Medicina Fisica y Rehabilitacion, 4a. Edicion.

476 Pages·2004·81.247 MB·Spanish

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Krusen
Medicina física
y
rehabilitación
CUARTA EDICIÓN
(cid:25199)(cid:28523)(cid:29549)(cid:25956)(cid:26979)(cid:28531)(cid:11887)(cid:29287)
1
FREDERIC J. KOTTKE, M.O.
Profesor Emérito
Departamento de Medicina Física y Rehabilitación
Escuela de Medicina de la Universidad de Minnesota
Minneapolis, Minnesota
JUSTUS F. LEHMANN, M.O.
Profesor
Departamento de Medicina de Rehabilitación
Escuela de Medicina, Universidad de Washington
Seattle, Washington
~EDITORIAL M.fDICA~
'-.Jl~namertca~___.)
ARGENTINA - BRASIL - COLOMBIA -ESPAÑA -MEXICO -VENEZUELA
Título del original en inglés
KRUSEN'S HANDBOOK OF PHYSICAL MEDICINE AND REHABILITATION, 4th Edition
© 1990. W. B. Saunders Company-Philadelphia, PA
© Libermed Verlag S. A.-Montevideo, Uruguay
4.' edición, diciembre 1993
1.• reimpresión, septiembre 1995
2.' reimpresión, noviembre 1997
3.' reimpresión, abril 1999
4.' reimpresión, noviembre 2000
Traducción de
EDITORIAL MÉDICA PANAMERICANA, S. A.
efectuada por las doctoras
MARTHA C. BOXACA
DIANA S. KLAIN
Supervisión a cargo del
Profesor Titular CARLOS A. DECURGUEZ
Jefe de la División de Kinesiología, Rehabilitación y Fisiatría
del Hospital de Clínicas "José de San Martín". Buenos Aires, Argentina
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pertinentes y, por lo tanto, libres para el uso general.
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en este libro, referida a la aplicación de técnicas quirúrgicas o medicamentos. En cada caso individual el lector debe
rá verificar esta información mediante la consulta de la literatura pertinente.
ESPAÑA
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© 1997 EDITORIAL MÉDICA PANAMERICANA, S. A.
Alberto Alcocer 24 -28036 Madrid, España
Impreso en España, noviembre 2000
Colaboradores
JAMES C. ACRE, M.O., PH.O. JEFFREY R. BASFORO, M.O., PH.O.
Assistant Professor, Department of Rehabilitation· Assistant Professor, Mayo Medical School,
Medicine, University of Wisconsin, Madison, Rochester, Minnesota. Consultan!, Department of
Wisconsin. Rehabilitation Medicine Service, Physical Medicine and Rehabilitation, Mayo Clinic
University of Wisconsin Hospital and Clinics, and Mayo Foundation, Rochester, Minnesota.
Madison, Wisconsin.
Terapéutica con radiación ultravioleta;
Fisiatría en medicina del deporte Electroterapia
THOMAS P. ANOERSON, M.O. KA THLEEN R. BEll, M.O.
Emeritus Professor, University of Minnesota Clinical Instructor, University of Washington,
Medical School, Minneapolis, Minnesota; Clinical Seattle, Washington. Providence Hospital Medical
Protessor ot Physical Medicine and Rehabilitation, Center, Everett, Washington.
Tufts University, Boston, Massachusetts. Senior
Relación de la rehabilitación con la inactividad
Physiatrist, Spaulding Rehabilitation Hospital,
Boston, Massachusetts.
lEONARD F. BENDER, M.O., M.S.
Rehabilitación de pacientes con ictus establecido
Professor and Chairman, Department of Physical
Medicine and Rehabilitation, Wayne State
GARY T. ATHELSTAN, PH.O.
University School of Medicine, Detroit, Michigan.
