the Workers' Sport Federation (TUL). The aim ofthe Congress was to analyse the role of sport in advancing international understanding and to promote research in this fteld. In addition, the Congress wished to offer researchers and those involved in sporting activities an opportunity to exchange ideas about the themes under discussion. The aim of the Congress was to fmd the answers to the following questions: 1. What forms does international co-operation take in present-day competitive and top-level sport, sports for all and other forms of physica1 culture? What is its histo rica1 background and future? 2."

In many cases of neuromuscular disorders the physician is faced with a complete lack of therapeutic approaches. This helplessness places the doctor in a position of conflict between his desire to help and his awareness that there is no treatment. In this situation it is tempting to indiscriminately use any procedure that avoids an admission of medical helplessness while satisfying the patient's demand for treatment. Electrical interventions are often used to avoid this situation. Due to the random use of therapeutic approaches it is not known what really happens. Presumptions and biased empirical observations have led to the exten sive use of different forms of electrical stimulation regimes in neuromuscular diseases. Due to this unsatisfactory situation it is necessary to know more about appropriate methods that are being used in particular disorders. The search for a better understanding of nerve-muscle interaction has shown that certain activity patterns can influence muscle. These experi mental results provide a rational basis for a possible therapeutic use of electrical stimulation of nerve and muscle. Previously most research has been conducted in normal tissue, and little is known regarding the re sponses of diseased muscle. In an interdisciplinary approach to this, it is our intention to present the current knowledge about basic principles of electrical stimulation in normal muscle. Before electrical stimulation can be accepted as a therapeutic tool, we felt it necessary to summarize the effects of activity in normal and diseased muscle and nerve."

Extensively illustrated and easy to use, this practical resource offers clear guidelines and step-by-step sequences for moving and working with individuals with differing levels of paralysis. It serves as both an ideal student textbook and a valuable clinical manual for therapists who see tetraplegic and paraplegic patients. Clear, practical, concise information supported by an easily understandable approach Accessible reference for both clinical and classroom settings Excellent coverage of wheelchairs and wheelchair management All illustrations have been redrawn for increased clarity, to enhance the clinical usefulness of this resource Audit and evidence-based practice is incorporated throughout Discussion of patient empowerment The chapter on hands has been expanded to provide more in-depth coverage of this important topic Discussion of levers Chapter on aging offers insight and considerations for treating aging and elderly patients with spinal cord injury Expanded section on equipment provides details on current and state-of-the-art equipment used in practice

This essential handbook for sports medicine clinicians combines resources from various United States and International Olympic Committee sporting guidelines; national and international youth, scholastic, collegiate, and professional associations; and real-world experience to provide the most up to date and relevant information needed to fulfill coverage duties for sporting events. Easy to read, concise, and complete, this guide is a one-stop reference for sideline medical coverage of nearly fifty sports. Geared for live event coverage, chapters deliver quick hit specifics designed for in-the-moment use on the field.The book opens with a review of general coverage concepts applicable to most sports along with chapters dedicated to overriding medical concerns including emergency management, nutrition and hydration, adaptive sports considerations, and doping in sports, among other key topics. The core of the book focuses on coverage details for individual sports, organized by contact level and presented in a templated format for quick identification. Each sport-focused chapter describes its history, governing organizations, participants, rules and regulations, equipment, medical coverage logistics, medical emergencies, and common injuries. A dedicated "Medical Bag" for every sport outlines the necessary items providers should have at hand for managing emergencies and common injuries. This essential handbook belongs in every sports bag and will serve as a ready resource for clinicians and sideline personnel covering sporting events at any level. Key Features: Handy reference for on-field, sideline, or event sports coverage - with digital access for mobile use on most devices Current guidelines for almost 50 sports, including information specific to the disabled athlete when applicable Every chapter contains sport-specific information on emergencies and common injuries What's in your bag? Highlights medical bag essentials by sport, so you're always prepared Includes general chapters on clinician role, traveling with a team, pre-participation exams, medicolegal and ethical concerns, and approach to signature medical emergencies in sports

Since the historieal conference held in Alma Ata in 1978, it has been possible to observe a reorientation of the medical profession. More and more, issues of health enter the stage and curative medicine is not just loosing ground but some interest. 'How effective is health education?' and 'Whose task is primary pre vention?' are questions which stimulate great concern and public debate. It seems also to be the first time since the last decades of the 19th century that the social dimension of health receives adequate consideration. Thus the reeent publication of the so-called Black Report on Inequalities in Health (Penguin 1982) led to a heated discussion in Great Britain, certainly of relevance to many other countries. The 6 years since 1978 are much too short a time to proceed far towards 'Health for All', as the slogan of the World Health Organization puts it, but the concepts are spelled out, vaguely but convincing to many of us. It is the right time to discuss first experiences and to move from philosophy to empiri eal work. This work - as it relates to the process evolving since Alma Ata - is characterized by participation, cooperation and prevention: Participation, because 'disease' concerns only the individual patient, his or her family and immediate social environment, while 'health' concerns everyone and should involve everyone. It is a task of the whole of society rather than the domaine of a single profession or party."

