krainaksiazek stroke rehabilitation a function based approach 20107377

- znaleziono 8 produktów w 1 sklepie

Nrf2 as a Therapeutic Target for Stroke and Neurodegeneration - 2834695329

375,06 zł

Nrf2 as a Therapeutic Target for Stroke and Neurodegeneration VDM Verlag Dr. Müller

Książki / Literatura obcojęzyczna

Stroke is a leading cause of death and disability in§North America. §One major cause of nerve tissue damage during stroke§is the §accumulation of reactive oxygen species- molecules§that steal §electrons from healthy cells in a process known as§oxidation. This §thesis describes a novel approach to increase§antioxidant levels in §order to maintain oxidative balance and prevent§cellular damage §during stroke. The stress-responsive transcription§factor, Nrf2, is §able to launch the endogenous mechanisms of cellular§defense and §repair. Nrf2 represents a master switch that§coordinates tens to §hundreds of antioxidant and detoxification genes§working in §synergy. In rodent models of stroke and§neurodegeneration, §increased Nrf2 activity was found to promote neuronal§survival and §improve recovery of limb function weeks to months§following injury. §Interestingly, a number of molecules that activate§Nrf2 are found in §cruciferous vegetables, such as broccoli sprouts,§suggesting the §possibility of practical diet-based therapies.

Sklep: Libristo.pl

Physical Rehabilitation of Paralysed Facial Muscles: Functional and Morphological Correlates - 2827023394

1054,58 zł

Physical Rehabilitation of Paralysed Facial Muscles: Functional and Morphological Correlates Springer, Berlin

Książki / Literatura obcojęzyczna

Using a combined morpho-functional approach the author recently found that polyinnervation of the neuro-muscular juction (NMJ) is the critical factor for recovery of function after transection and suture of the facial nerve. Since polyinnervation is activity-dependent and can be manipulated, he tried to design a clinically feasible therapy by electrical stimulation or by soft tissue massage. First, electrical stimulation was applied to the transected facial nerve or to paralysed facial muscles. Both procedures did not improve vibrissal motor performance (video-based motion analysis of whisking), failed to diminish polyinnervation and even reduced the number of innervated NMJ to one fifth of normal values. In contrast, gentle stroking of the paralysed vibrissal muscles by hand resulted in full recovery of whisking. Manual stimulation was also effective after hypoglossal-facial anastomosis and after interpositional nerve grafting. The author concludes that manual stimulation is a non-invasive procedure with immediate potential for clinical rehabilitation following facial nerve reconstruction.Using a combined morpho-functional approach the author recently found that polyinnervation of the neuro-muscular juction (NMJ) is the critical factor for recovery of function after transection and suture of the facial nerve. Since polyinnervation is activity-dependent and can be manipulated, he tried to design a clinically feasible therapy by electrical stimulation or by soft tissue massage. First, electrical stimulation was applied to the transected facial nerve or to paralysed facial muscles. Both procedures did not improve vibrissal motor performance (video-based motion analysis of whisking), failed to diminish polyinnervation and even reduced the number of innervated NMJ to one fifth of normal values. In contrast, gentle stroking of the paralysed vibrissal muscles by hand resulted in full recovery of whisking. This manual stimulation depends on intact sensory supply of the denervated muscle targets and is also effective after hypoglossal-facial anastomosis, after interpositional nerve grafting, when applied to the orbicularis oculi muscle and after transection and suture of the hypoglossal nerve. From these results the author concludes that manual stimulation is a non-invasive procedure with immediate potential for clinical rehabilitation following facial nerve reconstruction.

