The Neuroscience Of Spinal Cord Injury

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Diagnosis and Treatment of Spinal Cord Injury

Author : Rajkumar Rajendram
Publisher : Academic Press
ISBN 13 : 0128224991
Total Pages : 628 pages
Book Rating : 4.1/5 (282 download)

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Book Synopsis Diagnosis and Treatment of Spinal Cord Injury by : Rajkumar Rajendram

Download or read book Diagnosis and Treatment of Spinal Cord Injury written by Rajkumar Rajendram and published by Academic Press. This book was released on 2022-05-10 with total page 628 pages. Available in PDF, EPUB and Kindle. Book excerpt: Diagnosis and Treatment of Spinal Cord Injury will enhance readers’ understanding of the complexities of the diagnosis and management of spinal cord injuries. Featuring chapters on drug delivery, exercise, and rehabilitation, this volume discusses in detail the impact of the clinical features, diagnosis, management, and long-term prognosis of spinal cord injuries on the lives of those affected. The book has applicability for neuroscientists, neurologists, clinicians, and anyone working to better understand spinal cord injuries. Covers both the diagnosis and treatment of spinal cord injury Contains chapter abstracts, key facts, dictionary, and summary points to aid in understanding Features chapters on epidemiology and pain Includes MRI usage, biomarkers, and stem cell and gene therapy for management of spinal cord injury Discusses pain reduction, drug delivery, and rehabilitation

The Neuroscience of Spinal Cord Injury-

Author : Rajkumar Rajendram
Publisher : Academic Press
ISBN 13 : 0323995764
Total Pages : 1186 pages
Book Rating : 4.3/5 (239 download)

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Book Synopsis The Neuroscience of Spinal Cord Injury- by : Rajkumar Rajendram

Download or read book The Neuroscience of Spinal Cord Injury- written by Rajkumar Rajendram and published by Academic Press. This book was released on 2022-05-27 with total page 1186 pages. Available in PDF, EPUB and Kindle. Book excerpt: Diagnosis and Treatment of Spinal Cord Injury will enhance readers’ understanding of the complexities of the diagnosis and management of spinal cord injuries. Featuring chapters on drug delivery, exercise, and rehabilitation, this volume discusses in detail the impact of the clinical features, diagnosis, management, and long-term prognosis of spinal cord injuries on the lives of those affected. The book has applicability for neuroscientists, neurologists, clinicians, and anyone working to better understand spinal cord injuries. Spinal injury affects about 10 million people annually worldwide, impacting on the family unit and causing lifelong disabilities, with varied symptoms including paresthesia, spasticity, loss of motor control, and often severe pain. Cellular, Molecular, Physiological, and Behavioral Aspects of Spinal Cord Injury will enhance readers’ understanding of the biological and psychological effects of spinal cord injury. Featuring chapters on gene expression, metabolic effects, and behavior, this volume discusses in detail the impact of spinal cord injury to better understand the underlying pathways and processes. The book has applicability for neuroscientists, neurologists, clinicians, and anyone working to better understand these injuries. Diagnosis and Treatment of Spinal Cord Injury: Covers both the diagnosis and treatment of spinal cord injury Contains chapter abstracts, key facts, dictionary, and summary points to aid in understanding Features chapters on epidemiology and pain Includes MRI usage, biomarkers, and stem cell and gene therapy for management of spinal cord injury Discusses pain reduction, drug delivery, and rehabilitation Cellular, Molecular, Physiological, and Behavioral Aspects of Spinal Cord Injury: Summarizes the neuroscience of spinal cord injury, including cellular and molecular biology Contains chapter abstracts, key facts, dictionary, and summary points to aid in understanding Features chapters on signaling and hormonal events Includes plasticity and gene expression Examines health and stress behaviors after spinal cord injury

Restorative Neurology of Spinal Cord Injury

Author : Milan R. Dimitrijevic
Publisher : OUP USA
ISBN 13 : 0199746508
Total Pages : 337 pages
Book Rating : 4.1/5 (997 download)

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Book Synopsis Restorative Neurology of Spinal Cord Injury by : Milan R. Dimitrijevic

