From the much-referenced and highly acclaimed Textbooks of Military Medicine series, Rehabilitation of the Injured Combatant deals comprehensively with the injuries of warriors, including traumatic brain injury, limb amputation, and burns. Both volumes of this massive work - with over 1400 pages - are presented.
Volume 1 focuses on the aspects of rehabilitative care that are specifically related to wounds sustained through combat and military training. It covers topics such as spinal cord injury rehabilitation, traumatic brain injury and physical therapy in wartime environment.
Volume 2 offers a valuable reference for physicians and providers who care for those injured while fighting. It discusses topics ranging from peripheral nerve injuries to vocational rehabilitation and community reintegration of the wounded combatant.
Medical literature is replete with textbooks on the rehabilitative care of civilians. This textbook, however, focuses on the aspects of care that are specifically related to wounds sustained through combat and military training, for almost all of these require some component of rehabilitation to ensure full functional restoration. The textbook is published in two parts and organized into three sections. The first section introduces the field of rehabilitation, its history, and its functions in the modern military. The second section, the largest and most comprehensive, deals with injury-specific rehabilitation: of burn wounds, nerve injuries, spinal injuries, the special problems of amputees, and so forth. The writers of these chapters produced comprehensive treatises far beyond any preconceived expectations. They have captured the essence of modern rehabilitation and its application to the military. The chapter on preventing complications of immobility is an important contribution; all military physicians and healthcare providers must understand these important principles. The third section deals with exercise and training in ways to prevent injuries, yet maximize performance and strength. In addition, the army’s medical boarding system has been outlined admirably and will guide the reader through this complicated system.
Physical medicine and rehabilitation (PMR) has long been intimately associated with the military. In fact, the medical treatment required for war casualties during the conflagrations of World War I and World War II provided the primary stimulus for the extensive growth and development in the field of rehabilitation. The vast experience gained in rehabilitating the many wartime casualties educated military medical officers to the tremendous positive impact of rehabilitation on the care of all patients, not just soldiers. Indeed, the basic tenets of exercise, early range-of-motion exercise, and early mobilization and training, which underwent development and worked well during wartime, still hold true today. To a great extent, the medical specialty within PMR, Physiatry, owes its birth to the pioneering military medical officers who helped established it as a medical specialty in 1947. Other rehabilitation professionals, physical therapists, and occupational therapists, also trace their beginnings to the military.
Rehabilitation must be thought of as a continuum of care spanning the time from shortly after injury to full functional restoration. It is a common misconception that rehabilitative care should be relegated largely to Veterans Affairs hospitals. This argument has been made in the past, but we need only look at historical experience to realize that rehabilitation must begin soon after injury—while the patient is still being treated in military hospitals. During World War II, for example, the army established amputation centers where the highest quality rehabilitation could be provided.
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