Professor, Physical Medicine and Rehabilitation, President and Chief Executive Officer,
and Psychology, University of Minnesota Medical Rehabilitation lnstitute, Detroit, Michigan. Chief of
School, Minneapolis, Minnesota. Counseling Service, Department of Physical Medicine and
Psychologist, University of Minnesota Hospital, Rehabilitation, Detroit Receiving Hospital and
Minneapolis, Minnesota. University Health Center, Detroit, Michigan;
Medical Staff, Harper-Grace Hospital, Detroit,
Evaluación y manejo ocupacional
Michigan; Consultan!, Sinai Hospital and Children's
Hospital of Detroit, and Veterans Administration
ESSAM A. AWAO, M.O., PH.O. Hospital, Ellen Park, Michigan.
Professor and Clinical Chief, Department of Ortótica de la extremidad superior;
Physical Medicine and Rehabilitation, University of Prótesis de la extremidad superior
Minnesota Medical School, Minneapolis,
Minnesota. Clinical Chief, Department of Physical DAVID R. BEUKHMAN, PH.D.
Medicine and Rehabilitation, University of
Minnesota Hospital, Minneapolis, Minnesota. Barkley Professor, Special Education and
Attending Staff, United Hospitals, St. Paul, Communication Disorders, University of Nebraska_,
Minnesota. Lincoln, N~braska.
Tratamiento de la espasticidad por neurólisis Trastornos del habla y de/lenguaje
DANIEl T. BARRY, M.O., PH.O. RITA BISTEVINS, M.O., PH.D., F.R.C.P.(C)
Assistant Professor, Department of Physical Clinical Assistant Professor, Department of Physical
Medicine and Rehabilitation and the Medicine and Rehabilitation, University of
Bioengineering Program, University of Michigan. Minnesota Medical School, Minneapolis,
Attending Physician, Department of Physical Minnesota. Clinical Physiatrist, University of
Medicine and Rehabilitation, University of Minnesota Hospital and Clinic; Attending
Michigan Medical Center, Ann Arbor, Michigan. Physiatrist, Minneapolis VA Medical Center.
Medida de la (unción musculoesquelética El calzado y sus modificaciones
VI COLABORADORES
CATHERINE W. BRITEll, M.O. BARBARA J. DE lAT EUR, M.O.
Assistant Professor, Department of Rehabilitation Professor, Department of Rehabilitation Medicine,
Medicine, University of Washington, Seattle, University of Washington School of Medicine,
Washington. Assistant Chief, Spinal Cord lnjury Seattle, Washington. Physiatrist-in-Chief,
Service, VA Medica! Center, Seattle, Washington. Harborview Medica! Center, Seattle, Washington.
Prescripción de la silla de ruedas Análisis de la marcha: diagnóstico y manejo;
Diatermia y terapéutica superficial con calor, láser
JO ANN BROCKWAY, PH.D. y frío; Ejercicio terapéutico para el desarrollo de la
fuerza y de la resistencia; Ortótica de la extremidad
Assistant Professor, Department of Rehabilitation
inferior
Medicine, University of Washington, Seattle,
Washington. Adjunct Medica! Staff, University of
MARGARET M. DOUCETTE, D.O.
Washington Medica! Center and Harborview
Medica! Center, Seattle, Washington. Assistant Professor, Department of Physical
Medicine and Rehabilitation, University of
Evaluación y manejo psicológico
Minnesota Medica! School, Minneapolis,
Minnesota; Attending Physiatrist, University of
RENE CAilliET, M.O.
Minnesota Hospital and Clinic.
Clinical Professor, Department of Rehabilitation
Rehabilitación del paciente con cardiopatía
Medicine, University of Southern California School
of Medicine, Los Angeles, California. Director of
DENNIS D. DYKSTRA, M.O., PH.D.
Rehabilitation, Santa Monica Hospital Medica!
Center, Santa Monica, California. Assistant Professor, Department of Physical
Medicine and Rehabilitation; Assistant Professor,
Columna vertebral: trastornos y deformidades
Department of Urologic Surgery, University of
Minnesota, Minneapolis, Minnesota.
