Rehabilitation of neuromuscular disease
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| Sprache: | English |
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Philadelphia [u.a.]
Saunders
1998
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| Schriftenreihe: | Physical medicine and rehabilitation clinics of North America
9,1 |
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| 245 | 1 | 0 | |a Rehabilitation of neuromuscular disease |c guest ed.: Gregory T. Carter |
| 264 | 1 | |a Philadelphia [u.a.] |b Saunders |c 1998 | |
| 300 | |a XII, 308 S. |b Ill., graph. Darst. | ||
| 336 | |b txt |2 rdacontent | ||
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| 338 | |b nc |2 rdacarrier | ||
| 490 | 1 | |a Physical medicine and rehabilitation clinics of North America |v 9,1 | |
| 650 | 2 | |a Maladies neuromusculaires - Rééducation et réadaptation | |
| 650 | 7 | |a Neuromusculaire aandoeningen |2 gtt | |
| 650 | 7 | |a Revalidatie |2 gtt | |
| 650 | 4 | |a Neuromuscular Diseases |x rehabilitation | |
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Datensatz im Suchindex
| _version_ | 1819783311438905344 |
|---|---|
| adam_text | REHABILITATION OF NEUROMUSCULAR DISEASE
CONTENTS
Foreword xi
George H. Kraft
Preface xiii
Gregory T. Carter
The Role of Physiatry in the Management of
Neuromuscular Disease 1
William M. Fowler, Jr, Gregory T. Carter, and George H. Kraft
Patients with neuromuscular disease (NMD) are complex and
pose a myriad of clinical problems. Management is best carried
out by a team consisting of physicians, physical, occupational,
and speech therapists, social workers, vocational counselors, and
psychologists, among others. Physiatrists are well suited to this
type of multi disciplinary care and can play a significant role in
the care of these patients.
Clinical Approach to the Diagnostic Evaluation of
Progressive Neuromuscular Diseases 9
Craig M. McDonald
This article reviews the clinical approach to the diagnostic evalua¬
tion of progressive neuromuscular diseases with an emphasis on
relevant neuromuscular history, family history, clinical examina¬
tion findings, laboratory studies, and the role of muscle biopsy.
In some instances, a precise diagnosis is not medically possible;
however, the accurate characterization of an individual patient
within the most appropriate NMD clinical syndrome often allows
PHYSICAL MEDICINE AND REHABILITATION
CLINICS OF NORTH AMERICA
VOLUME 9 • NUMBER 1 • FEBRUARY 1998 V
the clinician to provide the patient and family with accurate
prognostic information and anticipatory guidance for the future.
Molecular Basis of Neuromuscular Disease 49
Phillip F. Chance, Tetsuo Ashizawa, Eric P. Hoffman, and
Thomas O. Crawford
For many neuromuscular disorders, the chromosomal location is
known, the causal gene has been identified, and direct application
of this knowledge may be made in a clinical setting. The benefits
resulting from molecular based methods include improved diag¬
nostic accuracy and genetic counseling for patients and other at
risk family members. This chapter discusses in detail four of
the most frequently encountered neuromuscular disorders. These
diseases include spinal muscular atrophy, Charcot Marie Tooth
neuropathy, Duchenne/Becker type muscular dystrophy, and
myotonic dystrophy.
Electrodiagnosis in Neuromuscular Disease 83
Lisa S. Krivickas
This article provides a general approach to the electrodiagnostic
evaluation of the patient with neuromuscular disease. The elec¬
trodiagnostic findings in patients with various forms of periph¬
eral neuropathy, motor neuron disease, neuromuscular junction
disorders, and myopathy are presented. The pediatric electrodiag¬
nostic evaluation is also discussed.
