Oxford handbook of rehabilitation medicine / Michael P. Barnes and Anthony B. Ward.

Revised edition of: Textbook of rehabilitation medicine. 2000.

Includes bibliographical references and index.

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1 Concepts of rehabilitation; Introduction; Impairment, disability, and handicap; Medical model of disability; Social model of disability; Terminology; Approaches to rehabilitation; Goal setting; Outcome measurement; Benefits of rehabilitation; Summary; 2 Epidemiology; Incidence and prevalence of a condition; International Classification of Functioning and Health (ICF); Application of the Office for Population Censuses and Surveys (OPCS); How does epidemiological information help us?; 3 The rehabilitation team; Rehabilitation teams; Why have teams?; Interdisciplinary teams.

Generic rehabilitation workersKeyworker or case manager; Core team; Team leadership; 4 Organization of services; Principles of service delivery; Regional rehabilitation services; Local rehabilitation services; Rehabilitation unit; Organizational models-the outpatient clinic; Organizational models-primary care team; Organizational models-community rehabilitation team; Organizational models-specialist therapists and nurses; Organizational models-the Independent Living Movement and resource centres; Community rehabilitation in developing countries; 5 Assessment of disability.

Why is disability assessment necessary?Measurement; Examples; 6 Spasticity; Definition; Upper motor neuron syndrome; Goals of treatment and outcome measures; Treatment strategies-alleviation of exacerbating factors and positioning; Treatment strategies-physiotherapy; Treatment strategies-oral medication (i); Treatment strategies-oral medication (ii); Focal treatment-phenol and botulinum toxin; Intrathecal techniques; Surgical and orthopaedic procedures; 7 Continence; Introduction; Normal bladder function; Pathophysiology; Management of urinary problems; 8 Sex and sexuality; General issues.

SexualityMale sexual function; Female fertility; 9 Eating and swallowing disorders; Introduction; Assessment; Nerve supply; Normal swallowing mechanism; Management of swallowing problems; Artificial nutritional support; 10 Communication; Introduction and referral; Assessment; Speech and language disorders; Commonly associated diseases; Communication aids; Patient follow-up; 11 Other physical problems; Pressure sores; Contractures; Chronic pain; Chronic fatigue syndrome/fibromyalgia; 12 Technical aids and assistive technology; Introduction; Wheelchairs; Special seating; Footwear and orthoses.

ProsthesesEnvironmental control systems; Driving; Vehicle modifications; 13 Behavioural disorders; Background; Learning theory; Approaches to the management of behavioural problems: definition of the problem; Approaches to the management of behavioural problems: study and analyse the problem; Approaches to the management of behavioural problems: formulate the treatment plan (i); Approaches to the management of behavioural problems: formulate the treatment plan (ii); Approaches to the management of behavioural problems: evaluation; 14 Psychiatric problems and rehabilitation; Background.

Rehabilitation medicine is a relatively new and fast growing medical specialty, which can make a real difference to a person with a disability. Most hospitals in the UK now have a rehabilitation unit and there are increasing numbers of specialist rehabilitation centres as well as community-based rehabilitation teams. This book outlines the principles of the field, the importance of the rehabilitation team (including therapists, psychologists and nurses), and outlines the evidencefor the success of this approach. The book covers the management of common symptoms, including incontinence, sexual.

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