This book provides a state-of-the-art overview of the principles of cancer care and best practices for restoring function and quality of life to cancer survivors. Cancer rehabilitation interventions including physical, occupational, or speech therapy; exercise training; psychosocial and cognitive interventions; and physician-directed diagnostic imaging, injections, and pharmacologic symptom management have the potential to treat many impairments from cancer treatment, thereby improving functioning and quality of life. Multimodal rehabilitation interventions have also been shown to improve return to work compared to usual care. The chapters of the book review the latest evidence about which interventions should be used to treat specific impairments thereby constituting the most comprehensive and up-to-date reference on this topic. The book is organized into nine parts comprising 90 chapters. Part one presents history of cancer rehabilitation, cancer statistics, and principles of cancer care. Part two discusses various cancer types, which includes breast cancer, gastrointestinal malignancies, head and neck cancer, pediatric cancers, and primary bone tumors and their assessment and management. Parts three through six describe cancer pain, medical complications, neurological and neuromuscular complications, and musculoskeletal complications of cancer such as radiculopathy, plexopathy, autonomic dysfunction, and bone metastases and their management. Part seven discusses general topics related to cancer rehabilitation, which includes physical and occupational therapy, therapeutic modalities in cancer, therapeutic exercise in cancer, nutritional care of the cancer patient, sexuality issues, and distress and other psychiatric considerations in cancer rehabilitation. Part eight thoroughly explores the identification, evaluation, and treatment of specific impairments and disabilities that result from cancer and the treatment of cancer such as balance and gait dysfunction, cancer related fatigue, radiation fibrosis syndrome, and bowel dysfunction. Part nine discusses functional measurement in patients with cancer, health maintenance and screening in cancer survivors, research issues, barriers to accessing cancer rehabilitation, and building a cancer rehabilitation program.
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This book concentrates on board-related concepts in the field of Rehabilitation Medicine. It will appeal to medical students, residents, and practicing physiatrists. Residents will find the book essential in preparing for Part I and Part II of the Physical Medicine and Rehabilitation (PM&R) Board Certification because it is one of the only books of its kind with major focus on board-related material giving a synopsis of up-to-date PM&R orthopedic, neurologic, and general medical information all in one place. Over 500 diagrams simplify material that is board pertinent. The topics are divided into major subspecialty areas such as stroke, traumatic brain injury, musculoskeletal medicine, electrodiagnostic medicine, prosthetics and orthotics, spinal cord injuries, physical modalities, pulmonary, cardiac, and cancer rehabilitation, pediatric rehabilitation, and pain medicine. All chapters are authored by physicians with special interests and clinical expertise in the respective subjects. Board pearls are highlighted with an open-book icon throughout the text. These pearls are aimed at stressing the clinical and board-eligible aspects of the topics. The content is modeled after the topic selection of the American Academy of Physical Medicine and Rehabilitation Self-Assessment Examination for Residents (SAE-R) Content Outline. This was done specifically to help all residents, post graduates in yearly preparation and carryover from the SAE preparation to board exam preparation. Practicing physiatrists should also find this book helpful in preparation for the recertifying exam.
While there are several comprehensive textbooks on movement disorders, all are lengthy, thick, hardbound books and thus are less useful for the busy, practicing clinician who often needs a quick guide on the diagnostic approach and therapy for various movement disorders. There are a few practical, therapeutic handbooks on Parkinson disease but there are none for other types of movement disorders (chorea, dystonia, myoclonus, ataxia, etc). The ever busy clinician will also benefit from a “primer” on
DBS—its new device types, indications, identification of ideal and non-ideal candidates, and trouble-shooting. This third edition is a practical yet authoritative guide to the diagnosis and work up, and the pharmacological, non-pharmacological and surgical treatments of all types of movement disorders for the clinician-intraining and the practicing clinician. The authors used an “expanded outline bullet point” format, with liberal use of flow charts, algorithms and tables, with emphasis on clinical presentation, work-up and management, rather than pathophysiology and disease mechanism. In summary, this book should provide a comprehensive and practical approach to the neurological, behavioral, and surgical treatment of movement disorders. Because the authors anticipate that clinicians may be reading this book comprehensively, from start to finish; or, using it “on demand” by quickly surveying specific chapters related to the phenomenology of a challenging patient—content overlap has been intentional, to emphasize concepts and principles in diagnosis and management. Several movement disorders can present with different phenomenologies, thus several disorders will reappear in various chapters. From the first to this latest edition, the authors aim has always been to empower the modern clinician with the necessary skills in making the evaluation of movement disorders less intimidating and more rewarding.
