Handbook of Rehabilitation Medicine
eBook - ePub

Handbook of Rehabilitation Medicine

  1. 220 pages
  2. English
  3. ePUB (mobile friendly)
  4. Available on iOS & Android
eBook - ePub

Handbook of Rehabilitation Medicine

About this book

Handy companion to common topics in Rehabilitation Medicine, including stroke, spinal cord injury, traumatic brain injury, lower limb amputation, spasticity, cardiopulmonary and geriatrics rehabilitationAlso included are chapters on Management of Medical

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Yes, you can access Handbook of Rehabilitation Medicine by Keng He Kong, Samantha Giok Mei Yap;Yong Joo Loh in PDF and/or ePUB format, as well as other popular books in Medicine & Medical Theory, Practice & Reference. We have over one million books available in our catalogue for you to explore.

Information

1

Functional Assessment in Rehabilitation Medicine

CHAN Wai Lim William

Introduction

Rehabilitation medicine is the specialty focusing on the optimisation of functions lost in diseases and injuries.
Functional assessment is an extension of the conventional medical history taking and physical examination. It goes beyond the identification of the foci and the extent of the disease, disorder or injury of the patient, and includes all levels of disability specific to the patient.
The term “disability” as defined by the World Health Organisation (WHO) encompasses all levels of functional losses, which are systematically catalogued in the International Classification of Functioning, Disability and Health (ICF). ICF offers an international, scientific tool shifting from a purely medical model to a bio-psycho-social model of human functioning and disability. The three domains of functioning are defined as:
1.Impairments: any loss or abnormality of body structure or of physiological or psychological function
2.Activity Limitations: the nature and extent of functioning at the level of the person
3.Participation Restrictions: the nature and extent of a person’s involvement in life situations in relationship to impairments, activities, health conditions, and contextual factors
Source: ICF Website: http://www.who.int/classifications/icf/en/

Health Condition

Image
Fig. 1. The ICF Model of Disability.

Rehabilitation medicine functional assessment

Apart from the assessment of the primary impairments caused by the disease or injury, the functional assessment must explore potential secondary impairments in other systems.
For example, for a patient with a pure motor stroke, apart from thorough assessment of the motor impairments, symptoms and signs of common secondary impairments such as shoulder pain and subluxation, venous thrombo-embolism and spasticity must be explored and documented. Furthermore, symptoms and signs of activity limitations and participation restrictions such as ability to perform self-care activities and use of public transport must also be evaluated.
Table 1. The essential elements of the Rehabilitation Medical Functional Assessment.
Component Examples
History taking
History of present illness Location, onset, quality, severit...

Table of contents

  1. Cover
  2. Halftitle
  3. Title
  4. Copyright
  5. Preface
  6. List of Contributors
  7. Contents
  8. 1 Functional Assessment in Rehabilitation Medicine
  9. 2 Deconditioning and Immobility in Hospitalised Patients
  10. 3 Stroke Rehabilitation
  11. 4 Spinal Cord Injury Rehabilitation
  12. 5 Traumatic Brain Injury Rehabilitation
  13. 6 Geriatric Rehabilitation
  14. 7 Lower Limb Amputee Rehabilitation: Basic Grounding
  15. 8 Cardiopulmonary Rehabilitation
  16. 9 Rehabilitation of Low Back Pain
  17. 10 Rehabilitation Approach to Common Cancer-related Problems
  18. 11 Adult Joint Reconstruction Rehabilitation
  19. 12 Rehabilitation in the Intensive Care Unit
  20. 13 Pain issues in the Rehabilitation Patient Population—a Systems Approach
  21. 14 Practical Approach to Spasticity
  22. 15 Medical Emergencies and Complications in Rehabilitation
  23. 16 Walking Aids and Lower Limb Orthotics
  24. 17 Upper Limb Assistive Devices and Wheelchair Prescription
  25. 18 Rehabilitation Technology
  26. 19 Acupuncture in Rehabilitation
  27. Acknowledgements