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.

The first evidence that electrical changes can cause muscles to contract was p- vided by Galvani (1791). Galvani's ideas about 'animal electricity' were explored during the 19th and 20th century when it was firmly established that 'electricity' is one of the most important mechanisms used for communication by the nervous system and muscle. These researches lead to the development of ever more soph- ticated equipment that could either record the electrical changes in nerves and muscles, or elicit functional changes by electrically stimulating these structures. It was indeed the combination of these two methods that elucidated many of the basic principles about the function of the nervous system. Following these exciting findings, it was discovered that electrical stimulation and the functions elicited by it also lead to long-term changes in the properties of nerves and particularly muscles. Recent findings help us to understand the mec- nisms by which activity induced by electrical stimulation can influence mature, fully differentiated cells, in particular muscles, blood vessels and nerves. Electrically elicited activity determines the properties of muscle fibres by activating a sequence of signalling pathways that change the gene expression of the muscle. Thus, elect- cal activity graduated from a simple mechanism that is used to elicit muscle c- traction, to a system that could induce permanent changes in muscles and modify most of its characteristic properties.

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.

Re-EngineeringoftheDamagedBrainandSpinalCord isdedicatedtoTetsuoKanno, M. D. ProfessorofNeurosurgery Bypresenting theoriginal papers thatmakeupthis thefeaturesofthelocalmedicallandscapeinthe- third supplement we wish to make a further contri- gionswheretheyareenacted. Whatismore, progr- bution to the issue of functional rehabilitation, this sivenew?ndingsmustbealsosubjectedtoafrequent soimportantandfascinatingmodernareaofresearch revision. Ontopofthis, itshouldnotbeforgottenthat inthe?eldofneurosciences. Thecongresspaperswe even when committal therapy guidelines are c- haveselectedconstituteagoodre?ectionofthetrans- sistentlyapplied, thereareconsiderablevariationsin disciplinary objectives. The literature references are therangeofpotentialcomplicationsandintheo- designedasaguidetoleadtheinterestedreadertoa comeofprospectivecontrolledmulti-centreandmul- deeperandmoredetailedunderstandingoftheindi- nationalstudiesontheissueofqualitymanagement. vidualissues. Functionalrehabilitationhasbeenanoriginaltask The demand for ''evidence-based medicine'' is well ofneurosurgeryfromtheveryoutset. The1990shave justi?ed; however, it rapidly comes up against the enteredtheannalsofbrainresearchasthe''Decadeof limitsoffeasibility, especiallywherecontrolledthe- theBrain''. Sincethentherehasbeenaneverstronger peuticstudiesareconcerned. TheCochrancollection growthofneuroscienti?cinterestworldwide, accom- of high-quality evidence-based healthcare databases paniedbysubstantial?nancialengagement. Thishas hasthusfarbeenofnohelptousindrawingupthe- primarily resulted in advances in basic neuro- peutic recommendations for the re-engineering of biologicalandneurophysiologicalresearchandalsoin brain and spinal-cord lesions. Today as ever, the thegrowthofneuroscienti?cknowledgeaboutbasic opinion of experts and empirically based medical mechanismsformotor control, paincontrol, aware- treatment and posttraumatic neurorehabilitation ness, cognition, learning and memory. The conse- continuetooccupyanindispensablepositionforthe quencemustbetoensurethattheadvancesmadeinthe everydayclinicalpracticeofneurosurgicalandneu- neuroscienti?cresearchareaareadequatelyexpanded traumatological therapies. Promising adjunct - intopracticalneurosurgicalcareandre-engineeringof proachesincludeneuropharmacology, forcascadesof brainandspinalcordlesionsandtoensureuponnew molecular interactions are known to be underlying approaches. Following this a fundamental path will activity-dependent plasticity and skills learning, as resultinanimprovedandmoree cientpreventionin many of these processes involve the major tra- thefuture, themeasuresthatstandrightatthefore- mitters. Furthermore, biologicalinterventionsby- front of all rehabilitation principles, meaning that ingendogenousneuronsandgliaaswellasexogenous conventionalconceptsmustbemodi?edtokeeppace stemcells, bone-marrowcells, macrophages, andother withthemoretask-speci?c, intensive, andprogressive types may promote the regeneration of nerve cells, demands. In this connection a series of guidelines, tissue, and neural circuitry. Class one studies have recommendations, and expert opinions and also beenmade, andnowclasstwostudieshavebeeni- algorithms have been elaborated by national and tiated, for example in connection with acute spinal international expert panels and multidisciplinary as- cord injury (SCI). The clinical application of fu- sociationsfortheacutemedicalcareofpatients."

