Selected as a Doody's Core Title for 2022! This new edition of Travell, Simons & Simons' groundbreaking work reflects the latest research and best practices associated with trigger points and updates the iconic pain point images that set the standard in the field. New lead editor Joseph M. Donnelly draws on his experience as both educator and physical therapy practitioner to integrate an evidence-based approach into this critical text. In addition, the new edition consolidates information to create a more intuitive user experience and features a completely new full color design to bring concepts to life. NEW! Consolidated: The previous edition's two volumes- Upper Extremities and Lower Extremities-have been consolidated into one accessible book. NEW! Updated research from around the world and coverage of the most current evidence-based treatments prepare readers for practice. UPDATED! More integrated presentation. Information on pain is now better integrated with information on pain treatment. UPDATED! In-text learning aids integrated throughout the text, including learning objectives, case studies, and Q&As, help students master the material and apply it to practice. eBook available for purchase. Fast, smart, and convenient, today's eBooks can transform learning. These interactive, fully searchable tools offer 24/7 access on multiple devices, the ability to highlight and share notes, and more

The neuropsychological rehabilitation of patients with brain in juries presents a new challenge for medicine and psychology. In any society patients who have suffered a stroke or a traumatic brain lesion constitute a large group requiring special therapy; even nowadays only a small group of these patients obtain adequate rehabilitational support. Brain injuries may lead to loss or impair ment of functions like language, sight, memory, attention, emo tional control, or movement, and such impairments are usually ac companied by handicaps in the patient's daily life. Every attempt should be made to improve functional competence and the pa tient's capacity to cope with their disability and handicap. In recent years, the aim of much research in the basic sciences has been to gain insight into the mechanisms of restitution of function, partly by trying to understand the pathophysiological mechanisms that are initiated by a traumatic event. However, in spite of this broad research initiative into recovery of function and the possibilities of cognitive remediation, our knowledge is still rather limited, with respect to both the neurobiological mecha nisms that may underlie functional plasticity and the factors that may account for neuropsychological rehabilitation. In spite of these shortcomings, we would like to stress that progress can only be expected if an intense research effort is made to unite the con cepts and results from the basic sciences with the practical demands of neuropsychological rehabilitation."

This second edition of Low Vision Rehabilitation: A Practical Guide for Occupational Therapists provides current, evidence-based information on low vision rehabilitation that contains several new and expanded chapters on ADLs, IADLs, and recreation, as well as new online resources and the latest in accessibility devices. Low vision rehabilitation is rapidly growing as a specialty practice for occupational therapists. This growth requires practical, evidence-based information on the evaluation and treatment of the effects of low vision on occupational performance. Responding to this need, Low Vision Rehabilitation: A Practical Guide for Occupational Therapists, Second Edition blends standards of practice that have been developed for over 50 years by low vision therapists and optometrists, with the latest scientific research and the unique perspective of occupational therapists. This text presents a new standard of low vision rehabilitation in which occupational therapists practice as part of a team of vision rehabilitation professionals serving patients with low vision. Authors Stephen Whittaker, a low vision researcher, certified low vision therapist and occupational therapist, Mitchell Scheiman, an optometrist and researcher, and Debra Sokol-McKay, an occupational therapist with specialty certification in low vision as well as certification as a low vision therapist, vision rehabilitation therapist and diabetes educator, have carefully selected evidence-based evaluations and treatments that focus on clinical practicality and meaningful occupational goals in all patients from children to older adults. New to the Second Edition: A focus on occupational performance using "whatever works," whether visual, non-visual, or a combination of these different devices and adaptive techniques The "EPIC" Framework, a general strategy to organize a treatment plan for daily activities using visual and non-visual techniques Access to a companion website designed as a handy clinical reference, with solutions to clinical problems easily searchable and cross-linked to related content The "Success-Oriented Approach" to interventions based on the most recent research on cognitive disability and depression associated with low vision Applications of the latest electronic accessibility devices including smartphones, tablets, and magnifiers that read aloud Incorporates the AADE (TM) 7 Self-Care Behavior framework of the American Association of Diabetes Educators Incorporates concepts from the latest edition of the AOTA Occupational Therapy Practice Framework: Domain and Process Instructors in educational settings can visit www.efacultylounge.com for additional materials to be used for teaching in the classroom. Features Included: Recommended practical evaluation and treatment methods such as a 1 hour evaluation protocol, how to write observable and measurable goals and document outcomes, and specific instructions on how to implement treatments Prepares therapists for the ACVREP certification as a low vision therapist or vision rehabilitation or AOTA specialty certification in low vision Emphasizes intervention and low vision rehabilitation treatment including: modification of the environment adaptive visual and non-visual techniques selection and use of non-optical assistive devices selection and use of electronic and optical devices and use of computer technology including smartphones and tablets Comprehensive case studies on vision impairment resulting from eye disease to head injury and more Provides valuable information on how to start an independent practice in low vision rehabilitation Includes a chapter on diabetes management Low Vision Rehabilitation: A Practical Guide for Occupational Therapists, Second Edition employs an interdisciplinary perspective that is unique, practical, and credible and will benefit Occupational Therapy and Occupational Therapy Assistant students, as well as practicing clinicians interested in specializing in low vision or other health care practitioners for patients with vision impairment.

