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An Evidence-BaAspepdr oach Copyrighted Material An Evidence-Based Approach CHADE .C OOKP,T ,P hDM,B A,o ese,O MT Orthopedic Manuali sa Tneh veirdaepnyc e-btaesxetdb odoeks ignteopd r ovide examinattiroena,t maenndtr eassessmmeeanstu rfeosro rthopecdliicn iciIatn s. examinceusr remnatn uatlh eraappyp roachleist,e raatsusroec iawtietdeh x amination andt reatment tecihnovnlivqiumneagsn uatlh eraapnyd,e videnrceeg arddiinagg nostic accuraocfcy l iniscpaelc itael.s tEsa.c hp roceduirspe r esenitne dsa t ep-by-msettehpo d witah v isuaaild oer p hotogrfaopreh a soef r eproduction. FeaturIensc lude: • Standardeixzaemdi natmieotnh otdh aatl lowfso rr eproducftrioomon n ec linician toa nothaenrdf osters standardized education • Comprehensrievvei eowfb iomechanaincdms a nuatlh eratphye ortiheasat s sesses currednotg mam,y thsa,n dt heoroifem se rit • Detaisletde p-by-psrtoecpe dufroeres a cthe chnitqhuaeat l loswt andardized reproducatniddo enc reavsaersi ation • Descripatnidod ni agnosvtailcu oefsc liniscpaelc itaels ts • Evidence-braesveideo wfr esearscuhp portmianngu at]h eratpeyc hniques StudentAid.ed.gov ISBNO (cid:20)13-171766-9 FUN DING YOUR fUTUR£ 90000 .. PrentHiaclel Health UppSeard dRliev er, NJ 07458 www.prenhall.coCmo/pyhrigehtead lMattehriapl rofessio9 n7s8 0131 717664 ORTHOPEDIC MANUAL THERAPY AN EVIDENCE-BAASpEPDR OACH ChadC ook,P T,P hD,M BA, OCSC,O MT AssistCalnitn iPcroafle ssor DepartmeonfCt o mmuniatyn dF amilMye dicine DivisioofPn h ysicTahle rapy DukeU niversity PEARSON ----­ Prentice Hall UppeSra ddRilvee Nre,w J ers07e4y5 8 Copyrighted Material LibraorfyC ongresCsa taloging-in-PubDlaitcaa tion CookC,h ad. Orthopedic mtahneuraa:lp a yne videnbcaes eadp proa/cC hh adC ook. p.;c m. Inclubdiebsl iographicala nrdie nfdeerxe.n ces ISBN0 -13-171766-9 I.M anipula(tTihoenr apeut2ic.Os r)t hopedi3c.sM. e diciPnhey,cs ail.1 .T itle. [DNLM:J .M anipulation,Orthopedic-methodWEs -H3a9Cn ndlboo 2ok0s0.7 J RM724.C26060 7 61S.8'2-dc22 2006015857 PublishJeurl:Li ee viAlne xander Notice:T hea uthoarnsdt hep ublisohfte hri vso lumhea ve AssisttaonP tu blishReerg:i nBar uno takecna rteh atth ei nformaatnidot ne chnirceaclo mmenda­ ExecutivEed itoMra:r kC ohen tioncso ntainheedr eianr eb aseodn rese(cid:187)racnhde xpert AssociaEtdei toMre:l isKsear ian consultaatnidao rnae,c curaantdec ompatiwbilteth h es tan­ EditorAisasli staNnitc:o lRea gonese dardgsc neraalclcye ptaettd h et imoef p ublicaNteivoenr.­ DirectoofrP roductiaonndM anufacrtiungB:r ucJeo hnson theleasssn ,e wi nfol1nabteicoonm easv ailacbhlaen,g iens ManaginPgr oductiEodni toPra:t riWcakl sh cliniacnadlt echnipcraalc tibceecso men ecessaTrhye. ProductioLni aisoCnh:r istZiinnag one readiesra dvisteocd a refully mcaonnusfualctt uirnesrtsr'u c­ ProductiEodni toKra:r eBne rrPyi,n Ter eeC omposition tionasn di nformatmiaotner fiaolra lslu pplainedse quip­ ManufacturMiannga gerI:l enSea nford mentb eforues e,a ndt o consuwlitt ha healtcha re ManufacturBiunyge rP:a t Brown professaison neacle ssTahriyas.d