Author | Davies, Patricia M. author |
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Title | Steps to Follow [electronic resource] : The Comprehensive Treatment of Patients with Hemiplegia / by Patricia M. Davies |
Imprint | Berlin, Heidelberg : Springer Berlin Heidelberg : Imprint: Springer, 2000 |
Edition | Second, Completely Revised Edition |
Connect to | http://dx.doi.org/10.1007/978-3-642-57022-3 |
Descript | XXXII, 514 p. 427 illus. online resource |
1 Problems That Cannot Be Seen Directly -- Problems Related to Disturbed Perception -- Some Common Problems Associated with Disturbed Perception -- Reciprocity of Perception and Learning -- Disturbed Perception and Learning -- Implications for Therapy -- Guided Movement Therapy (Guiding) -- Therapeutic or Intensive Guiding -- Guiding When Giving Assistance -- Guiding the Patient in a Standing Position -- Considerations -- 2 Normal Movement Sequences and Balance Reactions -- Analysis of Certain Everyday Movements -- Balance, Righting and Equilibrium Reactions -- Task-orientated Arm and Hand Movements -- Considerations -- 3 Abnormal Movement Patterns in Hemiplegia -- Persistence of Primitive Mass Synergies -- The Synergies as They Appear in Association with Hemiplegia -- Abnormal Muscle Tone -- Typical Patterns of Spasticity or Hypertonicity -- Placing -- Reappearance of Tonic Reflex Activity -- Associated Reactions and Associated Movements -- Abnormal Tension in the Nervous System -- Disturbed Sensation -- Considerations -- 4 Practical Assessment โ a Continuing Process -- The Aims of Assessment -- Recommendations for Accurate Assessment -- Specific Aspects of Assessment -- Recording the Assessment -- The Comprehensive Evaluation -- Considerations -- 5 The Acute Phase โ Positioning and Moving in Bed and in the Chair -- The Arrangement of the Patientโs Room -- Positioning the Patient in Bed -- Sitting in a Chair -- Self-assisted Arm Activity with Clasped Hands -- Moving in Bed -- Transferring from Bed to Chair and Back Again -- Incontinence -- Constipation -- Considerations -- 6 Normalising Postural Tone and Teaching the Patient to Move Selectively and Without Excessive Effort -- Important Activities for the Trunk and Lower Limbs in Lying -- Activities in Sitting -- Placing the Hemiplegic Leg and Facilitating Crossing It Over the Other Leg -- Coming From Sitting to Standing -- Activities in Standing with Weight on the Hemiplegic Leg -- Pelvic Tilting with Selective Flexion/Extension of the Lumbar Spine -- Activities in Standing with Weight on the Sound Leg -- Considerations -- 7 Retraining Balance Reactions in Sitting and Standing -- Activities in Sitting -- Activities in Standing with the Weight on Both Legs -- Activities in Standing with the Weight on the Hemiplegic Leg -- Activities During Which the Weight Is on Alternate Legs -- Activities in Standing with the Weight on the Sound Leg -- Considerations -- 8 Encouraging the Return of Activity in the Arm and Hand and Minimising Associated Reactions -- Activities in Supine Lying -- Activities in Sitting -- Activities in Standing -- Stimulation of Active and Functional Movements -- Retraining Selective Flexion of the Arm and Hand -- Considerations -- 9 Re-educating Functional Walking -- Considerations for Treatment -- When to Start Walking -- The Facilitation of Walking -- Practical Ways to Facilitate Walking -- Self-inhibition of Associated Reactions -- Protective Steps to Regain Balance -- Supporting the Hemiplegic Foot -- Going Up and Down Stairs -- Using a Walking-stick or Cane -- Considerations -- 10 Some Activities of Daily Living -- Therapeutic Considerations -- Personal Hygiene -- Dressing -- Undressing -- Eating -- Driving a Car -- Considerations -- 11 Mat Activities -- Going Down Onto the Mat -- Moving to Side-Sitting -- Activities in Long-Sitting -- Rolling -- Prone Lying -- Moving to Prone Kneeling -- Activities in Prone Kneeling -- Activities in Kneel-Standing -- Activities in Half-Kneel-Standing -- Standing up from Half-Kneeling -- Considerations -- 12 Shoulder Problems Associated with Hemiplegia -- The Subluxed or Malaligned Shoulder -- The Painful Shoulder -- The โShoulder-Handโ Syndrome -- Considerations -- 13 The Neglected Face -- Important Considerations for Facilitation of the Movements of the Face and Mouth -- Dentures -- Appropriate Treatment for the Common Difficulties -- Oral Hygiene -- Considerations -- 14 Out of Line (the Pusher Syndrome) -- The Typical Signs -- Predisposing Factors -- Specific Treatment -- Considerations -- 15 Including Nervous System Mobilisation in the Treatment -- Adaptation of the Nervous System to Movement -- Loss of Nervous System Mobility Following a Lesion -- Problems Associated with Abnormal Tension and Loss of Mobility -- The Tension Tests for Assessment and Treatment -- Conclusion -- 16 Maintaining and Improving Mobility at Home -- Maintaining Mobility Without the Help of a Therapist -- Common Sites of Increased Hypertonicity and/or Loss of Range of Motion -- Ensuring the Patientโs Participation -- Specific Exercises for Muscles and Joints -- Automobilisation of the Nervous System -- Some Additional Active Exercises -- Leisure Activities and Hobbies -- Conclusion -- 17 References -- 18 Subject Index