This text applies concepts from the "Guide to Physical Therapist Practice," in conjunction with evaluation of the current evidence, to provide balanced coverage of rehabilitation practice across the preferred practice patterns of physical therapy: musculoskeletal, neuromuscular, cardiopulmonary, and integumentary. This book gives specific, detailed, evidence-based information on the pathology, etiology, examination, evaluation, diagnosis, prognosis and interventions for patients involved in physical rehabilitation.
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Ch01: Introduction *Introduces the student to physical rehabilitation *Includes an introduction to disablement models (Nagi, ICIDH, ICF) and the Guide to Physical Therapist Practice, 2e * Introduces the student to the text, including the structure, its basis in the APTA Guide to Physical Therapist Practice, 2e, and the additional resources available with the text Ch02: Evidence-based Practice *Presents the history and principles of evidence-based practice *Includes a detailed discussion of techniques for evaluating the quality of research studies including criteria for what makes a study good or bad Ch03: Skeletal Demineralization *Pathology discussion includes: *Bone physiology (Unique) *Risk factors (Unique) *Examination discussion includes: *All body systems (musculoskeletal, neuromuscular, cardiopulmonary, and integumentary) *Testing considerations for patients with skeletal demineralization *An overview of medical tests for bone mineral density *Intervention discussion includes: *Aerobic exercise *Resistance training *Weight-bearing exercise *Body mechanics training *Medications, diet, and rehabilitation interventions for osteoporotic spinal fractures Ch04: Posture *Introduction covers ideal alignment and forces affecting posture *Pathology discussion includes: *Impaired posture *Examination discussion includes: *All body systems (musculoskeletal, neuromuscular, cardiopulmonary, and integumentary) *General posture *Joint positions and motions, Positions and motions of specific joints (including the spine) *Joint alignment by region *Range of motion *Muscle performance test *Intervention discussion includes: *Stretching and mobilization *Stabilization *Exercise *Coverage of proper alignment and control by region (Unique) Ch05: Muscle Weakness *Chapter begins with discussion of muscle structure, including physiology of muscle contraction and factors that affect muscle performance (Unique) *Pathology discussion includes: *Muscle strain *Disuse atrophy *Muscle diseases *Neurological diseases affecting muscle performance *Examination discussion includes: *All body systems (musculoskeletal, neuromuscular, cardiopulmonary, and integumentary) *Testing of muscle performance and joint integrity *Circulation, ventilation and respiration/gas exchange *Orthotic, protective and support devices *Intervention discussion includes: *Overload and SAID principles *Exercise prescription and progression (Unique) *Neuromuscular electrical stimulation *Resistance training *Muscle strength (isometric, isotonic, isokinetic, or plyometric) training (Unique) Ch06: Connective Tissue Dysfunction *Chapter focuses on systemic inflammatory diseases that cause joint inflammation *Pathology discussion includes: *Systemic lupus erythematosus *Rheumatoid arthritis *Spondyloarthropathies *Polymyalgia rheumatica *Polymyositis and dermatomyositis *Sjogren's syndrome *Crystal-induced arthropathies *Juvenile rheumatoid arthritis *Examination discussion includes: *All body systems (musculoskeletal, neuromuscular, cardiopulmonary, and integumentary) *Focuses on musculoskeletal and neuromuscular examination *Functional examination includes discussion of self-care and home *management as well as community and leisure integration *Intervention discussion includes: *Concerns specific to all disease processes discussed Ch07: Localized inflammation *Discussion focuses on osteoarthritis, bursitis, tendonitis, and tenosynovitis *Pathology discussion includes: *Stages of tissue healing (Unique) *Components of the functional joint complex (Unique) *Specific inflammatory conditions: osteoarthritis, bursitis, capsulitis, ligament sprain, muscle strain, tendinitis, tenosynovitis, plantar faciitis, tensor fascia lata fasciitis, and pre- and post-natal soft tissue inflammation (Unique) *Examination discussion includes: *All body systems (musculoskeletal, neuromuscular, cardiopulmonary, and integumentary) *Focus on musculoskeletal and functional examinations (gait, locomotion, and balance; assistive and adaptive devices/orthotic, protective, and supportive devices; ergonomics and body mechanics) *Intervention discussion includes: *Iontophoresis *Manual