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.

Up-to-date, must-know coverage Bring your understanding of the rapidly evolving world of pharmacological agents and their impact on rehabilitation up to date with the Updated 5th Edition of this groundbreaking reference. An easy-to-understand writing style and easy-to-follow design help you to understand the what, why, and how of this complex subject to ensure the most effective plans of care for your patients.

Biomechanics of Injury, Third Edition, explains the biomechanical principles of injury and how injuries affect the normal function of human anatomy. With a clear, accessible writing style and nearly 400 full-color photos and anatomy illustrations, it guides readers through the mechanical concepts of injuries without a heavy emphasis on mathematics. Previously titled Biomechanics of Musculoskeletal Injury, this third edition expands coverage of injuries beyond those of the musculoskeletal system to include the head, neck, and spine. Joining noted biomechanists Ronald Zernicke and William Whiting is concussion expert and athletic trainer Steven Broglio, who offers insights on head trauma and other neurological injuries. Unique in its evaluation of and appreciation for the intricacies of injury mechanisms, Biomechanics of Injury, Third Edition, comprehensively examines these issues: The mechanical aspects of injury and the concept of injury as a stimulus for beneficial tissue adaptations The effects of injury on the normal function of the human anatomy and joint mechanics Mechanical parameters such as force, stress and strain, stiffness, and elasticity and their application to tissue mechanics and injury How connective tissues respond to mechanical loading and how those tissues are studied to quantify their mechanical behavior Factors such as age, gender, nutrition, and exercise, with an emphasis on how lifestyle choices might lessen the chance or severity of injury How the principles of mechanical load and overload, use and overuse, level and progression of injury, and the many contributory factors involved in injury combine to form a backdrop for viewing specific injuries Updated sidebars present a detailed analysis of anterior cruciate ligament injuries, rotator cuff pathologies, and concussion. In addition, the text discusses topics of current concern such as falls in older populations, throwing-related rotator cuff pathologies, and youth injuries from carrying backpacks. Biomechanics of Injury, Third Edition, also employs learning aids to help readers understand and retain information. Objectives at the start of each chapter highlight the main concepts. Key terms appear in bold in the text and are defined in the glossary. Key Points at the end of each chapter summarize central concepts. Questions to Consider appear at the end of each chapter to test readers’ understanding and ability to apply the information presented. Updated Suggested Readings are included at the end of each chapter for readers who wish to dive deeper into selected topics. Knowledge of the biological responses of tissues to mechanical loading improves our understanding of injury and its consequences. Biomechanics of Injury, Third Edition, will enable students and health professionals to reduce the likelihood that clients, patients, or athletes will experience painful and debilitating physical injury.

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.

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.

The Medicolegal Library is the first and only series of its kind. Its importance is self-evident. During the last decade, science, especial ly medical practice, has become an increasingly complex undertak ing. Recent dramatic developments in medicine have given rise to both theoretical controversies and practical dilemmas. Society is struggling with new scientific, economic, cultural, and legal issues. The establishment of a series such as this appears vital for lawyers and physicians, for sociologists and psychologists, and for the pub lic at large. The editorial board of the Medicolegal Library consists of dis tinguished scientists from many different countries and disciplines. Judge Amnon Carmi acts as principal series editor. Judge Carmi is the author of many books and articles on medical law, and is Editor in-Chief of Medicine and Law: An International Journal. The Medicolegal Library will issue two books each year. The first four books, soon to be published, will deal with child abuse, euthanasia, disability, and nursing, laws and ethics."

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.

Neurovision Rehabilitation Guide is a valuable resource for the health care professional working with patients with visual dysfunction as a consequence of traumatic brain injury and neurological disorders. It covers the concepts of visual dysfunction as well as assessment and step-by-step treatment plans. The guide covers the neurology of visual processing before and after a brain injury. It explains the concepts behind neurovision rehabilitation and how to go about examining and treating the patient's visual deficits. It also covers the evaluation of visual perceptual deficits and treatment of the traumatic brain injury patient. The guide contains more than 80 vision therapy procedures, with step-by-step instructions as well as sequencing guides for each category of therapy (oculomotor, accommodation, binocular, perceptual).