viicsee s peciiamlployr tant SenioDre sigCno ordinatMoarr:i Gau glielmo whenu sinnge ws upploiree sq uipmefnotcr l inipcuarlp oses. Oil-ecotfoM ra rketinKga:r eAnl lman Thea uthoarnsdp ublisdhiesrc laalirlme sponsifboiarln iyt y SenioMra rketiMnagn agerH:a rpeCro les liabilloistisyn,,j uorryd ,a magien curraesad c onsequence, CompositioPni:n eTr eeC ompositiIonnc,. direcotrli yn direocfttl hyeu, s ea nda pplicaotfia onnyo f Printaenrd B indeCro:u rier \Nestford thec onteontfts 1 1viosl ume. CoverP rintePrh:o enix Color Copyrig©h t2 007b yP earsoEnd ucatioInn,c .U,p perS addlRiev erN,e w Jerse0y7,4 58. PearsPorne ntHiaclel A.lr l ighrtess ervPerdi.n tientd h eU niteSdt atoefAs m ericTah.i psu blicaitspi roont ecbtyeC do pyriagnhdt permisssihoonu bledo btainferdo mth ep ublisphreirot roa nyp rohibirteepdr oducsttioorna,ig nae r etriseyvsatle omrt, r ansmis­ sioinna nyf oromr b ya nym eanse,l ectromneicch,a nipchaolt,o copyriencgo,r doirnl gi,k ewFiosrei .n formarteigoanr ding permis­ sion(wsr)i,tt eoR :i ghatnsd P ermissDieopnasr tment. PearsoPnr enticHea lI™i sa t rademoafrP ke arsEodnu catiIonnc,. Pearsoni®sa r egistterraedde moafrP ke arspoinc PrenticHea lli®sa r egistterraedde marPke aorfsE odnu catiIonnc,. PearsEodnu catLiToDn. L,o ndon PearsEodnu cacid6eMn e xicoS,A .d ec .v PearsEodnu catAiuosnt raPlTiY,aL imiteSdy,d neyP earsEodnu cation-JaTpoakyno, PearsEodnu catSiionng apoPrteeL,.t d PearsEodnu catMiaolna ysPitaeL,.t d PearsEodnu catNioornt Ahs iLat dH.o,n gK ong Pearson EduUcpapteiSroa nd,d le RNievweJ re,r sey. Pearson EduCcaantaidoLant,,d .T,o ronto PEARSON -----­ Prentice Hall 10 9 8 7 46 3 5 21 ISBN 0-13-171766-9 Copyrighted Material Contents Acknowledgments vii Preface ix Reviewers xi Chapt1e rO rthopMeadniucTa hle rapy 1 TheS cienocfOe r thopMedaincu Tahl erapy BiomechaCnhiacnagle s Muscle Reflexogenic Changes 7 NeurophysioClhoagnigceasl 8 PsycholoCghiacnagle s 9 SummaroyfB eneffriotMm a nuaTlh erapy 11 Chapt2e rO rthopMeadniucTa hle raApsys emsesnt 19 AssessmMeondte ls 19 TheT hreEel emenotfAs s sessment 26 TheP atiReenstp onse-MBoadseeld 28 Chapt3e rO rthopMeadniucTa hler apCyl inEixcaamli nation 35 TheC liniEcxaalm inaPtrioocne ss 35 Observation 35 TheS ubjectiveH/iPsattEoixreaynm ti nation 36 TheO bjective/EPxhaymsiincaatli on 41 Post-ExamiCnlaitniiRocenaa ls oning 48 Cilap4t eTrr eatmaenndRt e examination 55 Treatment 55 Reexamination 64 Chapt5e rM edicSaclr eening 71 TheM edicSaclr een 71 Upper Laonwde Qru artSecrr eening 73 ContrainditcoOa rttihoonpsMe adniucaT lh erapy 86 Chapt6e rM anuTahle rapoyft heC erviScpailn e 93 Prevalence 93 UppeCre rviScpailnA en atomy 93 LoweCre rviScpailnA en atomy 95 Biomechaonfti hceCs e rviScpailn e 100 AssessmaenndDt i agnosis 102 CliniEcxaalm ination 108 iii Copyrighted Material iv Content TreatmTeencth niques 131 TreatmOeunttc omes 142 Chapt7e r ManuTalhe rapoyft hTee mporomandJiobiunlta r 151 Prevalence 151 Anatomy 152 Biomechanics 153 AssessmaenndDt i agnosis 155 CliniEcxaamli nation 156 TreatmTeencth niques 169 TreatmOeunttc omes 176 Chapt8e r ManuTahle