Extensively illustrated and easy to use, this practical resource offers clear guidelines and step-by-step sequences for moving and working with individuals with differing levels of paralysis. It serves as both an ideal student textbook and a valuable clinical manual for therapists who see tetraplegic and paraplegic patients. Clear, practical, concise information supported by an easily understandable approach Accessible reference for both clinical and classroom settings Excellent coverage of wheelchairs and wheelchair management All illustrations have been redrawn for increased clarity, to enhance the clinical usefulness of this resource. Audit and evidence-based practice is incorporated throughout. Discussion of patient empowerment is included. The chapter on hands has been expanded to provide more in-depth coverage of this important topic. New discussion of levers has been added to this edition. New chapter on aging offers insight and considerations for treating aging and elderly patients with spinal cord injury. Expanded section on equipment provides details on current and state-of-the-art equipment used in practice.