Download or read book Restorative Neurology of Spinal Cord Injury written by Milan R. Dimitrijevic and published by OUP USA. This book was released on 2012-01-12 with total page 337 pages. Available in PDF, EPUB and Kindle. Book excerpt: Following injury or disease, neural circuitry can be altered to varying degrees leading to highly individualized characteristics that may or may not resemble original function. In addition, lost or partially damaged circuits and the effects of biological recovery processes coupled with learned compensatory strategies create a new neuroanatomy with capabilities that are often not functional or may interfere with daily life. To date, the majority of approaches used to treat neurological dysfunction have focused on the replacement of lost or damaged function, usually through the suppression of surviving neural activity and the application of mechanical assistive devices. Restorative Neurology of Spinal Cord Injury offers a different and novel approach. Focusing on the spinal cord and its role in motor control, the book details the clinical and neurophysiological assessment process and methods developed throughout the past half century by basic and clinical scientists. Then, through the use of specialized clinical and neurophysiological testing methods, conduction and processing performed within the surviving neural circuitry is examined and characterized in detail. Based on the results of such assessment, treatment strategies, also described in this book, are applied to augment, rather than replace, the performance of surviving neural circuitry and improve the functional capacity of people who have experienced injury to their spinal cords.

Cellular, Molecular, Physiological, and Behavioral Aspects of Spinal Cord Injury

Author : Rajkumar Rajendram
Publisher : Academic Press
ISBN 13 : 0128224282
Total Pages : 558 pages
Book Rating : 4.1/5 (282 download)

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Book Synopsis Cellular, Molecular, Physiological, and Behavioral Aspects of Spinal Cord Injury by : Rajkumar Rajendram

Download or read book Cellular, Molecular, Physiological, and Behavioral Aspects of Spinal Cord Injury written by Rajkumar Rajendram and published by Academic Press. This book was released on 2022-05-10 with total page 558 pages. Available in PDF, EPUB and Kindle. Book excerpt: Spinal injury affects about 10 million people annually worldwide, impacting on the family unit and causing lifelong disabilities, with varied symptoms including paresthesia, spasticity, loss of motor control, and often severe pain. Cellular, Molecular, Physiological, and Behavioral Aspects of Spinal Cord Injury will enhance readers’ understanding of the biological and psychological effects of spinal cord injury. Featuring chapters on gene expression, metabolic effects, and behavior, this volume discusses in detail the impact of spinal cord injury to better understand the underlying pathways and processes. The book has applicability for neuroscientists, neurologists, clinicians, and anyone working to better understand these injuries. Summarizes the neuroscience of spinal cord injury, including cellular and molecular biology Contains chapter abstracts, key facts, dictionary, and summary points to aid in understanding Features chapters on signaling and hormonal events Includes plasticity and gene expression Examines health and stress behaviors after spinal cord injury

Spinal Cord Injury

Author : Institute of Medicine
Publisher : National Academies Press
ISBN 13 : 0309165202
Total Pages : 360 pages
Book Rating : 4.3/5 (91 download)

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Book Synopsis Spinal Cord Injury by : Institute of Medicine

Download or read book Spinal Cord Injury written by Institute of Medicine and published by National Academies Press. This book was released on 2005-07-27 with total page 360 pages. Available in PDF, EPUB and Kindle. Book excerpt: An estimated 11,000 spinal cord injuries occur each year in the United States and more than 200,000 Americans suffer from maladies associated with spinal cord injury. This includes paralysis, bowel and bladder dysfunction, sexual dysfunction, respiratory impairment, temperature regulation problems, and chronic pain. During the last two decades, longstanding beliefs about the inability of the adult central nervous system to heal itself have been eroded by the flood of new information from research in the neurosciences and related fields. However, there are still no cures and the challenge of restoring function in the wake of spinal cord injuries remains extremely complex. Spinal Cord Injury examines the future directions for research with the goal to accelerate the development of cures for spinal cord injuries. While many of the recommendations are framed within the context of the specific needs articulated by the New York Spinal Cord Injury Research Board, the Institute of Medicine's panel of experts looked very broadly at research priorities relating to future directions for the field in general and make recommendations to strengthen and coordinate the existing infrastructure. Funders at federal and state agencies, academic organizations, pharmaceutical and device companies, and non-profit organizations will all find this book to be an essential resource as they examine their opportunities.

