The purpose of this research project was to identify personal and environmental factors that facilitate both ability to participate in life roles and satisfaction with that participation, for people living with chronic neurological conditions. Contributions of self-efficacy and patient activation to participation were also examined. The results of this secondary analysis confirmed previous work that demonstrates that participation is multi-factorial. Using multiple regression techniques, the final models explained more of the variation in ability than satisfaction. The significant variables in the final models were impairment, fatigue, stigma and either self-efficacy or patient activation. For the ability to participate models only, support was a significant variable. Neither self-efficacy nor patient activation was more predictive of participation. For clinicians working with this population, re-examination of the current impairment reduction focus is warranted. More comprehensive approaches that support the complexities of daily living for these individuals are indicated. Several factors for rehabilitation intervention were implicated.

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Neurorehabilitation is an expanding field with an increasing clinical impact due to an ageing population. During the last 20 years, neurorehabilitation has developed from a discipline with little scientific background, separated from other medical centers, to a medical entity largely based on the principles of 'evidenced based medicine' with strong ties to basic research and clinical neurology. Today neurorehabilitation is still a work in progress and treatment standards are not yet established for all aspects of the field. There are very few books that address contemporary neurorehabilitation from this perspective. This new edition of the Oxford Textbook of Neurorehabilitation provides an understanding of the theoretical underpinnings of the subject as well as a clear perspective on how (and why) to approach treatment decisions on an individualized basis. The book has been thoroughly updated to reflect novel important developments in the field and includes new chapters on vocational rehabilitation, self-management strategies in neurorehabilitation, and music supported therapy in neurorehabilitation. This indispensable book will be of great interest to rehabilitation physicians, neurologists, and allied health care professionals who look after patients requiring neurorehabilitation.

Concise yet comprehensive, Clinical Neurology, Fourth Edition builds on the success of three previous editions in helping medical students, junior doctors, and practicing physicians acquire an improved understanding of the principles of neurology. The fourth edition has been fully revised and updated to take into account current developments in the investigation and treatment of neurological disorders. It retains a clinical focus, emphasizing the basic skills of history taking and neurological examination throughout. This edition presents expanded coverage of neurophysiology and motor neurone disease. Authored and edited by leading figures in neurology, this book is an indispensable introduction to the field of clinical neurology, for use in training and study as well as in the clinical setting.

This book presents a comprehensive overview of ataxia, a common neurological disorder that affects all ages. It can manifest in children when they start to sit and walk and under a specific form of genetic disease and in the elderly through falls that worsen with age. In general, ataxia consists of the involuntary lack of coordination of muscle movements, which mainly presents as abnormalities in gait, changes in speech (e. g., scanning speech), and abnormal eye movements such as nystagmus. It results from dysfunction of the nervous system areas responsible for the coordination of movements and, most commonly, the cerebellum and its connections to the cerebrum and periphery. The book is organized into three sections and six chapters that address such topics as genetic conditions, childhood-onset ataxia, ataxia and multiple sclerosis, therapeutic interventions, and more.