Changes in the focus of neurological practice worldwide have led to the need for new standard texts that reflect the current state of this expanding area of clinical expertise. The second edition of the Handbook of Neurological Rehabilitation is a major reference source that fulfils this need, providing an invaluable resource for all professions that work with patients suffering from neurological disorders. It brings restorative neurology to the bedside and shows how a reiterative, goal-oriented, problem-solving training programme can benefit patients, sometimes on a scale not achieved by pharmacological or surgical interventions. The book is divided into three sections all of which have been updated. Section One explores the clinical and biological principles underpinning rehabilitation practice in the context of neurological disablement. Section Two describes the assessment, treatment, and management of the major physical, cognitive and behavioural impairments, and the resulting functional deficits that may follow or accompany neurological disease. The final section explores in more detail these problems and their management in relation to the more common specific disorders of the nervous system. The text emphasises the fact that rehabilitation is an ongoing process involving multidisciplinary problem-solving, goal-setting and education; in which organised care is more effective than unorganised care; and the breakdown of professional barriers within rehabilitation, to facilitate the use of combined treatment techniques, improves outcome. It describes the contribution made by neural reorganisation and compensatory mechanisms to recovery of function, focuses on the avoidance of secondary deficit, and explores the physical, cognitive, affective and behavioural problems that may occur after neurological damage. At a time when new medical technologies threaten to fragment the integrity of medical care at individual and societal levels, it is crucial that all those involved in the management of chronic neurological disease have a working knowledge of the contents of this book. Their perspective on clinical practice will then be truly integrated and holistic and their patients will benefit accordingly.

Offers a full introduction to and survey of runes and runology: their history, how they were used, and their interpretation. Runes, often considered magical symbols of mystery and power, are in fact an alphabetic form of writing. Derived from one or more Mediterranean prototypes, they were used by Germanic peoples to write different kinds of Germanic language, principally Anglo-Saxon and the various Scandinavian idioms, and were carved into stone, wood, bone, metal, and other hard surfaces; types of inscription range from memorials to the dead, through Christian prayers and everyday messages to crude graffiti. First reliably attested in the second century AD, runes were in due course supplanted by the roman alphabet, though in Anglo-Saxon England they continued in use until the early eleventh century, inScandinavia until the fifteenth (and later still in one or two outlying areas). This book provides an accessible, general account of runes and runic writing from their inception to their final demise. It also covers modern uses of runes, and deals with such topics as encoded texts, rune names, how runic inscriptions were made, runological method, and the history of runic research. A final chapter explains where those keen to see runic inscriptions can most easily find them. Professor MICHAEL P, BARNES is Emeritus Professor of Scandinavian Studies, University College London.

Offers a full introduction to and survey of runes and runology: their history, how they were used, and their interpretation. Runes, often considered magical symbols of mystery and power, are in fact an alphabetic form of writing. Derived from one or more Mediterranean prototypes, they were used by Germanic peoples to write different kinds of Germanic language, principally Anglo-Saxon and the various Scandinavian idioms, and were carved into stone, wood, bone, metal, and other hard surfaces; types of inscription range from memorials to the dead, through Christian prayers and everyday messages to crude graffiti. First reliably attested in the second century AD, runes were in due course supplanted by the roman alphabet, though in Anglo-Saxon England they continued in use until the early eleventh century, inScandinavia until the fifteenth (and later still in one or two outlying areas). This book provides an accessible, general account of runes and runic writing from their inception to their final demise. It also covers modern uses of runes, and deals with such topics as encoded texts, rune names, how runic inscriptions were made, runological method, and the history of runic research. A final chapter explains where those keen to see runic inscriptions can most easily find them. Professor MICHAEL P, BARNES is Emeritus Professor of Scandinavian Studies, University College London.

