Multiple Sclerosis Rehabilitation

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Author :
Publisher : CRC Press
ISBN 13 : 1439828857
Total Pages : 603 pages
Book Rating : 4.4/5 (398 download)

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Book Synopsis Multiple Sclerosis Rehabilitation by : Marcia Finlayson

Download or read book Multiple Sclerosis Rehabilitation written by Marcia Finlayson and published by CRC Press. This book was released on 2012-08-01 with total page 603 pages. Available in PDF, EPUB and Kindle. Book excerpt: "MS is always in the back of your mind. If there is something you want to do, you always wonder if the MS will allow you do to it." —Darlene, living with MS for 22 years Living with multiple sclerosis (MS) is challenging and multidimensional. MS pervades all aspects of life: one’s body becomes unpredictable and unreliable, one’s identity and sense of self are tested, and relationships with others often change. MS symptoms emerge and remit; limitations evolve and progress. MS rehabilitation is an active, person-centered, and goal-oriented process embedded within a respectful and collaborative partnership between the person with MS and the members of his or her rehabilitation treatment team. Using the International Classification of Functioning, Disability and Health (ICF) as a guiding framework, Multiple Sclerosis Rehabilitation: From Impairment to Participation provides a comprehensive and evidence-based resource to inform and guide clinical reasoning and decision making during each phase of the MS rehabilitation process, from initial referral to post-discharge follow-up. With an emphasis on the application of evidence throughout the entire MS rehabilitation process, the specific objectives of the book are to increase the understanding of: The nature and impact of specific impairments, activity limitations, and participation restrictions experienced by people with MS How to select and use valid, reliable, and relevant assessment tools to inform the development of rehabilitation goals and intervention plans, and to evaluate outcomes This book provides information about the nature and impact of MS on the daily lives of people living with the disease, describes evidence-based assessment processes and instruments, and summarizes current knowledge that can inform goal setting and intervention planning. Thoughtful application of the knowledge contained in this book will inform and guide rehabilitation providers to work collaboratively with people with MS and enable them to achieve their goals for participation in everyday life.

Multiple Sclerosis: Diagnosis, Medical Management, and Rehabilitation

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Author :
Publisher : Demos Medical
ISBN 13 : 9781888799354
Total Pages : 598 pages
Book Rating : 4.7/5 (993 download)

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Book Synopsis Multiple Sclerosis: Diagnosis, Medical Management, and Rehabilitation by : Dr. Jack S. Burks, MD

Download or read book Multiple Sclerosis: Diagnosis, Medical Management, and Rehabilitation written by Dr. Jack S. Burks, MD and published by Demos Medical. This book was released on 2000-06-01 with total page 598 pages. Available in PDF, EPUB and Kindle. Book excerpt: Although new immunomodulating treatments have made dramatic inroads into lessening the impact of multiple sclerosis, no cure is yet in sight. Most patients will progress, and dealing with their many complex symptoms and issues requires many levels of medical and rehabilitative care. This important book focuses on symptom control and clinical management using these innovative therapies and is packed with practical, easy-to-access information. Highlights of this outstanding clinical tool: Detailed coverage of individual symptoms and corresponding management techniques. Discussion of the newest immunomodulating therapies -- combining the most recent data with the authors' actual clinical experience. Inclusion of easy-to-follow algorithms for clear, strategic decision-making. Coverage of rehabilitation issues, including safety and quality of life. Valuable chapters on integrating MS patients into their communities. Take advantage of the most up-to-date information in a rapidly changing field, covering complex medical and rehabilitative issues in a clear, straightforward format. Order today for the newest management strategies in multiple sclerosis.

Multiple Sclerosis

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Author :
Publisher : Cambridge University Press
ISBN 13 : 1139493590
Total Pages : pages
Book Rating : 4.1/5 (394 download)

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Book Synopsis Multiple Sclerosis by : Jürg Kesselring

Download or read book Multiple Sclerosis written by Jürg Kesselring and published by Cambridge University Press. This book was released on 2010-10-07 with total page pages. Available in PDF, EPUB and Kindle. Book excerpt: Recent developments in basic and applied science have led to better understanding of disease mechanisms and more efficient therapies for multiple sclerosis. The most effective way of managing these patients is through a carefully planned neurorehabilitation programme. The main aims are to reduce disability and handicap and improve functions through effective training, stimulating activity and social participation. As the first text on recovery of function and neurorehabilitation in MS, this book focuses on mechanisms of recovery, application of neuroplasticity to therapeutic interventions, and determination of the efficiency of these interventions. Basic principles of neurorehabilitation in MS are described, as well as techniques for treating specific syndromes which may occur in MS. Written and edited by leading clinicians and researchers, the book achieves an excellent balance between basic science, pathophysiology, and clinical rehabilitation. An essential resource for clinicians and therapists treating patients with multiple sclerosis, neurophysiologists, and health care advisors.

