Movement System Impairment Syndromes of the Extremities, Cervical and Thoracic Spines PDF
Preview Movement System Impairment Syndromes of the Extremities, Cervical and Thoracic Spines
MOVEMENT SYSTEM IMPAIRMENT SYNDROMES oft heE xtremities, CervicaanldT horacSipci nes ShirlSeayh ranmn andA ssociates ShirlAe.Sy a hrmanPnT,,P hD,F APTA ProfesPshoyrs,i Tcahelr apNye,u 9rlog,Cy elBli olo&g yP hysiology PrograimnP hysiTchaelr apy WashingtUonni versSicthyo oolfM edicine StL.o uiMsi,s souri ELSEVIER MOSBY ELSEVIER MOSBY 3251R iverpLoarnte StL.o uiMsi,s sou6r3i40 3 MOVEMENT SYSTEMI MPAlRMENTS YNDROMES OF ISBN:9 78-0-323-05342-6 THE EXTREMITIESC,E RVICALA ND THORACIC SPINES Copyrig©h t20 11 byM osbyI,n c.a,na ffiliaotfeE lseviIenrc . No parotf t hipsu blicamtaiyob ne r eproduocret dr ansmiitnta endyf ormo rb ya nym eanse,1 ecu'onic orm echanicianlc,l udpihnogt ocopyriencgo,r dionrag n,y i nformatsitoon" raangdre e triesvyaslt em, withopuetr missiinow nr itifnrgo mt hep ublisDheetra.i olnsh owt os eepke rmissfiuornt,h er informataiboonut th eP ublishpeerr'msi ssipoonlsi cainedso ura rrangemewnittoshr ganizastuicoahns s theC opyright CleCaernatneacrne dt heC opyright LicAegennscicyna,gn b ef ounadt o urw ebsite: www.elsevier.com/permissions. Thisb ooka ndt hei ndividcuoanlt ribuctoinotnasi innei dta rep rotecutnedde cro pyribgyht th e Publis(hoetrh tehra ans m ayb en otehde rein). Notices K.nowledagned b esptr actiinct eh ifsi e,lHdec onstancthiayn giAnsgn .e wr esearacnhde xperience broadeounr u nderstancdhianngg,ie nsr esearmceht hodpsr,o fessipornaaclt iocrem se,d ical treatmmeanytb ecomnee cessary. Practitiaonndre ersse arcmhuesrtas l waryesl oyn t heiorw ne xperieanncdke n owledigne evaluatainndug s inagn yi nformatmieotnh,o dcso,m poundosre, x perimednetssc rihbeerde iInn. using siuncfho rmatoirmo ent hods sthhoeuyl bdem indfouflt heiorw ns afeatnydt hes afeotfy otherisn,c ludpianrgt ifeosrw hom they ah parvoef essiroensaplo nsibility. Withr espetcoat n yd rugo rp harmaceuptriocdaulc itdse ntifireeda,d earrsea dvisteodc hectki le mostc urreinntf ormatpiroonv id(eido)n p rocedures foera( tiuibry)te hde m anufactoufree arc h produtcotb ea dministetrove edr,i tfhyer ecommenddeods oer f ormultah,em ethoadn dd unltion ofa dministraantdic oonn,t raindicIatit sit ohners e.s ponsibofip lriatcyt itiroenleyrison,ng t ileir owne xperieanncdke n owledogfet heipra tienttoms a,k ed iagnosteods e,t ermidnoes agaensd t ile besttr eatmfeonret a cihn divipdautaile ,nmtd,t ot akael alp proprsiaafteept rye cautions. "[0 thef ulleexstte onftt hel awn,e ithtehreP ublisnhoerrt ilaeu tilOrsc,o ntribuotroe rdsi,t ors, assumaen yl iabifloirat nyy i njuarnyd /odra magteo p ersoonrsp roperatsay m atteorfp roducts liabinleigtlyi,g eonrco et ilerwoirfs reo,ma nyu seo ro peratoifoa nn ym ethodpsr,o ducts, instructoiroi ndse,ac so ntaiinnet dh em aterihaelr ein. LibraorfyC ongresCsa taloging-in-PubDlaitcaa tion Movemensty steimm pairmseynntd romoefst hee xtremicteirevsi,ac nadlt ,h orascpiicn Ie [se ditbeyd] ShirlAe.yS ahrmann. p.; c m. Includbeisb liograrpehfiecraelna cnedis n dex. ISBN9 78-0-323-05(3h4a2r-d6c o:va elrkp.a per) I. Movemendti sorders-Phtyhseircaapl2y ..C ervicvaelr tebrae-Diseases-Physical therap3y..T horacviecr tebrae-Diseasest-hPehryaspi4yc..aE lx tremi(tAineast omy)-Diseases Physitchaelr ap1y. .S ahrmanSnh,i rley. IDNLM: I. MovemenDti sorder2s.C. e n,jcVaelr tebrae-physiopa3t.Eh xotlroegmyi.t ies physiopatho4l.oT ghyo.r acViecr tebrae-physiopaWLth o3l9o0g]y . RC376.56.9M42011 616.8'3-dc22 2010040828 VicPe1' esideut fmel P"blisher:L indDau ncan ExeClltive EditoKra:t ilrFyanl k SwimD'e velopmeEndtiatloC rh:r istMi. eH