This volume provides, for the first time, multidisciplinary perspectives on the problem of awareness of deficits following brain injury. Such deficits may involve perception, attention, memory, language, or motor functions, and they can seriously disrupt an individual's ability to function. However, some brain-damaged patients are entirely unaware of the existence or severity of their deficits, even when they are easily noticed by others. In addressing these topics, contributors cover the entire range of neuropsychological syndromes in which problems with awareness of deficit are observed: hemiplegia and hemianopia, amnesia, aphasia, traumatic head injury, dementia, and others. On the clinical side, leading researchers delineate the implications of awareness of deficits for rehabilitation and patient management, and the role of defense mechanisms such as denial. Theoretical discussions focus on the importance of awareness disturbances for better understanding such cognitive processes as attention, consciousness, and monitoring.

Rheumatoid arthritis is a common disease, an estimated 1. 5% of the population being under medical treatment for it in European countries and elsewhere. However, to date the origin of this chronic inflammatory disorder has not been elucidated. Evidence for the involvement of microbial agents is still tenuous, the rea- son for the defective control of inflammation is still unknown, and the disease all too of- ten progresses to crippling stages despite long-term treatment. As T. McKeown recently stated with regard to rheumatoid arthritis, "not enough is even known to indicate which is the more promising approach, and the pru- dent course is to investigate both origins and mechanisms". While working on animal model diseases as well as on aspects of rheumatoid arthritis and related disorders in man, the members of the Special Research Area on patho- physiology of rheumatoid inflammation in man and. animals (Sonderforschungsbereich 54 "Pa- thomechanismen der rheumatoiden Entztindung bei Mensch und Tier"; maintained by the Deut- sche Forschungsgemeinschaft) at the Veterinary and Medical Schools, Hannover, have been guided by the concept that by studying clinically and morphologically similar diseases in several species, mutually stimulating results might lead to improved knowledge of the pathophysio- logy of rheumatoid arthritis. In particular, from working with model diseases in animals new approaches to the etiology of rheumatoid arthritis might be derived, while detailed knowledge of pathogenetic processes in rheu- matoid arthritis could further research in chronic stages of pertinent animal diseases.

This book will provide an overview of the rehabilitation engineering field, including key concepts that are required to provide a solid foundation about the discipline. It will present these concepts through a mix of basic and applied knowledge from rehabilitation engineering research and practice. It's written as an introductory text in order to provide access to the field by those without previous experience or background in the field.These concepts will include those related to engineering and health that are necessary to understand the application of rehabilitation engineering to support human function.

Pravention lasst sich am besten mit vorausschauender Problemvermeidung ubersetzen. Seit der Ottawa-Charta der Weltgesundheitsorganisation gelten Pravention und Gesundheitsforderung als die geeignetsten Instrumente, dem Kostenanstieg im Gesundheitswesen durch Vermeidung des Sozialversicherungsfalls entgegenzuwirken; mit andern Worten: durch Vermeidung von Bedarf an Behandlung, Rehabilitation und Pflege. Die lange politische Missachtung des Praventionsansatzes und seine kaum mehr nennenswerte offentliche Forderung haben zu einer volligen Unterentwicklung hierzulande beigetragen. Der 1. Nationale Praventionskongress will einen Neuanfang in Sachen Pravention und Gesundheitsforderung, und er will in diesem Zusammenhang eine zukunftig starkere Zusammenarbeit zwischen Wissenschaft und Praxis anstossen."