Neurobiology of Spinal Cord Injury

Author : Robert G. Kalb
Publisher : Springer Science & Business Media
ISBN 13 : 1592592007
Total Pages : 293 pages
Book Rating : 4.5/5 (925 download)

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Book Synopsis Neurobiology of Spinal Cord Injury by : Robert G. Kalb

Download or read book Neurobiology of Spinal Cord Injury written by Robert G. Kalb and published by Springer Science & Business Media. This book was released on 1999-10-22 with total page 293 pages. Available in PDF, EPUB and Kindle. Book excerpt: Distinguished researchers review the latest scientific understanding of spinal cord injury (SCI), focusing on the mechanisms causing paralysis after spinal cord trauma, the molecular determinants of neural regeneration, and methods for improving damaged function. The authors examine the role of intracellular Ca2+ in neuronal death, the possibility of spinal learning, growth-promoting molecules for regenerating neurons, and the biochemistry and cell biology of microtubules. Among the treatment possibilities discussed are cell transplantation strategies beyond the use of fetal spinal cord tissue, remyelination in spinal cord demyelination models, high steroid therapy immediately after SCI, and the mixed use of anti- and proinflammatories. Comprehensive and highly promising, Neurobiology of Spinal Cord Injury summarizes and integrates the great progress that has been made in understanding and combating the paralysis that follows spinal cord injury.

Getting Your Brain and Body Back: Everything You Need to Know after Spinal Cord Injury, Stroke, or Traumatic Brain Injury

Author : Bradford C. Berk
Publisher : The Experiment, LLC
ISBN 13 : 161519696X
Total Pages : 322 pages
Book Rating : 4.6/5 (151 download)

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Book Synopsis Getting Your Brain and Body Back: Everything You Need to Know after Spinal Cord Injury, Stroke, or Traumatic Brain Injury by : Bradford C. Berk

Download or read book Getting Your Brain and Body Back: Everything You Need to Know after Spinal Cord Injury, Stroke, or Traumatic Brain Injury written by Bradford C. Berk and published by The Experiment, LLC. This book was released on 2021-07-13 with total page 322 pages. Available in PDF, EPUB and Kindle. Book excerpt: Make the fullest possible recovery after neurological injury with this definitive guide—by a doctor and spinal cord injury survivor who’s been there After an accident that left him permanently paralyzed over ten years ago, Dr. Bradford Berk made it his mission to help others recover from acute neurological injury (ANI). As the founder and director of the University of Rochester Neurorestoration Institute, he brings his abundant experience in working with patients and making his own ongoing recovery to Getting Your Brain and Body Back, the most up-to-date guide for survivors of spinal cord injury (SCI), stroke, and traumatic brain injury (TBI). Each of these acute neurological injuries can result in similar physical and psychological challenges and require similar treatments, medications, and assistive devices. Getting Your Brain and Body Back offers comprehensive, reassuring guidance for your every concern: How to deal with grief and trauma in the aftermath of accident or injury—and build resilience as you find your way forward What adaptive devices—for bathing, dining, mobility, and more—will help you enjoy life to the utmost How to prevent and treat secondary health problems of every kind, such as heart, skin, and bladder troubles—sexual health included! Therapeutic approaches from both Western and Eastern medicine to consider for maximum healing and pain relief Dr. Berk’s candid advice on medical treatment and daily living—plus insights from the brightest minds in the field—will help get you or your loved one back to life.

Spinal Cord Injury

Author : Joost Verhaagen
Publisher : Newnes
ISBN 13 : 0444535071
Total Pages : 656 pages
Book Rating : 4.4/5 (445 download)

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Book Synopsis Spinal Cord Injury by : Joost Verhaagen