DIANA D. CARDENAS, M.O.
Tratamiento de la espasticidad por neurólisis
Associate Professor, Department of Rehabilitation
Medicine, University of Washington, School of KEll Y J. EGAN, PH.D.
Medicine, Seattle, Washington. Director,
Rehabilitation Medicine Clinic; Attending Assistant Professor, Department of Anesthesiology,
Physician, Multidisciplinary Pain Center, University of Washington; University of
Rehabilitation Medicine Service, University of Washington Medica! Center, Seattle, Washington.
Washington Medica! Center, Seattle, Washington. Attending Psychologist, U.W. Multidisciplinary
Pain Center, Seattle, Washington.
Manejo del dolor crónico
Manejo del dolor crónico
SANDRA S. COLE, C.S.E., C.S.C.
PAUL M. EllWOOD, JR., M. D.
Clinical Professor, Director of Sexuality Curriculum,
University of Michigan Medica! School, Ann Arbor, Clinical Professor of Pediatrics, Neurology, and
Michigan. Clinical Professor, Director, Sexuality Physical Medicine and Rehabilitation, University of
Training Center; Director, Sexuality Evaluation Minnesota Medica! School, Minneapolis,
Clinic, Department of Physical Medicine and Minnesota: President, lnterstudy, Minneapolis,
Rehabilitation, University of Michigan Medica! Minnesota.
Center, Ann Arbor, Michigan.
Posición en la cama; Traslados: método, equipo y
Rehabilitación de los problemas de sexualidad en preparación
/a discapacidad física
GARY FEll, M.O.
THEODORE M. COlE, M.O.
Second Assistant, University of Melbourne,
Professor and Chairman, Department of Physical Melbourne, Australia. Consultan! Surgeon, Austin
Medicine and Rehabilitation, University of Hospital, Melbourne, Australia.
Michigan Medica! Center, Ann Arbor, Michigan.
Manejo de las enfermedades vasculares
Chairman, Department of Physical Medicine and
Rehabilitation, University of Michigan Hospita ls,
Ann Arbor, Michigan. STEVEN V. FISHER, M.O.
Medida de la función musculoesquelética; Assistant Professor, Department of Physical
Rehabilitación de los problemas de sexualidad en Medicine and Rehabilitation, University of
la discapacidad física Minnesota, Minneapolis, Minnesota. Medica!
Director, Upper Midwest Rehabilitation lnstitute, St.
D. NATHAN COPE, M.O. Paul, Minnesota; Burn Center Consultan! and Staff
Physician, Ramsey Medica! Center, St. Paul,
Vice President for Medica! Affairs, NeuroCare, lnc.,
Minnesota.
Concord, California.
Ortosis espinal; Rehabilitación para pacientes con
Rehabilitación de la lesión encefálica traumática.
quemaduras
DARINKA DEKANIC, M.O., PH.D. WllBERT E. FORDYCE, PH.D.
Associate Research Professor and Chief, Laboratory Professor Emeritus, Departments of Rehabilitation
for Human Metabolism, lnstitute for Medica! Medicine and Pain Service, University of
Research, Zagreb, Croatia, Yugoslavia. Washington, Seattle, Washington.
Osteoporosis Evaluación y manejo psicológico
COLABORADORES VII
MURRAY M. FREED, M.D. THERESE ). HANEY, B.S., O. T.
Professor and Chairman, Deparlment of Clinical Faculty for Occupational Therapy School,
Rehabilitation Medicine, Boston University School University of Minnesota, Minneapolis, Minnesota.
of Medicine, Boston, Massachusetts. Director of Clinician for Cardiac Rehabilitation, University of
Rehabilitation Medicine; Director, New England Minnesota Hospital and Clinic.
Regional Spinal Cord lnjury Center, The University
Rehabilitación del paciente con cardiopatía
Hospital, Boston, Massachusetts.