Contents:
Section 1: Principles of Practice. Part A: Clinical Aspects. R. Langton Hewer, A. Tennant, Epidemiology of Disabling Neurological Disorders. C.D. Ward, S. McIntosh, The Rehabilitation Process: A Neurological Perspective. M.P. Barnes, Organisation of Neurological Rehabilitation Services. R. Ll. Wood, The Rehabilitation Team. C. Collin, Measurement of Disability and Handicap. M. Saunders, Ethical Implications of Disablement. Part B: Mechanisms of Recovery. A.J. Larner, M.V. Sofroniew, Mechanisms of Cellular Damage and Recovery. L.G. Cohen, M. Hallett, Neural Plasticity and Recovery of Function. S.B. Dunnett, Neural Tissue Transplantation. L.L. Pinnington, C.D. Ward, Learning and Skill Acquisition. T. Mulder, J. Hochstenbach, Motor Control and Learning: Implications for Neurological Rehabilitation. Section 2: Assessment and Treatment of Functional Deficits. Part A: Mobility. M.P. Barnes, Spasticity. R.J. Hardie, J. Rothwell, Tremor and Ataxia. S. Edwards, S. Mawson, R.J. Greenwood, Physical Therapies. G. Yarney, R.J. Greenwood, Physical Consequences of Neurological Disablement. G.R. Johnson, Biomechanics and Rehabilitation Engineering. N.C.M. Fyfe, E.J.W. McClemont, E. Panton, L. Sandles, Assistive Technology: Mobility Aids, Environmental Control Systems and Communication Aids. D. Rushton, Functional Neurostimulation in Rehabilitation. Part B: Other Physical Disability. D.M. Justins, M. Paes, P.H. Richardson, Pain Relief in Neurological Rehabilitation. C. Kennard, A. Pambakian, A.J. Wilkins, Special Senses. J.F. Hussain, C. Haslam, C.J. Fowler, Neurogenic Bladder Dysfunction and its Management. B. Chandler, Sex and Relationships in Neurological Disability. R.S. Howard, Neurogenic Respiratory Failure. S. Wessely, D. El Kabir, T. Chalder, Chronic Fatigue. J. Whittaker, A. Dunnachie, The Assessment and Management of Neurogenic Swallowing Disorders. P.M. Enderby, Dysarthria. Part C: Cognitive Function. S. Byng, E.V. Jones, Therapy for the Language Impairment in Aphasia. B.A. Wilson, L. Clare, Rehabilitation of Memory Disorders. N. Alderman, P. Burgess, Assessment and Rehabilitation of the Dysexecutive Syndrome. I.H. Robertson, The Rehabilitation of Visuospatial, Visuoperceptual and Apraxic Disorders. Part D: Personality and Behaviour. L.H. Goldstein, Behaviour Problems. A. House, Psychiatric Aspects of Neurological Rehabilitation. H. Merskey, Psychosomatic Disorders. M. Oddy, Psychosocial Consequences of Brain Injury. Section 3: Specific Disorders. T.M. McMillan, R.J. Greenwood, Head Injury. D.T. Wade, Stroke Rehabilitation: The Evidence. P.J. Thompson, S.D. Shorvon, D. Heaney, The Epilepsies. B. Pentland, Parkinsonism and Dystonia. M.P. Barnes, Multiple Sclerosis. C.D. Ward, N.R. Dennis, Huntington's Disease. R.T. Woods, Rehabilitation in Alzheimer's Disease and Other Dementias. C. Murray-Leslie, P. Critchley, The Young Adult with Neurological Disabilities with Particular Reference to Cerebral Palsy and Spinal Bifida. E.A. Davies, C.R.A. Clark, Malignant Cerebral Gliomas: Rehabilitation and Care. J. Allibone, B. Taylor, F.R.I. Middleton, Spinal Injury. J.C. Chawla, D. Playford, Non-traumatic Myelopathy. P. Shaw, Motor Neurone Disease. R. Birch, Management of Brachial Plexus Injuries. M. Reilly, R.J. Greenwood, Disorders of the Peripheral Nerve. N. Davies, G. Cochrane, M. Hanna, Muscle Disorders. Index.