Download or read book Spinal Cord Injury written by Joost Verhaagen and published by Newnes. This book was released on 2012-12-31 with total page 656 pages. Available in PDF, EPUB and Kindle. Book excerpt: Handbook of Clinical Neurology: Spinal Cord Injury summarizes advances in the clinical diagnosis, monitoring, prognostication, treatment, and management of spinal cord injuries. More specifically, it looks at new and important developments in areas such as high-resolution noninvasive neuroimaging, surgery, and electrical stimulation of motor, respiratory, bladder, bowel, and sexual functions. It also reviews the latest insights into spontaneous regeneration and recovery of function following rehabilitation, with emphasis on novel therapeutic strategies, such as gene therapy, transcranial stimulation, brain-machine interfaces, pharmacological approaches, molecular target discovery, and the use of olfactory ensheathing cells, stem cells, and precursor cells. Organized in five sections, the book begins with an overview of the development, maturation, biomechanics, and anatomy of the spinal cord before proceeding with a discussion of clinical diagnosis and prognosis as well as natural recovery, ambulation, and function following spinal cord injury. It then examines clinical neurophysiology in the prognosis and monitoring of traumatic spinal cord injury; medical, surgical and rehabilitative management of spinal cord trauma; and some new approaches for improving recovery in patients, including restoration of function by electrical stimulation, locomotor training, and the use of robotics. Other chapters cover cell transplantation, artificial scaffolds, experimental pharmacological interventions, and molecular and combinatorial strategies for repairing the injured spinal cord. This volume should be of interest to neuroscience and clinical neurology research specialists and practicing neurologists. Comprehensive coverage of the latest scientific understanding of spinal cord injuries Detailed coverage of current treatment best practices and potential future treatments Connects leading edge research programs to future treatment opportunities

Spinal Cord Injury

Author : Joost Verhaagen
Publisher : Newnes
ISBN 13 : 0444521372
Total Pages : 678 pages
Book Rating : 4.4/5 (445 download)

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Book Synopsis Spinal Cord Injury by : Joost Verhaagen

Download or read book Spinal Cord Injury written by Joost Verhaagen and published by Newnes. This book was released on 2012-11-21 with total page 678 pages. Available in PDF, EPUB and Kindle. Book excerpt: Spinal Cord Injury, the newest volume in the Handbook of Clinical Neurology series, offers a comprehensive and detailed overview of the rapidly evolving science and treatment of spinal cord injury. Advances in neuroimaging, surgical treatment and application of electrical stimulation are dramatically impacting the treatment and outcome of these injuries. It provides a clear introduction to the core science of spinal cord injury, as well as to exciting research investigating new treatment options. Coverage includes brain-machine interfaces, transcranial stimulation, new pharmacological strategies, use of olfactory ensheathing cells, stem cells and precursor cells, gene therapy and molecular target discovery. This volume is a great resource for neuroscience and clinical neurology research specialists and practicing neurologists seeking a clear reference to the science and treatment of spinal cord injury.

Pharmacological Approaches to the Treatment of Brain and Spinal Cord Injury

Author : Donald G. Stein
Publisher : Springer Science & Business Media
ISBN 13 : 1461309271
Total Pages : 400 pages
Book Rating : 4.4/5 (613 download)

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Book Synopsis Pharmacological Approaches to the Treatment of Brain and Spinal Cord Injury by : Donald G. Stein

Download or read book Pharmacological Approaches to the Treatment of Brain and Spinal Cord Injury written by Donald G. Stein and published by Springer Science & Business Media. This book was released on 2012-12-06 with total page 400 pages. Available in PDF, EPUB and Kindle. Book excerpt: Although there are over 400,000 people each year in the United States alone who suffer from traumatic injury to the central nervous system (CNS), no phar macological treatment is currently available. Considering the enormity of the problem in terms of human tragedy as well as the economic burden to families and societies alike, it is surprising that so little effort is being made to develop treatments for these disorders. Although no one can become inured to the victims of brain or spinal cord injuries, one reason that insufficient time and effort have been devoted to research on recovery is that it is a generally held medical belief that nervous system injuries are simply not amenable to treatment. At best, current therapies are aimed at providing symptomatic relief or focus on re habilitative measures and the teaching of alternative behavioral strategies to help patients cope with their impairments, with only marginal results in many cases. Only within the last decade have neuroscientists begun to make serious inroads into understanding and examining the inherent "plasticity" found in the adult CNS. Ten years or so ago, very few researchers or clinicians would have thought that damaged central neurons could sprout new terminals or that intact nerve fibers in a damaged pathway could proliferate to replace inputs from neurons that died as a result of injury.