Lesiones traumáticas y congénitas de id tnéclu!d ROSS M. HA YS, M.O.
espinal
Assistant Professor, Rehabilitation Medicine and
Pediatrics, University of Washington School of
LAWRENCE W. FRIEDMANN, M.O., F.A.C.A.,
Medicine, Sealtle, Washington. Associate
F.L.C.A.
Director, Department of Rehabilitation Medicine,
Professor of Rehabilitation Medicine, State Children's Hospital and Medica! Center, Seattle,
University of New York at Stony Brook, East Washington.
Meadow, New York. Chairman and Physiatrist-in
Evaluación del paciente
Chief, Department of Rehabilitation Medicine,
Nassau County Medica! Center, East Meadow, New
H. FREDERIC HELMHOLZ, )R., M.O.
York.
Associate Professor Emeritus, Mayo Graduate
Rehabilitación del paciente con amputación de la
School of Medicine, Rochester, Minnesota.
extremidad inferior
Rehabilitación para la disfunción respiratoria
GAIL L. GAMBLE, M.O., FAAPMR
CHANG-ZERN HONG, M.O.
Assistant Professor, Physical Medicine and
Rehabilitation, Mayo Medica! School, Rochester, Assistant Professor, Department of Physical
Minnesota. Consultant, Department of Physical Medicine and Rehabilitation, University of
Medicine and Rehabilitation, Mayo Clinic, California, lrvine, California. Clinical Director,
Rochester, Minnesota. Department of Physical Medicine and
Rehabilitation, University of California Medica!
Prescripción escrita en medicina física y rehabilita
Center, Orange, California; Co-Director,
ción
Electrodiagnostic Section, Rehabilitation Medicine
Service, VA Medica! Center, Long Beach,
)EROME W. GERSTEN, M.O.
California.
Professor, Rehabilitation Medicine, University of
MPdida de la función musculoesquelética;
Colorado School of MeJiLine, Denver, Colorado.
Rehabilitación fisiátrica y mantenimiento del
Attending Physiatrist, University Hospital,
paciente geriátrico
University of Colorado Health Sciences Center;
Attending Physiatrist; Rose Medica! Center;
DAVID L. HOOKS, PH.D., CRC
Consulting Staff, Craig Hospital; Honorary Staff,
Spalding Rehabilitation Hospital, Denver, Director of Vocational Services, Sacred Heart
Colorado. Medica! Center, Spokane, Washington.
Enfermedades degenerativas del sistema nervioso Evaluación prelaboral
central
MASAYOSHIITOH, M.O., M.P.H.
CARL V. GRANGER, M.O.
Associate Professor of Clinical Rehabilitation
Professor of Rehabilitation Medicine, State Medicine; New York University Medica! School,
University of New York at Buffalo, School of New York, New York. Associate Deputy Director,
Medicine and Biomedical Sciences, Buffalo, New Department of Rehabilitation Medicine, Goldwater
York. Head, Rehabilitation Medicine, The Buffalo Memorial Hospital, New York University Medica!
General Hospital, Buffalo, New York. Center, New York, New York.
Atención de la salud. Evaluación funcional del Epidemiología de la discapacidad en relación con
paciente crónico la medicina de rehabilitación
EUGEN M. HALAR, M.O. REBECCA D. )ACKSON, M.O.
Professor, Department of Rehabililation Medicine, Assistant Professor, Department of Medicine
School of Medicine, University of Washington, (Endocrinology) and Department of Physical
Seattle, Washington. Chief of Rehabilitation Medicine, Ohio State University, Columbus,
Medicine, Veterans Administration Medica! Center, Ohio.
Seattle, Washington.
Osteoporosis
Relación de la rehabilitación con la
inactividad ERNEST W. )OHNSON, M.O.
