9781556426452

Neurorehabilitation for the Physical Therapist Assistantprovides a complete overview of the foundations of various neurological medical conditions and presents a wide array of clinical problems that a physical therapist assistant may encounter in the educational or clinical setting. Darcy Umphred and Connie Carlson, along with 11 contributors, offer a thorough explanation of the PT to PTA delegation process that is both unique and comprehensive. Throughout the pages ofNeurorehabilitation for the Physical Therapist Assistantthe PTA is provided with the necessary tools to effectively interact with and treat patients who suffer from neurological medical diagnoses. This text also covers a wide variety of neurological clinical problems that a PTA may encounter. Neurorehabilitation for the Physical Therapist Assistantpresents specific examples of tests and measures and interventions that a PTA may use when treating patients with CNS damage. Multiple chapters offer one or more case studies that will aid students and practicing PTAs in the analysis of PTA roles and the delegation of specific tasks, as well as why a PT may not choose to delegate a task. Also included is a brief discussion of selected pathologies and their progressions or complications, which gives the PTA a means to identify contraindications or changes in patient behavior that need to be reported. Features: -Interactive website access that provides the answers to the questions and case studies for each chapter. -A clear delineation of the differences between the frameworks used by medical practitioners and those used by the PT. -Detailed descriptions of tests and measures and interventions used by the PTA. -A focus on interactions between types of movement dysfunctions and intervention selection. -A discussion of disablement and enablement models. The volumes of knowledge presented in this unique and detailed text ensuresNeurorehabilitation for the Physical Therapist Assistantwill accompany the PTA throughout their education and into their career.

Dr. Darcy Umphred graduated from the University of Washington with a BS in Physical Therapy, from Boston University with a MS in Allied Health Education, and from Syracuse University with a PhD in Teacher Education and Theories of Learning. She has taught in both Physical and Occupational Therapy Programs throughout the United States. Over the course of her career, she frequently has taught educational programs both within and outside the northern hemisphere. Her love for clinical practice has driven her to question the “why’s” behind movement function and dysfunction. She is the editor of the textbook Neurological Rehabilitation that is in its 5th reediting process and is translated into a large number of languages. She has received numerous awards locally, within her state, and APTA sections, as well as being made a Catherine Worthingham Fellow in 2003. In 2004, she retired as chair and professor of the Department of Physical Therapy at the University of Pacific in Stockton, California and is now an Emeritus Professor. Her respect for the Profession of Physical Therapy and the two educated professionals, the physical therapist and the physical therapist assistant, has been demonstrated by her commitment to the responsibilities and services both professionals play in the delivery of physical therapy services throughout the world. Ms. Constance "Connie" Carlson graduated from the University of Evansville with an AS in Physical Therapist Assistance and a BS in Psychology. She later returned to the University of Evansville and graduated with a BS in Physical Therapy. She received her MS in Education from Mount St. Mary’s College. She was the Director of the Physical Therapist Assistant Program at Mount St. Mary’s College for 12 years and has taught in the college’s baccalaureate, master’s, and doctoral entry-level Physical Therapy Programs. She has been an advocate for the education and role of the physical therapist assistant throughout her career on a local, state, and national level, serving as a member of state government task forces and committees related to the physical therapist assistant. She has served as the Chair of the Education Section’s Physical Therapist Assistant Educators Special Interest Group and provides presentations on the appropriate use and supervision of the PTA on a local and state level. Her current professional focus is working with people with neurological disorders in community-based and wellness programs with an emphasis on enablement. Her love and respect for the physical therapy profession and the physical therapist assistant drives her commitment to enhancing the general public’s understanding of who we are and what services the physical therapist and physical therapist assistant provide to all of our patients and clients.

Dedication

iii

Acknowledgments

vii

About the Editors

ix

Contributing Authors

xi

Introduction

xiii

Introduction to Neurorehabilitation for the Physical Therapist Assistant

1

(8)

Darcy Umphred

Constance Carlson

Normal Movement Development Across the Lifespan

9

(16)

Dale Scalise-Smith

Motor Learning, Motor Control, and Neuroplasticity

25

(14)

Darcy Umphred

Examination Procedures

39

(16)

Rolando T. Lazaro

Intervention Procedures

55

(18)

Darcy Umphred

Psychosocial and Cognitive Factors Affecting Therapy

73

(10)

Gordon Burton

Clients With Central Nervous System Insult at Birth: Cerebral Palsy

83

(16)

Kris Corn

Clients With Genetic and Developmental Problems

99

(26)

Eunice Shen

Clients With Spinal Cord Injury

125

(30)

Claire Beekman

Clients With Traumatic Brain Injury

155

(18)

Dennis Klima

Clients With Stroke

173

(24)

Jim Smith

Becky McKnight

Clients With Degenerative Diseases: Parkinson's Disease, Multiple Sclerosis, and Amyotrophic Lateral Sclerosis

197

(10)

Rolando T. Lazaro

Cardiopulmonary Issues Associated With Neurorehabilitation Patients

207

(10)

Christine R. Wilson

Complementary Therapies

217

(10)

Carol M. Davis

Glossary

227

(8)

Index

235

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Neurorehabilitation for the Physical Therapist Assistant

Neurorehabilitation for the Physical Therapist Assistant

1556426453

Summary

Author Biography

Table of Contents

Supplemental Materials