TY  - CHAP
M1  - Book, Section
TI  - The Rehabilitation of Neuromuscular Diseases
A1  - Paganoni, Sabrina
A1  - Ensrud, Erik
A2  - Amato, Anthony A.
A2  - Russell, James A.
PY  - 2015
T2  - Neuromuscular Disorders, 2e
AB  - Rehabilitation  is  the  process  of  assisting  a  person  to  maximize  function  and  quality  of  life.  Therefore,  rehabilitation  matters  to  people  with  neuromuscular  diseases  because  it  enables  them  to  reach  their  fullest  potential  despite  the  presence  of  a  disability.  Too  often,  patients  are  told  "there  is  nothing  we  can  do"  for  their  neuromuscular  conditions.  At  times  this  judgment  is  not  expressed  explicitly,  but  transpires  from  nonverbal  cues  during  patient  encounters.  Such  attitudes  cast  a  dark  shadow  on  the  therapeutic  alliance  between  the  physician  and  the  patient  and  lead  to  disengagement  and  lower  quality  of  care.  On  the  contrary,  here  we  will  argue  that  "there  is  always  something  we  can  do"  for  our  patients.  While  there  are  no  life-prolonging  treatments  for  many  neuromuscular  disorders,  interventions  are  often  available  that  can  assist  people  in  continuing  to  function  independently  and  safely,  both  in  their  vocational  and  personal  lives,  manage  their  symptoms,  and  live  fulfilling  lives  in  spite  of  the  presence  of  a  physical  impairment.  In  this  chapter,  we  will  look  at  neuromuscular  diseases  from  a  rehabilitation  perspective.  We  will  first  review  the  role  of  exercise,  orthoses,  mobility  aids,  adaptive  equipment,  and  environmental  modifications  with  respect  to  their  impact  on  function  and  quality  of  life.  We  will  then  develop  a  rehabilitation  framework  to  address  common  neuromuscular  problems  such  as  axial  weakness,  spinal  deformities,  proximal  upper  and  lower  limb  weakness,  hand  weakness,  foot  drop,  falls,  foot  abnormalities,  joint  contractures,  spasticity,  pain,  ptosis,  dysphagia,  and  dysarthria.  
SN  - 
PB  - McGraw-Hill Education
CY  - New York, NY
Y2  - 2024/04/19
UR  - neurology.mhmedical.com/content.aspx?aid=1115656991
ER  -