Neurological Rehabilitation is the latest volume in the definitive Handbook of Clinical Neurology series. It is the first time that this increasing important subject has been included in the series and this reflects the growing interest and quality of scientific data on topics around neural recovery and the practical applications of new research. The volume will appeal to clinicians from both neurological and rehabilitation backgrounds and contains topics of interest to all members of the multidisciplinary clinical team as well as the neuroscience community. The volume is divided into five key sections. The first is a summary of current research on neural repair, recovery and plasticity. The authors have kept the topics readable for a non-scientific audience and focused on the aspects of basic neuroscience that should be most relevant to clinical practice. The next section covers the basic principles of neurorehabilitation, including excellent chapters on learning and skill acquisition, outcome measurement and functional neuroimaging. The key clinical section comes next and includes updates and reviews on the management of the main neurological disabling physical problems, such as spasticity, pain, sexual functioning and dysphagia. Cognitive, emotional and behavioural problems are just as important and are covered in the next section, with excellent chapters, for example, on memory and management of executive dysfunction. The final part draws the sections on symptom management together by discussing the individual diseases that are most commonly seen in neurorehabilitation and providing an overview of the management of the disability associated with those disorders. The volume is a definitive review of current neurorehabilitation practice and will be valuable to a wide range of clinicians and scientists working in this rapidly developing field.
*A volume in the Handbook of Clinical Neurology series, which has an unparalleled reputation as the world's most comprehensive source of information in neurology.
*International list of contributors including the leading workers in the field.
*Describes the advances which have occurred in clinical neurology and the neurosciences, their impact on the understanding of neurological disorders and on patient care.

Botulinum toxins now play a very significant role in the management of a wide variety of medical conditions; from headaches to hypersalivation, and from spasticity to sweating. In this book, a strong, international team of experts outline the basic neurochemistry of botulinum toxins and chart the progress of the drug from laboratory to clinic. Then individual chapters summarize their use for the main clinical indications in the context of other available treatments. This book will be of interest to neuroscientists and practising clinicians working in a wide range of specialities, from neurology and dermatology to pediatrics, plastic surgery and rehabilitation medicine.

One third of people after stroke, having survived the first few weeks, return home with significant residual disability, and can therefore benefit from an active, multidisciplinary rehabilitation programme. This is a comprehensive guide to rehabilitation after stroke, in which leading international authorities set out the basic neuroscientific principles that underlie brain recovery, including chapters on neural plasticity and neural imaging, and describe appropriate rehabilitation strategies for the many different functional problems that can arise after stroke. These include movement disorders, sensory loss, dysphagia and dysarthria, problems with continence and secual difficulties, and cognitive disorders. Also covered are measurement of disability and quality of life, assistive technology and vocational rehabilitation. It is therefore an essential handbook and reference for all members of the multidisciplinary stroke rehabilitation team, including medical personnel, therapists, clinical neuropsychologists and rehabilitation nurses.

Spasticity is a disabling problem for many adults and children with a variety of neurological disorders such as multiple sclerosis, stroke, cerebral palsy and traumatic brain injury. A practical guide for clinicians involved in the management of spasticity, this book covers all aspects of upper motor neurone syndrome from basic neurophysiology and measurement techniques to practical therapy and the use of orthoses. Surgical techniques are also covered, as well as the particular problems of management of spasticity in childhood. In the second edition of this key text, all chapters have been thoroughly updated, with additional coverage of new techniques and new drugs and therapies, whilst continuing the format that has made the first edition the core text in its field. This guide will be invaluable to physicians, physiotherapists, surgeons, orthotists, clinical engineers and health professionals.

Rehabilitation should not stop when the disabled person is discharged from hospital, and many neurological patients require ongoing rehabilitation in order to maximize their functional abilities, minimize complications and promote full participation at home and in the community. This book analyses community rehabilitation needs from many different perspectives, including the views of disabled people, rehabilitation clinicians and service providers. Many examples of community rehabilitation schemes are presented, with evidence for their effectiveness, and case studies are used to highlight the main issues. The authors take an international view, and there are chapters dealing with the disabled child in the community and with neuropsychological rehabilitation. This important book examines the growing trend towards community rehabilitation in neurology and is directed towards all clinicians involved with neurorehabilitation.

Botulinum toxins now play a very significant role in the management of a wide variety of medical conditions; from headaches to hypersalivation, and from spasticity to sweating. In this book, a strong, international team of experts outline the basic neurochemistry of botulinum toxins and chart the progress of the drug from laboratory to clinic. Then individual chapters summarize their use for the main clinical indications in the context of other available treatments. This book will be of interest to neuroscientists and practising clinicians working in a wide range of specialities, from neurology and dermatology to pediatrics, plastic surgery and rehabilitation medicine.

Examining the growth trend towards community rehabilitation in neurology, this book is directed towards all clinicians involved with neurorehabilitation. The study analyzes community rehabilitation needs from diverse international perspectives that include the views of disabled people, rehabilitation clinicians and service providers. Many examples of community rehabilitation plans are presented, and supplemental case studies highlight the main issues. Chapters also cover the disabled child in the community and neuropsychological rehabilitation.