Habilitation Planning for Adults With Disabilities presents a comprehensive approach to habilitation planning and service delivery for adults with disabilities. This book investigates the increased demands and expectations by adults with disabilities regarding personalized service and quality of life, including independence, productivity, and community integration, and discusses historical and current treatment and trends. This book is presented in five main sections: definitions and background material; lifestyles and living, work, and recreational environments; habilitation strategies; personal growth and quality of life for the affected adult; and the present and future trends in habilitation planning. Rehabilitation personnel in the areas of administration, assessment/training, case management, or evolution; applied psychologists; and professionals and students in special education, rehabilitation counseling, human service or health adminstration will be interested in this volume.

The subtitle of this book - A Holistic Approach to Rehabilitatio- underscores our fundamental point of view regarding spinal ailments. The patient with his ailments should be at the focus of attention, yet the subtitle combines two important elements, namely, "rehabilitation" and "holistic approach. " It is only by combining both concepts to show that they do belong together that the door to successful treatment of persons with vertebral problems can be opened. Holistic medicine does not require an ideological classification of its own, but should be under stood as a unified, optimal form of medicine which encompasses the whole person: his health and his illnesses in all their aspects. Too often, there is an automatic, senseless separation of the two concepts. Purists in one or the other camp need to recognize the common ground and to eliminate the barriers that have been erected by extreme positions and attacks. When we look back into history, we can see that there have always been schools of medical thought that have promulgated one or another direction. Evaluations and interpretations change in accordance with our knowledge and the times themselves, but that which is most valu able remains in end effect, forming the starting point for following gen erations. It should be noted that the entire body of medical knowledge had its beginnings in empiricism, whose ideas could not be confirmed and supported until much later, parallel with the developments in research technology."

"Prospects of Heart Surgery: Psychological Adjustment to " "Coronary Bypass Grafting" reports on a study of how patients and their spouses adjusted to the prospect, and then to the outcome, of coronary graft surgery. The focus upon patients' social relationships rather than upon individuals reveals that the way people bear their illness, and adapt to symptom removal, is part of a wider adjustment involving both the spouse and other individuals. The book offers, as one of its main contributions, a social-psychological approach to the study of illness in general. It sets out a new methodology which might be applied in a number of illness contexts. Using both qualitative and quantitative analyses, "Prospects " "of Heart Surgery" describes differences between smooth and problematic approaches to surgery as well as variations in the experience of rehabilitation afterwards.

This book details how medical and clinical teams that are comprehensive and interdisciplinary are able to effectively address the multiple difficulties that can result from an Acquired Brain Injury (ABI). Coverage describes the medical specialists that are integral members of a team and their specialized roles in assessment and treatment. It reviews some of the vital specialty areas that are often overlooked. The book also examines key discipline areas, such as occupational and speech/language therapies, and describes the main behavioral difficulties exhibited by individuals with ABI.

This comprehensve review of scientific research supporting evidence of the relationship between cardiac disease and psychological condition offers practical suggestions for developing a clinical practice, and proposes directions for future research in the new field of "cardiac psychology." Every chapter is written by world-renowned researchers in the field. A theoretical and practical guide, it will interest physicians, clinical and health psychologists, and all professionals who seek to understand the mind-health link.

Edited by two leading orthopedic surgeons who are specialists in the treatment of hemophilia, Orthopedic Surgery in Patients with Hemophilia shows all the surgical techniques needed for surgical treatment of musculoskeletal complications of hemophilia. A practical guide, designed for use on the ward or in the office, this book draws on the experience of numerous specialists worldwide, from developed and developing countries. As well as orthopedic surgery, it also covers research, hematology, and rehabilitation. Although of primary interest to the orthopedic surgeon, rheumatologist, and physiotherapist, this book will also be relevant to the hematologist responsible for the care of the hemophiliac patient.

