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Steps to Follow The Comprehensive Treatment of Patients with Hemiplegia

In the 15 years since publication of the first edition, Steps to Follow has gained a worldwide reputation among professionals as a unique practical guide to the treatment of neurologically impaired patients. This second, completely updated edition incorporates significant practical advances in early...

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Bibliographic Details
Main Author: Davies, Patricia M.
Format: eBook
Language:English
Published: Berlin, Heidelberg Springer Berlin Heidelberg 2000, 2000
Edition:2nd ed. 2000
Subjects:
Neurology 
Neurology
Occupational Therapy
Physical Therapy
Physiotherapy
Nursing
Online Access:
Collection: Springer Book Archives -2004 - Collection details see MPG.ReNa
Table of Contents:
  • 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
  • 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 Patient’s 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
  • Activities in Standing with Weight on the Hemiplegic Leg
  • Pelvic Tilting with Selective Flexion/Extension of the Lumbar Spine
  • Activities inStanding 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
  • Abnormal Tension in the Nervous System
  • Disturbed Sensation
  • Considerations
  • 4 Practical Assessment — 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 — Positioning and Moving in Bed and in the Chair
  • The Arrangement of the Patient’s 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
  • 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-stickor 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 “Shoulder-Hand” Syndrome
  • Considerations
  • 13 The Neglected Face
  • Important Considerations for Facilitation of the Movements of the Face and Mouth
  • Dentures

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