Multiple Sclerosis Rehabilitation

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Author :
Publisher : CRC Press
ISBN 13 : 1439828849
Total Pages : 607 pages
Book Rating : 4.4/5 (398 download)

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Book Synopsis Multiple Sclerosis Rehabilitation by : Marcia Finlayson

Download or read book Multiple Sclerosis Rehabilitation written by Marcia Finlayson and published by CRC Press. This book was released on 2012-08-01 with total page 607 pages. Available in PDF, EPUB and Kindle. Book excerpt: "MS is always in the back of your mind. If there is something you want to do, you always wonder if the MS will allow you do to it." —Darlene, living with MS for 22 years Living with multiple sclerosis (MS) is challenging and multidimensional. MS pervades all aspects of life: one’s body becomes unpredictable and unreliable, one’s identity and sense of self are tested, and relationships with others often change. MS symptoms emerge and remit; limitations evolve and progress. MS rehabilitation is an active, person-centered, and goal-oriented process embedded within a respectful and collaborative partnership between the person with MS and the members of his or her rehabilitation treatment team. Using the International Classification of Functioning, Disability and Health (ICF) as a guiding framework, Multiple Sclerosis Rehabilitation: From Impairment to Participation provides a comprehensive and evidence-based resource to inform and guide clinical reasoning and decision making during each phase of the MS rehabilitation process, from initial referral to post-discharge follow-up. With an emphasis on the application of evidence throughout the entire MS rehabilitation process, the specific objectives of the book are to increase the understanding of: The nature and impact of specific impairments, activity limitations, and participation restrictions experienced by people with MS How to select and use valid, reliable, and relevant assessment tools to inform the development of rehabilitation goals and intervention plans, and to evaluate outcomes This book provides information about the nature and impact of MS on the daily lives of people living with the disease, describes evidence-based assessment processes and instruments, and summarizes current knowledge that can inform goal setting and intervention planning. Thoughtful application of the knowledge contained in this book will inform and guide rehabilitation providers to work collaboratively with people with MS and enable them to achieve their goals for participation in everyday life.

Multiple Sclerosis and Related Disorders

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Author :
Publisher : Springer Publishing Company
ISBN 13 : 0826125948
Total Pages : 441 pages
Book Rating : 4.8/5 (261 download)

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Book Synopsis Multiple Sclerosis and Related Disorders by : Robert J. Fox, MD

Download or read book Multiple Sclerosis and Related Disorders written by Robert J. Fox, MD and published by Springer Publishing Company. This book was released on 2018-08-28 with total page 441 pages. Available in PDF, EPUB and Kindle. Book excerpt: Revised and updated second edition of Multiple Sclerosis and Related Disorders: Clinical Guide to Diagnosis, Medical Management, and Rehabilitation, the only comprehensive but practical source of core information on multiple sclerosis and other demyelinating disorders. Intended as a ready reference for clinicians who provide ongoing care to MS patients, this book combines evidence-based science with experience-based guidance to present current standards and management protocols from leading MS centers. Beginning with the scientific underpinnings of MS for clinicians, the book proceeds through diagnosis, including initial symptoms, diagnostic criteria and classification, imaging, and differential diagnosis, and onto approved treatments for the various MS types and emerging therapies. Later parts of the book discuss symptom management and rehabilitation with chapters focusing on specific side effects, along with considerations for special populations, comorbidities, societal and family issues, and related autoimmune disorders that are often mistaken for MS. Throughout, chapters include lists of Key Points both for clinicians and for patients and families, and management pearls are boxed for quick reference and clinical utility. Illustrations, tables, algorithms, assessment scales, and up-to-date MRI imaging enrich the text, making this a wide-ranging clinical reference for all members of the MS care team. New to the Second Edition: Includes summary recommendations from new AAN practice guidelines for use of DMTs All chapters updated to reflect the latest literature and diagnostic criteria Five entirely new chapters added to expand coverage of treatment, rehabilitation and symptom management, and special issues related to MS Treatment section has been completely revised to better capture current approaches to disease modifying therapies, with separate chapters devoted to injection and oral therapies, infusion therapies, and treatments for progressive forms of MS Related autoimmune diseases section significantly expanded to include transverse myelitis, autoimmune encephalitis, and neurosarcoidosis

