Neurorehabilitation of the Upper Limb Across the Lifespan: Managing Hypertonicity for Optimal Function

387 Pages·2014·5.904 MB·English

by  Jodie Copley, Kathy Kuipers

Neurorehabilitation
of the Upper Limb
Across the Lifespan

Neurorehabilitation
of the Upper Limb
Across the Lifespan
Managing Hypertonicity
for Optimal Function
Dr. Jodie Copley
SeniorLecturerandClinicalEducator
SchoolofHealthandRehabilitationSciences
TheUniversityofQueensland,Australia
Dr. Kathy Kuipers
OptimiseRehab,Queensland,Australia
Lecturer,SchoolofHealthandRehabilitationSciences
TheUniversityofQueensland,Australia
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LibraryofCongressCataloging-in-PublicationData
Copley,Jodie,author.
Neurorehabilitationoftheupperlimbacrossthelifespan:managinghypertonicityforoptimal
function/Dr.JodieCopley,Dr.KathyKuipers.
p.;cm.
Includesbibliographicalreferencesandindex.
ISBN978-0-470-67031-6(pbk.)
I. Kuipers,Kathy,author.II. Title.
[DNLM: 1. MuscleHypertonia–rehabilitation.2. UpperExtremity–physiopathology.
3. BrainInjuries–complications.4. MovementDisorders–therapy.5. OrthopedicFixation
Devices.6. Patient-CenteredCare. WE805]
RC387.5
617.4′810443–dc23
2013049512
AcataloguerecordforthisbookisavailablefromtheBritishLibrary.
Wileyalsopublishesitsbooksinavarietyofelectronicformats.Somecontentthatappearsinprintmaynot
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1 2014
Contents
Acknowledgements,ix
1. SeeingtheBiggerPicture:UsingClients’ExperiencestoShapeClinical
Practice,1
1.1. Appreciatingtheclient’sexperiences,1
1.2. Providingorassistingaccesstolong-termservices,1
1.3. Initiatingandsupportingtransitionsfromoneservicetothenext,3
1.4. Listeningcarefullyandprovidingrelevantinformation,4
1.5. Collaboratingonachievablegoals,5
1.6. Activelysupportingandinvolvingcaregivers,6
1.7. Thisbook:Promotingcollaborative,client-centredintervention,7
References,7
2. WhatHappenstotheUpperLimbAfterBrainInjury?,9
2.1. Motorcontrolandnormalmovement,9
2.2. Upperlimbmovement,17
2.3. Braininjuryandmovementdysfunction,19
2.4. Uppermotorneuronsyndrome,20
2.5. Theclinicalpicture:Interactionofpositiveandnegativefeatures,37
2.6. Summary,45
References,45
3. TheHypertonicityInterventionPlanningModelforUpperLimb
Neurorehabilitation,54
3.1. Decision-makinginclinicalpractice,54
3.2. Evidence-basedpractice:Whatitisandwhatitisn’t,56
3.3. Clinicalreasoning:Aprocessofintegrationanddifferentiation,61
3.4. Thehypertonicityinterventionplanningmodelforupperlimbneurorehabilitation,65
3.5. Summary,73
References,73
4. MakingSenseoftheClinicalPicture,80
4.1. TheICFasanassessmentframework,80
4.2. Gatheringinformation,81
4.3. Upperlimbassessment,87
4.4. Goalformulation,107
4.5. Summary,110
References,111
4.A. InformationGatheringUsingaConceptMapStructure,116
4.B. UpperLimbPerformanceAnalysis(ULPA)Part2:ComparativeAnalysisofPerformance–
Motor(CAP-M),117
4.C. UpperLimbHypertonicityAssessmentForm,119
5. CaseStudies,128
5.1. Wendy,128
5.2. Harry,134
5.3. Tony,138
5.4. Summary,144
v
vi Contents
6. MovementandStrengthTraining,145
6.1. Changesinrehabilitationtheoryandpractice,145
6.2. Commonrehabilitationapproaches:Assumptions,principlesandstrategies,146
6.3. Aselectionofcontemporarytechniques:Indicationsandconsiderations,149
6.4. Summary,176
References,177
7. Splinting,186
7.1. Splinting:Proposedmechanismsofeffect,186
7.2. Splintingresearch:Anarrativereview,190
7.3. Hypertonicityinterventionplanningmodel(HIPM):Indicationsforsplinting,202
7.4. Splintprescription,202
7.5. Commonsplintdesigns,213
7.6. Adaptingsplintdesigns,214
7.7. Commercially-producedSplints,214
7.8. Wearingschedules,216
7.9. Fabricationprinciples,218
7.10. Summary,223
References,223
7.A. CommonSplintDesigns,PatternsandFabricationInstructions,230
7.B. SplintCareandPrecautions,274
7.C. ExampleofaPhotographicSplintProgramme,275
8. Casting,278
8.1. Castingclassification,278
8.2. Castingresearch:Anarrativereview,282
8.3. Indicationsforcasting,284
8.4. Contraindicationsforcasting,284
8.5. Castingconsiderations,290
8.6. Castingprocess,294
8.7. Post-castingfollow-upprogramme,298
8.8. Summary,301
References,301
8.A. CastingProcedures,304
8.B. CastingforArmsandHands:InformationSheet,316
8.C. CastingAgreement,317
8.D. CastingDocumentationFormPage1,318
8.D. CastingDocumentationFormPage1,319
8.E. PrecautionsandCastCareDuringCastingSeries,320
9. BotulinumNeurotoxin,321
9.1. Clostridiumbotulinum,321
9.2. Mechanismofeffect,323
9.3. Botulinumneurotoxinresearch:Anarrativereview,326
9.4. Guidelinesforpractice,329
9.5. Summary,335
References,335
10. Surgery,339
10.1. Classificationofsurgicalprocedures,339
10.2. Surgery:Anarrativereview,340
10.3. Indicationsforsurgicalintervention,347
10.4. Surgicalconsultation:Informationsharing,350
Contents vii
10.5. Post-surgeryfollow-up,351
10.6. Summary,352
References,352
11. CaseStudiesRevisited,355
11.1. Wendy–interventionprocessandoutcomes,355
11.2. Harry–interventionprocessandoutcomes,360
11.3. Tony–interventionprocessandoutcomes,362
11.4. Summary,366
Index,369