Topics in spinal cord injury medicine:
Gespeichert in:
| Format: | Buch |
|---|---|
| Sprache: | English |
| Veröffentlicht: |
Philadelphia [u.a.]
Saunders
2000
|
| Schriftenreihe: | Physical medicine and rehabilitation clinics of North America
11,1 |
| Schlagworte: | |
| Online-Zugang: | Inhaltsverzeichnis |
| Beschreibung: | XVI, 250 S. Ill. |
Internformat
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| 490 | 1 | |a Physical medicine and rehabilitation clinics of North America |v 11,1 | |
| 650 | 2 | |a Récupération fonctionnelle | |
| 650 | 2 | |a Traumatismes de la moelle épinière - Thérapeutique | |
| 650 | 2 | |a Traumatismes de la moelle épinière - complications | |
| 650 | 4 | |a Spinal Cord Injuries |x rehabilitation | |
| 650 | 4 | |a Spinal Cord Injuries |x therapy | |
| 650 | 4 | |a Spinal cord |x Wounds and injuries | |
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Datensatz im Suchindex
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TOPICS IN SPINAL CORD INJURY MEDICINE
CONTENTS
Foreword xiii
George H. Kraft
Preface xv
Margaret C. Hammond
Levels of Spinal Cord Injury and Predictors of
Neurologic Recovery 1
Steven C. Kirshblum and Kevin C. O'Connor
A comprehensive physical examination of the patient with acute
spinal cord injury is essential in determining the initial level of
injury and is the most accurate method of prognosticating neuro¬
logic recovery. Understanding neurologic recovery helps predict
ultimate functional capability and needs, and helps evaluate the
effectiveness of pharmacologic and therapeutic interventions.
The Respiratory System in Spinal Cord Injury 29
Indira S. Lanig and W. Peter Peterson
Respiratory complications are a leading cause of morbidity and
mortality during the acute and chronic phases after spinal cord
injury (SCI). This article reviews the respiratory impairments
resulting from SCI and discusses a range of management strate¬
gies to be considered from the acute care phase through long term
follow up. The treatment of specific complications and preventive
measures are reviewed.
PHYSICAL MEDICINE AND REHABILITATION
CLINICS OF NORTH AMERICA
VOLUME 11 • NUMBER 1 • FEBRUARY 2000 vii
The Gastrointestinal System and Bowel Management
Following Spinal Cord Injury 45
David Chen and Steven B. Nussbaum
Gastrointestinal system changes following spinal cord injury (SCI)
are generally less obvious than other body system changes. These
alterations in function and the response to management, however,
may have profound implications on the social, emotional, and
physical well being of the individual with SCI. This article re¬
views changes in gastrointestinal function following SCI and dis¬
cusses current issues related to the management of the neuro
genic bowel.
Surgical Procedures of the Bladder After Spinal Cord
Injury 57
Gary J. Gray and Claire Yang
Until recently, renal failure and other urinary tract complications
were reported to be the leading causes of death, secondary to
lower urinary tract dysfunction, among persons with spinal cord
injury (SCI). The restoration of bladder or sphincter to preinjury
function in patients with significant neurogenic bladder dysfunc¬
tion is usually not possible with current medical and surgical
strategies. This article discusses the indications and techniques of
surgical management of the dysfunctional lower urinary tract in
patients with SCI.
Neurologic Recovery and Neurologic Decline After
Spinal Cord Injury 73
James W. Little, Stephen P. Burns, Jennifer J. James, and
Steven A. Stiens
The spinal cord injury (SCI) physician oversees neurologic recov¬
ery in patients with traumatic SCI to achieve optimal functional
outcomes. The SCI physician establishes a prognosis for neuro¬
logic recovery in muscles innervated from the zone of SCI and
from below the SCI, and guides the patient and the interdisciplin¬
ary rehabilitation team in appropriate interventions to optimize
that recovery. Active exercise, central nervous system stimulant
medications, managing spinal hyperreflexia, optimizing nutrition,
and preventing medical complications are interventions that can
enhance recovery. SCI physicians must also monitor for neuro¬
logic decline and intervene early for reversible conditions.
