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This book aids the practitioner in understanding the difference between spasticity and muscle stiffness, weighing old and new treatment options, and developing an appropriate treatment algorithm for a given patient. Spasticity is a common and disabling condition after neurologic injury such as stroke, spinal cord injury, multiple sclerosis, traumatic brain injury and cerebral palsy. Current treatments for spasticity may exacerbate other problems. Hence, there is a great need to develop a comprehensive understanding of the pathophysiology of spasticity and muscle stiffness, its assessment, and the various treatment options available to obtain the best results to restore joint alignment, movement, and function. This book is organized into two sections: Part I of the book deals with the pathophysiology and assessment of spasticity and muscle stiffness, and Part II of the book explains the rationale, framework, considerations, and evidence for various treatments for both spasticity and muscle stiffness. This comprehensive approach will enable physiatrists, neurologists, internists, and physical and occupational therapists to achieve the best possible outcomes for their patients.
This Research Topic is devoted to arm and hand movement in health as well as in several disease conditions. It is a collection of several original research papers and reviews, clinical case studies, hypothesis and theory articles, opinions, commentaries, and methods papers that cover some important aspects of the topic from distinct scientific perspectives. We invite the readers to appreciate the range in methodologies and experimental designs that together have led to widen our understanding of this especially broad field of research.
Eye movements provide rich source of information about brain functioning for neurologists and neuroscientists. They provide diagnostic clues, define, and localize motor and cognitive disorders. Objective eye movement assessments associated with clinical observation and genetic testing in neurodegenerative, neurometabolic, and neurogenetic diseases provide insight into their pathophysiology and disease mechanism. Finally the eye movements may be used for testing and following the response to therapies. The concrete value of studying eye movement stems from a number of advantages compared to the study of movements of axial or limb muscles. The eye movements are accessible to clinical inspectio...
The conscious experience of the bodily self is a cornerstone of human nature, which allows us to delineate the boundaries between the surrounding environment and us. A plethora of clinical and experimental investigations has clearly demonstrated that bodily self-consciousness draws on different neuro-cognitive mechanisms with distinct anatomo-functional underpinnings. Among these, the sense of body ownership (i.e., my body belongs to me), and the sense of agency (i.e., I am the author of my actions) have attracted increasing interest in recent years. The former seems to be strongly rooted in afferent sensory signals, whereas the latter appears to be rooted in efferent motor signals and/or th...
Handbook of Physical Medicine and Rehabilitation is a concise but broad reference dedicated to the day-to-day needs of those in physiatric practice, including trainees and other clinicians faced with rehabilitation problems. Contributors from leading rehabilitation programs and centers come together in this unique handbook to provide expert guidance into management techniques for a variety of diagnoses and clinical problems. Structured in its approach and focused on clinical care delivery, this essential resource is designed to help practitioners navigate the PM&R landscape with insight into conditions and issues encountered in everyday practice regardless of setting. Designed for on-the-go ...
This practical handbook for clinicians covers pharmacological and non-pharmacological treatment options in neurological rehabilitation.
This issue of Physical Medicine & Rehabilitation Clinics will focus on stroke rehabilitation and will include articles such as: Mechanisms of stroke recovery, Insights from basic sciences, Stroke recovery and predictors of rehabilitation outcomes, Upper limb motor impairments, Post-stroke spasticity, Communication disorders and dysphagia, Neuropharmacology of Recovery, Robotic therapy, and many more.
This issue of Physical Medicine and Rehabilitation Clinics, guest edited by Dr. Miriam Segal, will cover the important topic of Muscle Overactivity in Upper Motor Neuron Syndrome, including assessment and problem-solving for complex cases. Topics discussed in the volume will include: Functional/problem based assessment in patients with spinal cord injury; Special considerations in pediatric assessment; Special considerations and assessment of spasticity and multiple sclerosis; Pharmacologic treatment tools; Peripheral neurolysis; The role of physical and occupational therapy; Neurosurgical approaches; The neuro-orthopedic approach; Upper extremity problem-solving: Challenging cases; Lower extremity problem-solving: Challenging cases; and Emerging therapies.
Now in its seventh edition, this reputable textbook is an ideal introduction to the study of human movement and an excellent reference encouraging and directing further study. For the first time there is a chapter dedicated to measuring and understanding physical activity, recognising the importance of this area to many health and sports professionals. More time is spent explaining the basic principles of biomechanics and the way they can be used to improve practice, including tissue mechanics and movement analysis techniques. An Introduction to Human Movement and Biomechanics is the perfect guide for students and professionals all around the world to consolidate learning and apply to real c...
An account of the neurobiology of motor recovery in the arm and hand after stroke by two experts in the field. Stroke is a leading cause of disability in adults and recovery is often difficult, with existing rehabilitation therapies largely ineffective. In Broken Movement, John Krakauer and S. Thomas Carmichael, both experts in the field, provide an account of the neurobiology of motor recovery in the arm and hand after stroke. They cover topics that range from behavior to physiology to cellular and molecular biology. Broken Movement is the only accessible single-volume work that covers motor control and motor learning as they apply to stroke recovery and combines them with motor cortical ph...