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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.
Table of Contents
Contributors vii
Foreword xi
Preface to the second edition xiii
Preface to the first edition xv
SECTION 1 Principles of Practice
PART A Clinical aspects
1 The epidemiology of disabling 5 (10)
neurological disorders
R. Langton Hewer
A. Tennant
2 The rehabilitation process: A 15 (14)
neurological perspective
C.D. Ward
S. McIntosh
3 Organisation of neurological 29 (12)
rehabilitation services
M.P. Barnes
4 The rehabilitation team 41 (10)
R.H. Wood
5 Measurement of disability and handicap 51 (12)
C. Collin
6 Ethical implications of disablement 63 (8)
M. Saunders
PART B Mechanisms of recovery
7 Mechanisms of cellular damage and recovery 71 (28)
A.J. Larner
M.V. Sofroniew
8 Neural plasticity and recovery of function 99 (14)
L.G. Cohen
M. Hallett
9 Neural tissue transplantation 113 (18)
S.B. Dunnett
10 Learning and skill acquisition 131 (12)
L.L. Pinnington
C.D. Ward
11 Motor control and learning: Implications 143 (14)
for neurological rehabilitation
T. Mulder
J. Hochstenbach
SECTION 2 Assessment and Treatment of
Functional Deficits
PART A Mobility
12 Spasticity 157 (14)
M.P. Barnes
13 Tremor and ataxia 171 (8)
R.J. Hardie
J.C. Rothwell
14 Physical therapies 179 (12)
S. Edwards
S. Mawson
R.J. Greenwood
15 Physical consequences of neurological 191 (32)
disablement
G. Yamey
R.J. Greenwood
16 Biomechanics and rehabilitation 223 (8)
engineering
G.R. Johnson
17 Assistive technology: Mobility aids, 231 (14)
environmental control systems, and
communication aids
N.C.M. Fyfe
E.J.W. McClemont
L.E. Panton
L.J. Sandles
18 Functional neurostimulation in 245 (16)
rehabilitation
D.N. Rushton
PART B Other physical disability
19 Pain relief in neurological 261 (14)
rehabilitation
D. Justins
M. Paes
P. Richardson
20 Special senses 275 (12)
A. Pambakian
C. Kennard
A.J. Wilkins
21 Neurogenic bladder dysfunction and its 287 (12)
management
I.F. Hussain
C. Haslam
C.J. Fowler
22 Sex and relationships in neurological 299 (14)
disability
B.J. Chandler
23 Neurogenic respiratory failure 313 (14)
R.S. Howard
D. El Kabir
A.J. Williams
24 Chronic fatigue 327 (14)
S. Wessely
T. Chalder
25 The assessment and management of 341 (16)
swallowing disorders
J. Whitaker
A. Dunnachie
T. Hughes
26 Dysarthria 357 (8)
P. Enderby
PART C Cognitive function
27 Therapy for the language impairment in 365 (12)
aphasia
S. Byng
E. Jones
28 Rehabilitation of memory disorders 377 (10)
B.A. Wilson
L. Clare
29 Assessment and rehabilitation of the 387 (16)
dysexecutive syndrome
N. Alderman
P.W. Burgess
30 The rehabilitation of visuospatial, 403 (16)
visuoperceptual, and apraxic disorders
I.H. Robertson
PART D Personality and behaviour
31 Behaviour problems 419 (14)
L.H. Goldstein
32 Psychiatry in neurological rehabilitation 433 (10)
A. House
33 Psychosomatic disorders 443 (10)
H. Merskey
34 Psychosocial consequences of brain injury 453 (12)
M. Oddy
SECTION 3 Specific Disorders
35 Head injury rehabilitation 465 (22)
T.M. McMillan
R.J. Greenwood
36 Stroke rehabilitation: The evidence 487 (18)
D.T. Wade
37 The epilepsies 505 (18)
P. Thompson
S. Shorvon
D. Heaney
38 Parkinsonism and dystonia 523 (10)
B. Pentland
39 Multiple sclerosis 533 (20)
M.P. Barnes
40 Huntington's disease 553 (14)
C.D. Ward
N.R. Dennis
41 Rehabilitation in Alzheimer's disease 567 (10)
and other dementias
R. Woods
42 The young adult with neurological 577 (18)
disabilities with particular reference to
cerebral palsy and spina bifida
C. Murray-Leslie
P. Critchley
43 Malignant cerebral gliomas: 595 (16)
Rehabilitation and care
E. Davies
C. Clarke
44 Spinal injury 611 (20)
J. Allibone
B. Taylor
F. Middleton
45 Non-traumatic myelopathies 631 (10)
J.C. Chawla
E.D. Playford
46 Motor neurone disease 641 (22)
P.J. Shaw
47 Management of brachial plexus injuries 663 (32)
R. Birch
48 Disorders of the peripheral nerves 695 (10)
M. Reilly
R.J. Greenwood
49 Muscle disorders 705 (22)
N. Davies
G. Cochrane
M. Hanna
Index 727