Multiple Sclerosis and Related Disorders

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Author :
Publisher : Demos Medical Publishing
ISBN 13 : 1617051276
Total Pages : 400 pages
Book Rating : 4.6/5 (17 download)

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Book Synopsis Multiple Sclerosis and Related Disorders by : Francois Bethoux, MD

Download or read book Multiple Sclerosis and Related Disorders written by Francois Bethoux, MD and published by Demos Medical Publishing. This book was released on 2013-06-18 with total page 400 pages. Available in PDF, EPUB and Kindle. Book excerpt: Multiple Sclerosis and Related Disorders provides evidence-based data and experience-based guidance for delivering quality long-term care to MS patients. Information on disease history, pathophysiology, and biology is included to provide clinicians with a framework for understanding current diagnosis, monitoring, and treatment strategies for these disorders. In addition to thoroughly reviewing the newest disease-modifying treatments, the authors have devoted significant focus to the symptoms that frequently manifest and their treatment options. Symptoms and functional limitations are the ìface of the diseaseî for patients, and present their own set of challenges for practitioners. The book proceeds through diagnosis (initial symptoms, criteria and classification, imaging, lab tests, and differential diagnosis), approved treatments for the various MS types including emerging therapies where appropriate, symptom management, rehabilitative issues, general health and wellness, and an overview of MS clinical trials. Special populations, societal and family issues, and related disorders that are often mistaken for MS are also covered. Dedicated chapters on neuromyelitis optica and acute disseminated encephalomyelitis incorporate newer diagnostic criteria. Because comorbidities often make the management of MS-related disability more complex, the book addresses these comorbidities as part of a comprehensive management plan. To enhance the clinical utility, critical-to-know information and management pearls are boxed for quick reference and most chapters include lists of ìKey Pointsî for clinicians, and for patients and families. Illustrations, tables, graphs, assessment scales, and up-to-date MRI imaging inform the text throughout. The treatment chapters include specific recommendations where available and highlight areas of controversy. Illustrative cases go beyond the literature to amplify clinical recommendations and provide real-world guidance for practitioners. Illustrations, tables, graphs, assessment scales, and up-to-date MRI imaging inform the text throughout. Multiple Sclerosis and Related Disorders features: Comprehensive clinical reference for all members of the MS care team Focus on practical approaches to diagnosis, treatment, counseling, and rehabilitative strategies Reviews the latest disease modifying therapies Extensive chapters on symptom management and womenís issues in MS Edited and written primarily by expert clinicians at Cleveland Clinic/Mellen Center Evidence- and experience-based guidance Dedicated chapters on neuromyelitis optica and acute disseminated encephalomyelitis incorporating newer diagnostic criteria Includes treatment guidelines and numerous illustrations, tables, scales; key information is highlighted for quick reference

Evidence-based Rehabilitation

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Author :
Publisher : SLACK Incorporated
ISBN 13 : 9781556427688
Total Pages : 456 pages
Book Rating : 4.4/5 (276 download)

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Book Synopsis Evidence-based Rehabilitation by : Mary C. Law

Download or read book Evidence-based Rehabilitation written by Mary C. Law and published by SLACK Incorporated. This book was released on 2008 with total page 456 pages. Available in PDF, EPUB and Kindle. Book excerpt: This text provides the most up-to-date information on evidence-based practice, the concepts underlying evidence-based practice, and implementing evidence into the rehabilitation practice. This text is organized by the steps of the process of evidence-based practice--introduction to evidence-based practice, finding the evidence, assessing the evidence, and using the evidence.

