Orthopaedic Manual Therapy Diagnosis: Spine and Temporomandibular Joints (Contemporary Issues in Physical Therapy and Rehabilitation Medicine) PDF
Preview Orthopaedic Manual Therapy Diagnosis: Spine and Temporomandibular Joints (Contemporary Issues in Physical Therapy and Rehabilitation Medicine)
Orthopaedic Manual TherapDyi agnosis SPINEA ND TEMPOROMANDIBULAJRO INTS Aadv and erE IB,P EB,S cP T,D ipM.T, DipA.c upuncture FirEsntg liEsdhi tion JONESA ND BARTLETPTU BLISHERS SudbuMrays,s achusetts BOSTON TORONTO LONDON SINGAPORE WorlHde adquarters Joneasn dB artlPeutbtl ishers Joneasn dB artlPeutbtl ishCearnsa da Joneasn dB artlPeutbtl ishIenrtse rnational 40T aBP inDer ive 6339O rmindaWlaey BarHbo useB,a rMbe ws , IvrAO l776 MississaOungtaa,rL i5oV I J2 Londno W6 7PA 978-443-5000 Canada UniteKdi ngdom www .jbpub.com Joneasn dB artlebtoto'kassn dp roducatrsea vailatbhlreo umgohs tb ookstoarnedos n libnoeo ksellecrosn,t aTlcoot n easn d Bartlett Publishcearlsl directl[y,a 9x7 8-443-8o0r0vi 0s,io tu rw ebsiattwwe w .jbpub.com. Copyri©gh 2t0 10b yJ oneasn dB artlPeutbtl ishLeLrCs , Alrli ghrtess ervNeod p,a rotf t hem ateroirac)lt ecteCl mayb e oru tiliiznea dn yf orme,l ectronic orm echanical, recordionrg ,a nyi nformatsitoonr aagnedr etriseyvsatle wmi,t howuritt tepne r- mission tfhreo m The editaonrd, havmea dee vereyf fotropt r oviadcec uriatnef ormation, theayr en otr esponsible foerr roormsi,s sioonrfs o,ar n yo utcomreesl atteotd h eu seo ft hec ontenotfts h ibso oka ndt akneo r esponsifboitrlh ieut sye oft he and describTreeda,t menatnsds ide descriibnet dh ibso okm ayn otb ea pplictaoba llpele o- likewissoem,ep eoplmea y ad osoer e xperieans ciede ef fetchtai tsn otd escrihbeerde iDnr.u ea.nsd m edicdael- viceasr ed iscustsheadmt a yh avlei mitaevda ilabciolnittryo lltehdeF ooda ndD rugA dministration research orc linitcraila L clinical and oftecnh angteh e standard in thifsi elWdh.e nc onsideriastb ieoinn g tou seo fa ny int hec linical theh ealctahr per ovidoerrr e adiesrr e- sponsifbolrde e terminings taFtDouAfs t hed rugr,e aditnhgep ackage andr eviewpirnegs criibnifnogr maftoitroh ne most recommendatoino ns precautiaonnds , and thea ppropruisaatgefe o r thep roducTth.i S esipse ciiamloloyr tiannt th ec asoef d rugst haatr nee wo rs eldoums ed, Production Credits PublisDhaevri:Cd e lla Cover KristEi.Pn a rker ProductDiiorne ctor:R ose CoveIrm age©: S ebastKiaaunl itzkilDreamstime,com AssociEadtiet oMra:r oG artside CompositiAotnlG:ir sa phiCS SeniPorro ductEidoint oRre neSee kerak IllustraPtF.i doen s: ProductAisosni stJainlMtlo: r ton j,A,ML/V.U \...t'....'C.-,..,L SeniMoarr ketiMnanga geBra:r Bba rtoszek TheN etherlands ManufactuarnidnI gn ventCoornyt rSoulp ervisor: andB indinCgo:u riWeers tford Bacus CouriWeers tford LibraorfyC ongreCsast aloging-in-PDuabtlai cation Aadv and er, wervelkoElnogml,i shl >rttJloD;ameadnluCa tlh erapy Spinaen d JoinItsb yA adv and erE l. p,; cm, Includbeisb liograrpehfiecraelan ncdei sn dex. ISBN-l937:8 -0-7637-5594-2 ISBN-l0O-:7 637-5594-X 1,O rthopaedics-Dia2g nMoasniisp,u la(tTihoenr apeutLi Tcist)l e. [DNLM1:. M usculoskeletal 2 Manipulation, 3.P hysiEcxaalm ination-metWEh od1s4.1E 37m2 0lOa] RD734.E413 2010 616,7'075--dcn 2008047474 6048 Printientd h eU niteSdt atoefsA merica 13 12 11 10 09 10 9 8 7 6 5 4 3 2 1 Joneasn dB artlett's ContemporIasrsyu iensP hysical Thaenrda p y RehabilitMaetdiiocniS neer ies SeriEedsi tor PeteAr.H uijbrePgTt,Ms S,c ,M HSc,D PT,O CS,M TC,F AAOMPTF,C AMT Other boionkt sh es eries: TensiToynp-aen dC ervicogHeenaidca cPhaet:h ophysiDoilaoggyn,oa snidsM ,a nagement CesaFre rnandez-de-lPaTs,D- OP,eP nhaDs , LarAsr endt-NieDlMsSecniP,,h D RoberDt.G erwinM,D WellnaensdsP hysiTchaelr apy SharoFna iPrT,,P syDP,h D Contents Introduc.t i.o n. . . . . . . . . . . . . . . . . . . . .ix . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Acknowledgtn.e n.t s.. . . . . . . . . . . . . . . . . . . . . . . . .x i. . . . . . . . . . . . . . . . . . . . . . . . . . . . Contribut.o .r s. . . . . . . . . . . . . . . . . . . . . . . . . . .x i.i .i . . . . . . . . . . . . . . . . . . . . . . . . . . . . . PARTI INTRODUCTION Chapte1r IntroducttoiS opni naAln atom.y. ......................... .....1. Morpohlog.y .. . .. . . . . . . . . . . . . . . . . . . . . ... .. ... .. . . . . . . . . . . . .. . ..... . . . 1 JoinBtest weeInn dividVuearlt eb.r.a.e. .............................. ......2. .... InterverJtoeib.nr.ta. l. ....................................... ......3. ........ UncoverteJborian.lt. .................................................. ..... 12 JoinBtest weetnh Oe ccipuAtt,l aasn,dA xi.s. ............................ .....1.2. .. CostovertJeobirnaatnls d C ostosteCronnanle ct.i.o.n.s. ................. ...... 14 Pelv.i s.. . .. . . . . . .. .. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ... . .. . . 16 SpinMauls cula.t.u.r.e. .................................... ........2.3 . .... Chapte2r IntroducttoiA opnp lieBdi omechan.i.c.s. .................... ...2.7 Stat. i.c. s. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2. .9 . Kinemat.i.c.s. ............................................ .....3.6. ......... Kinet.i.c.s. ......................................... .........4.0. .... AspecotfSs y ndesmo.l.o.g.y. .............................. ..........4.0. Chapte3r Functiaonnd D ysfunctoifot nh eS pin.e. ..................... ...4. 7 StatFiucn ct.i.o.n. .................... ....... 47 KinemaFtuincc ti.o.n. ................... . ..... 50 BalanFcuen cti.o.n. .................... . ...... 54 ProtecFtuinvcet i.o .n . . . . . . . . . . . . . . . . . . . .5 4. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Dysfunct.i .o n.. . . . . . . . . . . . . . . . . . . . . .5 4. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . FunctioAnsaple cotfst hCe onnectTiivses ue.s. . . . . . . . . . . . . . . . . . . . . ... .. ... . . ... . 54 JohMn.B as v vi Contents TheI nterverDtiesbkr al 70 RoLabn f!hoauntdR oeWli ngbermuhle oft heS pinMauls culature 78 Chapte4r andT heories 79 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Diagno.s.i.s. 79 84 Movement 84 IntervertFeobrraamle n. 85 85 85 BlocVke rtebra 85 Immobile (FunctiBolnoaclk 85 InterverFtiexbraatli on . 85 89 90 Scal.e. .... 90 91 91 92 BiomechanLiecsailo n. 92 Pain 92 93 Hyperalg.e.s.i a 93 ReferrPeadi. n. 93 Disorders Rienl atthieo nBsehtiwpe eLona da ndL uau-m:aCla pacity. 93 94 ReleaPshee nomen.o.n 94 PainfAurl.c 95 andM ()roI1010f!1C Change. 95 t<pmc)n< andT rnasitioAnraela. s. 96 MovemenDti recti.o.ns ... ... . .. 97 Three-DimensionMaolv emen.t... .. 98 Three-DimensEixoanmailn atoifto hne 109 TermsU sedi nD escribtihneEg x aminatJiLUo"n''- ;;Y 113 Chapte5r IntroducttioTo ens Pts ychometDr.. ..i..nc .. ..t i 115 PeteAr. H uijbregts Standardization 115 115 118 121 Confidence Intervals. 122 PARTI I Chapte6r andE xamination: Special Examinat.i o..n . . .. . 