Sklep: Libristo.pl

Sensory Re-education of the Hand After Stroke - 2826818363

428,83 zł

Sensory Re-education of the Hand After Stroke Whurr Publishers Ltd

Książki / Literatura obcojęzyczna

Stroke patients continue to present a major challenge to the rehabilitation professions. In particular, the "rehabilitated" patient with a useless hand remains an all too common phenomenon. This book focuses on the sensory perceptual disturbances caused by stroke which, even if slight can be the crucial factor in poor hand function. A wide--ranging review is presented of the processes of functional reorganisation by which the brain responds to the demands posed by injury as well as by learning. An inescapable conclusion from this literature is that any therapy which aims to harness these processes for the restoration of function after stroke needs to engage the patienta s attention and motivation. This is followed by a detailed description of the method of Sensory Re--education developed by the author through long experience with patients and culminating in a clinical trial which establised its effectiveness. While the book is intended primarily for physiotherapists and occupational therapists, it contains much to interest all who are concerned with brain function in health and disease, including neurologists and neuropsychologists, as well as stroke patients and their families. Contents* Introduction* The Challenge: Stroke and its Aftermath* The Effectiveness of Therapy* The Quest for a Different Approach* Sensory Loss in Stroke: Sensory Testing and the Frequency and Types of Deficit* The Functional Implications of Sensory Loss* The Theoretical Basis of Sensory Re--education: Sources* Peripheral Nerve Lesions; Central Lesions* Guide--lines for Intervention* Contributions from Psychology: Attention; Motivation* The Essentials of Sensory Re--education: The Focus on the Hand* The Therapeutic Relationship* The Protocol for a Sensory Task* Summary* The Curriculum I: How to Use the Curriculum* Lessons in Touch* The Curriculum II: Lessons in Proprioception* Lessons in the Recognition of Objects and Their Qualities* Suggestions for Homework* Validation of the Method: Theoretical Considerations* A Controlled Trial* The Next Step* Wider Applications: Sensory Problems in Standing and Walking After Stroke* Cerebral Palsy* Other Conditions* Wider Applications* Conclusion

Sklep: Libristo.pl

Clinical Orthopaedic Rehabilitation - 2826628203

379,15 zł

Clinical Orthopaedic Rehabilitation Elsevier Mosby

Książki / Literatura obcojęzyczna

In Clinical Orthopaedic Rehabilitation: An Evidence-Based Approach, Dr. S. Brent Brotzman and Robert C. Manske help you apply the most effective, evidence-based protocols for maximizing return to function following common sports injuries and post-surgical conditions. A well-respected, comprehensive source for evaluating, treating, and rehabilitating orthopaedic patients, the 3rd Edition guides you on the prevention of running injuries, the latest perturbation techniques, and the ACL rehabilitation procedures and functional tests you need to help get your patients back in the game or the office. Youll also find a brand-new spine rehabilitation section, an extensively revised art program, and online access to videos demonstrating rehabilitation procedures of common orthopaedic conditions at www.expertconsult.com

Sklep: Libristo.pl

Physical Therapy for the Stroke Patient - 2836516008

374,57 zł

Physical Therapy for the Stroke Patient Thieme Publishing Group

Książki / Literatura obcojęzyczna

Clinical evidence clearly demonstrates that physical therapeutic measures begun as soon as possible after a stroke, often within 24 to 48 hours, greatly increase everyday competence and quality of life. Physical Therapy for the Stroke Patient: Early Stage Rehabilitation covers all the issues that physical therapists must deal with in this critical period: assessment of patients - abilities; care during the acute phase; early mobilization; effects of medication; risk factors; ethical questions; and much more. It provides complete guidelines on how to examine and treat the patient, the "dosage" of physical therapy required, and the key differences between early and late stage rehabilitation after stroke. Special Features:§- Information-packed chapter on§- Optimizing Functional Motor Recovery after Stroke, - written by J. Carr and R. Shepherd, pioneers in the field and the first to correlate motor learning and stroke recovery§- Case studies throughout the book offering direct, hands-on examples of evaluation and treatment methods§- Nearly 150 color photographs demonstrating step-by-step physical therapy techniques used in actual practice§- Hundreds of references to the literature that support the evidence-based approach presented in the book For all physical and occupational therapists who must answer the question, "How much therapy will help my patient?", this book provides clear, well-informed answers. Not only will it increase your therapeutic skills and confidence, but it will also expand your knowledge of the medical issues and long-term outcomes for the post-stroke patients in your care.

Sklep: Libristo.pl

Cognitive Rehabilitation Therapy for Traumatic Brain Injury - 2834153334

150,35 zł

Cognitive Rehabilitation Therapy for Traumatic Brain Injury National Academies Press