Guide to Physical Therapist Practice

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Author :
Publisher : Amer Physical Therapy Assn
ISBN 13 : 9781887759854
Total Pages : 738 pages
Book Rating : 4.7/5 (598 download)

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Book Synopsis Guide to Physical Therapist Practice by : American Physical Therapy Association (1921- )

Download or read book Guide to Physical Therapist Practice written by American Physical Therapy Association (1921- ) and published by Amer Physical Therapy Assn. This book was released on 2001-01-01 with total page 738 pages. Available in PDF, EPUB and Kindle. Book excerpt: This text guides patterns of practice; improves quality of care; promotes appropriate use of health care services; and explains physical therapist practice to insurers, policymakers, and other health care professionals. This edition continues to be a resource for both daily practice and professional education.

Multiple Sclerosis and Related Disorders

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Author :
Publisher : Demos Medical Publishing
ISBN 13 : 1936287757
Total Pages : 344 pages
Book Rating : 4.9/5 (362 download)

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Book Synopsis Multiple Sclerosis and Related Disorders by : Alexander Rae-Grant, MD

Download or read book Multiple Sclerosis and Related Disorders written by Alexander Rae-Grant, MD and published by Demos Medical Publishing. This book was released on 2013-06-18 with total page 344 pages. Available in PDF, EPUB and Kindle. Book excerpt: This book proceeds through diagnosis (initial symptoms, criteria and classification, imaging, lab tests, and differential diagnosis), approved treatments for the various MS types (including emerging therapies where appropriate), symptom management, rehabilitative issues and general health and wellness, considerations for special populations, societal and family issues, CCSVI, related disorders that are often mistaken for MS, and an overview of MS clinical trials. To enhance the clinical utility, “bottom line” information will be pulled out and boxed or bolded for quick reference. Illustrations, tables, graphs, and assessment scales will inform the text throughout. Chapters will open and close with lists of key points where appropriate, and treatment chapters will include specific recommendations where available (AAN guidelines, Cochrane; including levels of evidence to support recommendations) and highlight areas of controversy. Selected chapters will also feature a section on the “Cleveland Clinic approach” to go beyond the literature and provide real-world guidance for practitioners.

Cognitive Rehabilitation and Neuroimaging

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Author :
Publisher : Springer Nature
ISBN 13 : 3030483827
Total Pages : 298 pages
Book Rating : 4.0/5 (34 download)

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Book Synopsis Cognitive Rehabilitation and Neuroimaging by : John DeLuca

Download or read book Cognitive Rehabilitation and Neuroimaging written by John DeLuca and published by Springer Nature. This book was released on 2020-10-05 with total page 298 pages. Available in PDF, EPUB and Kindle. Book excerpt: The purpose of this book is to educate readers regarding the efficacy of cognitive rehabilitation across a variety of neurological conditions, with specific emphasis on rehabilitation-related change detectable via neuroimaging. For ease of reference, this information is divided into separate chapters by neurological condition, since the nature of cognitive impairment and mechanism of rehabilitation may differ across populations. Also included are discussions of the use of neuroimaging in cognitive rehabilitation trials, rigorous design of cognitive rehabilitation trials to have greater scientific impact (e.g., obtaining Class I evidence), and future directions for the field. As such, the book is designed to be useful to both clinicians and researchers involved in the rehabilitation of such conditions so that they can make informed decisions regarding evidence-based treatment to deploy in clinical settings or to further study in research endeavors.

Multiple Sclerosis Rehabilitation, An Issue of Physical Medicine and Rehabilitation Clinics,

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Author :
Publisher : Elsevier Health Sciences
ISBN 13 : 0323242340
Total Pages : 218 pages
Book Rating : 4.3/5 (232 download)

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Book Synopsis Multiple Sclerosis Rehabilitation, An Issue of Physical Medicine and Rehabilitation Clinics, by : Shana L. Johnson

Download or read book Multiple Sclerosis Rehabilitation, An Issue of Physical Medicine and Rehabilitation Clinics, written by Shana L. Johnson and published by Elsevier Health Sciences. This book was released on 2013-11-06 with total page 218 pages. Available in PDF, EPUB and Kindle. Book excerpt: This issue of Physical Medicine and Rehabilitation Clinics devoted to Multiple Sclerosis is Guest Edited by Drs. George Kraft and Shana Johnson. Articles in this issue include: Gait Impairment and Optimizing Mobility in MS; Spasticity management; Exercise; ADLs and Adaptive Equipment; Movement Disorders; Fatigue Management; Cognitive Impairment and Management; Neurogenic Bladder and Bowel; Visual Issues; Depression and Pain; Adaptive Technology and Vocational Issues; Aging; Evoked Potentials; and Research.