Spinal cord injury produces a unique multiplicity of problems which must be clearly understood by the considerable numbers of health care and rehabilitation professionals involved in their lifetime management. This book assumes an educational approach to spinal cord injury management, in which the individual becomes an active participant in goal setting, problem solving, and in assuming self responsibility. Rehabilitation is discussed in terms of client empowerment, client-professional partnerships and examines the client in the context of his unique socio-cultural environment.;This book attempts to present an educational and psychosocial model for the rehabilitation of people with spinal cord injuries. In line with this approach, the first chapters present a concept of empowerment in rehabilitation and of an educational view of the process of learning to live with a suddenly acquired disability. The medical aspects of spinal cord injury follow, with a study of aetiology, impairments, acute care, disability reduction and engagement in self care activities. The management of high lesions in a rehabilitation context is examined separately, since this is a highly specialised area and one which is largely ignored both in therapy literature and in professional practice. The final chapters focus upon psychological issues, and upon such issues as productivity, leisure, socialization which are important both in early phases of management and in the long term.

The psychological impact of an acquired brain injury (ABI) can be devastating for both the person involved and their family. This book describes the different types of psychological therapies used to ameliorate psychological distress following ABI. Each chapter presents a new therapeutic approach by experts in the area. Readers will learn about the key principles and techniques of the therapy alongside its application to a specific case following ABI. In addition, readers will gain insight into which approach may be most beneficial to whom as well as those where there may be additional challenges. Covering a wide array of psychological therapies, samples range from more historically traditional approaches to those more recently developed. Psychological Therapies in Acquired Brain Injury will be of great interest to clinicians and researchers working in brain injury rehabilitation, as well as practitioners, researchers and students of psychology, neuropsychology and rehabilitation.

Many of the nearly 70 million Americans with hypertension (high blood pressure) would like to bring it under control through lifestyle changes such as losing weight, cutting back on salt, exercising, or reducing stress. But, like it or not, most will require medication to get their blood pressure where it needs to be. The good news is that we have many excellent blood pressure medications which, when prescribed wisely, can control hypertension in almost everyone. The bad news is that, despite good intentions, doctors are placing millions of people who have hypertension on medications, drug combinations, or doses that are wrong for them, with staggering consequences that include uncontrolled hypertension, higher risk for stroke and heart attack, avoidable side effects, and billions of wasted health care dollars. Here, Dr. Mann, a nationally recognized hypertension specialist, identifies the drugs most likely to have side effects, and those that can be used in their place. He describes the shortcomings of some of the new drugs, while also introducing readers to some excellent old drugs that are woefully underused as a result of the publicity blitz surrounding the new, expensive ones. He emphasizes the importance of matching the medication and dosage to the individual who will be taking them, and presents the overlooked clues that can tell us who should be on which drug (even an excellent drug can be the wrong one if it is given to the wrong person or in the wrong dose). Hypertension and You is directed at the more than 50 million Americans (including a majority of people over the age of 60) who are taking blood pressure medication. Many patients suspect they might be on the wrong medication, but don t know enough to be sure. This book shows how medications can be prescribed more wisely to achieve better results and gives patients the knowledge they need to capably discuss their medications with their health care providers. Hypertension and You provides many ideas and approaches that will be new to readers, and also to many physicians, and which no other book offers. It s the first book to make the case that something is terribly wrong with how doctors are prescribing drugs for this condition. It provides readers with better knowledge of the available medications, empowering them to work with their physician to get onto the medications that are right for them."