The Role of Exercise in Neuromuscular Disease 115
David D. Kilmer
Persons with hereditary neuromuscular diseases generally lead a
sedentary lifestyle, placing them at risk for diseases associated
with inactivity and causing weakness, which compounds their
primary disease. Although research is lacking in this area, evi¬
dence to date suggests that this population may benefit from both
strengthening and aerobic fitness training programs. Overwork
weakness has not been demonstrated in controlled trials of exer¬
cise, but clinicians need to be prudent in their recommendations,
encouraging alternating periods of physical activity with sched¬
uled rest. Future investigations should focus on the primary
symptom of fatigue, and quantify changes in the ability to work
and participate in physical activities as outcome measures of an
exercise program.
Nutritional Aspects of Neuromuscular Disease 127
Megan A. McCrory, Nancy C. Wright, and David D. Kilmer
Both the rapidly progressive Duchenne muscular dystrophy (DMD)
and the slowly progressive neuromuscular diseases (SP NMDs)
are associated with loss of skeletal muscle, gain of excess body
vi CONTENTS
fat, and changes in energy metabolism and physical activity over
time. This article reviews several nutritional techniques and their
adequacy in monitoring changes in the nutrtional status of these
individuals as the diseases progress. In addition, nutritional inter¬
ventions which aim to counteract the effects of the disease process
and increase the quality of life in individuals with DMD are
reviewed. Finally, new research on physical activity and body
composition, and the potential for development of secondary
chronic diseases in individuals with SP NMD are discussed.
Management of Cardiac Complications in Neuromuscular
Disease 145
William R. Lewis and Sanjay Yadlapalli
Cardiovascular complications are common and varied in neuro¬
muscular diseases. Knowledge of the complications specific to
each disease is essential for appropriate screening for cardiovas¬
cular disease. Appropriate treatment of complications varies be¬
tween neuromuscular diseases and draws primarily on experi¬
ence from patients without neuromuscular disease. This article
details the known cardiovascular complications and treatments
for some of the major neuromuscular diseases.
Management of Pulmonary Complications in
Neuromuscular Disease 167
Joshua O. Benditt
Neuromuscular diseases frequently affect the respiratory system
by impairing function of the mechanical respiratory pump that
can lead to progressive hypoventilation, atelectasis, pneumonia,
respiratory failure, and even death. Recognition of respiratory
impairment can be difficult due to subtle signs and symptoms;
therefore, the clinician must maintain a high index of suspicion
in all patients with neuromuscular disease. Invasive and noninva
sive mechanical ventilation, as well as a variety of respiratory
therapy techniques, can be used to prevent these complications.
Limb Contractures in Progressive Neuromuscular Disease
and the Role of Stretching, Orthotics, and Surgery 187
Craig M. McDonald
Limb contractures are common impairments in selected progres¬
sive neuromuscular disease (NMD) conditions and can lead to
such increased disabilities as worsening motor performance, de¬
creased mobility, loss of ADL skills, and pain. This article reviews
the pathogenesis of joint contractures in NMD, the prevalence of
specific contractures among many common NMD conditions, and
the role of optimal positioning, stretching, upright ambulation,
orthotics, and splinting, as well as surgery in the prevention and
management of contractures.
CONTENTS Vli
Spinal Deformity in Neuromuscular Disease: Natural
History and Management 213
Dennis A. Hart and Craig M. McDonald
Severe spinal deformity in progressive neuromuscular disease
(NMD) leads to multiple problems, including poor sitting bal¬
ance, difficulty with upright seating and positioning, pain, diffi¬
culty in attendant care, and potential exacerbation of underlying
restrictive respiratory compromise. Severe scoliosis and pelvic
obliquity can in some instances completely preclude upright sit¬
ting in a wheelchair. This article reviews the prevalence, natural
history, and management of scoliosis in neuromuscular diseases
at greatest risk for progressive spinal deformity.
Quality of Life: Issues for Persons with Neuromuscular
Disease 233
R. Ted Abresch, Nancy K. Seyden, and Mark A. Wineinger
Increasingly, assessment of quality of life is being used to deter¬
mine appropriate medical care, evaluate the effectiveness of reha¬
bilitative treatments, and ascertain the impact of disability. This
article documents the subjective assessment of quality of life by
individuals with neuromuscular diseases and their health care
providers; the article also demonstrates how the attitudes and
expectations of health care professionals may affect health out¬
comes. The effect of impairments, disability, and handicap are
examined in relationship to life satisfaction. Factors that signifi¬
cantly increase or decrease quality of life for individuals with
neuromuscular diseases are identified and discussed.
