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Physical FIFTH EDITION Rehabilitation Susan B. O’Sullivan, PT, EdD Professor and Chair Department of Physical Therapy School of Health and Environment University of Massachusetts Lowell Lowell, Massachusetts Thomas J. Schmitz, PT, PhD Professor Division of Physical Therapy School of Health Professions Long Island University Brooklyn Campus Brooklyn, New York FABK007-FM-i-xviii].qxd 11/7/06 1:08 PM Page iii PMAC-291 PMAC-291:Books:DAMS/DART/ARCHIVE:FABK007_O'Sullivan_Archive:Chapter:FM:
F.A. Davis Company 1915 Arch Street Philadelphia, PA 19103 www.fadavis.com Copyright © 2007 by F.A. Davis Company Copyright © 1980, 1988, 1994, 2001, 2007 by F.A. Davis Company. All rights reserved. This book is protected by copyright. No part of it may be reproduced, stored in a retrieval system, or transmited in any form or by any means, electronic, mechanical photocopying, recording, or otherwise, without written permission from the publisher. Printed in the United States of America Last digit indicates print number: 10987654321 Acquisitions Editor: Margaret Biblis Manager, Content Development: Deborah Thorp Developmental Editor: Jennifer Pine Design Manager: Carolyn O’Brien Photographer: Jaime Eric Eisman, ASMP Models: Frank J. Ciuba, DPT, MS; Clifford Weller As new scientific information becomes available through basic and clinical research, recommended treatments and drug therapies undergo changes. The authors and publisher have done everything possible to make this book accurate, up to date, and in accord with accepted standards at the time of publication. The authors, editors, and publisher are not responsible for errors or omissions or for consequences from application of the book, and make no warranty, expressed or implied, in regard to the contents of the book. Any practice described in this book should be applied by the reader in accordance with professional standards of care used in regard to the unique cir- cumstances that may apply in each situation. The reader is advised always to check product information (package inserts) for changes and new information regarding dose and contraindications before administering any drug. Caution is especially urged when using new or infrequently ordered drugs. Library of Congress Cataloging-in-Publication Data Physical rehabilitation/ [edited by] Susan B. O’Sullivan, Thomas J. Schmitz.—5th ed. p. ; cm. Includes bibliographical references and index. ISBN-13: 978-0-8036-1247-1 ISBN-10: 0-8036-1247-8 1. Physical therapy. I. O’Sullivan, Susan B. II. Schmitz, Thomas J. [DNLM: 1. Physical Therapy Modalities. 2. Disability Evaluation. WB 460 P57763 2007] RM700.O88 2007 615.82—dc22 2006019334 Authorization to photocopy items for internal or personal use, or the internal or personal use of specific clients, is granted by F.A. Davis Company for users registered with the Copyright Clearance Center (CCC) Transactional Reporting Service, provided that the fee of $. 10 per copy is paid directly to CCC, 222 Rosewood Drive, Danvers, MA 01923. For those organizations that have been granted a photocopy license by CCC, a separate system of pay- ment has been arranged. The fee code for users of the Transactional Reporting Service is: 8036-1042/030 + $.10. FABK007-FM-i-xviii].qxd 11/7/06 1:08 PM Page iv PMAC-291 PMAC-291:Books:DAMS/DART/ARCHIVE:FABK007_O'Sullivan_Archive:Chapter:FM:
Preface With the fifth edition of Physical Rehabilitation, we con- tinue a tradition of striving for excellence that began more than 20 years ago. We are gratified by the continuing wide acceptance of Physical Rehabilitation by both faculty and students. The text is designed to provide a comprehensive approach to the rehabilitation management of adult patients. As such, it is intended to serve as a primary textbook for profes- sional-level physical therapy students, and as an important resource for practicing therapists as well as for other reha- bilitation professionals. This fifth edition recognizes the continuing growth of the profession and integrates basic and applied clinical research to guide and inform evidence- based clinical practice. It also integrates terminology, prac- tice patterns, specific tests and measures, and interventions presented in the American Physical Therapy Association’s Guide to Physical Therapist Practice. Physical Rehabilitation is organized into four sections. Section One (Chapters 1–3) provides an introduction to patient care and includes chapters on clinical decision mak- ing, psychosocial factors, and values. Section Two (Chapters 4–12) focuses on examination of the sensory, motor, and car- diovascular systems as well as examination of functional status and the environment. Section Three (Chapters 13–30) addresses the common diseases, disorders, or conditions seen in the rehabilitation setting. Appropriate examination and intervention strategies are discussed for related impair- ments, functional limitations, and disabilities. Emphasis is placed also on parameters of learning critical to ensuring the patient/client can achieve an independent and active lifestyle. The final section, Section Four (Chapters 31–33) includes orthotics, prosthetics, and the prescriptive wheel- chair. A central element of the text is a strong pedagogical for- mat designed to facilitate and reinforce the learning of key concepts. Each chapter of Physical Rehabilitation includes an initial content outline, learning objectives, an introduc- tion and summary, study questions for self-assessment, and extensive references. Additional supplemental readings and recommended resources are also provided. Key terms are bolded throughout each chapter indicating their inclusion in a master glossary toward the end of the text. Application of important concepts is promoted through case study exam- ples and problem-oriented guiding questions. New to the fifth edition, many chapters contain Evidence Summary