In the twenty-first century, applications in medicine and engineering must acquire greater safety and flexibility if they are to yield better products at higher efficiency. Experts from academia, industry, and government research laboratories who have pioneered CME ideas and technologies describe its concept and research approach and discuss related hardware and software, science and technology, and medicine and engineering. This book will be invaluable to scientists, researchers, and graduates in the emerging field of CME.

Presents both current and future aspects of diagnosis and treatment.

Presents evidence-based knowledge of pressure ulcer aetiology.

Contains over 90 illustrations.

Explores the possiblities of tissue repair using new tissue engineering strategies.

Designing Inclusive Futures reflects the need to explore, in a coherent way, the issues and practicalities that lie behind design that is intended to extend our active future lives. This encompasses design for inclusion in daily life at home but also extends to the workplace and for products within these contexts. For example, given trends in employment sector growth, skills requirements, labour supply and demographic change, there is a need to predict the critical areas where individual capabilities are mismatched with the physical, social and organisational demands of work. This mismatch, which can be addressed within the domain of inclusive design, is pervasively linked to real artefacts in workspaces and their intersection with the health factors that relate to ageing. This book is the result of the fourth CWUAAT workshop held in Cambridge, England in April 2008.

Back in September of 1974, I acquired much valuable information while attending the International Conference on Total Knee Replacement in London, which was organized by The Medical Engineering Working Party and the Tribology Group of the Institution of Mechanical Engineers, and the British Orthopaedic Association. I was greatly inspired by the conference, and it formed the beginning of my studies on total knee replacement. The co-editors of this proceedings, Prof. J. Paul and Dr. S. Yamamoto, are both acquaintances made originally at that conference. The International Symposium on Total Knee Replacement held in Nagoya, Japan, on 18-19 May 1987 was attended by many participants, including Prof. Walker, who had presented his studies earlier in London. During the past decade and a half, remarkable technical progress has been made in total knee prostheses. In this symposium, cemented total knee replacement (TKR), noncemented TKR, design considerations of total knee prostheses, problems concerning the patello femoral joint, and the newly developed total knee prosthesis were the main topics discussed. I believe that much new information, including that about the challenges which still remain, along with a fresh view towards continuing studies, are presented here for the reader. I would like to express my sincere gratitude to the support of the Knee Joint Research Society in Japan and to the participants in the symposium for their great help in publishing this book."

Disorders of the Achilles tendon are universal, affecting people in a wide range of age groups. Because the Achilles tendon is one of the most pow- ful musculotendinous structures in the body, the impact of an injury to the Achilles tendon becomes magnified. There is a wide range of disorders or problems that can involve the insertional region, where pathology may rest with bone, tendon, or bursae. A completely different set of pathologic entities resides in the noninsertional region, one of which may include the frustrating degenerative tendinopathy. As our growing population ages but remains phy- cally active longer into life, the incidence of these disorders will continue to increase. I am proud to be given the opportunity to write the foreword to this text, which is intended for foot and ankle surgeons worldwide. Seldom does a book on a single entity become a current concepts review, as this work has. Too often, textbooks are not published for several years after the chapters have been written, making them obsolete upon publication. Not so with this book, which deals with timely topics on the Achilles tendon. Dr. James Nunley has compiled this work in slightly over a year, thus providing the reader with sta- of-the-art material. Dr. Nunley had the foresight to create a much needed techniques-oriented book dealing with the complexities of the Achilles tendon. His approach was to develop a comprehensive guide to managing Achilles tendon problems.

It is with great pride that the Psychologists in Long Term Care (PLTC) have sponsored The Professional Educational Long-Term Care Training Manual, and now its second iteration, Geropsychology and Long Term Care: A Practitioner's Guide. Education of psychologists working in long-term care settings is consistent with PLTC's mission to assure the provision of high-quality psychological services for a neglected sector of the population, i.e., residents in nursing homes and assisted-living communities. To this end, direct training of generalist psychologists in the nuances of psychological care delivery in long-term care settings has been a major priority. It is a tribute to the accelerating nature of research in long-term care settings that a revision is now necessary. After all, the Professional Educational Training Manual's initial publication date was only in 2001. However, in the intervening years, much progress has been made in addressing assessment and intervention strategies tailored to the needs of this frail but quite diverse population. It is so gratifying to be able to say that there is now a corpus of scientific knowledge to guide long-term care service delivery in long-term care settings.

A fascinating and worthy text that presents new insights into a hugely important area of mental health. Health-related quality of life (HRQL) impairment is a core domain of prevalent mental disorders such as schizophrenia, schizoaffective, mood and anxiety disorders. The authors present a new conceptual framework for this field by explaining how HRQL impairment arises from interactions between various multidimensional factors. They suggest several ways in which further research could enhance our understanding of HRQL impairment, its biological basis, and its relevance to psychopathology.