DANIEL HALPERN, M.O. Professor, Department of Physical Medicine, The
Ohio State University, Columbus, Ohio. Attending
Clinical Professor, Department of Rehabilitation Staff, The Ohio State University Hospitals,
Medicine, Tufts-New England Medica! Center. Columbus, Ohio; Consulting Staff, The Children's
Consultan!, Rehabilitation Medicine, Worcester Hospital, Columbus, Ohio.
City Hospital, Worcester, Massachusells.
Electrodiagnóstico; Rehabilitación y manejo de las
Rehabilitación de niños con daño encefálico enfermedades de la unidad motora
VIII COLABORADORES
MILANO E. KNAPP, S.S., M.S., M.O. Rehabi 1i tation Medicine Service, Mi n neapol is
Veterans Administration Medical Center,
Professor Emeritus, University of Minnesota
Minneapolis, Minnesota.
Medical School, Minneapolis, Minnesota. Former
Member of Staff, Metropolitan Medical Center and Entrenamiento para la independencia funcional;
Hennepin County Medical Center, Minneapolis, Entrenamiento en las actividades domésticas
Minnesota.
SUNG ). liAO, M.O., D.P.H.
Masaje; Cuidados después de fracturas
Clinical Professor of Oral and Maxillo-Facial
MICHAH KOSIAK, M.O. Surgery, New York University College of Oentistry,
New York, New York; Former Chairman, Ad Hoc
Assistant Professor, Department of Physical
Committee on Acupuncture, Connecticut State
Medicine and Rehabilitation, University of
Medical Society; Former Consultan!, Rhode lsland
Minnesota, Minneapolis, Minnesota. Director,
State Board of Acupuncture, Providence, Rhode
Department of Physical Medicine and
lsland. Attending Physiatrist, Waterbury Hospital,
Rehabilitation, St. Paui-Ramsey Hospital, St. Paul,
Waterbury Connecticut.
Minnesota.
Acupuntura en fisioterapia
Prevención y rehabilitación de las úlceras isquémicas
GOROON M. MARTIN, M.O.
FREDERIC ). KOTTKE, M.O., PH.O.
Emeritus Professor, Physical Medicine and
Professor Emeritus, Department of P·hysical
Rehabilitation, Mayo Medical School, Rochester,
Medicine and Rehabilitation, University of
Minnesota.
Minnesota Medical School, Minneapol is,
Minnesota. Emeritus Member of Medical Staff, Prescripción escrita en medicina física y rehabilita
University of Minnesota Hospital and Clinics, ción
Minneapolis, Minnesota.
VHIMIR MATKOVIC, M.O., PH.O.
Neurofisiología de la función motora; Ejercicio te
rapéutico para mantener la movilidad; Ejercicio te Assistant Professor, Department of Physical
rapéutico para desarrollar la coordinación neuro Medicine and Department of Interna! Medicine,
muscular; Prevención y rehabilitación de las úlce Ohio State University, Columbus, Ohio.
ras isquémicas
Osteoporosis
MYRON M. lABAN, M.O., M.M.SC.
MAURICE H. MlllER, PH.O.
Associate Clinical Professor, Physical Medicine and
Professor of Audiology, New York University, New
Rehabilitation, Wayne State University, Detroit,
York, New York. Chief of Audiology, Center for
Michigan; Clinical Professor, Oakland University,
Communication Disorders, lenox Hill Hospital,
Rochester, Michigan. Chairman, Department of
New York, New York.
Physical Medicine and Rehabilitation; Director,
Residency Training, William Beaumont Hospital, Diagnóstico y rehabilitación de los trastornos audi
Royal Oak, Michigan. tivos
Rehabilitación de pacientes con cáncer
WALTER ). MYSIW, M.O.
MATHEW H. M. lEE, M.O., M.P.H., F.A.C.P. Assistant Professor, Department of Physical
Medicine, Ohio State University, Columbus,
Professor of Clinical Rehabilitation Medicine, New
Ohio.
