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
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.
All doctors actively managing chronic disabling neurological disease should become familiar with this book. In many cases, it will also be a more useful first reference for therapists and nurses than a neurology or neurosurgery textbook. - Stephen G.B. Kirker, Cambridge University, in ACNR magazine