art P"b/i.r/;ing ServiMcaensa geJ1u'l:iE ed dy SeniPolr'oj ea Mfll/age1L'a:u ra Loveall DesiglMlaerrg:a ret Reid Working together to grow libraries in developing countries www.e1sevier.com I www.bookaid.org I www.sabre.org Printiendt heU niteSdt ates Lasdti giistt hep rint numb9e r:8 7 64 32 Thbisoi odske ditcoma etmebdoe mfry sf amiblyol,ti hv ainnddge ceased, bottwho -laenfgdog uerd- lwehgegtrehedel,rba ytb eldoo orld o ve, whhoa vmea dmeyl isfeso e chuarpefup,lfiy l,l aendpd,r oductive. Yohua vmea dweh amta ncyo nsail diefreo twfio mrtekob e instanea amda zliinfgje oluornnoegjfy o y. THIS PAGE INTENTIONALLY LEFT BLANK Contributors and Associates Nancy Bloom, PT, DPT, MSOT Gregory W. Holtzman, PT, DPT Assistant Professor Assistant Professor Program in Physical Therapy and Department of Program in Physical Therapy and Department of Orthopaedics Orthopaedics Washington University School of Medicine Washington University School of Medicine St. Louis, Missouri St. Louis, Missouri Cheryl Caldwell, PT, DPT, CHT Renee Ivens, PT, DPT Assistant Professor Assistant Professor Program in Physical Therapy and Department of Program in Physical Therapy and Department of Orthopaedics Orthopaedics Washington University School of Medicine Washington University School of Medicine St. Louis, Missouri St. Louis, Missouri Suzy L. Cornbleet, PT, DPT Lynnette Khoo-Summers, PT, DPT Assistant Professor Assistant Professor Program in Physical Therapy and Department of Program in Physical Therapy and Department of Orthopaedics Orthopaedics Washington University School of Medicine Washington University School of Medicine St. Louis, Missouri St. Louis, Missouri Mary K. Hastings, PT, DPT, ATC Mary Kate McDonnell, PT, DPT, OCS Assistant Professor Associate Director of Residencies and Fellowships Program in Physical Therapy and Department of Assistant Professor Orthopaedics Program in Physical Therapy and Department of Washington University School of Medicine Orthopaedics St. Louis, Missouri Washington University School of Medicine St. Louis, Missouri Marcie Harris-Hayes, PT, DPT, MSCI, OCS Assistant Professor Theresa Spitznagle, PT, DPT, WCS Program in Physical Therapy and Department of Assistant Professor Orthopaedics Program in Physical Therapy and Obstetrics & Washington University School of Medicine Gynecology St. Louis, Missouri Coordinator of Clinical Residency in Women's Health Washington University School of Medicine St. Louis, Missouri VII THIS PAGE INTENTIONALLY LEFT BLANK Foreword Recentiy, I was sharing my enthusiasm with a nonmedical structural findings on imaging, the movement diagnosis friend about attending a research meeting with Dr. is inlperative. Unfortunately, this later diagnosis is not Shirley Sahrmann. I was trying to think of a way to always clarified and instead the patient is told "there is describe the magnitude of her influence on the "world" nothing wrong" to "you're aging." As a result, movement of musculoskeletal medicine. The single thing I carne up retraining opportunities are missed, and the patient may witil was, "Her book has been published in seven differ go on to develop a chronic condition that could have ent languages." My friend understood. I have been for been avoided. tunate to work with and learn from an international rock Movement System Impairment Syndromes of the Extrenzi star and her band, the Program in Physical Therapy at ties, Cervical and Thoracic Spines provides musculoskeletal Washington University School of Medicine. healthcare practitioners a detailed method of examina Movement is the activity that every patient with a mus tion to describe movement patterns and impairments in