York University School of Medicine, New York,
New York; Clinical Professor of Oral and Osteoporosis
MaxilloFacial Surgery, New York University
College of Dentistry, New York, New York. Acting PAUl A. NHSON, M.O.
Chairman and Director, Rusk lnstitute of
Residen! Emeritus Staff, Cleveland Clinic
Rehabilitation Medicine, New York University
Foundation, Cleveland, Ohio.
Medical Center, New York, New York.
Rehabilitación de los pacientes con linfedema
Epidemiología de la discapacidad en relación con
la medicina de rehabilitación; Acupuntura en
fisioterapia )OACHIM l. OPITZ, M.O.
Associate Professor of Physical Medicine and
)USTUS F. lEHMANN, M.O.
Rehabilitation, Mayo Medical School, Rochester,
Professor, Department of Rehabilitation Medicine, Minnesota. Consultan!, DepartmeAt of Physical
University of Washington School of Medicine, Medicine and Rehabilitation, Mayo Clinic and
Seattle, Washington. Co-Director, Brain lnjury Mayo Foundation, Rochester, Minnesota.
Clinic, University Hosritill, SPrlltiP, Washington.
Cirugía recumtructiva de las extremidades
Análisis de la marcha: diagnóstico y manejo;
Diatermia y terapéutica superficial con calor, láser WllliAM S. PEASE, M.O.
y frío; Ejercicio terapéutico para el desarrollo de la
fuerza y de la resistencia; Ortótica de la extremidad Assistant Professor, Department of Physical
inferior Medicine, The Ohio State University College of
Medicine, Columbus, Ohio. Attending Staff, Ohio
lOREN R. LESUE, M.O. State University Hospitals, Columbus, Ohio.
Assistant Professor, University of Minnesota Rehabilitación y manejo de las enfermedades de la
Medical School, Minneapolis, Minnesota. Chie( unidad motora
COLABORADORES IX
INDER PERKASH, M.D., M.S., F.R.C.S. D. E. STRANDNESS, )R., M.D.
Professor of Surgery and Paralyzed Veterans of Professor, Department of Surgery, University of
America Professor of Spinal Cord Injuries, Stanford Washington, Seattle, Washington.
University Medica! Center, Stanford, California.
Maneio de las enfermedades vasculares
Chief, Spinal Cord lnjury Center, Department of
Veterans Affairs Medica! Center, Palo Alto,
ROBERT l. SWEZEY, M.D., F.A.C.P., F.A.C.R.
California.
Clinical Professor of Medicine, UCLA, Los Angeles,
Manejo de la disfunción neurogénica de la vejiga y
California. Staff, St. john's Hospital, Santa Monica,
el intestino
California; Staff, Santa Monica Hospital, Santa
Monica, California.
ELIZABnH A. RIVERS, O.T.R., R.N.
Rehabilitación en la artritis y trastornos relaciona
Part-time Clinical Instructor, University of Minnesota dos
and College of St. Catherine, St. Paul, Minnesota.
Burn Rehabilitation Specialist, The Burn Center at )EROME S. TOBIS, M.D.
St. Paul Ramsey Hospital, St. Paul, Minnesota.
Professor Emeritus, Department of Physical
Rehabilitación para pacientes con quemaduras Medicine and Rehabilitation, University of
California, lrvine Medica! Center, lrvine, California.
MARY O. ROMANO, M.S.W. Medida de la función musculoesquelética;
Rehabilitación fisiátrica v mantenimiento del
Adjunct Instructor, Virginia Commonwealth
paciente geriátrico ·
University, Richmond, Virginia. Director of Social
Work, National Rehabilitation Hospital.
JA Y M. UOMOTO, PH.D.
Diagnóstico psicosocial y servicios sociales
Assistant Professor, Department of Rehabilitation
Medicine, University of Washington School of
JEROME D. SCHEIN, PH.D. Medicine, Seattle, Washington. Director, Brain
lnjury Clinic, University of Washington Medica!