Neuroprosthetics and Brain-Computer Interfaces in Spinal Cord Injury

Author : Gernot Müller-Putz
Publisher : Springer Nature
ISBN 13 : 3030685454
Total Pages : 377 pages
Book Rating : 4.0/5 (36 download)

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Book Synopsis Neuroprosthetics and Brain-Computer Interfaces in Spinal Cord Injury by : Gernot Müller-Putz

Download or read book Neuroprosthetics and Brain-Computer Interfaces in Spinal Cord Injury written by Gernot Müller-Putz and published by Springer Nature. This book was released on 2021-04-26 with total page 377 pages. Available in PDF, EPUB and Kindle. Book excerpt: This book provides a comprehensive overview of the current state of the art of practical applications of neuroprosthesis based on functional electrical stimulation for restoration of motor functions lost by spinal cord injury and discusses the use of brain-computer interfaces for their control. The book covers numerous topics starting with basics about spinal cord injury, electrical stimulation, electrical brain signals and brain-computer interfaces. It continues with an overview of neuroprosthetic solutions for different purposes and non-invasive and invasive brain-computer interface implementations and presents clinical use cases and practical applications of BCIs. Finally, the authors give an outlook on cutting edge research with a high potential for clinical translation in the near future. All authors committed themselves to use easy-to-understand language and to avoid very specific information, focusing instead on the essential aspects. This makes this book an ideal choice not only for researchers and clinicians at all stages of their education interested in the topic of brain-computer interface-controlled neuroprostheses, but also for end users and their caregivers who want to inform themselves about the current technological possibilities to improve paralyzed motor functions.

Spinal Cord Injury Pain

Author : Christine N. Sang
Publisher : Elsevier
ISBN 13 : 0128186631
Total Pages : 510 pages
Book Rating : 4.1/5 (281 download)

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Book Synopsis Spinal Cord Injury Pain by : Christine N. Sang

Download or read book Spinal Cord Injury Pain written by Christine N. Sang and published by Elsevier. This book was released on 2021-10-21 with total page 510 pages. Available in PDF, EPUB and Kindle. Book excerpt: Spinal Cord Injury Pain presents the basis for preclinical and clinical investigations, along with strategies for new approaches in the treatment of central neuropathic pain. Contributors from the private sector and academia provide a comprehensive review of state-of-the-art research in this challenging space. Topics include Epidemiology of Chronic Pain Following SCI, experimental models and mechanisms of chronic pain in SCI, and new targets and technologies. This book serves as a resource for continued translational research that will result in novel approaches and treatments that improve function and quality of life for individuals with CNP/SCI. Despite a better understanding of the complexity of mechanisms of CNP/SCI, improved medical and surgical management of SCI, and the subsequent acceleration of the identification of new targets and the development of novel analgesics, there is still a great unmet clinical need in the area of CNP following SCI. Hence, this book is a welcomed addition to current research and developments. Provides a comprehensive resource for novel approaches and treatments that improve function and quality of life for individuals with CNP/SCI Includes contributors from the private sector and academia Covers epidemiology of chronic pain following SCI, experimental models, mechanisms of chronic pain in SCI, and new targets and technologies

Essentials of Spinal Cord Injury Medicine

Author : Yannis Dionyssiotis
Publisher : BoD – Books on Demand
ISBN 13 : 1789232481
Total Pages : 168 pages
Book Rating : 4.7/5 (892 download)

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Book Synopsis Essentials of Spinal Cord Injury Medicine by : Yannis Dionyssiotis

Download or read book Essentials of Spinal Cord Injury Medicine written by Yannis Dionyssiotis and published by BoD – Books on Demand. This book was released on 2018-06-13 with total page 168 pages. Available in PDF, EPUB and Kindle. Book excerpt: Spinal cord injury is a severe condition leading to serious neurological dysfunctions and changes a person's life in a sudden way. Understanding the pathophysiology of spinal cord injury will improve the prognosis and reintegration to the society of spinal cord-injured subjects. The book Essentials in Spinal Cord Injury Medicine includes seven chapters with valuable information addressing hot topics related to spinal cord injury, ranging from pathophysiology, nontraumatic spinal cord injury, complications to exoskeletons, and research therapies with mesenchymal stem cells. The book could be a valued reference for physiatrists, neurosurgeons, orthopedic surgeons, neurologists and physical therapists.

Traumatic Brain and Spinal Cord Injury

Author : Cristina Morganti-Kossmann
Publisher : Cambridge University Press
ISBN 13 : 1107007437
Total Pages : 361 pages
Book Rating : 4.1/5 (7 download)

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Book Synopsis Traumatic Brain and Spinal Cord Injury by : Cristina Morganti-Kossmann

Download or read book Traumatic Brain and Spinal Cord Injury written by Cristina Morganti-Kossmann and published by Cambridge University Press. This book was released on 2012-07-19 with total page 361 pages. Available in PDF, EPUB and Kindle. Book excerpt: Presents the most up-to-date clinical and experimental research in neurotrauma in an illustrated, accessible, comprehensive volume.