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.

From the Foreword: "Addiction is a disorder in self-regulation. Individuals who become dependent on addictive substances cannot regulate their emotions, self-care, self-esteem, and relationships. In this monumental and illuminating text Philip Flores covers all the reasons why this is so. But it is the domain of interpersonal relations that he makes clear why individuals susceptible to substance use disorders (SUDs) are especially vulnerable. His emphasis on addiction as an attachment disorder is principally important because he provides extensive scholarly and clinical insights as to why certain vulnerable individuals so desperately need to substitute chemical solutions and connections for human ones. The strength of Flores's paradigm of addiction as an attachment disorder is that it is a theory that effectively and wisely guides treatment, but at the same time, when properly implemented or practiced, the treatment resonates with and further enhances the theory. Flores's work here is an extraordinary one because, in parsimonious and clear language, he makes a major contribution to the literature and practice of effective psychotherapy in general and effective psychotherapy for the addictions in particular. He fills in all the gaps between theory and practice covering wide and ranging issues of what practice and empirical findings have to teach about the critical ingredients of AA, group therapy, and individual psychotherapy. This is a job well done because it helps students and experienced clinicians alike to always be mindful of how they bring their humanity to the distress and suffering of others. His theory of addiction as an attachment disorder makes it particularly clear how especially important this is for those suffering with addictive disorders. " Edward J. Khantzian, M.D., clinical professor of psychiatry, Harvard Medical School A Jason Aronson Book"

Have you ever looked at a heavy volume on neuropsychology and wondered what it would actually be like to become a professional clinician, working every day with neurological patients in a busy hospital while simultaneously learning your craft? This book tells the story of that journey. The Notebook of a New Clinical Neuropsychologist vividly details the experience of starting work in clinical neuropsychology, exploring early-career learning and development through an intimate, case-based approach. Topics include the learning of basic clinical skills and knowledge, counter-transference, the clinician's emotional experiences, ethical and moral dilemmas, and the development of clinical reasoning. The book is structured around individual studies from the author's early caseload, with each vignette containing the relevant neuropathology, clinical presentation, history, neuropsychological test finding and other clinical data. Chapters are also organized around key neuropathological conditions, including traumatic brain injury, stroke, and brain infections, which provide a broader context for the narrative focus of the book. Few academic books explore the personal, intellectual and ethical dilemmas that face a new clinician working with patients in a neuropsychological setting. Tailored to facilitate experiential learning via case studies, reflective practice and problem based-learning, the book will be of interest to students and professionals working within the broad area of neuropsychology and brain injury services.

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.

This book was stimulated by the third Cambridge Workshop Series on Universal Access and Assistive Technology held in April 2006; the contributors represent leading researchers in the fields of Inclusive Design, Rehabilitation Robotics, Universal Access and Assistive Technology. Contributions focus on design issues for a more inclusive world; enabling computer access and the development of new technologies; assistive technology and rehabilitation robotics; and understanding users and involving them in design.

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.

This book investigates the growing and ever-changing health issues for girls and women who lead an active lifestyle and participate in sports and exercise. Easy to read, the volume provides an educational foundation for understanding how disordered eating, amenorrhea, and osteoporosis can be interrelated while also looking at image disorders and reproductive health. It contains thorough analysis of common prevention and management techniques, and provides useful links to resources on the internet for additional screening tools.

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.

Psychoprosthetics is defined as the study of psychological aspects of prosthetic use and of rehabilitative processes in those conditions that require the use of prosthetic devices. Psychoprosthetics: State of the Knowledge brings together, into one easily accessible volume, the most recent and exciting research and knowledge in this new field

International experts present in this volume advances in reconstructive neurosurgery focusing on the fields of neurotrauma and neurodegenerative disorders. The highlights include building an international strategy for risk reduction, documentating an multidisciplinary approach towards restoration of function in paraplegic spinal cord-injured patients, describing a new approach for statistical analysis in traumatic brain injury trials, describing blood flow changes in diffuse brain injury, discussing rehabilitation programs in Germany following acute brain injury, describing research data form Taiwan on neurotrauma, showing the neuropsychiatric effects from deep brain stimuation fro ovement disorders, difining the role played by imanging for deep brain stimulation targeting in mental illness, using radiosurgery in decompresssion in the treatment of trigeminal neuralgia, describing the development of radiosurgery from brain to the spine, listing new transgenic animal models of Parkinson's disease, discussing gene therapy for neuropathic pain and Parkinson's disease, and finally, discussing constrained-induced movement therapy fro stroke patients, and endovascular therapy for cerebrovenous disorders.