Musculoskeletal Conditions after Spinal Cord Injury 91
Barry Goldstein
The impact of musculoskeletal diseases on the overall function
and well being of a person with spinal cord injury (SCI) cannot
viii contents
be overstated. Even relatively minor musculoskeletal problems
can lead to significant secondary disabilities and new societal
limitations. This article reviews common musculoskeletal prob¬
lems and related secondary disabilities associated with SCI. Fol¬
lowing an overview on the epidemiology and pathophysiology
of each condition, a typical case is presented with a discussion
about diagnostic challenges and therapeutic options.
Metabolic Changes in Persons After Spinal Cord Injury 109
William A. Bauman and Ann M. Spungen
Persons with chronic spinal cord injury (SCI) have several meta¬
bolic perturbations related to paralysis with associated immobili¬
zation and body compositional changes. The constellation of meta¬
bolic changes has many of the distinctive features of syndrome
X, which is characterized by a general state of hyperinsulinemia,
insulin resistance, lipid abnormalities, increased adiposity, hyper¬
tension, and cardiovascular disease. There is evidence to suggest
that endogenous anabolic hormone levels are depressed in at
least a subset of individuals, possibly exacerbating the adverse
lipid and body compositional changes. Because of immobiliza¬
tion, bone is regionally osteoporotic and is continuously lost.
Recognition of the potential occurrence of these metabolic se¬
quelae and of the necessity for appropriate intervention, if avail¬
able, to correct or ameliorate these abnormalities will improve
clinical care in persons with SCI.
Sexual Function and Infertility Following Spinal Cord
Injury 141
Todd A. Linsenmeyer
Changes in sexual function and fertility frequently occur follow¬
ing spinal cord injury (SCI). This article presents an overview of
human sexual response and the changes that occur in that re¬
sponse following SCI. This article addresses the issues of
childbearing for women with SCI, erectile function for men with
SCI, and the issues of fertility and parenting for men and women
with SCI.
Pain after Spinal Cord Injury 157
Thomas N. Bryce and Kristjan T. Ragnarsson
A taxonomy of pain based on regional localization relative to the
neurologic level of spinal cord injury (SCI), and a division into
neuropathic and nociceptive subtypes allows for the classifica¬
tions of pain after SCI. Treatment of these various subtypes of
pain after SCI should be evidence based and may include physi¬
cal measures, pharmacologic treatments, behavioral interventions,
and surgery.
CONTENTS i*
Medical and Rehabilitation Issues in the Care of
Children with Spinal Cord Injury 169
Teresa L. Massagli
This article describes the unique aspects of growth and develop¬
ment that affect the pathophysiology, neurologic impairments,
functional limitations, and disabilities of children with spinal cord
injury (SCI). The rehabilitation process extends over a period of
years because the young child requires time to achieve adequate
upper body strength, adult body proportions, and cognitive skills
for maximal independence. This article also reviews the unique
secondary complications that can occur in children with SCI.
Seating Assessment and Planning 183
Jennifer D. Hastings
The primary mobility for persons with spinal cord injury (SCI) is
seated. This article addresses ways to maximize the SCI patient's
functional mobility with proper prescription of seating. Critical
components of seating are defined and goals for seating are
identified. A format for a postural evaluation as a foundation for
seating intervention is included. An overview of equipment for
seating highlights unique features and components.
Functional Neuromuscular Stimulation in Spinal Cord
Injury 209
John Chae, Kevin Kilgore, Ronald Triolo, and
Graham Creasey
With recent advances in clinical medicine and biomedical engi¬
neering, functional neuromuscular stimulation (FNS) can now be
added to the physiatric armamentarium to decrease the debilitat¬
ing effects of traumatic spinal cord injury. In this article, the
components of FNS systems and their evolution in design are
presented. The clinical implications of FNS are discussed with
respect to upper and lower extremities and bladder applications,
and perspectives on future developments and directions are re¬
viewed.
