Neurorehabilitation of the Upper Limb Across the Lifespan

Jodie Copley is Senior Lecturer, Clinical Education Program Coordinator and Clinic Manager of the UQ Upper Limb Hypertonicity Clinic at the School of Health and Rehabilitation Sciences, University of Queensland, Australia.Kathy Kuipers is Co-Director of OptimiseRehab, a private occupational therapy practice providing rehabilitation services to children and adults with upper limb hypertonicity, and Lecturer in the Division of Occupational Therapy, School of Health and Rehabilitation Sciences, University of Queensland, Australia.

• Acknowledgements ix1. Seeing the Bigger Picture: Using Clients’ Experiences to Shape Clinical Practice 11.1. Appreciating the client’s experiences 11.2. Providing or assisting access to long-term services 11.3. Initiating and supporting transitions from one service to the next 31.4. Listening carefully and providing relevant information 41.5. Collaborating on achievable goals 51.6. Actively supporting and involving caregivers 61.7. This book: Promoting collaborative client-centred intervention 7References 72. What Happens to the Upper Limb After Brain Injury? 92.1. Motor control and normal movement 92.2. Upper limb movement 172.3. Brain injury and movement dysfunction 192.4. Upper motor neuron syndrome 202.5. The clinical picture: Interaction of positive and negative features 372.6. Summary 45References 453. The Hypertonicity Intervention Planning Model for Upper Limb Neurorehabilitation 543.1. Decision-making in clinical practice 543.2. Evidence-based practice: What it is and what it isn’t 563.3. Clinical reasoning: A process of integration and differentiation 613.4. The hypertonicity intervention planning model for upper limb neurorehabilitation 653.5. Summary 73References 734. Making Sense of the Clinical Picture 804.1. The ICF as an assessment framework 804.2. Gathering information 814.3. Upper limb assessment 874.4. Goal formulation 1074.5. Summary 110References 1114.A. Information Gathering Using a Concept Map Structure 1164.B. Upper Limb Performance Analysis (ULPA) Part 2: Comparative Analysis of Performance – Motor (CAP-M) 1174.C. Upper Limb Hypertonicity Assessment Form 1195. Case Studies 1285.1. Wendy 1285.2. Harry 1345.3. Tony 1385.4. Summary 1446. Movement and Strength Training 1456.1. Changes in rehabilitation theory and practice 1456.2. Common rehabilitation approaches: Assumptions principles and strategies 1466.3. A selection of contemporary techniques: Indications and considerations 1496.4. Summary 176References 1777. Splinting 1867.1. Splinting: Proposed mechanisms of effect 1867.2. Splinting research: A narrative review 1907.3. Hypertonicity intervention planning model (HIPM): Indications for splinting 2027.4. Splint prescription 2027.5. Common splint designs 2137.6. Adapting splint designs 2147.7. Commercially-produced Splints 2147.8. Wearing schedules 2167.9. Fabrication principles 2187.10. Summary 223References 2237.A. Common Splint Designs Patterns and Fabrication Instructions 2307.B. Splint Care and Precautions 2747.C. Example of a Photographic Splint Programme 2758. Casting 2788.1. Casting classification 2788.2. Casting research: A narrative review 2828.3. Indications for casting 2848.4. Contraindications for casting 2848.5. Casting considerations 2908.6. Casting process 2948.7. Post-casting follow-up programme 2988.8. Summary 301References 3018.A. Casting Procedures 3048.B. Casting for Arms and Hands: Information Sheet 3168.C. Casting Agreement 3178.D. Casting Documentation Form Page 1 3188.D. Casting Documentation Form Page 1 3198.E. Precautions and Cast Care During Casting Series 3209. Botulinum Neurotoxin 3219.1. Clostridium botulinum 3219.2. Mechanism of effect 3239.3. Botulinum neurotoxin research: A narrative review 3269.4. Guidelines for practice 3299.5. Summary 335References 33510. Surgery 33910.1. Classification of surgical procedures 33910.2. Surgery: A narrative review 34010.3. Indications for surgical intervention 34710.4. Surgical consultation: Information sharing 35010.5. Post-surgery follow-up 35110.6. Summary 352References 35211. Case Studies Revisited 35511.1. Wendy – intervention process and outcomes 35511.2. Harry – intervention process and outcomes 36011.3. Tony – intervention process and outcomes 36211.4. Summary 366Index 369

“This book is the only one I know of that addresses upper extremity neurological dysfunction on this level. Other books address neurological dysfunction, but not to this degree of specificity.”  (Doody’s, 20 February 2015)