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A comprehensive guide to managing spastic hypertonia after brain injury and the first full overview of this area The ideal reference for therapeutic interventions that optimise arm and hand function to support goal achievement An extensive clinical manual for neurological practice, a key reference for students and qualified practitioners, and a valuable resource for all occupational therapists and physiotherapists working with brain-injured clients Table of Contents 1. Seeing The Bigger Picture: Using Clients’ Experiences To Shape Clinical Practice 2. What Happens To The Upper Limb After Brain Injury? 3. The Hypertonicity Intervention Planning Model For Upper Limb Neuro-Rehabilitation 4. Making Sense Of The Clinical Picture: Assessment And Goal Setting Appendix 4.1 Information Gathering Using a Concept Map Structure Appendix 4.2 Upper Limb Performance Analysis (ULPA), Part 2: Comparative Analysis Of Performance – Motor (CAP-M) Appendix 4.3 Upper Limb Hypertonicity Assessment Form 5. Case Studies 6. Movement And Strength Training 7. Splinting Appendix 7.1. Common Splint Designs, Patterns And Fabrication Instructions Appendix 7.2. Splint Care And Precautions Form Appendix 7.3. Photo Program For Splint Application 8. Casting Appendix 8.1. Casting Procedures Appendix 8.2. Casting For Arms And Hands: Information Sheet Appendix 8.3. Casting Agreement Appendix 8.4. Casting Documentation Form Appendix 8.5. Precautions And Cast Care During Casting Series 9. Botulinum Neurotoxin 10. Surgery 11. Case Studies Revisited Index