By David X. Cifu MD
The most-trusted source for physiatry wisdom and strategies, Braddom’s actual medication and Rehabilitation continues to be a vital advisor for the full rehabilitation crew. With confirmed technological know-how and accomplished suggestions, this clinical reference publication addresses a number subject matters to provide each sufferer greatest discomfort aid and optimum go back to function.
- In-depth coverage of the indicators for and barriers of axial and peripheral joints via cures allows mastery of those suggestions.
- Optimize using ultrasound in analysis and remedy.
- A bankruptcy covering PM&R within the overseas community serves to expand your point of view within the field.
- Detailed illustrations let you achieve a transparent visible knowing of significant concepts.
- New lead editor - Dr. David Cifu - was once chosen via Dr. Randall Braddom to maintain a constant and readable layout. extra new authors and editors supply a clean viewpoint to this edition.
- Features complete coverage of the treatment of concussions and military amputees.
- Includes brand-new info on rehabilitating wounded army personnel, the most recent injection techniques, speech/swallowing disorders, head damage rehabilitation, and the rehabilitation of continual diseases.
- New chapters on pelvic ground disorders and sensory impairments retain you on the vanguard of the field.
- Reader-friendly layout positive aspects an updated desk of contents and improved bankruptcy approach for an greater consumer experience.
- Expert seek advice booklet model integrated with purchase. This better booklet adventure gives entry to the textual content, figures, over 2,500 references, fifty one movies, and 750 self-assessment questions about numerous units.
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Additional info for Braddom’s Physical Medicine and Rehabilitation
The patient is then asked to stand from a chair, walk across the room, and come back toward the examiner. The examiner should pay particular attention to the following: 1. Ease of arising from a seated position. Can the patient easily arise from a sitting position? Difficulty with a sit-to-stand task may indicate proximal muscle weakness, movement disorders with difficulty initiating movements, or a balance problem. 2. Balance. Does the patient lean or veer off to one side, which is an indication of cerebellar dysfunction?
CHAPTER 1 The Physiatric History and Physical Examination 15 C2 C3 C2 C3 C4 C5 T2 C5 C7 S3 C8 C6 T1 L1 C7 T2 C6 T1 L2 Coc S5 S4 S3 C8 S4 C5 5 6 7 8 9 10 11 12 T2 T1 C6 10 11 12 L1 C4 T2 3 4 C5 T2 7 8 9 C6 T1 C4 C4 T2 3 4 5 6 C8 L2 L2 L2 C7 C7 S2 L3 L5 S2 L3 L4 L4 C8 L3 L5 L5 L4 L4 L5 L5 L5 S1 S1 L5 S1 S1 L4 S1 L4 L5 S1 FIGURE 1-2, cont’d with a safety pin or other sharp sanitary objects, while occasionally interspersing the examination with a blunt object. Patients with peripheral neuropathy might have a delayed pain appreciation and often change their minds a few seconds after the initial stimuli.
Tone is the resistance of muscle to stretch or passive elongation (see Chapter 23). Spasticity is a velocitydependent increase in the stretch reflex, whereas rigidity is the resistance of the limb to passive movement in the relaxed state (non–velocity-dependent). Variability in tone is common because patients with spasticity can vary in their presentation throughout the day and with positional changes or mood. Some patients will demonstrate little tone at rest (static tone) but experience a surge of tone when they attempt to move the muscle during a functional activity (dynamic tone).
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