The increasing frequency of coronary diseases, the still insufficient results of prevention have brought physicians to try to reduce as much as possible the con sequences of ischaemic heart disease. Coronary units and new treatments have some what reduced the dramatic complications of the acute phase; but after the latter, evil effects of the disease remain at the physiological, psychological and social level. It is the aim of rehabi itation to analyze these problems, to reduce them or to solve them whenever possible. When this conception of "complete coronary care" took the lead, the necon ditioning effects of heart disease and of immobilization on physical conditi ons were emphasized: physical training programmes were prepared and their main lines and physiological effects are now fairly well known. But it was soon obvious that the psychological problems raised by the patient and his environment 'are equally important. Their approach is however much more difficult and their treatment particularly complex. So, the Council on Rehabilitation of the International Society of Cardiology is really grateful to Professor Dr. HALHUBER and Dr. Dr. STOCKSMEIER for giving the opportunity to specialists to discuss together this particular aspect of coronary disease. The discussions have been devoted to the methods of approaching the patient as well as to the therapeutic aspects and the role of psychologists in the rehabilitation programmes: some papers have been devoted also to the possible role of the personality as a risk factor in the development of the disease."

Pediatric Stroke Rehabilitation: An Interprofessional and Collaborative Approach is a groundbreaking text designed to enhance the practice of all health care providers, enrich discussion, and emphasize the interdisciplinary nature of managing best outcomes for a child who has had a stroke. Evidence-based practice is threaded throughout the text with an emphasis on recovery vs. compensation, goal achievement, and outcome measurement. In conjunction with the interdisciplinary contributions from a wide variety of health care professionals, Drs. Heather Atkinson, Kim Nixon-Cave, and Sabrina E. Smith aim to provide the necessary tools to effectively treat children with stroke. The first section reviews the medical fundamentals, covering all major types of strokes. The second section of Pediatric Stroke Rehabilitation focuses on the core of the matter, rehabilitation. The final section expands the understanding of the child's recovery to the family, community, and school environment. Select chapters include: Personal vignettes written by family members of children who have had a stroke that provides insight into the impact a stroke can have on the child and family A family focus box to summarize the main points of the chapter to provide the best tools for caregivers to advocate for their child A case study related to the content and family perspective Pediatric Stroke Rehabilitation also utilizes the World Health Organization's International Classification of Functioning, Disability, and Health (ICF) framework throughout. Instructors in educational settings can visit www.efacultylounge.com for additional materials to be used in the classroom. Pediatric Stroke Rehabilitation: An Interprofessional and Collaborative Approach is an interdisciplinary and invaluable resource for students and clinicians to understand and apply effective evidence-based practice and treatment approaches for childhood stroke. The text will also be of interest to healthcare professionals, specifically physical therapists, occupational therapists, speech-language pathologists, physicians, neuropsychologists, nurses, and educators, who work with children who have experienced a stroke.

Myalgic encephalomyelitis, also known as Chronic Fatigue Syndrome, is a deeply complex and multi-system condition which has historically suffered from a lack of awareness within physiotherapy education and practice. Similarities in presentation between this condition and Long Covid make this comprehensive and evidence-based guide for physiotherapists even more timely and important. This guide includes an in-depth explanation and history of ME/CFS whilst also describing symptoms, varying degrees of severity, and how to manage ME/CFS in children. It also provides detailed management advice and discussion on how the information can directly inform physiotherapy practice, supplemented with patient case studies.

This study on "Exercise testing and training in coronary heart disease" is a remarkable compilation of numerous research studies, primarily from labora tories in Europe and the United States over the last decade or more. The topic reflects a growing awareness of and concern about the rapidly expanding understanding of the pathophysiology of coronary atherosclerotic heart disease. Since muscular exercise increases aerobic metabolism of myocardial and working skeletal muscles, greater flow of oxygenated blood is required by each; yet underlying vascular disease restricts these responses. This implicit paradox is here considered forthrightly. Examination of these relationships in symptomatic patients requires care and caution, because of the potential and occasionally real risks entailed. Accordingly, indirect assessment, particularly by noninvasive techniques, becomes increasingly important to detecting and monitoring - for the safety of the patients studied - the evidence of myocardial ischemia and impairment of left ventricular function under stress. Adequate assessment requires well-designed experimental studies to quantify true relationships and to measure the limits of functional capacity and the mechanisms of its impairment. Further more, alterations can be induced by therapy, whether this be pharmacological, medical or surgical, or achieved by physical reconditioning through exercise training. Not only is the cardiovascular system impaired by discrete and diffuse vascular lesions at central sites, but the degree of impairment is dynamic rather than static."