Therapeuten benoetigen in der Praxis deutlich mehr und spezifischere Informationen, als diese in Leitlinien und Publikationen zu evidenzbasierten Interventionen in der Psychoonkologie enthalten sind. Sie brauchen eine Darstellung des Gebietes, die eine Implementierung psychoonkologischer Erkenntnisse in die Versorgungswirklichkeit erlaubt. Diesem Bedarf widmet sich dieses Buch: Es arbeitet das Gebiet fur eine UEbertragung der Erkenntnisse in die psychoonkologisch-psychotherapeutische Praxis auf und stellt die psychologischen, diagnostischen und therapeutischen Besonderheiten in der Behandlung von psychisch hoch belasteten Krebskranken in den Mittelpunkt. Geschrieben fur AErztliche und Psychologische Psychotherapeuten und Mediziner.

Examines psychological factors and their influence on the rehabilitative processes for visually impaired and blind people. Drawing on examples from a range of sensory and physical disabilities, this book emphasizes the importance of treating people individually, based on consideration of their psychological strengths and weaknesses as well as physical functioning.;Written for workers with visually impaired people, this book is equally accessible to students and qualified workers, including rehabilitation workers, O & M specialists, occupational therapists, social workers and psychologists. Students and workers should find the language easy to understand and largely non-technical. Where specialized terminology is used, it is illustrated with concrete examples. Of special relevance is a chapter examining "burn-out", which accounts for unnecessary losses of talented and conscientious workers. Dodds offers ways in which workers can recognize signs of burn-out, as well as suggestions for dealing with it.

The field of geriatric rehabilitation is constantly changing due to the discovery of new evidence-based evaluation and treatment strategies, as well as the continual support or refutation of older theories and practices. Now in its Fourth Edition, A Clinical Approach to Geriatric Rehabilitation has been updated to be at the forefront of these changes. Drs. Jennifer Bottomley and Carole Lewis have compiled the plethora of available scientific research on geriatric populations and combined it with their years of actual clinical practice. Together this makes this text a complete evidence-based guide to the clinical care of geriatric patients and clients. The first part of A Clinical Approach to Geriatric Rehabilitation, Fourth Edition tackles applied gerontological concepts, providing the general knowledge base necessary for treating geriatric patients. Topics in this section include patient evaluation, an exploration of nutritional needs, and age-related changes in physiology and function, as well as many other foundational areas. In the second section, topics become more focused on patient care concepts like neurologic considerations, cardiopulmonary and cardiovascular considerations, and establishing community-based screening programs. In the final section, chapters center on administration and management, including important subjects such as attitudes, ethics, and legal topics, as well as consultation and research. New and Updated in the Fourth Edition: • Pearls section for succinct highlights of the content within each chapter • The latest evidence-based practice interventions with complete references for further reading • Updated graphics, pictures, and diagrams to illustrate the content • Content summaries and streamlined text for enhanced readability • Updated case studies to exemplify clinical decision-making Designed to provide valuable, real-life clinical knowledge, A Clinical Approach to Geriatric Rehabilitation, Fourth Edition gives physical therapists an evidence-based guide to the clinical aspects of rehabilitative care in older adult patients and clients.

This practical reference, edited by Drs. Blessen C. Eapen and David X. Cifu, covers the full spectrum of assessment, management, and rehabilitation after concussion. It includes best practices and considerations for numerous patient populations and their unique needs in an easy-to-read, concise format. Geared toward physiatrists, neurologists, primary care physicians, and rehabilitation professionals, this book provides the key information you need to guide your treatment plans and help patients recover after concussion. Consolidates the most current information and guidance in this challenging and diverse area into one convenient resource. Covers acute management of concussions, diagnostic criteria, neuroimaging, biomarkers, chronic traumatic encephalopathy and return-to-play, school, and duty protocols. Discusses special populations, including pediatrics, sports, military, and veteran patients. Covers post-concussive syndrome and its management of sequelae after concussion.