This core introductory text, with a focus on clinical application, combines the knowledge and skills of counseling psychology with current theory and research in grief and bereavement. The third edition is updated to address issues related to the developmental aspects of grief, including grief in children and young people, grief as a lifespan concept, and grief in an increasingly aging demographic. It describes new therapeutic approaches and examines the neurological basis of grief as well as with trauma from disruption and loss. Also emphasized is the role of diversity, along with cultural considerations in grief counseling. Instructor's resources now include a test bank, an Instructors Manual, and updated Power Point slides. User-friendly, while grounded in the latest research and theoretical constructs, the text offers such pedagogical aids as learning objectives, practice examples, glossary terms, and questions for reflection in each chapter. Above all, the book addresses grief counseling and support in a way that is informed, practical. The content explores concepts relevant to complicated grief, while differentiating the normal human experience of grief from mental disorders. Print version of the book includes free, searchable, digital access to entire contents! New to the Third Edition: Twenty-five percent of text contains completely new information Updated research and content on attachment and grieving styles Expansion of social issues impacting grief including political changes, environmental concerns, cultural differences, and exposure to terrorism New theory, research, and practice for grief in non-death losses New information on diversity and grief, the role of grounding and contemplative practices, and grief and developmental perspectives across the lifespan Use of technology in both professional and informal grief support New case studies with additional case scenarios for real-world application "Practice examples" containing snippets of clinical application information in each chapter Key Features: Focuses on clinical application Combines the knowledge and skills of counseling psychology with current theory and research in grief and bereavement Written in easy-to-understand language, with emphasis on practical application Includes learning objectives, practice examples, glossary terms, and questions for reflection

Rehabilitation For Traumatic Brain Injury (TBI) is a state-of-the-science review of the effectiveness of rehabilitation interventions. Leading experts conduct evidence-based reviews of specific areas of brain injury rehabilitation summarizing what is known in each area, critiquing the methodoligical problems of studies in the area, and then outlining new directions for research. The book begins with a review of the history of rehabilitation for TBI from World War I until the present. The second section of the book examines the rehabilitation of specific cognitive impairments in awareness, memory, executive functioning, communication, and emotion and behavior. The third section investigates special topics in rehabilitation of persons with TBI including substance abuse, interventions for caregivers, and vocational rehabilitation. The fourth section of the book covers rehabilitation with specific populations: children, older adults, and persons from diverse cultures. The final section examines topics in medical rehabilitation including treatment of spasticity, minimally conscious patients, and the contribution of neuroimaging to rehabilitation.

50 Studies Every Occupational Therapist Should Know is the first book of its kind in occupational therapy (OT). It is an excellent resource for healthcare students and practitioners seeking to gain a better understanding of the breadth and depth of the field and covers a wide range of topics within six key practice areas in OT: productive aging, health and wellness, work and industry, rehabilitation and disability, children and youth, and mental health. Each chapter discusses one influential study, reviews its key findings, limitations, related studies, and implications for practice, and concludes with a case study that applies the research to a clinical vignette. This is the only book that summarizes occupational therapy research in an accessible, user-friendly manner. Experienced clinicians will find it a useful reference for classic studies in the field, and an overview of influential research outside their area of specialization. Educators will appreciate its utility for teaching critical appraisal of research and highlighting the scope of occupational therapy practice. Students and new clinicians will find thought-provoking case studies directly applicable to scenarios they may encounter in their clinical work, demonstrating the role of research in evidence-based practice. It is a must-read for everyone interested in better understanding the evidence informing occupational therapy practice.