Neurobehavioural disability (NBD) follows many forms of serious brain injury and is a major constraint on social independence. This book brings together a group of leading academics and practising clinicians to provide an overview of the nature of NBD, considering how it translates into social handicap, and what can be done to address associated problems, through social and behavioural rehabilitation, vocational training and family education. This fully revised edition takes into account advances in the field, exploring the range of cognitive, emotional, and behavioural effects of brain damage most commonly associated with damage to the frontal and associated structures of the brain that govern social behaviour. This edition also features increased emphasis on psychological interventions, as well as new chapters on brain imaging, pharmacotherapy and assistive technology for disability. Neurobehavioural Disability and Social Handicap Following Traumatic Brain Injury is essential reading for clinical psychologists, psychiatrists and neurologists working in brain injury rehabilitation. The book will also be of interest to relatives of those with brain injury seeking better knowledge to understand neurobehavioural disability, as well as the growing number of therapy care assistants, case managers, support workers, and social workers responsible for the day to day care of brain injured people in the community.

Providing essential support to schools and universities that offer yoga therapy training programs, this comprehensive, edited textbook develops robust curricula, enabling them to prepare yoga therapists to integrate into healthcare settings safely and effectively. The book includes a large and international list of contributors from diverse lineages and backgrounds such as Matthew Taylor, Gail Parker and Steffany Moonaz, and is the first resource on yoga therapy that aligns with the educationl competencies of the International Association of Yoga Therapists (IAYT). It covers yoga foundations (philosophical background, ayurveda, tantra), biomedical and psychological foundations, yoga therapy tools and therapeutic skills, yogic and biopsychosocial-spiritual assessments, and professional practices. As the field of yoga therapy continues to root and grow, this book is essential for both new yoga therapy practitioners, and for schools developing training programs.

Schlagen Sie Ihrem "kalendarischen Alter" ein Schnippchen und bleiben Sie langer jung Wie das geht? Mit Aktivitat, mit Bewegung. Denn damit lassen sich Gesundheit, Vitalitat und Lebensfreude erhalten und auch wieder gewinnen. Es ist nie zu spat, mit Bewegung und Sport anzufangen. Auf Basis wissenschaftlich gesicherter Erkenntnis haben erfahrene Mediziner und Sportwissenschafter einen lebensnahen, praktisch nachvollziehbaren und leicht verstandlichen Ratgeber verfasst, mit dessen Hilfe das Alter werden leichter wird und biologisch gesehen verzogert. Sie finden zahlreiche Tipps, wie Sie mehr Bewegung in Ihren Alltag einbauen konnen und umfassende Anleitungen fur Sportarten mit einem hohen "Active Aging-Faktor." Gesunde Ernahrung gehort ebenso dazu. Warum das gar nicht kompliziert ist und ausserdem gut schmeckt, lesen Sie hier. Und, wie Sie die Seele auf die schonen Seiten des Lebens einstimmen. "

This one-stop resource is the first to focus on applying EMDR scripted protocols to medical related conditions. Edited by a leading EMDR scholar and practitioner, it delivers a wide range of step-by-step protocols that enable beginning clinicians as well as seasoned EMDR clinicians, trainers, and consultants alike to enhance their expertise more quickly when working with clients who present with medical-related issues. The scripts are conveniently outlined in an easy-to-use, manual style template, facilitating a reliable, consistent format for use with EMDR clients. The scripts distill the essence of the Standard EMDR Protocols. They reinforce the specific parts, sequence, and language used to create an effective outcome, and illustrate how clinicians are using this framework to work with a variety of medical related issues while maintaining the integrity of the AIP model. Following a brief outline of the basic elements of EMDR procedures and protocols, the book focuses on applying EMDR scripted protocols to such key medical issues as cancer, eating disorders, headaches, chronic pain, somatic disorders, Multiple Sclerosis, Fibromyalgia, medical related trauma, self-care and others. It includes summary sheets for each protocol to facilitate gathering information, client documentation, and quick retrieval of salient information while formulating a treatment plan. Protocols for clinician self-care add further to the book'AEos value. Key Features: Encompasses a wide range of step-by-step scripts for medical-related issues Includes scripted protocols and summary sheets in strict accordance with AIP model Facilitates the rapid development of practitioner expertise Outlined in convenient manual-style template Includes scripts for EMDR treatment of clients with cancer, eating disorders, headaches, somatic disorders, MS, sexual disorders, and more