The majority of amputations in the western world today are due to vascular disease. Despite the advances in surgical treatment of this disease, particularly by reconstruction, it is a sad fact that the number of amputations performed in these countries each year for vascular disease is increasing. Most of these amputees are elderly and their life expectancy is short, so it is important that the treatment and rehabilitation that they receive is informed, appropriate, efficient and swift to enable them to return successfully to life in the community for their remaining years. Management of this group of patients has proved to be successful only if a multidisciplinary team approach is adopted. Until recently in the UK, this approach sadly has only been implemented by a few centres. However, with the publication of the McColl report into the prosthetic and wheelchair service in 1986, interest in the care of the amputee is growing throughout the country. This book covers all aspects of amputation from disease and diagnosis to rehabilitation and community discharge with emphasis on the man agerneut of the largest group, the vascular lower limb amputee. A team approach is described and emphasized as being essential for good results and subsequent successful return into the community. The role of each of the important disciplines is described in relation to the appropriate part of the rehabilitation phase."

It is both a pleasure and a privilege to be invited to contribute a foreword to this book, which deserves - and needs - to be read by virtually everyone who is concerned with the treatment and subse quent welfare of the victims of severe injuries of the brain. Some friends, relatives and workmates might be helped by reading some parts of it, but, if the book has the effect it deserves to have on therapists, nurses, doctors, and others working in both hospitals and the community, these laymen will be suitably informed and assisted by one or more members of the necessarily large therapeutic team. The improvements in methods of resuscitation that have taken place during the last 40 years or so have abolished the previously fatalistic readiness to accept that a week or two in coma after a head injury was virtually a sentence to death from pneumonia. After it had become possible to save lives it gradually became clear that survival of the patient was not necessarily followed by recovery of the brain and that the price of success, in saving lives, was a popula tion of cerebral cripples that was increasing at the rate of 1000 or more a year throughout the country. Although this figure has remained about the same for more than 20 years, there has been a great improvement in the amount of interest, the standard of care and the quality of results that are being achieved."

In the current era of cost awareness and the pressure to free hospital beds as rapidly as possible, coupled with the move towards community care, there is increasing emphasis on returning and main taining disabled people in the community. Often, many health and welfare workers are involved in this process. Occupational therapists however have a particular role to play. Their training is such that they are able to assess and treat the physical, psychological and social aspects of a disabling condition. This enables them to help disabled people to achieve their maximum ability in the environment in which they live. Whether the occupational therapist is hospital or community based, employed by the health or social service depart ment, her caseload is often vast. The occupational therapist may specialize in a particular age group or disability, but it is more likely that she will have to work with a wide age range from the very young to the very old. Assessment of needs and the subsequent provision of equipment and adaptations is the greater part of the OT's job. Other aspects include counselling the disabled person and his family and planning future intervention must often, however reluctantly, be given a low priority. In spite of staff shotages occupa tional therapists are frequently called on to provide the client and other groups of workers with advice and information on all aspects of living with any disability."

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"

Abundant evidence indicates that TENS can be used effectively to alleviate certain pain syndromes. For patients suffering from chronic musculo-skeletal pain in particular, TENS offers an alternative means of pain management. This book addresses the need among physiotherapists for a practical manual on the application of this relatively new technique. Numerous illustrations provide guidelines for the choice of stimulation parameters, the selection of electrode positions, as well as other aspects related to technique. A brief introduction to the neurophysiological mechanisms of pain and the pain-relieving effects of TENS is also given. These special features make this comprehensive presentation of particular interest to physiotherapists and clinicians actively engaged in the management of patients suffering from pain.

In this book on the optimal treatment of the injured spinal cord we present the reasons why we consider it necessary to handle trauma tized medullary tissue in accordance with the classical biological principles of wound healing in general, namely by long-term, ten sion-free immobilization of the spinal cord. Today, such immobili zation for this purpose can only be achieved by surgical secure ment of slight dorsiflexion of the cervical spine. Traumatically compressed medullary tissue is invariably attenu ated and weakened. On application of skull traction, the weakened section of the compressed cervical cord is the part that is most overstretched. This inevitably results in increased neurological def icit. On scrutiny of the clinical records of 100 tetraplegic patients treated by skull traction at the National Spinal Injuries Centre at the Stoke Mandeville Hospital, Aylesbury, England, from 1971 to 1982, we found that therapeutic skull traction had been followed by an immediate increase in neurological deficit in 12% of the patients - a relatively high figure for the type of case in which beneficial effects oftraction were habitually anticipated. Moreover, in studies on cadavers, artificial defects in fresh human cervical cord in situ showed typical deformation following application of traction, confirming the basic deleterious effects of therapeutic skull traction on the injured cervical cord."

