Physical Medicine and Rehabilitation Pocketpedia
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Pocketpedia is the essential quick reference for medical students, residents, and attending physicians in the field of physical medicine and rehabilitation. Designed for the busy clinician, this pocket-sized compendium is crammed with useful tables, charts, illustrations, and clinical tips and guidelines for effective patient care and restoration of function. Covering core topics in PM&R and field-tested in the clinic and at the bedside over two successful editions, this indispensable resource delivers the information practitioners need on a daily basis. The Third Edition has been reorganized and thoroughly updated to include the latest evidence-based treatment recommendations and protocols. Features PM&R in your pocket—perfect for rounding or concise review Distills the practical essentials with focused coverage of key topics New chapters on Ultrasound, Cancer Rehabilitation, Acupuncture, and Quality Improvement Expanded coverage of musculoskeletal rehabilitation, concussion, and interventional pain procedures Enhanced illustrations and charts Now includes downloadable ebook for anytime access on mobile devices or computer Cover Title Copyright Contents Contributors Preface Share Physical Medicine and Rehabilitation Pocketpedia, Third Edition Chapter 1: Neurologic Examination Mental Status Cranial Nerves Muscle Tone Muscle Strength Grading Muscle Stretch Reflexes are Tested by Tapping the Tendon with a Hammer to Elicit Muscle Contraction Sensory Testing Should Include Superficial and Deep Sensation and Compare Dermatome Distributions on Each Side with the Patient’s Eyes Closed Coordination, Stance, and Gait Assessment can Reveal Cerebellar Involvement Through Clumsy Movements, Ataxia, and Impaired Balance Suggested Reading Chapter 2: Gait and Gait Aids Gait Cycle The Six Determinants of Gait Muscle Activity During Unimpaired Gait Gait Deviations and Prescriptions Muscle-Deficit Gait Central Nervous System Gait Deviations Gait Aids Cane Basics Crutch Basics Walker Basics References Suggested Reading Chapter 3: Wheelchairs Manual Wheelchairs Typical Measurements Prescription Considerations Special WCs Power Mobility Devices Scooters Power WCs References Chapter 4: Modalities Essential Points of Prescription of Modalities Selected Modalities References Chapter 5: Therapeutic Exercise Muscle Fiber Characteristics Strength Training Aerobic Exercise The American College of Sports Medicine (ACSM) Guidelines The Exercise Prescription References Chapter 6: Acupuncture Brief History and Basic Concepts Needling Techniques, Safety, and Licensing Clincal Applications References Suggested Reading Chapter 7: Amputation/Prosthetics Epidemiology, Etiology, and Levels of Amputation Lower Extremity Amputation Preferred Mature Residual Limb Length and Shape Postamputation Preprosthetic Care TT Prosthetics TT Socket Designs Selected TT Suspension Options Selected Foot–Ankle Assembly Options TF Prosthetics Traditional Socket Designs Selected TF Suspension Options Selected Knee Components: Key Features Functional Levels Selected Postamputation Complications Prosthetic Gait Analysis Causes of Stance Phase Problems Causes of Swing Phase Problems Upper Extremity Amputation TR Prosthetics TH Prosthetics Functional Terminal Devices Other Upper Limb Prosthesis Components Body-Powered Prosthesis Control References Suggested Reading Chapter 8: Pediatrics: Cerebral Palsy Congenital Brachial Plexus Palsy Special Considerations in Pediatric SCI Spina Bifida Pediatric Neuromuscular Disorders Anterior Horn Disorders in Children Spinal Muscular Atrophy (SMA) Peripheral Nerve Disorders Differential Diagnosis of GBS in Children Hereditary Motor Sensory Neuropathy Neuromuscular Junction Disorders Myopathies Juvenile Idiopathic Arthritis References Suggested Reading Chapter 9: Concussion Definition and Pathophysiology Assessment Management and Treatment References Chapter 10: Pain Medicine Terminology Pain Pathophysiology Examination Anatomy Imaging Complex Regional Pain Syndrome I/II CRPS I Clinical Picture of CRPS Diagnosis/Workup Treatment/Medications Neck/Low Back Pain Treatment Spinal Interventions Cervical/Lumbar Epidural Nerve Blocks Caudal Epidural Nerve Block Facet Joint Injection/Medial Branch Block Selective Nerve Root Blocks/Transforaminal ESI SI Joint Injection Other Procedures References Suggested Reading Chapter 11: Musculoskeletal/Sports/Orthopedics Limb Joint Primary Movers Treatment of Selected Musculoskeletal Conditions Upper Limb Lower Limb Sports/Exercise Preparticipation Evaluation (PPE) General Guidelines Example of an Appropriate PPE Contraindications to Sports Participation Rehabilitation after