Grundprinzipien und Therapiestrategien in der neurologischen Rehabilitation erstmals im umfassenden Gesamtuberblick: -> am Informationsbedarf aller beteiligten Berufsgruppen orientiert, -> fur alle relevanten neurologischen Erkrankungen und Behinderungsmuster. Nachschlagewerk fur alle therapeutischen Berufsgruppen: Das Werk bietet allen Therapeuten Praxiswissen fur die eigenen Aufgaben und oeffnet den Zugang zu den angrenzenden Berufsfeldern. Praxisbezogen und theoretisch fundiert - Neurophysiologische und anatomische Grundlagen - Methodisch-diagnostische Werkzeuge zur Erfassung der Rehabilitationseinflusse - Prinzipien und Wirkungsmechanismen therapeutischer Massnahmen - Therapie-Strategien fur alle Stoerungsbilder aus dem Methodenrepertoire der verschiedenen Berufsgruppen - Therapierelevante Grundlagen in UEbersichten und Tabellen - Praktische Therapie-Anleitung mit Fallbeispielen - Praxishinweise, Fehlerquellen, Komplikationen - Indikationen- und Kontraindikationen-Katalog - Pharmakotherapie und Hilfsmittelversorgung Ein ubersichtliches Nachschlagewerk, das in der taglichen Praxis schnelle Orientierung ermoeglicht und als umfassendes Handbuch die qualifizierte Weiterbildung in der neurologischen Rehabilitation sichert.

Die Herausgeber prasentieren hier ausgewahlte Beitrage des 2. Nationalen Praventionskongresses, der gemeinsam mit dem 6. Deutschen Kongresses fur Versorgungsforschung durchgefuhrt wurde. Der wissenschaftliche Austausch zwischen praktisch tatigen Medizinern und Vertretern aller am Gesundheitssystem interessierten Experten verdeutlicht die Chancen des interdisziplinaren Dialogs fur die Versorgung gesundheitlich gefahrdeter und kranker Menschen.

This unique, user-friendly text distills essential and up-to-date guidelines for students and practitioners of child and adolescent counseling. Featuring concise, step-by-step protocols supported by evidence-based practice, the book is organized in a logical sequence, from setting the stage for the counseling process to the essentials of active counseling. The second edition is distinguished by a more holistic approach to counseling that focuses on the client's narrative, goal-setting as a partnership between counselor and client, and heightened sensitivity to all forms of diversity. This includes new content about LBTQIA clients and those suffering from trauma or substance abuse. The second edition focuses on strategies for fostering growth and self-inquiry and presents new information on teaching tools for stress tolerance, negotiating social conflict, and the importance of monitoring progress. Key concepts such as using developmentally appropriate language and activities are addressed, and as are critical issues such as collaborating with parents and other professionals, responding to crisis situations, and counselor self-awareness and self-care. Case examples of client/counselor dialogues along with summary and questions at the end of each chapter illustrate foundational concepts and facilitate critical thinking. An instructor manual is also included. New to the Second Edition: Promotes goal-setting as a partnership between counselor and client Fosters sensitivity to LBTQIA clients and other forms of diversity Includes updated section on crisis intervention and effective referral skills Focuses on strategies for facilitating client growth and self-inquiry Distills new tools for stress tolerance Teaches skills for negotiating social conflict and addressing technology use Key Features: Distills essential, practical skills for counseling children and adolescents Based on a proven teaching format Includes the most current evidence-based interventions Offers a holistic approach to counseling Advocates a strong focus on the client narrative