Chair of Deafness Studies, University of Alberta,
Center, Seattle, Washington.
Edmonton, Alberta; Emeritus Professor of Sensory
Rehabilitation, New York University, New York, Evaluación neuropsicológica y entrenamiento en la
New York. lesión encefálica aguda
Diagnóstico y rehabilitación de los trastornos audi
AlAN HOWARD WHNER, M.D., M.P.H.
tivos
Researcher, Department of Environmental Science
ARTHUR A. SIEBENS, M.O. and Physiology, Harvard University School of
Public Health, Boston, Massachusetts; Lecturer on
Richard B. Darnell Professor of Rehabi 1i tation Physical Medicine and Rehabilitation, University of
Medicine and Surgery, The johns Hopkins School Pennsylvania School of Medicine, Philadelphia,
of Medicine, Baltimore, Maryland; Director, Pennsylvania.
Department of Rehabilitation Medicine .. The Johns
Accesibilidad ambiental para personas con dis
Hopkins Hospital, Baltimore, Maryland; Chief of
capacidad física
Rehabilitation Medicine, The Good Samaritan
Hospital, Baltimore, Maryland.
ROBERT WHITTEN, M.D.
Rehabilitación de las alteraciones en la deglución
Senior Resident, Department of Physical Medicine,
Ohio State University, Columbus, Ohio. Attending
WALTER C. STOLOV, M.D. Physician, Riverside Methodist Hospital, Columbus,
Ohio.
Professor and Chairman, Department of
Rehabilitation Medicine, University of Washington Osteoporosis
School of Medicine, Seattle, Washington. Attending
Physician, Harborview Medica! Center, University DAVID O. WIECHERS, M.D.
Hospital, and Veterans Administration Hospital,
Clinical Assistant Professor, Department of Physical
Seattle, Washington.
Medicine and Rehabilitation, Ohio State University,
Evaluación del paciente; Evaluación prelaboral Columbus, Ohio.
Electrodiagnóstico
HENRY H. STONNINGTON, M.B.B.S., M.S., .F.R.C.P.
KATHRYN M. YORKSTON, PH.D.
Professor, Department of Physical Medicine and
Rehabilitation, Medica! College of Virginia, Professor, Department of Rehabilitation Medicine,
Richmond, Virginia. University of Washington, Seattle, Washington.
Rehabilitación para la disfunción respiratoria Trastornos del habla y del lenguaje
,
lndice
PRIMERA PARTE
1 EVALUACIÓN DEL PACIENTE ............................................................................................. .
Walter C. Stolov y Ross M. Hays
2 MEDIDA DE LA FUNCIÓN MUSCULOESQUELÉTICA 21
Thcodore M. Cole, Daniel T. Barry y Jerome S. Tobis
3 ELECTRODIAGNÓSTICO . . . . .. .. . . . . . . . . . . . . . . .. . . . ... . . . . . . . . . .. . . . . . . . . . . . . . . .. .. . . . . . . . . . . .. .. . . . . . . . . . . . . . .. .. . . . . . ... .. . . 72
David O. Wiechers y Emest W. Johnson
4 ANÁLISIS DE LA MARCIIA: DIAGNÓSTICO Y MANEJO 108
Justus F. Lehmann y Barbara J. de Lateur
5 TRASTORNOS DEL HABLA Y DEL LENGUAJE ........................................................................ 127
Kathryn M. Yorkston y David R. Beukelman
6 EVALUACIÓN Y MANEJO PSICOLÓGICO ............................................................................... 154
Jo Ann Brockway y Wilbert E. Fordyce
7 DIAGNÓSTICO PSICOSOCIAL Y SERVICIOS SOCIALES ............................................................ 173
Mary D. Romano