ANNABEL K. BROOME The importance of psychological processes in the experience of health and sickness is being increasingly recognized. There is mounting evidence for the role of personal behaviour in current trends of morbidity and mortality, which is reflected in rapid and significant developments in psychological research. Patterns of illness and death have changed in recent years, with concurrent changes in demands on health services, the skills of carers and the adjustments of the sick person. It is within this changing scene that clinical and health psychologists are becoming increasingly involved in applied research into the prevention or alleviation of current health problems. These changes are also influencing the training of health professionals, with behavioural sciences now forming a substantial component of basic curricula in medical schools and other areas of professional training. This book has arisen from this chan ging clinical scene and the need to convey useful psychological principles to care givers. Part One con centrates on the general psychological processes that have relevance in many health settings, in the prevention, alleviation and management of illness, as weIl as current practices in health care delivery. As these developments have been patchy, Part Two focuses on selected specialties that have received attention. This book is not a comprehensive review of work done in all medical specialties, although the structure has been chosen to reflect the prevalent sub divisions of medical teamwork.

Rebuilding Life after Brain Injury: Dreamtalk tells the survival story of Sheena McDonald, who in 1999 was hit by a police van and suffered a very severe brain injury. Sheena's story is told from her own, personal standpoint and also from two further unique and invaluable perspectives. Allan Little, a BBC journalist and now Sheena's husband, describes both the physical and mental impact of the injury on himself and on Sheena. Gail Robinson, Sheena's neuropsychological rehabilitation specialist, provides professional commentaries on Sheena's condition, assessment and recovery process. The word Dreamtalk, created by Allan to describe Sheena's once "hallucinogenic state", sets the tone for this book. It humanises and contextualises the impact of brain injury, providing support and encouragement for patients, professionals and families. It presents exclusive insights into each stage of recovery, spanning coma, altered consciousness, post-traumatic amnesia and rehabilitation; all showing how she has defied conventional clinical expectations and made an exceptional recovery. This book is valuable reading to those who have suffered a brain injury and also to professionals such as neurologists, neuropsychologists, physiotherapists, occupational therapists and speech therapists working in the field.

Electrophysical Modalities (formerly Electrotherapy: Evidence-Based Practice) is back in its 13th edition, continuing to uphold the standard of clinical research and evidence base for which it has become renowned. This popular textbook comprehensively covers the use of electrotherapy in clinical practice and includes the theory which underpins that practice. Over recent years the range of therapeutic agents involved and the scope for their use have greatly increased and the new edition includes and evaluates the latest evidence and most recent developments in this fast-growing field. Tim Watson is joined by co-editor Ethne Nussbaum and both bring years of clinical, research and teaching experience to the new edition, with a host of new contributors, all leaders in their specialty.

In recent years, major social forces such as: ageing populations, social trends, migration patterns, and the globalization of economies, have reshaped social welfare policies and practices across the globe. Multinational corporations, NGOs, and other international organizations have begun to influence social policy at a national and local level. Among the many ramifications of these changes is that globalizing influences may hinder the ability of individual nation-states to effect policies that are beneficial to them on a local level. With contributions from thirteen countries worldwide, this collected work represents the first major comparative analysis on the effect of globalization on the international welfare state.

The Welfare State in Post-Industrial Society is divided into two major sections: the first draws from a number of leading social welfare researchers from diverse countries who point to the nation-state as case studies; highlighting how it goes about establishing and revising social welfare provisions. The second portion of the volume then moves to a more global perspective in its analysis and questioning of the impact of globalisation on citizenship, ageing and marketization.

With its integrative analyses of policy and practice in countries struggling to provide social welfare support for their needy populations, The Welfare State in Post-Industrial Society will become an important voice in the debate on social welfare.

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.