126 TheE ndfe.e.l. ........ . . 129 ProvocatTeisot.ns. 131 Contentsv ii SegmentEaxla minat. i.o n. . . . . . . . . . . . . . . . . . .1 32. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . OrientaatnidoP na lpat.i .o n. . . . . . . . . . . . . . . . . . 13.5 . . . . . . . . . . . . . . . . . . . . . . . . . . . TendePrO inMty,o fascTirailgg ePro inatn,d T endomyo.s .i s. . . . . . . . . . 1.4 0. . . . . . . . . . Chapte7r NeurologiacnadNl e urovascuElxaarm inat.i.o.n. ............... ...1 43 RadicuSlyanrd ro.m.e. ....................................... .....1.4.3. . ...... ThoracOiuct lCeotm pressSiyonnd rom.e. ............................. .....1.49. . .. Segme.n.t. ..................................................... .....1.5.6. . . PseudoradiScyunldarro. m.e. .................................... ....1.8.0. . ..... lesioonfts h eP lexaunsd P eripheNrearvl.e .s. .......................... .....1.8.6. . . locatiWohnesr eN ervEen trapmMeanytO ccu.r. ........................ .....1.8.6. . Coordina.t.i.o.n. ......................................... .....1.8.6 . ........ StataincdD ynamicC oordinat.i o.n .. . . . . . . . . . . . . . . 1.8 7. . . . . . . . . . . . . . . . . . . . . . . . . . . . Nystagm.u. s. . . . . . . . . . . . . . . . . . . . . . .1 97. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . MotoFru ncti.o.n. .......................................... . ..... 199 Circula.t.i.o.n. .................................... ...........1.9.9. Aadv adne Erl a ndP etAe.Hr u ijbgtrse VertebrobIanssiulfafri .c.i.e.n.c.y. ............................... .....2.0.5. . .... CerviMcaanli pulaatnidot nh eR isokf S tro.k.e. .......................... ....2.0.8. . . Diagno.s .i s. . . . . . . . . . . . . . . . . . . . . . 2.1 0. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Chapte8r PsychologAiscpaelc t.s. .............................. ....2.1.5. . Stre.s.s. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2. .1 .5 ChronPiaci Sny ndro.m.e. ..................................... .....2.2.1. ...... Chapte9r SupplementDaartya D,i agnosainsd,T reatmePnlta nnin.g. ......... . 231 Radiroagphayn dO theIrm agiSntgu di.e.s. ............................ .....23.1. . .. ElectrodiaSgtnuodsit.ei.sc. .................................... .....2.3.1. . ..... Biop.s y.. . . . . . . .. . . . .. . .. . .. . . . . . . .. . . . . . . .. . . .... . . . . .. . . . . . . . ... . 231 laboratToersy.t .s. ......................................... .....2.3.1. . ....... OtheSrp eciMaeld icTaels t.s. .................................... .....2.3.1. . .... OveraAlsls essm.e.n.t... ..................................... .....2.3.2. . ...... KinesiolDoigaigcn o.s. i.s . . . . . . . . . . . . . . . . . . .2 3.2 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . TriTarle atm.e. n.t . . . . . . . . . . . . . . . . . . . . .2 32. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . DefiniTtrievaet m.e. n.t . . . . . . . . . . . . . . . . . . . 2.3 2. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Chapte1r0 Histoarnyd E xaminatiPorna:c tiCcoanlsi derati.o.n.s. ........... .. 233 Terminol.o.g.y. ........................................... ....2.3.3. . ........ ManuaTlhe rapDyo cumenta.t.i.o.n. .............................. .....2.3.3. . ... ExaminatSitorna t.e.g.y. ...................................... ....2.3.5. . ...... Observat.i.o.n. ........................................... ....2.4.0. . ........ Chapte1r1 PalpatoErxya minat.i.o.n. ...............................2.5.5. . . Regioonfst h eB odyS urfa.c.e. ................................... .....2.5.5. ..... TopographGiuciadtleo P alpatoifBo ond yR egio.n.s. ...................... .....2.5.7. SpeciPfaiicPn o in.t.s. ....................................... .....2.6.4. ....... Chapte1r2 ActivEex aminati.o.n. .................................2.9.5. . . . GraphRiecp resentoaftM ioovne menItm pulosreM ovemenDti rect.i. o.n . . . . . . .2 9.5 . . . . . . . Active Exami. n. at.i o.n . . . . . . . . . . . . . . . . . .2 96. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . viiiC ontents Chapte1r3 Examinatoifot nh eP elvRiecg io.n. ........................... .. 309 Pelv.i s. . . . . . . . ... ....................... .... ... ... 309 PelvIinss:p ection. .. ...... ... ........... .. 324 Examinatoifto hne S acroiJloiia.nc.t . ................ ..... 325 Examinatoifot nhe P ubiScym physi.s. ............. ... 341 Examinatoifto hne C occ.yx. ................. . .... 342 InstabEixlaimtiyn atoifot nh eS acroiJloiian.ct. ...... . 343 Chapte1r4 Examinatoifot nh eL umbarS pin.e. .........................3.5.1. . TheL umbaSrp inTe(:1 l)12-.S 1.. . . . . . . . . . .. .. . .. ... ... .... . . .. . . 351 RegionEaxla mina.t.i.o.n. ........ ... 365 SegmentEaxla minat.i.o.n. .... 373 InstabEixlaimtiyn at.i.o.n. .... 385 Chapte1r5 Examinatoifot nh eT horacSipci ne 393 ThoracSipci nTel ( 2)T-Ol)1 2. .. 393 RegionEaxla mina.t.i.o.n. ........... .... 401 SegmentEaxla minat.i o.n . . . . .. ... ... ... ... .. .... 403 CervicothorSapciin(ceC 7t oT 4).. . . . ..... .... ........... .... 420 RegionEaxla mina.t.i.o n 420 SegmentEaxla mination 429 Chapte1r6 Examinatoifot nh eL owera ndM id-CerviScpailn e 439 Middlaen dL oweCre rvicSapli n(eC 2-Tl.). ...... 439 RegionEaxla mina.t i.o n. . . ... .. ..... . 451 SegmentEaxla minat.i.o n 451 InstabEixlaimtiyn atCieornvi:c .a.l. 466 Chapte1r7 Examinatoifot nh eU pperC ervicSapli n.e. .................. ...4.6.9 FunctioAnsaple cotfst heU ppeCre rvicSapli nCeO -C2( C3.). ........... .. 469 OccipitaliztahteAi tolna so.f. . . . . . . . . ... ... ... .. ... .... ... . . . 479 ExaminatSieoqnu enCcOe t oC 3 ............ .. 482 RegionEaxla mina.t i.o n. .. .......... .. 483 SegmentEaxla minat.i.o.n. ... 490 Chapte1r8 Examinatoifot nh eT emporomandibJuolianr.t .s. .............. ...4.9 9 TheT empormoandibuJloairn .t .. . . . . . . . .. .. ... ... ... ... .. . . . 499 Observa.t i.o n . . . . . . . . . . . . ... ... ... ... ... ... ... .. .. . . . . .5 0.9 . .. ActiEvxea mination 510 Active-AsBsiilsatteEedxr aamli niaotn. 512 ResistaTnescte.s . ...... 515 Tissue-SpEexcaimfiinca tion. 516 ProvocatTieos.tns . . . . . . . . . . . . . . ... .. .. .. .. .. . . . .5 1.7 . . . . . .. PassiUvnei latTerraanls latEoxraym inat.i o.n . . . . . . . . . . . . . . . . .5 .1 8. . . . . . . AdditioEnxaalm inatiooftn hseU ppeCre rvical, CaenrdUv pipcearl ,T horSapciince 521 Referenc.e s.. . . . . . . . . . . . . . . . . . . . . . .5 2.3 . . . . . . . . . . . . . . . . . . . . . . . . Index.. . . . . . . . . . . . . . . . . . .. ... .. .. . ... .. ..5 4.1 . . . . . . . . . . . . . . . . . Introductbiyot nh eS erieEsd itor 1960s, Althouagdhm itteddilvye rse witht oc roengcaerpadt nsd Int he OMT inT heN etherlarnedcse iavu endi que techniquoerst,h opaemdaincu al therapy (OMT)in fhuassio ofnn e wi deawsi thth ec