{"title":"Organization of services","authors":"M. Sivan, M. Phillips, I. Baguley, M. Nott","doi":"10.1093/MED/9780198785477.003.0004","DOIUrl":"https://doi.org/10.1093/MED/9780198785477.003.0004","url":null,"abstract":"This chapter discusses the organization of rehabilitation services. It starts with the principles of comprehensive delivery and organization of services, and then outlines the merits and drawbacks of different systems. Regional services can offer a range of specialist outpatient resources that are not available on the local level. Local services should deliver all standard post-acute inpatient rehabilitation, and there may be an advantage to create a dedicated united working from a physical base. Early supported discharge services can bridge the gap between inpatient and community services, with outpatient and community services providing longer term rehabilitation. Finally, community-based rehabilitation in developing countries is discussed.","PeriodicalId":197491,"journal":{"name":"Oxford Handbook of Rehabilitation Medicine","volume":"31 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2019-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"130887211","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Concepts of rehabilitation","authors":"M. Sivan, M. Phillips, I. Baguley, M. Nott","doi":"10.1093/MED/9780198785477.003.0001","DOIUrl":"https://doi.org/10.1093/MED/9780198785477.003.0001","url":null,"abstract":"In healthcare, rehabilitation has been defined as ‘a general health strategy with the aim of enabling persons with health conditions experiencing, or likely to experience, disability to achieve and maintain optimal functioning’. This chapter covers models of disability, including clinical, social, and biopsychosocial models; describes the use of correct terminology, and the importance of avoiding terminology that implies dependency or terminology which just categorizes all people with disabilities; and introduces approaches to rehabilitation, illustrated by a case study. Goal planning, habit forming, and outcome measurement are all described, and the benefits of rehabilitation are outlined. It summarizes the basic tasks of rehabilitation, and introduces the rationale for the rest of the book.","PeriodicalId":197491,"journal":{"name":"Oxford Handbook of Rehabilitation Medicine","volume":"13 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2019-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"124082169","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Rehabilitation assessment and evaluation","authors":"M. Sivan, M. Phillips, I. Baguley, M. Nott","doi":"10.1093/MED/9780198785477.003.0006","DOIUrl":"https://doi.org/10.1093/MED/9780198785477.003.0006","url":null,"abstract":"This chapter describes assessment procedures in rehabilitation medicine. Covering initial, ongoing, and outcome assessment, it also describes different types of assessment measures (including descriptive, discriminative, predictive, evaluative assessments) and their specific suitability in different circumstances. Critical appraisal of different assessment tools are covered as well as assessment within the International Classification of Functioning and Health (ICF) framework, which provides a framework that describes a person’s health status as the interaction between three domains: body functions and structures, limitations in activity execution or performance, and restriction of participation. Rasch Analysis as applied to outcome measures in rehabilitation medicine is then explained. Acknowledging that rehabilitation is a complex intervention including a multidisciplinary team, sensible approaches to goal setting, and attainment are discussed.","PeriodicalId":197491,"journal":{"name":"Oxford Handbook of Rehabilitation Medicine","volume":"14 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2019-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"133800823","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Mobility and gait","authors":"M. Sivan, M. Phillips, I. Baguley, M. Nott","doi":"10.1093/MED/9780198785477.003.0018","DOIUrl":"https://doi.org/10.1093/MED/9780198785477.003.0018","url":null,"abstract":"Mobility is a function of everyday life that allows us the freedom to move between places for work, social events, and activities of daily living. Reduction in mobility leads to activity limitations and participation restrictions, may increase dependence on others, and adversely affects the quality of life of the person, carers, and family. This chapter covers the anatomy and physiology of mobility and the gait cycle, then the effect of pathology on the gait. Assessing and examining mobility is covered in the context of planning rehabilitation programmes. Gait analysis, including three-dimensional computerized biomechanical assessment, is explained. Interventions and goals in gait rehabilitation are outlined, and avoidance and reduction of falls is also explained.","PeriodicalId":197491,"journal":{"name":"Oxford Handbook of Rehabilitation Medicine","volume":"59 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2019-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"127310009","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Respiratory issues in rehabilitation","authors":"M. Sivan, M. Phillips, I. Baguley, M. Nott","doi":"10.1093/MED/9780198785477.003.0017","DOIUrl":"https://doi.org/10.1093/MED/9780198785477.003.0017","url":null,"abstract":"Respiratory aspects of rehabilitation fall into two broad and overlapping categories. One is that of pulmonary rehabilitation which traditionally has focused on exercise, behaviour change, and educational-based intervention for those with chronic lung disease, predominantly chronic obstructive pulmonary disease, but its efficacy has since been proven in other chronic respiratory conditions (e.g. asthma, interstitial lung disease, cystic fibrosis, bronchiectasis, lung transplantation, and pulmonary hypertension). The other is rehabilitation in the context of neurogenic respiratory impairment, which is relevant to persons with both degenerative and monophasic-onset neurological conditions. These categories are overlapping as techniques from one may have relevance to the other. This chapter describes these aspects, investigations, and interventions.","PeriodicalId":197491,"journal":{"name":"Oxford Handbook of Rehabilitation Medicine","volume":"185 