ABSTRACT

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.

chapter |2 pages

SECTION 1 Principles of practice

part |2 pages

PART A Clinical aspects

chapter 1|10 pages

The epidemiology of disabling neurological disorders

ByR. Langton Hewer, A. Tennant

chapter 2|14 pages

The rehabilitation process: A neurological perspective

ByC.D. Ward, S. McIntosh

chapter 3|12 pages

Organisation of neurological rehabilitation services

ByM.P. Barnes

chapter 4|10 pages

The rehabilitation team

ByR.Ll. Wood

chapter 5|12 pages

Measurement of disability and handicap

ByC. Collin

chapter 6|6 pages

Ethical implications of disablement

ByM. Saunders

part |2 pages

PART B Mechanisms of recovery

chapter 7|28 pages

Mechanisms of cellular damage and recovery

ByA.J. Larner, M.V. Sofroniew

chapter 8|14 pages

Neural plasticity and recovery of function

ByL.G. Cohen, M. Hallett

chapter 9|18 pages

Neural tissue transplantation

ByS.B. Dunnett

chapter 10|12 pages

Learning and skill acquisition

ByL.L. Pinnington, C.D. Ward

chapter 11|10 pages

Motor control and learning: Implications for neurological rehabilitation

ByT. Mulder, J. Hochstenbach

part |2 pages

PART A Mobility

chapter 12|14 pages

Spasticity

ByM.P. Barnes

chapter 13|8 pages

Tremor and ataxia

ByR.J. Hardie, J.C. Rothwell

chapter 14|12 pages

Physical therapies

ByS. Edwards, S. Mawson, R.J. Greenwood

chapter 15|32 pages

Physical consequences of neurological disablement

ByG. Yamey, R.J. Greenwood

chapter 16|8 pages

Biomechanics and rehabilitation engineering

ByG.R. Johnson

chapter 17|14 pages

Assistive technology: Mobility aids, environmental control systems, and communication aids

ByN.C.M. Fyfe, E.J.W. McClemont, L.E. Panton, L.J. Sandles

chapter 18|14 pages

Functional neurostimulation in rehabilitation

ByD.N. Rushton

part |2 pages

PART B Other physical disability

chapter 19|14 pages

Pain relief in neurological rehabilitation

ByD. Justins, M. Paes (deceased), P. Richardson

chapter 20|12 pages

Special senses

ByA. Pambakian, C. Kennard, A.J. Wilkins

chapter 21|12 pages

Neurogenic bladder dysfunction and its management

ByI.F. Hussain, C. Haslam, C.J. Fowler

chapter 22|14 pages

Sex and relationships in neurological disability

ByB.J. Chandler

chapter 23|14 pages

Neurogenic respiratory failure

ByR.S. Howard, D. El Kabir, A.J. Williams

chapter 24|14 pages

Chronic fatigue

ByS. Wessely, T. Chalder

chapter 25|16 pages

The assessment and management of swallowing disorders

ByJ. Whitaker, A. Dunnachie, T. Hughes

chapter 26|6 pages

Dysarthria

ByP. Enderby

part |2 pages

PART C Cognitive function

chapter 27|12 pages

Therapy for the language impairment in aphasia

ByS. Byng, E. Jones

chapter 28|10 pages

Rehabilitation of memory disorders

ByB.A. Wilson, L. Clare

chapter 29|16 pages

Assessment and rehabilitation of the dysexecutive syndrome

ByN. Alderman, P.W. Burgess

part |2 pages

PART D Personality and behaviour

chapter 31|14 pages

Behaviour problems

ByL.H. Goldstein

chapter 32|10 pages

Psychiatry in neurological rehabilitation

ByA. House

chapter 33|10 pages

Psychosomatic disorders

ByH. Merskey

chapter 34|10 pages

Psychosocial consequences of brain injury

ByM. Oddy

part |2 pages

SECTION 3 Specific disorders

chapter 35|22 pages

Head injury rehabilitation

ByT.M. McMillan, R.J. Greenwood

chapter 36|18 pages

Stroke rehabilitation: The evidence

ByD.T. Wade

chapter 37|18 pages

The epilepsies

ByP. Thompson, S. Shorvon, D. Heaney

chapter 38|10 pages

Parkinsonism and dystonia

ByB. Pentland

chapter 39|20 pages

Multiple sclerosis

ByM.P. Barnes

chapter 40|14 pages

Huntington’s disease

ByC.D. Ward, N.R. Dennis

chapter 41|10 pages

Rehabilitation in Alzheimer’s disease and other dementias

ByR. Woods

chapter 43|16 pages

Malignant cerebral gliomas: Rehabilitation and care

ByE. Davies, C. Clarke

chapter 44|20 pages

Spinal injury

ByJ. Allibone, B. Taylor, F. Middleton

chapter 45|10 pages

Non-traumatic myelopathies

ByJ.C. Chawla, E.D. Playford

chapter 46|22 pages

Motor neurone disease

ByP.J. Shaw

chapter 47|32 pages

Management of brachial plexus injuries

ByR. Birch

chapter 48|10 pages

Disorders of the peripheral nerves

ByM. Reilly, R.J. Greenwood

chapter 49|22 pages

Muscle disorders

ByN. Davies, G. Cochrane, M. Hanna