Hip Fracture Rehabilitation after Joint Replacement Total Hip Arthroplasty Total Knee Arthroplasty Regenerative Medicine in Orthopedics and Sports Medicine References Suggested Reading Chapter 12: Ultrasound Introduction Machine Basics US Nomenclature and Common Artifacts Normal Tissue Types Diagnostic Applications Therapeutic Applications Suggested Reading Chapter 13: Electrodiagnostic Studies Initial Settings for NCS Initial Settings for EMG Introduction to NCS Components of the AP Types of Nerve Injuries H-Reflex F Waves Blink Reflex EMG Using Monopolar Versus Concentric Needle Effects of Temperature and Age on NCS The Needle EMG Examination Insertional Activity Activity at Rest MU Analysis Recruitment Specific Disorders Median Neuropathy at the Wrist (Carpal Tunnel Syndrome) Ulnar Neuropathy at the Elbow Peroneal Neuropathy Peripheral Neuropathy Plexopathy Radiculopathy Motor Neuron Diseases EMG Findings in Myopathies Typical Findings NMJ Disorders References Suggested Reading Chapter 14: Cardiac Rehabilitation Introduction and Benefits Epidemiology Phases of CR Exercise Prescription Postcardiac Event Sexual Counseling Miscellaneous References Suggested Reading Chapter 15: Pulmonary Rehabilitation Ventilatory Disorders (Restrictive or Mechanical Disorders) Obstructive Disorders (Intrinsic Disorders) References Chapter 16: Burn Rehabilitation Degree/Severity Rehabilitation Goals Pharmacotherapy Complications References Suggested Reading Chapter 17: Cancer Rehabilitation Functional Assessment Tools CNS and Spine Tumors Brain Tumors Spinal Cord and Spine Tumors Paraneoplastic Syndromes Chemotherapy-Induced Peripheral Neuropathy Plexopathy Bony Metastases Radiation Fibrosis Syndrome Lymphedema Upper Body Pain Disorders Cervical Radiculopathy Shoulder Joint Pain Post-Mastectomy Pain Syndrome Post-Thoracotomy Pain Syndrome Chemotherapy-and Radiation Therapy-Induced Cytopenias References Chapter 18: Spinal Cord Injury Epidemiology of Traumatic SCI Selected Tracts Classification of SCI SCI Clinical Syndromes Acute Treatment of SCI Prognosis and Recovery in Traumatic SCI Expected Functional Outcomes Selected Issues in SCI References Chapter 19: Traumatic Brain Injury Introduction and Epidemiology Pathophysiology Classification of TBI Severity Recovery and Outcomes Disorders of Consciousness Acute Management of TBI Treatment of Coma and Vegetative State Treatment of Medical Complications of TBI References Suggested Reading Chapter 20: Stroke Epidemiology and Risk Factors Selected Ischemic Stroke Syndromes Middle Cerebral Artery Anterior Cerebral Artery Posterior Cerebral Artery Brainstem Lacunar Ischemic Stroke Pharmacotherapy and Intervention Guidelines for Acute Stroke Pharmacotherapy Recommendations for Secondary Prevention Postacute Medical Complications Motor Recovery Following Stroke Therapy Approaches Functional Outcomes Following Stroke References Chapter 21: Physiological Changes with Aging Suggested Reading Chapter 22: Rheumatology Osteoarthritis Nonpharmacologic Management Pharmacologic Management Alternative and Investigational Treatments Rheumatoid Arthritis RA Management Juvenile Idiopathic Arthritis Seronegative Spondyloarthritis Fibromyalgia References Suggested Reading Chapter 23: Osteoporosis Screening Supplements and Pharmacotherapy Exercise and Rehabilitation References Suggested Reading Chapter 24: Multiple Sclerosis Introduction and Epidemiology (1,2) Diagnosis and Clinical Features Clinical Categories and Treatment Prognosis References Chapter 25: Movement Disorders Hypokinetic Movement Disorders (Parkinson’s Disease) Hyperkinetic Movement Disorders Suggested Reading Chapter 26: Acute Inflammatory Demyelinating Polyneuropathy Chronic Inflammatory Demyelinating Polyneuropathy (CIDP) Suggested Reading Chapter 27: Spasticity Treatment Physical Modalities Pharmaceutical Options Surgical Options References Chapter 28: Neurogenic Bladder References Suggested Reading Chapter 29: Language, Speech, and Swallowing Aphasia Nonfluent Aphasias Fluent Aphasias Subcortical Aphasias Aphasia Prognosis and Treatment Right Hemisphere Damage Dysarthria Apraxia of Speech Neurogenic Stuttering Dysphagia References Suggested Reading Chapter 30: Heterotopic Ossification Treatment References Chapter 31: Deep Venous Thrombosis Selected Prophylaxis Options DVT Prophylaxis in Selected Conditions DVT Treatment References Suggested Reading Chapter 32: Pressure Injury Prevention and Treatment References Chapter 33: Quality Improvement Introduction (1–5) How to Perform a QI Project (6) Toolkit (7,9) Root Cause Analysis (6,10) Failure Mode and Effects Analysis (6,9) Transition Points/Handoffs References Suggested Reading Abbreviations Index
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