By David X. Cifu MD
The most-trusted source for physiatry wisdom and strategies, Braddom’s actual drugs and Rehabilitation continues to be an important consultant for the complete rehabilitation workforce. With confirmed technological know-how and finished suggestions, this scientific reference publication addresses more than a few themes to supply each sufferer greatest soreness reduction and optimum go back to function.
- In-depth coverage of the indicators for and barriers of axial and peripheral joints via treatments allows mastery of those concepts.
- Optimize using ultrasound in analysis and therapy.
- A bankruptcy covering PM&R within the overseas community serves to develop your standpoint within the field.
- Detailed illustrations let you achieve a transparent visible realizing of significant concepts.
- New lead editor - Dr. David Cifu - used to be chosen by means of Dr. Randall Braddom to continue a constant and readable layout. extra new authors and editors supply a clean standpoint to this edition.
- Features entire coverage of the treatment of concussions and military amputees.
- Includes brand-new info on rehabilitating wounded army personnel, the most recent injection techniques, speech/swallowing disorders, head damage rehabilitation, and the rehabilitation of continual diseases.
- New chapters on pelvic flooring disorders and sensory impairments maintain you on the vanguard of the field.
- Reader-friendly layout positive factors an updated desk of contents and improved bankruptcy approach for an better consumer experience.
- Expert seek advice publication model integrated with purchase. This more advantageous booklet event gives entry to the textual content, figures, over 2,500 references, fifty one video clips, and 750 self-assessment questions about a number of units.
Read Online or Download Braddom’s Physical Medicine and Rehabilitation PDF
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Extra info for Braddom’s Physical Medicine and Rehabilitation
Sensitivity: 43-50 Specificity: 80-100 Neck distraction test A positive test is relief or reduction of cervical radicular symptoms with an axial traction force applied by the examiner under the occiput and the chin while the patient is supine. Sensitivity: 40-43 Specificity: 100 Lhermitte sign A positive test is the presence of electric-like sensations down the extremities with passive cervical forward flexion. Sensitivity: 27 Specificity: 90 Hoffmann sign A positive test is flexion-adduction of ipsilateral thumb and index finger with passive snapping flexion of the distal phalanx of the middle finger.
If numbness and tingling were produced or exaggerated in the median nerve distribution of the hand within 60 seconds, the test is judged to be positive. Sensitivity: 43 Specificity: 74 Tinel’s sign at the wrist This test is positive if there is numbness and paresthesia in the fingers. It is done by extending the wrist and tapping in a proximal to distal direction over the median nerve as it passes through the carpal tunnel, from the area of the distal wrist crease, 2 to 3 cm toward the area between the thenar and hypothenar eminences.
The limb should move easily and without resistance when altering the direction and speed of movement. Hypertonic limbs feel stiff and resist movement, whereas flaccid limbs are unresponsive. The patient should be told to relax because these responses should be examined without any voluntary control. Clonus is a cyclic alternation of muscular contraction in response to a sustained stretch, and is assessed with a quick stretch stimulus that is then maintained. Myoclonus refers to sudden, involuntary jerking of a muscle or group of muscles.