By Tarek A-Z. K. Gaber
Rehabilitation drugs is among the quickest growing to be specialities in drugs. the biggest sub-set of this box is neurological rehabilitation. This well timed booklet, offered as a sequence of case experiences, describes the wide variety of medical eventualities encountered by way of the rehabilitation medication group and advises on administration concerns and strategies. components coated contain moral, medico-legal and social components, bearing on concerns reminiscent of carrier business enterprise and sufferer reintegration. The e-book concludes with a suite of a number of selection inquiries to try knowing and because the foundation for coaching for pro examinations. it will be crucial interpreting for all trainees in rehabilitation drugs, experts from fields resembling neurology the place an figuring out of the foundations is critical, and execs from supportive allied healthiness disciplines together with physiotherapy, occupational remedy, speech treatment and nursing.
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Attention deficits are probably the most important of the three, as poor attention will impact on almost all cognitive and functional tasks performed by the patient. Many clinicians believe that post-traumatic amnesia is a confusional state resulting mainly from attention impairment. The patient’s poor attention leads to his inability to retain information during a period, with subsequent failure to remember events from that period. Many long-term cognitive impairments such as impulsivity and rigidity of thoughts are predominantly caused by attentional deficits.
J Head Trauma Rehabil 5, 87–90. Plenger, P. , Dixon, C. , Castillo, R. , et al. (1996). Subacute methyl-phenidate treatment for moderate to severe traumatic brain injury: a preliminary double blind placebo controlled study. Arch Phys Med Rehabil 77, 536–540. , Glenn, M. , et al. (1994). Quantification of attention related behaviors in individuals with traumatic brain injury. Am J Phys Med Rehabil 73, 2–9. Rehabilitation of pontine myelinolysis A 48-year-old woman with a long-standing drinking problem presented to A&E with a single seizure following two days of progressive confusion.
10 lists the recommended tests to evaluate frontal lobe function, especially in patients with dorsolateral area damage. Naming tests, particularly the Letter Fluency Test, are probably the most sensitive tests for frontal lobe damage. In all naming tests, dominant temporal lobe (semantics) and frontal lobes (initiation) are used to generate normal responses. When asked for category naming (‘Try to come up with as many names of animals as possible in one minute’), a patient with intact language function and semantic library in his dominant temporal lobe will be able to come up with a satisfactory list despite having frontal lobe damage.
Case studies in neurological rehabilitation by Tarek A-Z. K. Gaber