THIRD EDITION
S Sunder MBBS Dip Phys Med
Consultant in Physical Medicine and Rehabilitation Medical Director Prem Center for Physical Medicine and Rehabilitation Medicine
Chennai, Tamil Nadu, India
Chief Consultant Global Hospital and Health City
Chennai, Tamil Nadu, India
Jitendar P Vij
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Textbook of Rehabilitation
© 2010, S Sunder
All rights reserved. No part of this publication should be reproduced, stored in a retrieval system, or transmitted in any form or by any means: electronic, mechanical, photocopying, recording, or otherwise, without the prior written permission of the author and the publisher.
Second Edition: 2002
Reprint: 2003, 2004, 2005, 2007
Third Edition: 2010
9788184487114
Typeset at JPBMP typesetting unit
Printed at
5Preface to the Third Edition
During my tenure as a medical intern I came across several ‘cases’ of hemiplegia, paraplegia and Parkinson's disease in the Department of Neurology. Our case discussions would cover the clinical presentation, the investigation and the therapeutics for the disease concerned, but would often stop short of rehabilitation and physical management. Considering that rehabilitation is a vital aspect of post-acute care, and that the ‘cases’ were actually patients who needed to get back to living their lives, I often would wonder why it was not touched upon. Later, when I went on to do my postgraduation in Rehabilitation Medicine, I realized the immense scope that it provided, and that it does not feature as a subject in our medical curriculum. There is, as a result, a need for a Comprehensive Textbook on rehabilitation medicine for our students.
This book, hopefully, will fulfil that need, and since it conforms to the syllabus of physiotherapy and occupational therapy, would immensely benefit students of those disciplines, or indeed anyone who is rehabilitation professional. Also, wherever possible, the use of appropriate technology has been included.
This revised edition follows-up on the enormous success of the second edition. Many chapters have been rewritten and photographs added. This book is divided into two parts—Part one deals with General Principles of Rehabilitation while the second part is concerned with the application of these principles in various conditions. There are many disabling diseases and it is beyond the scope of this book to list out all of them, as also the various lines of management. The focus is therefore to bring out the philosophy of rehabilitation and its importance in some of the common neurological and orthopedic conditions. Techniques and technology in rehabilitation (and the various specialties in rehabilitation) have advanced so dramatically in the last decade that it is virtually impossible to bring all aspects into a textbook of this nature.
I gratefully acknowledge the permission granted by Freedom Trust, KCRC, Electrocare Systems and Services, RASA Amar Seva Sangam and Callidai Motor Works to use photographs to illustrate some of the points in this book. I acknowledge with gratitude the contribution of Rupa Balaraman, in helping with some of the material for this book.
I realize that my own patients have been my clinical teachers and I dedicate this book to them.
S Sunder