Multiple Sclerosis

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Author :
Publisher : National Academies Press
ISBN 13 : 0309072859
Total Pages : 457 pages
Book Rating : 4.3/5 (9 download)

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Book Synopsis Multiple Sclerosis by : Institute of Medicine

Download or read book Multiple Sclerosis written by Institute of Medicine and published by National Academies Press. This book was released on 2001-08-10 with total page 457 pages. Available in PDF, EPUB and Kindle. Book excerpt: Multiple sclerosis is a chronic and often disabling disease of the nervous system, affecting about 1 million people worldwide. Even though it has been known for over a hundred years, no cause or cure has yet been discovered-but now there is hope. New therapies have been shown to slow the disease progress in some patients, and the pace of discoveries about the cellular machinery of the brain and spinal cord has accelerated. This book presents a comprehensive overview of multiple sclerosis today, as researchers seek to understand its processes, develop therapies that will slow or halt the disease and perhaps repair damage, offer relief for specific symptoms, and improve the abilities of MS patients to function in their daily lives. The panel reviews existing knowledge and identifies key research questions, focusing on: Research strategies that have the greatest potential to understand the biological mechanisms of recovery and to translate findings into specific strategies for therapy. How people adapt to MS and the research needed to improve the lives of people with MS. Management of disease symptoms (cognitive impairment, depression, spasticity, vision problems, and others). The committee also discusses ways to build and financially support the MS research enterprise, including a look at challenges inherent in designing clinical trials. This book will be important to MS researchers, research funders, health care advocates for MS research and treatment, and interested patients and their families.

Clinical Rehabilitation Experience Utilizing Serious Games

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Author :
Publisher : Springer
ISBN 13 : 3658219572
Total Pages : 241 pages
Book Rating : 4.6/5 (582 download)

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Book Synopsis Clinical Rehabilitation Experience Utilizing Serious Games by : Michael Lawo

Download or read book Clinical Rehabilitation Experience Utilizing Serious Games written by Michael Lawo and published by Springer. This book was released on 2018-05-02 with total page 241 pages. Available in PDF, EPUB and Kindle. Book excerpt: This book emerged out of research done during the period between 2004 and 2016 on the topic of mobile and wearable computing. It did not solely focus on technical solutions and the search for a general approach but also on the question how people can live with this technology. Thus social and organizational aspects were also part of the research. The findings demonstrate the opportunities of serious games and reveal the need of clinical studies when targeting at solutions that are to become part of any kind of therapy. The result is a comprehensive presentation of research findings covering different important aspects in the domain of wearable and pervasive computing for a better life.

Computers Helping People with Special Needs

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Publisher : Springer Nature
ISBN 13 : 303058805X
Total Pages : 507 pages
Book Rating : 4.0/5 (35 download)

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Book Synopsis Computers Helping People with Special Needs by : Klaus Miesenberger

Download or read book Computers Helping People with Special Needs written by Klaus Miesenberger and published by Springer Nature. This book was released on 2020-09-09 with total page 507 pages. Available in PDF, EPUB and Kindle. Book excerpt: The two-volume set LNCS 12376 and 12377 constitutes the refereed proceedings of the 17th International Conference on Computers Helping People with Special Needs, ICCHP 2020, held in Lecco, Italy, in September 2020. The conference was held virtually due to the COVID-19 pandemic.The 104 papers presented were carefully reviewed and selected from 206 submissions. Included also are 13 introductions. The papers are organized in the following topical sections:Part I: user centred design and user participation in inclusive R&D; artificial intelligence, accessible and assistive technologies; XR accessibility – learning from the past, addressing real user needs and the technical architecture for inclusive immersive environments; serious and fun games; large-scale web accessibility observatories; accessible and inclusive digital publishing; AT and accessibility for blind and low vision users; Art Karshmer lectures in access to mathematics, science and engineering; tactile graphics and models for blind people and recognition of shapes by touch; and environmental sensing technologies for visual impairmentPart II: accessibility of non-verbal communication: making spatial information accessible to people with disabilities; cognitive disabilities and accessibility – pushing the boundaries of inclusion using digital technologies and accessible eLearning environments; ICT to support inclusive education – universal learning design (ULD); hearing systems and accessories for people with hearing loss; mobile health and mobile rehabilitation for people with disabilities: current state, challenges and opportunities; innovation and implementation in the area of independent mobility through digital technologies; how to improve interaction with a text input system; human movement analysis for the design and evaluation of interactive systems and assistive devices; and service and care provision in assistive environments11 chapters are available open access under a Creative Commons Attribution 4.0 International License via link.springer.com.