Książki / Literatura obcojęzyczna

In October 2011, the Institute of Medicine (IOM) released the report Cognitive Rehabilitation Therapy for Traumatic Brain Injury: Evaluating the Evidence, assessing the published evidence for the effectiveness of using cognitive rehabilitation therapy (CRT) to treat people with traumatic brain injury (TBI). TBI has gained increasing attention in the past 15 years because of its status as the signature wound of American military conflicts in Iraq and Afghanistan. Growing numbers of U.S. service members are suffering traumatic brain injuries and are surviving them, given that (a) the majority of traumatic brain injuries are mild and (b) lifesaving measures for more severe injuries have significantly improved. People with any level of injury can require ongoing health care in their recovery, helping them to regain (or compensate for) their losses of function and supporting their full integration into their social structure and an improved quality of life. One form of treatment for TBI is CRT, a systematic, goal-oriented approach to helping patients overcome cognitive impairments. The Department of Defense (DoD) asked the IOM to evaluate CRT for traumatic brain injury in order to guide the DoD's use and coverage in the Military Health System. Cognitive Rehabilitation Therapy for Traumatic Brain Injury: Evaluating the Evidence was the IOM's resulting study of the evidence. The report's conclusions revolved around the fact that there is little continuity among research studies of the effectiveness of different types of CRT, and there exist only small amounts of evidence (or, in many cases, none) demonstrating the effectiveness of using CRT to treat TBI-although the evidence that does exist generally indicates that CRT interventions have some effectiveness. The workshop brought together experts in health services administration, research, and clinical practice from the civilian and military arenas in order to discuss the barriers for evaluating the effectiveness of CRT care and for identifying suggested taxonomy, terminology, timing, and ways forward for CRT researchers. The workshop consisted of individuals and was not intended to constitute a comprehensive group. Select decision makers in the Military Health System and Veterans Affairs (VA) and researchers were invited to participate. The workshop was designed to spur thinking about (1) the types of research necessary to move the field forward toward evidence-based clinical guidelines, (2) what the translational pipeline looks like and what its current deficiencies are, and (3) considerations that decision makers may choose to use as they decide what research they will support and decide how they will balance the urgency of the need with the level of evidence for CRT interventions. Cognitive Rehabilitation Therapy for Traumatic Brain Injury: Model Study Protocols and Frameworks to Advance the State of the Science summarizes the happenings of the workshop.

Sklep: Libristo.pl

Continuum of Stroke Care - 2827034367

286,48 zł

Continuum of Stroke Care LIPPINCOTT WILLIAMS & WILKINS

Książki / Literatura obcojęzyczna

The Continuum of Stroke Care: An Interprofessional Approach to Evidence-Based Care will address the clinical care of stroke patients across the continuum of care from primary prevention of stroke, the acute and subacute treatment of stroke syndromes through rehabilitation, and reintegration into the community. Each chapter will review current evidence-based practice guiding clinical stroke care. The book will address the American Stroke Associations Stroke Chain of Survival addressing prehospital care of the stroke patient and the development of stroke systems of care to provide all people in the United States access to acute stroke care. Additionally, the book will cover the current role of state legislation in stroke care and the evolution of hospital stroke certification. The book will serve as a clinical resource providing detailed comprehensive medical and nursing care of all stroke subtypes while also addressing the system of stroke care in which medical, nursing and interprofessional care provided. As such, the book will serve as a clinical resource to medical and nursing caregivers providing direct patient care as well as stroke coordinators, program directors and other hospital administrators developing stroke programs. The book will also be a clinical resource for stroke interprofessional team members such as physical therapists, occupational therapists, Stroke care is most successful at improving patient outcomes when delivered by an interdisciplinary team. Each chapter will address the critical role of the interprofessional team and highlight comprehensive care of the stroke patient rather than focusing only on nursing care. Books published to date focus solely on the medical or nursing care of the stroke patient without attention to the stroke system of care and the role of the multidisciplinary team in improving stroke outcomes. Additionally, each chapter will highlight ongoing research trials and opportunities, with the recognition that the scientific foundation for acute stroke care is rapidly evolving.

Sklep: Libristo.pl

Diabetic Renal-Retinal Syndrome - 2826993040

1306,91 zł

Diabetic Renal-Retinal Syndrome Springer Netherlands

Książki / Literatura obcojęzyczna

After a decade or longer, approximately one-third of individuals with either type 1 or type 2 diabetes commence a downhill course in which decreasing renal function and failing vision define a Renal-Retinal Syndrome, dominating all aspects of life and presaging early death. Only a generation ago, survival after onset of end-stage renal disease (ESRD) in diabetes was limited because rehabilitation was preempted by blindness, limb amputation, stroke, and heart disease. By 1998, however, team management has improved the outlook, with preserved sight and return to work and home responsibilities, usually for a decade or longer, following kidney transplantation and laser photocoagulation. Recognition of the critical requirement for blood pressure regulation and metabolic control are central themes in management. §In this unique book, the accomplishments of ophthalmologists, nephrologists, diabetologists, transplant surgeons, and basic scientists are blended into a strategic approach that may be readily applied by all those caring for diabetic patients. Each of twenty-one presentations suitable for primary care physicians, as well as for subspecialists concerned with macrovascular and microvascular complications of diabetes, is placed in perspective by an introductory editorial analysis. Promising near-term innovative therapies, including insertion of genetically engineered beta cells or polymer-coated islets of Langerhans, interdiction of kinins that promote retinal angiogenesis, and prevention of synthesis of advanced glycosylated endproducts (AGEs), are presented in detail. While comprehensive care of diabetic patients reflects multiple incremental advances that in sum afford major benefit, this text envisions further remarkable changes likely to suppress and possibly entirely prevent the Diabetic Renal-Retinal Syndrome.

Sklep: Libristo.pl

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