Neuroprotection

Author : Matilde Otero-Losada
Publisher : BoD – Books on Demand
ISBN 13 : 1838804390
Total Pages : 350 pages
Book Rating : 4.8/5 (388 download)

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Book Synopsis Neuroprotection by : Matilde Otero-Losada

Download or read book Neuroprotection written by Matilde Otero-Losada and published by BoD – Books on Demand. This book was released on 2020-11-26 with total page 350 pages. Available in PDF, EPUB and Kindle. Book excerpt: Neurological disease affects nearly 25%–30% of the world’s population, exerting enormous financial strain on the healthcare system. Estimated current costs are around $800 annual billion, and this number is expected to increase exponentially as the global population ages. As such, new and alternative neuroprotective strategies are urgently needed. This book examines some of the most promising approaches in neuroprotection as well as discusses current goals and prospects. Organized into three sections, chapters cover such topics as the use of cannabinoids, medicinal plants, and essential oils in Alzheimer’s and Parkinson’s; protein misfolding and the neuroprotective potential of vitamin E in cerebral ischemia; and potential new neurological treatments and their mechanisms of action.

Make Life Visible

Author : Yoshiaki Toyama
Publisher : Springer Nature
ISBN 13 : 9811379084
Total Pages : 292 pages
Book Rating : 4.8/5 (113 download)

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Book Synopsis Make Life Visible by : Yoshiaki Toyama

Download or read book Make Life Visible written by Yoshiaki Toyama and published by Springer Nature. This book was released on 2019-10-02 with total page 292 pages. Available in PDF, EPUB and Kindle. Book excerpt: This open access book describes marked advances in imaging technology that have enabled the visualization of phenomena in ways formerly believed to be completelyimpossible. These technologies have made major contributions to the elucidation of the pathology of diseases as well as to their diagnosis and therapy. The volume presents various studies from molecular imaging to clinical imaging. It also focuses on innovative, creative, advanced research that gives full play to imaging technology inthe broad sense, while exploring cross-disciplinary areas in which individual research fields interact and pursuing the development of new techniques where they fuse together. The book is separated into three parts, the first of which addresses the topic of visualizing and controlling molecules for life. Th e second part is devoted to imaging of disease mechanisms, while the final part comprises studies on the application of imaging technologies to diagnosis and therapy. Th e book contains the proceedings of the 12th Uehara International Symposium 2017, “Make Life Visible” sponsored by the Uehara Memorial Foundation and held from June 12 to 14, 2017. It is written by leading scientists in the field and is an open access publication under a CC BY 4.0 license.

Spinal Cord Injury

Author : Michael E. Selzer
Publisher : ReadHowYouWant.com
ISBN 13 : 1458763315
Total Pages : 254 pages
Book Rating : 4.4/5 (587 download)

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Book Synopsis Spinal Cord Injury by : Michael E. Selzer

Download or read book Spinal Cord Injury written by Michael E. Selzer and published by ReadHowYouWant.com. This book was released on 2010 with total page 254 pages. Available in PDF, EPUB and Kindle. Book excerpt: SPINAL CORD INJURY A GUIDE FOR PATIENTS AND FAMILIES The newest title in the critically acclaimed American Academy of Neurology Press Quality of Life Guides series, Spinal Cord Injury is an authoritative and reliable resource for all those looking to educate themselves on the topic of spinal cord injury (SCI). Written in easy-to-understand language, the book includes information on: How the spinal cord works and what happens when it is injured; The benefits of rehabilitation; Assistive devices that can make life easier; A glossary with commonly used terms for communicating with doctors and caregivers; Website resources that can aid in further research Learning to live with a spinal cord injury can be a challenge. This book will help people better understand the medical basis for their disabilities, the current treatments and rehabilitative methods used to manage spinal cord injuries, and the research that points to hope for the future. About the Authors Michael E. Selzer, MD, PhD, is a professor in the Department of Neurology and director of the Center for Experimental Neurorehabilitation Training at the University of Pennsylvania School of Medicine, as well as director of Rehabilitation Research and Development in the Department of Veterans Affairs.