The practice of Pediatric Rehabilitation Medicine (
PM&R) is diverse from one country to another, one region to another, one medical center to another and one provider to another. This book covers these diverse areas of practice, whether the care is provided to patients in a large metropolitan tertiary care center, a smaller medical referral center in a less-populated city, or a truly rural practice where the pediatric physiatrist is often the first specialty physician to encounter the child with a disability. The textbook is intended for use by medical providers of all types and especially students, residents, fellows, and busy practicing clinicians within or in close quarters of our specialty of PM&R. The sixth edition of the book provides eight new chapters devoted to Brachial Plexus Palsy, Oncology, Robotics, Genetics, Spasticity Management, Rheumatology, Burns, and Advocacy and significantly expanded coverage of Acquired Brain Injury. These chapters reflect the growth and expansion of the field as medical science evolves, new diagnoses appear, and technology advances at an astounding pace. The thought of powered orthotics and exoskeletons with robotic arms and legs would have been almost impossible to conceive even a decade ago. The book brings in new ideas, many new authors and chapters, and updated material to reflect current evidence-based thinking and practice.
In this comprehensive and clinically directed reference for the diagnosis and treatment of persons with spinal cord injury (
SCI) and related disorders, the editors of the two leading texts on SCImedicine have joined together to develop a singular premier resource for professionals in the field. Spinal Cord Medicine, Third Edition, draws on the expertise of seasoned editors and experienced chapter authors to produce one collaborative volume with the most up-to-date medical, clinical, and rehabilitation knowledge in SCImanagement across the spectrum of care. This jointly configured third edition builds on the foundation of both prior texts to reflect the breadth and depth of the specialty. The book covers assessment, acute injury management and surgical considerations, medical management, neurological and musculoskeletal care, rehabilitation, recent research advances, system-based practice, and special topics. New and expanded content focuses on the significant changes in the epidemiology of traumatic injury, the classification of SCI, and the latest medical treatments of multiple complications, as well as new surgical considerations in acute and chronic SCIand the many advances in technology that impact rehabilitation and patients’ overall quality of life.
Botulinum toxin (
BoNT) therapy involves as much art as it does science. Prescription and injection of a BoNTproduct requires that clinicians be familiar with the unique properties of each product, including its dosage range for a seemingly ever-expanding list of approved or published medical indications. This quick reference guide provides detailed dosage information for the four BoNTproducts available in the USA(abobotulinumtoxinA, incobotulinumtoxinA, onabotulinumtoxinA, and rimabotulinumtoxinB) which are approved for both cosmetic and medical indications. Included in this abbreviated manual are updated regulatory agency approved medical indications for both adults and children and recommended dosage ranges in the USA(Food and Drug Administration), Canada (Health Canada), the United Kingdom (Medicines & Healthcare products Regulatory Agency), and the European Union (European Medicines Agency). Detailed BoNTdosage information for each of these BoNTproducts is presented in an easy-to-navigate table format. The tables are organized by clinical indication along with each agency-approved dosage where available and the published dosage ranges per treatment session and per structure injected. Providing this information in a single reference manual allows clinicians to quickly calculate the dosage of a given BoNTproduct for a given indication and/or structure. The anatomical illustrations provided in this manual serve as a reference guide for clinicians to enhance the localization of muscles and other target structures during the injection planning process. The authors hope this information will be useful for clinicians and for the patients to whom they provide care.
Bone stress injury (
BSI) represent an overuse injury to bone seen in athletes and active individuals. Despite being a common injury seen in clinical practice, there exists confusion on multiple aspects of this injury, including appropriate terminology. For example, “stress fracture” is often used interchangeably with “stress reaction” or “stress response”. Recent scientific discoveries on the topic of bone stress injury have advanced our understanding of risk factors for injury. Rarely can the injury be attributed solely to training errors. While training volume, intensity, and frequency do influence bone remodeling, most BSIare multifactorial and involve a combination of biological, anatomical, and biomechanical risk factors for injury. Recognizing risk factors for BSImay help to develop a comprehensive treatment plan to address each injury. Further, the goal of treating the injury should focus on methods to optimize bone health and develop strategies for future injury prevention. This book is organized to address aspects of clinical diagnosis, rehabilitation, and prevention. The authors invited experts across a range of topics to provide a more complete understanding of the full spectrum in BSItreatment. Initial chapters focus on evaluating injury, including the role of the clinical examination and imaging to guide treatment. Recognition of risk factors for BSIare separated into biological and biomechanical risk factors, including gender, age, and anatomical location. The book reviews methods to optimize treatment in each section by anatomical location, and reviews strategies for refractory injuries in designated chapters on medications, emerging technologies, and interventions. Further, the authors identify what is known about future injury prevention and methods to optimize bone strength. The goal of this book is to provide a comprehensive understanding of BSIthat improves clinical outcomes and provides a patient-centered treatment program.