Boxes that summarize and critically appraise research focused on a particular topic or intervention relevant to the chapter content. Our hope is that the boxes may provide a model for readers to continue to critically examine clinical practice using validated clinical methodologies. We also hope it will inspire enthusiasm about the importance of con- tinuous, lifelong self-directed learning, without which prac- tice may become rapidly and dangerously out-of-date. The visual illustrations have been substantially enhanced with the addition of many new line drawings and photo- graphs. Changes in design and the introduction of a two- color format provide a more reader-friendly environment as well as augment understanding of content. Without question, our greatest asset in preparing the 5th edition of Physical Rehabilitation has been an outstanding group of contributing authors. We are most fortunate to have this group of talented individuals whose breadth and scope of professional knowledge and experience seems unparalleled. These individuals are recognized experts from a variety of specialty areas who have graciously shared their knowledge and clinical practice expertise by providing relevant, up-to-date, and practical information within their respective content areas. The fifth edition has also benefited from the input of numerous individuals engaged in both academic and clini- cal practice settings who have used and reviewed the con- tent. We are grateful for their constructive feedback and have instituted many of their suggestions and changes. As always, we welcome suggestions for improvements from our colleagues and students. As physical therapists continue to take on more and greater professional responsibilities and challenges, the very nature of this text makes it a perpetual “work in progress.” We are grateful for the opportunity to contribute to the aca- demic literature in physical therapy as well as to the profes- sional development of those preparing to enter a career devoted to improving the quality of life of those we serve. We acknowledge the very important contributions that physical therapists make in the lives of their patients. This book is dedicated to those therapists—past, present, and future—who guide and challenge their patients to lead a successful and independent life. Susan B. O’Sullivan Thomas J. Schmitz v FABK007-FM-i-xviii].qxd 11/7/06 1:08 PM Page v PMAC-291 PMAC-291:Books:DAMS/DART/ARCHIVE:FABK007_O'Sullivan_Archive:Chapter:FM:
Acknowledgments The on-going development of Physical Rehabilitation has been in all aspects a collaborative venture. Its fruition made possible only through the expertise and gracious contribu- tions of many talented individuals. Our appreciation is considerable. Heartfelt thanks are extended to our contributing authors. Each has brought a unique body of knowledge as well as distinct clinical practice expertise to their respec- tive chapters. Their commitment to physical therapist edu- cation is collectively displayed in content presentations that carefully reflect the scope of knowledge and skills required of a dynamic, evolving physical therapy practice environment. We are extremely grateful to each of our con- tributors as well as heartened by the excellence they bring to the fifth edition. Our gratitude is also extended to our guest editors and reviewers. Their collective expertise provided critical input during various phases of project development. We are par- ticularly indebted to them for their content suggestions, pedagogical insights, and unconditional positive regard for the academic pursuits of physical therapy students. We thank those individuals and companies who con- tributed new photographs to the individual chapters and to those patients/clients who allowed their photographs to be used throughout the text. Our appreciation goes to the dedicated professionals at F.A. Davis Company, Philadelphia, PA: Margaret M. Biblis, Publisher, Jennifer A. Pine, Developmental Editor, Bob But- ler, Production Manager, and Ron Moser, Marketing Man- ager. These individuals are recognized for their continued support, encouragement, and unwavering commitment to excellence. We would also like to thank Jean-Francois Vilain, Former Publisher, FA Davis, for his support through- out previous editions of this text. Thanks also are extended to Berta Steiner, Director of Production, Bermedica Production Ltd, and to Deborah Lynam for her considerable talents in preparing many of the new line illustrations. We wish to thank the numerous students, faculty, and cli- nicians who over the years have used Physical Rehabilitation and provided us with meaningful and constructive comments that have greatly enhanced this edition. It is our sincere hope that this feedback will continue with the fifth edition. Our thanks go also to the following individuals who pro- vided assistance during different phases of the project: Diana Agoston, Elizabeth Blas, Ryanne Glasper, Ellen Godwin, Kim Harris, Cristiana Kahl Collins, Katherine Li, Mary Maloney, Eileen McAulay, Michele Mills, Evangelos Pappas, Alexander Rosado, Alexis Sams, and Gideon F. Shapiro. A particular note of thanks is extended to Stephen A. Caronia who contributed several Evidence Summary Boxes as well as considerable editorial assistance; to Alisa Yalan-Murphy, Faculty Liaison, Faculty Media Resource Center, Long Island University, for her great patience in creating many high quality photographs; and to Ivaldo Costa whose support has truly been immeasurable. Finally, we are grateful for the continuing strong and productive working relationship that we maintain that has allowed us to complete a project of this scope through five editions. Susan B. O’Sullivan Thomas J. Schmitz vii FABK007-FM-i-xviii].qxd 11/7/06 1:08 PM Page vii PMAC-291 PMAC-291:Books:DAMS/DART/ARCHIVE:FABK007_O'Sullivan_Archive:Chapter:FM:

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