oncepdtesv elopbeydV an (190199-77), nevebre ent heu niqudeo maionf a nys ingplreo feosns. i derB ijSlr,. a Dutch-trapihnyesdi tchaelr apist Whethebry w ayo fi nterprofescsoioopnearla taidoonp, andF rench-troasitneeodp awthho, o penetdh ef irpsots t tioonf t echniqaunedsc oncepdtesv elopweidt hionn e graduaitnes tiftouertd eu catiinom na nuatlh eraipnyU trecht 1964.1 967, professbiyo ont herasc tivient hifsi elodr, a tt imes in In thee nginePehri lifposu,n doefrt hei nter througthr upea raldleevle lopmeOnMtT, c linicwiialnls nationealle ctromnaincusf acturcionmgp any-impressed agree that cuOrMrTe ncto-ndsaiyso tfas n a malgaomf witht hec hiropraccatrihece hadr eceivwehdi lien N ew concepatnsd t echniqsuteesm minfgor m varied profZeesaland-invai ctheidr opraPchteolre,p tso,T heN ether sionisn cludbiuntgn otl imitteodp hysictahle rampayn, landtsot eacihna s choooflm anuamle diciinnEe i ndhoven. ualm edicinoes,t eopacthhiyr,o pramcatsisca,gt eh erapy,T hissc howoals l atdeirv idiendt soe parate training institutes anda thlettriaci niPnegr.h anposw heriest hicso nfluencef orp hysiciaanndps h ysictahle rapitshtels a;t twears c alled ofp rofessicoonnatlr ibutmioornees v idetnhta ni nt he theS tichOtpilneg idMianngu eTlhee rap(iSeO MTo) rM anual uniqusey steomfO MT diagnoasnidsm anagement deveTlherapTrya iniFnogu ndat(iwwwon .somt.fnolrw) h.i cthh is 1983. opedi nT heN ethlearnd,ts h ed iagnosctoimcp oneontf texwta si nitidaelvleyl opaesad t raining miann ual whicihs p resenitne dt theixst book. Otheirn fluenftiigaulrwi etsh inD utcOhM T werep hysical (1918-1992) Althoupgrhe cedbeydd evelopmeinntS sw edenw,h ere therapMiasrts man and physiciSainc kesz (1923), physictahle rapsyt artaesd a directs-sa, c ucneiversity whod evelopveadr iaonntt sh eV and erB ijmle thod 1813, educatperdo fessiino n whenL infgo undetdh eK ung namedt heM arsmamne thoadn do rthomanmueadli cine. ligGay mnastiCseknat ralinosrtR iotyuatClee tn trIanls titutTeh ee stablishomfes netp arattrea iniinngs titfuotret sh e 2005), foGry mnastiincS st ockho(lOmt toons, Dutcphh ysi Nordiacn dM aitlasnyds teamnsd t he develoopfmt ehnet catlh erapistasm ownegtr heef irisntw esteErnu ropteo e s firgsrta duaptreo graimn mantuhaelr aaptty h eF reUen iver tablias hp rofessiaosnsaolc iattihoenG ,e nootscthearp sitoyf B russeflusr thielrl ustrtahtede idv ersoifOt MyT in BeoeJevnainnd geH eilgymnasitnNi eedke rlaonrSd o,c ieftoyr TheN etherlands. PracticRienmge dial GymniansT thiec Nse therlainnd s Alsoi nfluenwtiitahliD nu tchO MT weret hep ostwar 1889. Thiwsa sc losefloyl lowbeyda standardniazteido nald evelopmeinntG se rmanWyi.t hc hiropraacdtjiucd icated 2007). entry-level ex(aTemrilnoautwi,o nH eaviilnyf luencedt herteo t hem edicadlo main, chiropPreapcetaron rds byd evelopmeinnGt esr manSyw,e edn, b uta lswoi thTihne Sandbge wrerei nstrumeinntt ahle e stablishomfet nhte Netherlaintdssef lrfo,mi tvse rbye ginnOiMnTg- albeiinta Forschunugnsd-A rbeitsgemeiJnusrCc hhiarJotp raiknt ik 1953. 1955, now likecloyn sidered unsophisticatewda s form-alIwna ys a seconOdM T instittuhtaeet x clUSively parotft hed iagnoasntdim ca nagemeonptt iownist hpihny s trainmeedd icpahly sicioapnesn eudn detrh ed irectoifo n 1890; icatlh eraipnyT heN etherla(nKdesl lgren,T erlou,w thep hysicSiealnil nI snIyn.d icattihneag c ceptawnicteh in 2007). them edicwaolr ludn litkhee s ituatiinof,no re xamplteh,e ix
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