Language depends on a normally functioning left hemisphere. This central fact of human cerebral dominance was well established by 19th century aphasiologists and has been repeatedly confirmed by subsequent investiga tions. Predominance, however, does not imply exclusivity. As demonstrated by the commissurotomy patients studied by Eran Zaidel and associates, the right hemisphere is also capable of subserving some linguistic functions. The question, then, is not whether the right hemisphere can process language, but how and when it does so. This volume focuses on the right hemisphere's contribution to one important aspect oflanguage, lexical semantics. Although the right hemisphere may well be involved in other linguistic functions, such as prosody, the greatest evidence for right hemisphere language competence has been obtained for the processing of word meanings. In addition, cognitive psychology and psycho linguistics have provided us with well-developed models of the lexicon and lexical access to guide our inquiry. Finally, there are techniques available for studying lateralized lexical processing in the normal as well as in the brain injured hemispheres. For these reasons, a focus on the lexicon is likely to yield the greatest number of insights about right-hemisphere language processing."

From 21-24 June 1989 the International Federation of Adapted Physical Activity (IF APA) held its 7th International Symposium "Adapted Physical Activity -An Interdisciplinary Approach" in Berlin (West). This was the first time that this symposium has been held in a German speaking country, and it presented unique challenges to the organizers. For example, neither the term nor the field of adapted physical activity was known in Germany before the symposium. Thus, at the outset, the organizers' task was to define the meaning of adapted physical activity as a concept and to identify areas and professionals associated with it. After lengthy and intense discussions we agreed on the following definition: Adapted physical activity refers to movement, physical activity, and sports in which special emphasis is placed on the interests and capabilities of individuals with limiting conditions, such as the disabled, health impaired or aged. Despite the fact that the use of an English term for a symposium in Germany would not be accepted by all German speaking professionals, it was decided to use this term because no translation appeared to be fully adequate. "Sports for the Disabled", "Modified Movement Activites", "Sport Therapy", or "Psychomotor Exercises" would have represented only single aspects of adapted physical activity and were thus incomplete.

Effective Technology: Integration for Disabled Children: The Family Perspective explores microcomputer-based special education intervention programs aimed at advancing mildly handicapped children and empowering their parents. The book applies the stress, resources and coping model to families with disabled children, examining specific components of the pro posed model through family surveys and studies, and presenting future directions for research and experimentation. The book also offers an overview of the research related to effective integration of computers into the special education system, with particular attention to a cognitive approach to skill development through various software programs. Effective Technol ogy: Integration For Disabled Children is intended for researchers and practitioners in a wide range of fields interested in family research and parent-empowering interventions as well as for those involved in technology integration within special education contexts."

Edited by the respected pediatric orthopaedic surgeon Ali Kalamchi, M.D. with contributions from other experts in the field, Congenital Lower Limb Deficiencies is a single source reference guide for rare complex congenital defects of the lower limb. The text is divided into three sections. The first section discusses normal limb development; the genetic, familial, and historical nature of lower limb defects; and the evaluation and categorization of such defects in pediatric patients. The second section characterizes and classifies the congenital defects and covers early long-term planning of patient management based on clinical and radiographic findings. The third section analyzes the treatment modalities, including several chapters on the relationship of sports therapy to the treatment plan. In addition, the authors contribute their wealth of expertise by sharing their experiences and preferences in the treatment of congenital lower limb defects. The team approach for geneticists, pediatricians, orthopedists, therapists, prosthetists and other health care professsionals involved in each case is emphasized.

Carpal Tunnel Syndrome, with its surgical profile, is a must for those specialising in this condition (hand surgeons, orthopaedic surgeons, plastic surgeons, physiatrists and hand physical therapists), for both experts and newcomers to this field. For the young surgeon just starting out, the book explains the technical modalities of surgical treatment for this condition and describes alternative non-surgical procedures. It also depicts the complications that can arise in treatment. For more experienced surgeons, this book is an instrument for deepening their knowledge of this condition and its management. It can be considered a moment for reflection on a condition that is erroneously considered simple to treat and easy to resolve. The surgical chapters compare various complications as well as various conservative and rehabilitative treatment options, thus underlining that this condition must not be underestimated. Incorrect treatment can have many negative ramifications: not only that the patient is dissatisfied but it can also lead to the hand s functional loss and render the patient an invalid. This book is also intended for all physicians and medical students interested in this subject, presenting the broad range of problems caused by this condition and how best to manage them."