Considering the various comments the authors received from a variety of readers of the past editions, it was clear that this text needed to keep the format and hold the place in the sports medicine review category of thorough, yet succinct, texts. This third edition has kept true to the sports medicine board examination content outline in order to cover all topics testable on the examination. Even the length of each chapter is designed according to how much that topic is weighted on the examination. The authors have also kept the easy-to-read outline format as well as the reference lists at the end of each chapter, which can be used for more in-depth study of the topics. The book is divided into three primary sections: General Topics; Health Promotion and Injury Prevention; and Diagnosis and Treatment of Sports Injuries and Conditions. The third section is divided into the following four subsections: Musculoskeletal Injuries and Conditions; Medical, Neurological, and Psychological Conditions; Special Populations; and Hot Topics in Sports Medicine. The authors have added a new chapter to the Hot Topics subsection on exercise as medicine to supplement existing chapters on sports ultrasound and regenerative medicine. For this third edition, they have added rationales with detailed explanations of why one answer is correct and the others are not. The book is meant to be used as a study guide for primary care sports medicine physicians (family medicine, emergency medicine, internal medicine, pediatrics, and physical medicine and rehabilitation) and orthopedic sports medicine physicians preparing to take the sports medicine subspecialty examination for initial certification or recertification. It also can serve as a sports medicine reference for other medical professionals such as athletic trainers, physical therapists, chiropractors, advanced practice providers, physicians in training (i.e., interns, residents, and fellows), and other physicians interested in sports medicine.
This book addresses new treatment pathways, outcomes, and economics of spasticity care within the larger context of the rapidly changing health care environment. Divided into four sections, the book is intended to provide both clinicians and researchers up-to-date access on the latest comprehensive treatment of spasticity. The first part of the book includes a general overview with four chapters highlighting why spasticity is important, epidemiology of spasticity and other signs of the upper motor neuron syndrome, and finally ancillary findings associated with caring for the patient with spasticity. The second part of the book focuses on the assessment tools in diagnosis and management of spasticity. It includes an outline of general overview measurement tools, specific techniques and scales, assessment of the upper and lower extremity, and setting realistic goals for treatment. The third part of the book explains the role of the physical and occupational therapist in spasticity management, the use of ultrasound in guidance of botulinum toxin management, and emerging technologies in the treatment of spasticity. The final part of the book is devoted to individual diseases involving spasticity and treatment within the context of these conditions. In addition to updated chapters on evaluation, genetics, and spasticity in adults and children with spinal cord injury, multiple sclerosis, stroke, traumatic brain injury, and cerebral palsy, the book include new chapters on more specialized areas including spasticity in patients with cancer, treatment of spasticity in patients in long-term care facilities, and the economics of spasticity treatment.
This book serves as a practical resource to physiatrists who are providing daily inpatient care or who are sharing call on inpatients. It focuses on the most common medical complications for major rehabilitation diagnoses in adults who we see in a large rehabilitation hospital. The book covers the major topics including musculoskeletal disorders, spinal cord injury, multiple trauma and burns, stroke, traumatic brain injury, neurological and rheumatological disorders, cancer rehabilitation, and amputations written by physiatrists. It discusses the diagnosis and management of the majority of medical complications written by acute care specialists. The book also focuses on total hip arthroplasty (THA) and knee arthroplasty (TKA), and discusses any differences the practitioner might encounter while treating these patients after surgery in the inpatient unit. TKA goals are to facilitate the rapid recovery of the knee range of motion (ROM), strengthen the knee and hip musculature, and return to functional independence. Medical complications are common among patients undergoing inpatient rehabilitation, so the rehabilitation specialists need to be aware of them, know their treatments and prevention strategies. The complications can be direct or indirect. Those that might require transfer would more likely be as a result of indirect complications such as pneumonia, DVT with pulmonary embolism (PE), urinary tract infections (UTIs) that become systemic, hip fracture from fall, and gastrointestinal (GI) ulcer. Rehabilitation inpatient facilities host a heterogeneous group of patients. The age of such patients varies widely as does the range of their conditions, which includes neuromuscular diseases, brain injuries, stroke, spinal cord injuries, burns, fractures, prosthetic joint replacement, organ transplants, and conditioning following long-term hospitalizations. Special considerations are required in the evaluation of fevers since different patient groups may exhibit atypical symptoms of infection and the etiology of fever includes noninfectious causes.