This book examines the role of everyday technology throughout the life cycle in order to demonstrate the wide acceptance and impact of everyday technology and how it is facilitating both practitioners and patients in contemporary practices. In response, then, this text speaks to a number of audiences. Students writing for undergraduate and postgraduate dissertations/proposals will find the array of works insightful, supported with a vast number of references signposting to key texts. For academics, practitioners and prospective researchers this text offers key empirical and methodological insight that can help focus and uncover originality in their own field. We anticipate that readers will find the collection of empirical examples useful for informing their own work, but also, it attempts to ignite new discussions and arguments regarding the application and use of everyday technology for enhancing health internationally. Explores the multifaceted use and application of each 'everyday technology' that impact on diagnosis, treatment and management of individuals. Examines an array of everyday technologies and how these that can either enhance and/or hinder patient/service user outcomes i.e. handheld devices, computer workstations, gamification and artificial intelligence. Discusses technologies that are intended to facilitate patient diagnosis, practitioner-patient relations, within an array of health contexts. Provides readers with an overview with future direction of everyday technologies and its limitations.

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."

Innovations in paediatric rehabilitation engineering can serve as a springboard to education, psychosocial, social, physical and cognitive development for children and youth with disabilities. Instead of providing an overview of rehabilitation engineering, Paediatric Rehabilitation Engineering focuses on the uniqueness of the paediatric subspecialty via an international sampling of methods and techniques currently in use or in development. The book is divided into three complementary components. The first group of chapters is broadly concerned with connecting individuals to their environment and to the people around them. The second group revolves around paediatric technologies that compensate for compromised or missing function. The final group of chapters is about machines and environments which provide stimulating and interactive platforms for therapy and research. Topics include: Microswitch-based occupational, recreational and rehabilitation programs Emerging access technologies, like infrared thermal imaging and vocal cord vibration detection Communication technologies to enable children to communicate in a variety of everyday environments Accessible graphical user and Web-based interface design Postural and upper and lower extremity compensation, such as customized chairs and prostheses Global efforts in the area of robotics for autism research Virtual reality and other interfaces to mitigate motor, communication, and physical control difficulties Paedriatric rehabilitation engineering offers endless possibilities for future research with implications across the fields of physical and cognitive rehabilitation, medicine, computer science, and policy. It is the harmonizing of the expertise and energies of rehabilitation professionals such as teachers, families, paediatric rehabilitation engineers, and other stakeholders that will ensure that children are optimally supported as they embark on their journey from disability to possibility.

by A. Berthoz The publication of this volume, edited by Adriano Ferrari and Giovanni Cioni, is a major event for several reasons. Most importantly, it concerns an area of child pathology that has yet to be fully explored. In this context, the authors' efforts to compile their observations as well as those of other clinicians and to elaborate their theories have resulted in an ess- tial step in the field of cerebral palsy (CP). The originality of the book is its very clear focus, while at the same time the authors have encouraged the book's contributors to express their ideas and personal opinions. This leads sometimes to redundancy, but this is precisely one of the benefits of the book - cause the same problems are then exposed from different points of views. The reader is thus spared the normative attempts of many other pathology books, in which the compl- ity of a given disease is hidden by the authors' or editors' desire to impose a rigid taxo- my or epidemiology.

An unprecedented book that discusses a decades long journey of understanding vision and visual impairment through working with patients with brain damage Edward de Haan, a noted clinical vision researcher for the last 35 years, explains how the healthy brain deals with visual information and reveals how he learned to appreciate what it means to be visually impaired. Through discussions of fascinating case studies, he shows that visual deficits are individually unique. Some patients perceive the world without color, some see objects in a distorted manner, whilst others will claim that they can still see although they are demonstrably blind. The author details his experiences with these patients to demonstrate the manner in which patient work is a unique and vital part of discovering how the brain processes visual information. In doing so, Impaired Vision offers a review of the clinical symptoms related to visual impairment and highlights that the patient study method has not lost any of its relevance in our increasingly high-tech world. This important book: Explores the various clinical phenomena in visual impairment after brain damage Demonstrates the effectiveness of the patient study method for understanding visual deficits after brain damage Contains comprehensive coverage of the variety of symptoms that are manifest in patients with visual impairment Includes compelling case studies of visually impaired patients Written for a general audience but of interest for students, researchers and clinicians, Impaired Vision contains fascinating case studies that offer an understanding of the symptoms that are associated with visuals deficits of brain damage.