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2019-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"115203147","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Rehabilitation in critical illness","authors":"M. Sivan, M. Phillips, I. Baguley, M. Nott","doi":"10.1093/MED/9780198785477.003.0025","DOIUrl":"https://doi.org/10.1093/MED/9780198785477.003.0025","url":null,"abstract":"This chapter focuses on those situations where the effects of a critical illness can produce additional morbidity with the potential to affect later rehabilitation. In the context of critical illness, much of this additional morbidity takes the form of readily predictable complications resulting from the disease process or the consequences of its early management. In this sense, rehabilitation principles should be an essential and integrated part of management in the intensive care unit (ICU) setting. Even though it is occurring in ICU, the goals of rehabilitation are unchanged—to maximize the potential for the person to maximize their short- and long-term functional capacity and quality of life. This chapter also describes rehabilitation in specific critical illnesses.","PeriodicalId":197491,"journal":{"name":"Oxford Handbook of Rehabilitation Medicine","volume":"220 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2019-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"126891793","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Injections in rehabilitation medicine","authors":"M. Sivan, M. Phillips, I. Baguley, M. Nott","doi":"10.1093/MED/9780198785477.003.0015","DOIUrl":"https://doi.org/10.1093/MED/9780198785477.003.0015","url":null,"abstract":"Injection-based interventions are a useful addition to the rehabilitation physician’s practice. These can occur in either inpatient or outpatient settings and be for musculoskeletal (e.g. joint/soft tissue injections) or neurological conditions (such as antispasticity injections and nerve blocks). Local steroid injection is a well-proven and effective treatment for focal pain and inflammation, and this chapter covers commonly used steroid injections, as well as different agents and procedures with their indications (including botulinum toxin injection). It provides a guide to the use of appropriate general injection techniques and includes tables showing the dose and duration of action of commonly used steroids and local anaesthetics for injections.","PeriodicalId":197491,"journal":{"name":"Oxford Handbook of Rehabilitation Medicine","volume":"25 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2019-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"131075595","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Musculoskeletal problems of upper and lower limbs","authors":"M. Sivan, M. Phillips, I. Baguley, M. Nott","doi":"10.1093/MED/9780198785477.003.0036","DOIUrl":"https://doi.org/10.1093/MED/9780198785477.003.0036","url":null,"abstract":"This chapter first describes common musculoskeletal disorders of the upper limb, including adhesive capsulitis of the shoulder, glenohumeral joint arthritis, acromioclavicular joint arthritis, rotator cuff disease, tennis elbow/lateral epicondylalgia and golfer’s elbow/medial epicondylalgia, De Quervain’s tenosynovitis/intersection syndrome, Dupuytren’s contracture, carpal tunnel syndrome, and work-related upper limb disorders. It then goes on to describe common musculoskeletal disorders of the lower limb including osteoarthritis, greater trochanter pain syndrome, tendinopathy: patellar tendon/Achilles tendon/tibialis posterior tendon, plantar fasciopathy, and Morton’s neuroma. Management of symptoms and assessment of cases are all described and suggestions for further reading and useful websites are given.","PeriodicalId":197491,"journal":{"name":"Oxford Handbook of Rehabilitation Medicine","volume":"17 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2019-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"125317756","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Common musculoskeletal conditions","authors":"M. Sivan, M. Phillips, I. Baguley, M. Nott","doi":"10.1093/MED/9780198785477.003.0035","DOIUrl":"https://doi.org/10.1093/MED/9780198785477.003.0035","url":null,"abstract":"The Global Burden of Disease study identified musculoskeletal (MSK) conditions as the largest single cause of years lived with disability. MSK medicine and rehabilitation services worldwide are heterogeneous in nature in terms of patient pathway and involvement of various healthcare professionals. The service can be led by consultants in different medical specialties; in primary care by General Practitioners with a special interest in MSK disorders and in secondary care by rheumatologists, orthopaedic surgeons, neurosurgeons, pain specialists, rehabilitation and MSK physicians. Allied health professionals such as physiotherapists and extended scope practitioners now have a far greater role in managing MSK conditions in some countries such as the UK.","PeriodicalId":197491,"journal":{"name":"Oxford Handbook of Rehabilitation Medicine","volume":"10 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2019-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"116555383","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Cognition and behaviour","authors":"M. Sivan, M. Phillips, I. Baguley, M. Nott","doi":"10.1093/MED/9780198785477.003.0007","DOIUrl":"https://doi.org/10.1093/MED/9780198785477.003.0007","url":null,"abstract":"This chapter provides a general overview of cognition, and relevant models of information processing to facilitate decision-making and acting with regard to rehabilitation medicine. Perceptual disorders are discussed, and factors that may cause them to arise are covered. Attention is also described, including key terminology, and memory structure and forms are covered. High-level cognitive processes are described, and then applied to rehabilitation approaches (both remedial and compensatory). General background to behaviour, learning theory, management, and treatment approaches are all discussed, including cognitive behavioural therapy. Finally, pharmaceutical management to modify behaviour is covered.","PeriodicalId":197491,"journal":{"name":"Oxford Handbook of Rehabilitation Medicine","volume":"32 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2019-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"121633878","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}