Physical Medicine Rehabilitation

Essentials of Spinal Cord Medicine by Sunil Sabharwal MD

By Sunil Sabharwal MD

"From the 1st to the final web page, this e-book is so packed with info that as someone operating on this planet of spinal twine damage, i discovered myself in an unusual scenario. by no means had I learn a publication with regards to my career that I didn’t have hassle placing down. I’m now not announcing that such books are dull in any respect; in spite of the fact that, they aren't the eye-catching fictional reads that retain humans up past due on paintings nights pondering 'just another chapter.' necessities of Spinal wire drugs used to be that form of publication for me!... total, i assumed this e-book was once not anything wanting fantastic... it was once so jam-packed with details that makes me consider extra convinced as a technologist, and extra compassionate as a human. i'd hugely suggest this for any practitioner operating within the box the place they could stumble upon somebody with spinal twine injury." -- Donna Jacobs, R. EEG T., CNIM, The Neurodiagnostic Journal

This compact textual content is a realistic, concise consultant for clinicians eager about the care of sufferers with spinal twine accidents and problems. It covers a finished and numerous record of issues encompassing the rules and perform of spinal twine harm care, together with easy technological know-how basics, demanding spinal twine harm, non-traumatic myelopathies, actual functionality and rehabilitation, clinical results and problems of spinal twine damage, psychosocial and caliber of lifestyles concerns, and systems-based practice.

Chapters are continuously formatted for ease of use and are prepared below the large headings of basic rules, scientific concerns, and information gaps and rising options, and finish with a curated record of instructed readings. inside of those different types, specifics on underlying pathophysiology and etiology, overview (examination, checking out, differential analysis, analysis, and probability elements) and administration (non-pharmacological, medicines, surgeries, follow-up and tracking, basic and secondary prevention, and complications), and contemporary scientific advances and promising study are simply accessed. The e-book additionally addresses such caliber of existence concerns as mental variation, sexuality and fertility, vocational education, riding, and workout, and contains information regarding structures of care and sufferer protection in addition to moral issues. The advisor is peppered with precious tables that spotlight and strengthen key fabric. also, “Practice Pearls” in chosen chapters increase the consultant as a convenient go-to reference for clinicians and trainees in a number of disciplines who deal with individuals with spinal wire accidents and disorders.

Key Features:

  • A concise, useful guide designed for quick entry to key details on a large diversity of subject matters imperative to the perform of spinal twine drugs
  • Covers either irritating spinal wire harm and non-traumatic issues and their overview, administration, clinical problems, useful rehabilitation, and caliber of existence matters
  • Packed with worthwhile tables to spotlight and strengthen key fabric
  • Formatted constantly with brief, reader-friendly paragraphs and clarifying sub-titles

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Extra info for Essentials of Spinal Cord Medicine

Example text

1). Falls are the leading cause of SCI in the elderly, which likely accounts for the increased proportion of falls as a cause of injury. Violence as a cause of SCI, peaked in the 1990s, but has since declined. 2% currently. Diving (especially into shallow water), f­ ootball, and trampolines, that were the major causes of sports injuries, are still important, though these seem to have decreased in recent years in association with injury ­prevention initiatives. Winter sports-related injuries have increased concomitantly.

Clinicians should be prepared to offer advice or to direct patients to the appropriate source for guidance if they are considering experimental treatments. It is important to make sure that patients fully understand the risks involved and the extent of any potential benefits, and to steer them away from nonvalidated, unregulated interventions that don’t meet the criteria for a well-designed ­clinical trial. KNOWLEDGE GAPS AND EMERGING CONCEPTS A continued focus on increased understanding of the biochemical and ­molecular mechanisms involved in SCI and potential targets for interventions is required.

Differences between density of hydrogen protons within tissues, and differences in relaxation times of hydrogen protons between different tissues, create different signal intensities and provide tissue contrast in the images. The rate of return to equilibrium of perturbed protons is called the relaxation rate. Two relaxation rates, T1 and T2, influence the signal intensity of the image. The terms T1 and T2 refer to the time constants for proton relaxation; these may be altered to highlight certain features of tissue structure.

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