therapy *Therapeutic exercise *Orthotics *Joint protection and tool modification *Conservation of energy Ch08: Spinal Disorders *Discussion of low back pain, spinal degeneration, radiculopathy, intervertebral disc disease, spinal stenosis, spondylolysis, spondylolisthesis, whiplash-associated disorders, and back pain during (and after) pregnancy *Examination discussion includes: *All body systems (musculoskeletal, neuromuscular, cardiopulmonary, and integumentary) *Specific examination techniques (including range of motion tests, muscle performance tests, mechanical provocation tests, peripheral nerve tests, neurodynamic tests) *Intervention discussion includes: *Techniques for specialized topics (spinal stenosis, spondylolisthesis, and whiplash) (Unique) *Special tests includes discussion of vertebral artery test, sacroiliac joint tests, examination of neighboring joints (Unique) *Detailed mobility examination tests *Tests for spinal instability (Unique) *Craniovertebral joint examination tests (Unique) Ch09: Fractures (Unique) *Chapter begins with an introduction to normal bone *Pathology discussion includes: *Fracture etiology, classification, risk factors, and healing *Healing discussion that covers primary and secondary healing, stages and prognosis of healing, and types of fixation *Examination discussion includes: *All body systems (musculoskeletal, neuromuscular, cardiopulmonary, and integumentary) *Examination for peripheral nerve integrity *Examination of function (including gait, locomotion, and balance, and an examination of pre-existing assistive, adaptive, or support devices) *Intervention discussion includes: *Communication, Documentation *Exercise, Conditioning *Functional training *Manual therapy *Physical, mechanical, and electrotherapeutic modalities Ch10: Joint Arthroplasty (Unique) *Chapter covers arthroplasty of the hip, knee, shoulder, elbow, wrist, and fingers *Examination discussion includes: *All body systems (musculoskeletal, neuromuscular, cardiopulmonary, and integumentary) *Range of motion and joint mobility *Muscle performance *Gait, locomotion, and balance *Intervention discussion includes: *Options specific to the type of arthroplasty discussed *Specific intervention topics within individual joints focus on examination, pathology, prognosis, and interventions (including pre- and post-operative care) *Individual interventions such as the use of modalities and reintegration of previous activities Ch11: Soft Tissue Surgery (Unique) *Pathology discussion includes: *Non-mineralized connective tissues of the musculoskeletal system: ligaments and tendons, articular cartilage, joint capsules, superficial fascia, and synovium *Biomechanics *Effects of immobilization and remobilization *Overview of rehabilitation following soft-tissue surgery *Examination discussion includes: *All body systems (musculoskeletal, neuromuscular, cardiopulmonary, and integumentary) *Functional examination covering gait, locomotion, and balance; orthotic, protective, and support devices; ergonomics and body mechanics; environmental barriers; and work, community, and leisure integration *Intervention discussion includes: *General recommendations for the immediate and intermediate postoperative phases as well as in advanced strengthening and return to activity phases *Specific recommendations after surgery of bursa and/or synovium, cartilage, fascia, ligament or capsules, or tendons (all tissue-specific topics cover examination, prognosis, and intervention) Ch12: Amputations and Prostheses *Pathology discussion includes: *Basic surgical procedures *Reasons for amputations (including acquired versus congenital conditions) *Types of amputations (both upper- and lower-extremity) *Illustrations to clearly demonstrate levels of amputation *Examination discussion includes: *All body systems, but is specific to the needs of a patient with an amputation *Focus on the musculoskeletal examination and nerve sensation *Evaluation, Diagnosis, and Prognosis discussion includes: *Medicare/Medicaid functional levels *Functional impact of amputation on the patient *Prognoses in patients with specific medical conditions *Intervention discussion includes: *Pre- and post-operative care (mental, emotional, and physical) *Early postoperative management *Lower extremity prosthetic optionsh26 *Upper extremity prosthetic options (Unique) *Prosthetics for lower extremity (partial foot, Syme's, transtibial, knee, transfemoral, hip, transpelvic, translumbar, and bilateral) and upper extremity (partial hand, transradial, transhumeral) *Sections dedicated to functional training are also included (dressing, transfers, balance, gait, wearing schedule, use training, vocations, care of th
