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Acute Medical Rehabilitation
A new approach to understanding Physical and Rehabilitation Medicine
by H.J. Stam, H.M. Buyruk, J.L. Melvin and G. Stucki
“Medical rehabilitation is generally interpreted as a part of medicine that becomes relevant when prevention has failed or when the primary treatment of a disease or injury has resulted in incomplete recovery. In many cases rehabilitation interventions start when the primary physician has nothing more to offer to the patient and often the patient has to be transferred to another ward or hospital to make the first steps in a long process of rehabilitation.

This model of a sharp distinction between primary care and rehabilitation is outdated and carries many risks and disadvantages. Patients with acute injuries, such as spinal cord injury, traumatic brain injury, hand trauma, multiple bone fractures and myocardial infarcts nowadays receive rehabilitation interventions before surgery, during chemotherapy or radiotherapy and immediately after injury or acute diseases. So do patients with conditions such as stroke, amputation, organ transplantation, burn wounds and cancer treatment. All these activities can be included in acute medical rehabilitation which is aiming at prevention of further physical and psychological deterioration, at improving functioning, treatment of common complications such as joint contractures or pressure sores, at providing information on future perspectives and on managing discharge to home or to further in- and outpatient facilities.
This handbook offers practical and concise information for physicians, nurses and other health care professionals that are involved in the medical care for those patients that will need long-term rehabilitation. The focus is on the first days and weeks after surgery, trauma or onset of disease.
1: Introduction to Acute Medical Rehabilitation, H.J. Stam, A.B. Ward

2: Spinal Cord Injury, N. Kumar, S. Pieri-Davies, W.S. El Masri(y)

3: Stroke, A.A. van Kuijk, J.M.A. Visser-Meily, G. Kwakkel, A.C.H. Geurts

4: Acquired Brain Injury, A.B. Ward, M. Cirasanambati

5: Upper Limb Amputation, H. Burger

6: Lower Limb Amputation, F. Kohler

7: Blast Related Trauma, S. McNamee, D.X. Cifu, J. Sanderlin, L. Farrel- Carnahan

8: Burns, P.C. Esselman

9: Complex Regional Pain Syndrome, Type-I, J.H.B. Geertzen, R.S.G.M. Perez

10: Hip Fracture, K.E. Dreinhöfer, M. Hohenadel

11: Brachial Plexus Lesions, T. Paternostro-Sluga, M. Stieger, M. Herceg, V. Fialka-Moser, H. Kern, M. Frey

12: Myocardial Infarction, M.N. Bartels

13: Multitrauma, B. Hemmen, P.R.G. Brink

14: Cardiac Transplantation, M.A. Young, B. O’Young, R.S. Mayer

15: Renal, Pulmonary and Hepatic Transplantation, M.A. Young, B. O’Young, C. Ang-Muňoz

16: Trauma of Hand and Wrist, A.R. Schreuders, R. Prosser

17: Low Back Pain, H.M. Buyruk, H.J. Stam

18: Heterotopic Ossification, L. Vanden Bossche

19: Contractures, B.J. de Lateur

20: Venous Thromboembolic Events, B.M. Kelly

21: Neurobehavioural Disorders, C. van Bennekom

22: Pressure Ulcers, J. van Meeteren

23: Critical Care Settings, R.J. O’Connor, B.Bhakta

24: Bedside Cognitive Assessment, G.M. Ribbers, M.H. Koops

25: Prehabilitation: exercise therapy before major surgery, J.J. Dronkers, K. Valkenet

26: Guillain-Barré Syndrome; a patient's perspective, A. McNamara

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