Cognitive, Psychosocial, and Educational Issues in
Neuromuscular Disease 249
Barbara J. Sigford and Richard A. Lanharn, Jr
Research on the cognitive function of persons with neuromuscu¬
lar diseases is critically reviewed. Emphasis is placed on Du
chenne muscular dystrophy and myotonic muscular dystrophy,
as these groups have received the majority of attention by re¬
searchers. Implications for psychosocial and educational function
are discussed. A general critique of research methodology is
provided to assist in interpreting often conflicting findings.
Comprehensive Management of Amyotrophic Lateral
Sclerosis 271
Gregory T. Carter and Robert G. Miller
Amyotrophic lateral sclerosis (ALS) is a rapidly progressive mo¬
tor neuron disease that poses a myriad of clinical problems.
Patients with ALS are best treated in a multidisciplinary setting
involving physicians, clinical nursing specialists, and physical,
occupational, speech, and respiratory therapists, as well as psy
viii CONTENTS
chologists and social workers. Palliative and rehabilitative strate¬
gies may ease suffering, while new treatments provide hope for
effective treatment of this disease.
Animal Models of Neuromuscular Diseases:
Pathophysiology and Implications for Rehabilitation 285
R. Ted Abresch, Sandra A. Walsh, and Mark A. Wineinger
This article explains how animal models can be utilized to de¬
velop rehabilitation strategies to help treat the pathophysiology
of neuromuscular diseases (NMDs) and illustrates how these
models can be used to test the effects of physical interventions,
such as exercise, stretching, and immobilization, in this setting.
Index 301
Subscription Information Inside back cover
CONTENTS IX
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| institution | BVB |
| language | English |
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| physical | XII, 308 S. Ill., graph. Darst. |
| publishDate | 1998 |
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| publisher | Saunders |
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| series | Physical medicine and rehabilitation clinics of North America |
| series2 | Physical medicine and rehabilitation clinics of North America |
| spellingShingle | Rehabilitation of neuromuscular disease Physical medicine and rehabilitation clinics of North America Maladies neuromusculaires - Rééducation et réadaptation Neuromusculaire aandoeningen gtt Revalidatie gtt Neuromuscular Diseases rehabilitation Neuromuskuläre Krankheit (DE-588)4075332-3 gnd Rehabilitation (DE-588)4049078-6 gnd |
| subject_GND | (DE-588)4075332-3 (DE-588)4049078-6 (DE-588)4143413-4 |
| title | Rehabilitation of neuromuscular disease |
| title_auth | Rehabilitation of neuromuscular disease |
| title_exact_search | Rehabilitation of neuromuscular disease |
| title_full | Rehabilitation of neuromuscular disease guest ed.: Gregory T. Carter |
| title_fullStr | Rehabilitation of neuromuscular disease guest ed.: Gregory T. Carter |
| title_full_unstemmed | Rehabilitation of neuromuscular disease guest ed.: Gregory T. Carter |
| title_short | Rehabilitation of neuromuscular disease |
| title_sort | rehabilitation of neuromuscular disease |
| topic | Maladies neuromusculaires - Rééducation et réadaptation Neuromusculaire aandoeningen gtt Revalidatie gtt Neuromuscular Diseases rehabilitation Neuromuskuläre Krankheit (DE-588)4075332-3 gnd Rehabilitation (DE-588)4049078-6 gnd |
| topic_facet | Maladies neuromusculaires - Rééducation et réadaptation Neuromusculaire aandoeningen Revalidatie Neuromuscular Diseases rehabilitation Neuromuskuläre Krankheit Rehabilitation Aufsatzsammlung |
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