8 EVALUACIÓN Y MANEJO OCUPACIONAL ............................................................................. 184
Gary T. Athelstan
9 EVALUACIÓN PRELABORAL ................................................................................................ 212
Walrer C. Stolov y David L. Hooks
10 EPIDEMIOLOGÍA DE LA DISCAPACIDAD EN RELACIÓN CON LA MEDICINA
DE REHABlLITACJÓN .......................................................................................................... 222
Masayoshi ltoh y Mathew H. M. Lee
11 NEUROFISIOLOGÍA DE LA FUNCIÓN MOTORA ...................................................................... 242
Frederic J. Kottke
12 ATENCIÓN DE LA SALUD. EVALUACIÓN FUNCIONAL DEL PACIENTE CRÓNICO ...................... 281
Carl V. Granger
13 DIATERMIA Y TERAPÉUTICA SUPERFICIAL CON CALOR, LÁSER Y FRÍO 295
Justus F. Lehmann y Barbara J. tle Lateur
14 TERAPÉUTICA CON RADIACIÓN ULTRAVIOLETA 381
Jef'frey R. Basford
XII DICE
15 ELECfROTERAPIA .. ............................ .............. ............................ ... .. .......................... ....... 388
Jeffrey R. Basford
16 ACUPUNTURA EN FISIOTERAPIA ......................................................................................... 414
Mathew H. M. Lee y Sung J. Liao
SEGUNDA PARTE
17 MASAJE 445
Miland E. Knapp
18 EJERCICIO TERAPÉUTICO PARA MANTENER LA MOVILIDAD .... ................. ............................ 448
Frederic J. Kottke
19 EJERCICIO TERAPÉUTICO PARA DESARROLLAR LA COORDINACIÓN NEUROMUSCULAR .......... 466
Frederic J. Kottke
20 EJERCICIO TERAPÉUTICO PARA EL DESARROLLO DE LA FUERZA Y DE LA RESISTENCIA .... .. ... 498
Barbara J. de Lateur y Justus F. Lehmann
21 POSICIÓN EN LA CAMA 540
Paul M. Ellwood (h)
22 TRASLADOS: MÉTODO, EQUIPO Y PREPARACIÓN ................................................................. 549
Paul M. Ellwood (h)
23 PRESCRIPCIÓN DE LA SILLA DE RUEDAS ............................................ ................................. 568
Catherine W. Britell
24 ENTRENAMIENTO PARA LA INDEPENDENCIA FUNCIONAL ..................................................... 585
Loren R. Leslie
25 ENTRENAMIENTO EN LAS ACTIVIDADES DOMÉSTICAS ......................................................... 593
Loren R. Leslie
26 ÜRTÓTICA DE LA EXTREMIDAD SUPERIOR .......... .......................... ............ .......................... 603
Leonard F. Bender
27 ÜRTOSIS ESPINAL 617
Steven V. Fisher
28 ÜRTÓTICA DE LA EXTREMIDAD INFERIOR 627
Justus F. Lehmann y Barbara J. de Lateur
29 PRESCRIPCIÓN ESCRITA EN MEDICINA FfSICA Y REHABILITACIÓN 674
Gordon M. Martin y Gail L. Gamble
30 REHABILITACIÓN DE PACIE TES CON ICfUS ESTABLECIDO .................................................. 684
Thomas P. Anderson
31 REHABILITACIÓN EN LA ARTRITIS Y TRASTORNOS RELACIONADOS ...................................... 708
Robert L. Swezcy
32 LESIONES TRAUMÁTICAS Y CONGÉNITAS DE LA MÉDULA ESPINAL ....................................... 747
Murray M. Freed
33 CUIDADOS DESPUÉS DE FRACfURAS .. .. .. .. .... .. .. .. .... .. .. ...... ...... .. .. .. .. .. .. .. ...... .. .... .. .. .... .. .. .. .. .. 780
Miland E. Knapp
34 REHABILITACIÓN Y MANEJO DE LAS ENFERMEDADES DE LA UNIDAD MOTORA ..................... 785
William S. Pease y Erncst W. Johnson