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The Motor Relearning Patient: A Clinical Reasoning Guide to Neurologic and Cancer Rehabilitation, Balance, Gait, and Functional Movement
Paperback
Series: The Clinical Reasoning in Physical Therapy
Publisher: Independently Published
Published: Jul 4 2026
Pages: 272
Weight: 1.05
Height: 0.57 Width: 7.00 Depth: 10.00
Language: English
A patient may be unable to rise from a chair, maintain balance, clear the foot, turn safely, or use an affected arm. Yet the same movement failure can reflect weakness, sensory uncertainty, impaired motor control, fear, fatigue, cognitive load, limited medical reserve, or several interacting mechanisms. Choosing the right intervention begins with deciding which explanation is most likely today.
The Motor Relearning Patient gives physical therapists a practical, evidence-informed system for moving from observation to a defensible treatment plan. Rather than treating the diagnosis as the answer, it teaches clinicians to define the exact life task, describe the movement signature, rank competing hypotheses, select discriminating tests, conduct bounded treatment experiments, and revise the plan when the patient's response contradicts the prediction.
Inside, readers will learn how to:- Distinguish immediate performance from retention, transfer, spontaneous use, and acceptable recovery cost.
- Match feedback, cueing, assistance, practice conditions, and dose to the patient's dominant limitation.
- Reason through bed mobility, sitting, sit-to-stand, standing balance, gait, stairs, reaching, bimanual use, dual tasking, and environmental complexity.
- Account for stroke, traumatic brain injury, cancer treatment, post-radiation effects, steroid myopathy, frailty, deconditioning, and medical complexity.
- Recognize when treatment should be progressed, adapted, referred for medical follow-up, or stopped.
A point-of-care toolkit and ten longitudinal master cases demonstrate how clinical decisions change as new evidence emerges.
Written for experienced physical therapists, rehabilitation clinicians, educators, and advanced students, this is not a catalog of exercises or a rigid protocol. It is a guide to making clinical reasoning visible, testable, and revisable - so that better performance in therapy becomes safer, more durable movement in daily life.
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