Occupational Therapy Practice and Research with Persons with Multiple Sclerosis

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Author :
Publisher : Routledge
ISBN 13 : 1135795959
Total Pages : 170 pages
Book Rating : 4.1/5 (357 download)

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Book Synopsis Occupational Therapy Practice and Research with Persons with Multiple Sclerosis by : Marcia Finlayson

Download or read book Occupational Therapy Practice and Research with Persons with Multiple Sclerosis written by Marcia Finlayson and published by Routledge. This book was released on 2013-04-15 with total page 170 pages. Available in PDF, EPUB and Kindle. Book excerpt: Discover strategies to enhance quality of life and promote social and community participation for people with MS! Occupational Therapy Practice and Research with Persons with Multiple Sclerosis will familiarize you with the complex issues experienced by people who have multiple sclerosis, suggesting ways to enhance your practice or research with this population. This vital resource fills a void in the scarce literature on occupational therapy and multiple sclerosis, providing you with a unique single-source reference on the subject. This book compiles the work and contributions of experts from Europe, Australia, Canada, and the United States—from a variety of fields, including occupational therapy, medicine, physical therapy, and psychology. This thought-provoking book offers new perspectives on potential assessment and intervention ideas and provides information that could be used for broader program planning. This extensive resource will give you a deeper appreciation of the MS disease process and its influence on everyday living for persons with MS and their families. In this collection, you will learn more about: the health-related service needs of older adults with MS the range of fatigue assessment tools that are available for clinical and research applications the effect of wheelchair use on quality of life the implications of tremor on everyday activities the development and use of Lifestyle Management Programs© coping processes used by women with MS as they age the symptom and functional limitation profiles experienced by people with MS that lead to referrals to occupational therapy Occupational Therapy Practice and Research with Persons with Multiple Sclerosis contains charts, figures, graphs, and bibliographies to augment the research and studies found in this book. Also provided are contributions by Dr. Nicholas G. LaRocca—a well-known MS researcher—and Dr. Carol A. Gaetjens—an educator with MS. Occupational therapy students, clinicians, and researchers working with individuals and families who are affected by MS will find this book an important resource in their profession.

Multiple Sclerosis As A Neuronal Disease

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Author :
Publisher : Elsevier
ISBN 13 : 9780080489414
Total Pages : 496 pages
Book Rating : 4.4/5 (894 download)

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Book Synopsis Multiple Sclerosis As A Neuronal Disease by : Stephen Waxman

Download or read book Multiple Sclerosis As A Neuronal Disease written by Stephen Waxman and published by Elsevier. This book was released on 2005-05-27 with total page 496 pages. Available in PDF, EPUB and Kindle. Book excerpt: This book examines the role of neurons in multiple sclerosis (MS) and the changes that occur in neurons as a result of MS. It places MS in a new and important perspective that not only explains the basis for symptom production, remission, and progress in MS, but also promises to open up new therapeutic possibilities. * Brings together the latest information from clinical, pathological, imaging, molecular, and pharmacological realms to explore the neurobiology of Multiple Sclerosis * Places MS in a new and important perspective that promises to open up new therapeutic avenues * Superbly illustrated and referenced

Cognition and Behavior in Multiple Sclerosis

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Author :
Publisher : American Psychological Association (APA)
ISBN 13 : 9781433829321
Total Pages : 0 pages
Book Rating : 4.8/5 (293 download)

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Book Synopsis Cognition and Behavior in Multiple Sclerosis by : John DeLuca

Download or read book Cognition and Behavior in Multiple Sclerosis written by John DeLuca and published by American Psychological Association (APA). This book was released on 2018 with total page 0 pages. Available in PDF, EPUB and Kindle. Book excerpt: This volume describes the effects and consequences of multiple sclerosis (MS) on cognition. Authors summarize the impact of MS on behavioral problems, daily living, and related neuropsychiatric disorders, and offer clinical guidance for practitioners.