This is the second in a series of books dealing with the enormous clinical problem of spinal cord dysfunction. The first volume discussed assessment; this book focuses on intervention. There are three main approaches to the restoration of function after damage to the spinal cord: the prevention of secondary pathological events; the identification of impaired or absent functions in nerve cells and processes that survive the initial insult; and restoration of severed neuronal connections. This book addresses the first two of these approaches. It contains a discussion of the arguments about early decompression of the spinal cord following injury, therapy of acute spinal injury and the effects of early treatment and local cooling on spinal cord blood flow. The management of specific problems associated with spinal cord dysfunction is addressed; these problems include cardiovascular abnormalities due to autonomic dysfunction, bladder control, pain and sexual function. Current procedures of rehabilitation (particularly the management of chronic problems and the treatment of complications) are summarized, and ideas on motor control and learning are discussed.
'These topics are not readily available elsewhere within one text and consequently will provide a valuable resource of information. ... this volume is a useful reference and resource for therapists working in this field.'
Dorothy Tusslet, Physiotherapy, October 1992
'This volume does not pretend to be comprehensive. However, it contains an enormous amount of information that is not readily available elsewhere. The volume is particularly valuable for its discussion of theories of spinal cord damage and recovery ... also valuable for its practical advice on many different topics. It should be read and re-read by Neurologists and all those who look after patients with spinal cord disorders.'
R. Langton Hewer, Journal of Neurology, Neurosurgery and Psychiatry, June 1993
L.S. Illis: Introduction; I- THE ACUTE PHASE: W.S. El Masri & D.V. Meerkotter: Early decompression of the spinal cord following injury: arguments for and against; Wise Young: Therapy of acute spinal cord injury; Robert R. Hansebout: Spinal injury and spinal cord blood flow: the effect of early treatment and local cooling; II- SPECIFIC PROBLEMS: L.S. Illis: Introduction; L.S. Illis: Spasticity I: Clinical aspects; E.M. Sedgewick & J. Benfield:
Spasticity II: Physiological measurements; C.J. Mathias, H.R. Frankel, & J.D. Cole: Management of cardiovascular abnormalities caused by autonomic dysfunction in spinal cord injury; G.J. Fellows: Bladder management;
L.S. Illis: Central pain; Aleksandar Beric: Pain in spinal cord injury; B.P. Gardner & P. Rainsbury: Sexual function following spinal cord injury; Theo Mulder: Current ideas on motor control and learning: implications for therapy; III- BEHAVIOURAL THERAPY: L.S. Illis: Rehabilitation.