Fell D1
1University of South Alabama, Physical Therapy, Mobile, AL, United States
Background: The Process to Develop a Neuromuscular Rehabilitation Textbook Organized Around an ICF Framework Rather than Medical Diagnoses
Purpose: The Process to Develop a Neuromuscular Rehabilitation Textbook Organized Around an ICF Framework Rather than Medical Diagnoses
Methods: In this new textbook organization, the five book sections are organized around the APTA Patient Management Model (Examination/Outcome Measures, Evaluation, Intervention), applied to patients with adult and pediatric neurologic conditions, focusing on clinical decision-making described by Rothstein (2003) in the Hypothesis-Oriented Algorithm for Clinicians, with an evidence-basis. The separate examination chapters are each related to a specific ICF construct, with chapters on examination of each specific underlying movement-system impairment (e.g., motor, sensory, balance, vestibular, etc ) that impacts function and examination of functional activity and participation. The separate intervention chapters cover each specific body-structure/body-function impairment that impacts function and ultimately chapters for activity-based interventions in each functional activity category (horizontal/rolling, sitting, sit-to-stand, standing, and upright mobility) to maximize functional ability. While there are not chapters for each medical diagnosis - the online Compendium of Neuromuscular Medical Diagnoses accompanying the book does contain a summary for almost 60 adult and pediatric medical diagnoses covering etiology/pathogenesis, key examination and diagnostic findings, prognosis considerations, medical/surgical interventions that may impact rehab, and a brief summary of the likely focus of rehab.
Results: Following a blinded peer-review process the proposal was accepted by publisher F.A. Davis Company as a novel and evidence-supported textbook organization. The 1248-page book “Lifespan Neurorehabilitation : A Patient-Centered Approach from Examination to Interventions and Outcomes” (ISBN-13: 978-0-8036-4609-4), was authored and edited by Dennis Fell PT, MD, Karen Y Lunnen PT, EdD, and Reva Rauk PT, PhD, MMSC, NCS. Chapter contributors included over 50 educators and clinical specialists from the APTA Academies of Neurologic, Pediatric and Geriatric Physical Therapy. The text was first published in January 2018 and by August 2018 had already been adopted by 41 professional educational programs in the U.S.
Conclusion(s): Readers who are initially learning neuromuscular rehabilitation consume an organization that promotes hypothesis-oriented clinical decision making and a patient-centered plan of care.
Implications: A similar process could be applied to develop current textbooks in musculoskeletal, cardiovascular/pulmonary, and wound care physiotherapy.
Keywords: Neurology, Education, Scholarly Synthesis
Funding acknowledgements: A development grant was provided by F.A. Davis Co.
Purpose: The Process to Develop a Neuromuscular Rehabilitation Textbook Organized Around an ICF Framework Rather than Medical Diagnoses
Methods: In this new textbook organization, the five book sections are organized around the APTA Patient Management Model (Examination/Outcome Measures, Evaluation, Intervention), applied to patients with adult and pediatric neurologic conditions, focusing on clinical decision-making described by Rothstein (2003) in the Hypothesis-Oriented Algorithm for Clinicians, with an evidence-basis. The separate examination chapters are each related to a specific ICF construct, with chapters on examination of each specific underlying movement-system impairment (e.g., motor, sensory, balance, vestibular, etc ) that impacts function and examination of functional activity and participation. The separate intervention chapters cover each specific body-structure/body-function impairment that impacts function and ultimately chapters for activity-based interventions in each functional activity category (horizontal/rolling, sitting, sit-to-stand, standing, and upright mobility) to maximize functional ability. While there are not chapters for each medical diagnosis - the online Compendium of Neuromuscular Medical Diagnoses accompanying the book does contain a summary for almost 60 adult and pediatric medical diagnoses covering etiology/pathogenesis, key examination and diagnostic findings, prognosis considerations, medical/surgical interventions that may impact rehab, and a brief summary of the likely focus of rehab.
Results: Following a blinded peer-review process the proposal was accepted by publisher F.A. Davis Company as a novel and evidence-supported textbook organization. The 1248-page book “Lifespan Neurorehabilitation : A Patient-Centered Approach from Examination to Interventions and Outcomes” (ISBN-13: 978-0-8036-4609-4), was authored and edited by Dennis Fell PT, MD, Karen Y Lunnen PT, EdD, and Reva Rauk PT, PhD, MMSC, NCS. Chapter contributors included over 50 educators and clinical specialists from the APTA Academies of Neurologic, Pediatric and Geriatric Physical Therapy. The text was first published in January 2018 and by August 2018 had already been adopted by 41 professional educational programs in the U.S.
Conclusion(s): Readers who are initially learning neuromuscular rehabilitation consume an organization that promotes hypothesis-oriented clinical decision making and a patient-centered plan of care.
Implications: A similar process could be applied to develop current textbooks in musculoskeletal, cardiovascular/pulmonary, and wound care physiotherapy.
Keywords: Neurology, Education, Scholarly Synthesis
Funding acknowledgements: A development grant was provided by F.A. Davis Co.
Topic: Education: methods of teaching & learning; Neurology
Ethics approval required: No
Institution: University of South Alabama
Ethics committee: Institutional Review Board
Reason not required: No human subjects.
All authors, affiliations and abstracts have been published as submitted.