Developing Clinical Practice Guidelines for Spinal Cord
Medicine: Lessons Learned 227
Andrea K. Biddle and Erin P. Fraher
This article describes the process used by the Consortium for
Spinal Cord Medicine to develop evidence based clinical practice
guidelines for managing and treating individuals with spinal cord
injury and provides important information on lessons learned
and the potential problems to avoid. Issues to consider during
the guideline development process include topic selection and
X CONTENTS
explication, methods for selecting the panel chair and panel mem¬
bers, the writing of recommendations and supporting scientific
rationales, peer reviewing guidelines, and the process for dissemi¬
nating, implementing, and evaluating guidelines. The applicabil¬
ity, advantages, and disadvantages of available evidence and
guideline recommendation grading systems and issues arising
from the lack of scientific evidence supporting particular recom¬
mendations are also discussed.
Index 245
Subscription Information Inside back cover
CONTENTS xi |
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| spelling | Topics in spinal cord injury medicine guest ed.: Margaret C. Hammond Philadelphia [u.a.] Saunders 2000 XVI, 250 S. Ill. txt rdacontent n rdamedia nc rdacarrier Physical medicine and rehabilitation clinics of North America 11,1 Récupération fonctionnelle Traumatismes de la moelle épinière - Thérapeutique Traumatismes de la moelle épinière - complications Spinal Cord Injuries rehabilitation Spinal Cord Injuries therapy Spinal cord Wounds and injuries Rückenmarksverletzung (DE-588)4178632-4 gnd rswk-swf Physikalische Therapie (DE-588)4045960-3 gnd rswk-swf (DE-588)4143413-4 Aufsatzsammlung gnd-content Rückenmarksverletzung (DE-588)4178632-4 s Physikalische Therapie (DE-588)4045960-3 s DE-604 Hammond, Margaret C. Sonstige oth Physical medicine and rehabilitation clinics of North America 11,1 (DE-604)BV004322117 11,1 HBZ Datenaustausch application/pdf http://bvbr.bib-bvb.de:8991/F?func=service&doc_library=BVB01&local_base=BVB01&doc_number=008857240&sequence=000002&line_number=0001&func_code=DB_RECORDS&service_type=MEDIA Inhaltsverzeichnis |
| spellingShingle | Topics in spinal cord injury medicine Physical medicine and rehabilitation clinics of North America Récupération fonctionnelle Traumatismes de la moelle épinière - Thérapeutique Traumatismes de la moelle épinière - complications Spinal Cord Injuries rehabilitation Spinal Cord Injuries therapy Spinal cord Wounds and injuries Rückenmarksverletzung (DE-588)4178632-4 gnd Physikalische Therapie (DE-588)4045960-3 gnd |
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| title | Topics in spinal cord injury medicine |
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| title_exact_search | Topics in spinal cord injury medicine |
| title_full | Topics in spinal cord injury medicine guest ed.: Margaret C. Hammond |
| title_fullStr | Topics in spinal cord injury medicine guest ed.: Margaret C. Hammond |
| title_full_unstemmed | Topics in spinal cord injury medicine guest ed.: Margaret C. Hammond |
| title_short | Topics in spinal cord injury medicine |
| title_sort | topics in spinal cord injury medicine |
| topic | Récupération fonctionnelle Traumatismes de la moelle épinière - Thérapeutique Traumatismes de la moelle épinière - complications Spinal Cord Injuries rehabilitation Spinal Cord Injuries therapy Spinal cord Wounds and injuries Rückenmarksverletzung (DE-588)4178632-4 gnd Physikalische Therapie (DE-588)4045960-3 gnd |
| topic_facet | Récupération fonctionnelle Traumatismes de la moelle épinière - Thérapeutique Traumatismes de la moelle épinière - complications Spinal Cord Injuries rehabilitation Spinal Cord Injuries therapy Spinal cord Wounds and injuries Rückenmarksverletzung Physikalische Therapie Aufsatzsammlung |
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