culoskeletal impairment wants to resume without pain tile clinical setting. Further, tile spectrum of practitioners and restriction. The assessment of movement has been at can benefit from reading and studying this work. Physical the core of my own training. However, early on, I recog tilerapists that utilize the movement impairment system nized tilat there were several theories of thought without to diagnose and treat patients daily now have a detailed substantiation across the entire musculoskeletal system. It resource for examining and providing intervention for was obvious that to pursue the idea of reliably describing tile cervical and thoracic spines and extremities. Other specific movement patterns in a clinical setting would take healthcare providers, (physicians, chiropractors, nurse at least an entire career. Fortunately, Dr. Sahrmann has practitioners, physician assistants, atilletic trainers, and spent her career doing just that. Movement System Impai1' massage therapists) who provide musculoskeletal care can ment Syndromes of the Extremities, Cervical and Thoracic benefit from studying the movement inlpairment method Spines provides practitioners of musculoskeletal medicine of assessment. These latter practitioners may not have with tile theory and pictorials to describe movement tile same level of experience as physical tilerapists, but all impairments of the cervical and tiloracic spine and have a unique background that can utilize tilis method of extremit ies. This book extends the work of her preceding assessment in some way. The specificity of the descrip text, Diagnosis and Treatment ofM ovement Impairment Syn tion of the impairment leads to one of the key factors for dromes. Together the two books provide readers with a intervention, specificity. Patients bring unique factors to base of information to describe movement impairments even common impairments. As a result, a specific inter across the entire musculoskeletal system. vention is essential to maximize outcome. The movement A movement diagnosis is not a diagnosis that is uni impairment system of analysis provides that specificity. formly established and then conveyed to the patient with Healthcare providers in musculoskeletal medicine a musculoskeletal disorder. With the advancement of have been waiting for Movement System Impairment Syn technology and imaging, much attention is given to a dromes of the Extremities, Cervical and Thoracic Spines. The structural injury or degenerative condition as the source contents are worthy of the anticipated arrival. of dysfwlction and pain. Indeed, tilese advanced imaging Congratulations to Dr. Sahrmann and the faculty of techniques have promoted musculoskeletal evaluation Washington University School of Medicine Program in and interventions. However, most are static images. To Physical Therapy. You have advanced musculoskeletal completely describe the patient witil a musculoskeletal medicine one step further. disorder, several observations should be summarized to determine tile diagnosis. These include the clinical dis Heidi Prather, DO tribution and quality of symptoms, structural findings on Associate Professor imaging, and the movement observations. Certainly, the Chief of Section, Physical Medicine and Rehabilitation psychosocial setting in which all of tilese exist is impor Departments of Orthopaedic Surgery and Neurology tant because the psychosocial attributes can affect any Washington University School of Medicine and all of these observations. In the setting of normal St. Louis, Missouri ix THIS PAGE INTENTIONALLY LEFT BLANK
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