raopfty h Teh oraScpiicn e 181 Prevalence 181 Anatomy 181 Biomechanics 186 AssessmaenndDt i agnosis 187 CliniEcxaalm ination 189 TreatmTeencth niques 206 TreatmOeunttc omes 217 Chapt9e r ManuTahle raopfty h eS houlder Complex 221 ChadE .C ooakn dE riJc.H egedus Prevalence 221 Anatomy 221 Biomechanics 227 AssessmaenndDt i agnosis 232 CliniEcxaalm ination 235 TreatmTeencth niques 280 TreatmOeunttc omes 287 Chapt1e0r ManuTahle raopfty h eE lbow-Wrist-Hand 295 Prevalence 295 Anatomy 296 Biomechanics 301 AssessmaenndDt i agnosis 309 CliniEcxaalm ination 312 TreatmTeencth niques 346 TreatmOeunttc omes 349 Chapt1e1r ManuTahle raopfty h eL umbaSrp ine 357 Prevalence 357 Anatomy 358 Biomechanics 361 AssessmaenndDt i agnosis 363 CliniEcxaalm ination 366 TreatmTeencth niques 391 TreatmOeunttc omes 400 Chapt1e2r Manual Thoeftr haSepa yc roiJloiiaancnt d P elvis 413 Prevalence 413 Anatomy 414 Biomechanics 418 Copyrighted Material ContentS v AssessmaenndDt i agnosis 421 CliniEcxaalm ination 424 TreatmTeencth niques 442 TreatmOeunttc omes 455 Chapt1e3r M anuTalh eraopfty h eH ip 461 Prevalence 461 Anatomy 461 Biomechanics 464 AssessmaenndDt i agnosis 465 CliniEcxaalm ination 467 TreatmTeencth niques 482 TreatmOeunttc omes 491 Chapt1e4r Manual Thoeftr haep yK nee 497 ChadE .C ook and FRloebmeirntg Prevalence 497 Anatomy 497 Biomechanics 503 AssessmaenndDt i agnosis 505 ClinEixcaalm ination 506 TreatmTeencth niques 536 TreatmOeunttc omes 540 Chapt1e5r M anuTahle raopfty h e FaonodAt n kle 547 KenL earmaannd C haEd. C ook Incidence 547 Anatomy 547 Biomechanics 557 AssessmaenndDt i agnosis 559 ClinEixcaalm ination 561 TreatmTeencth niques 585 Treatment Outcomes 590 Glossary 595 Index 601 Copyrighted Material Acknowledgments Iw oulldi kteo whoh ave oft his .. RoberStp rague, who .. Ron whoi nspiredp ro- mentormeeda ndm anyo fm y colleagues. videmde witmha nyo pportunities. .. ChristopShheorw alter, EA..cA.OMPT,.. TheP ioneersC liniMcaaslt eorfsiV lanual who hasp rovidemde witho pportunittioe s Withoutth emw,e 'hda ve to growa nde xcaelsa anda sa t eacher. follow. .. PhilSiipz ePTr,, whoh as MaitlaQnudi.t sei mplay , functionaesd a col- clinical laboraatnodar d,v isor. vii Copyrighted Material Preface The InternatiFoendaelr ation drivcel inipcraalc taincdei, n t urn, then eedf orin vestigoaft ion notteh atth eu seo f arei nappropriate. previousmleya surterde atm"eHn,LU.tVU' ;), pooer mpiriccoanls trourcth ta th avdee monstraa ted JD­ ofe ffectiveannedrs esl iability amonmga yn ot exercisebsea. p"p roprfioacrta er e. envelopedO ftena,g Teemeunpto nw hacto nstitutes mobiliza tpiroanc,tii csea significpaonitno tf c ontention. tisstuhee r­thaetv idence-cbaarsieesw d h ollaym atter pure\\'liyt htihn ee yeo ft heb eholder. advocatthee iorw n philosopahnide s methodso utsitdhee i0\\,r11 tivteoa cknowletdhgameta nyt reatment onh abictu,s togmu,r u-bapsreodm otioornn ,r,, ,rr\(y\ potentinaoltal pyp licfaobcrla er e.4 latioofnc ompltehxe oretaincaatlo miocra l construtchatts alm aecaks uracbalrer yotvoec rl iniccaarle ,,9 aren otc onsidered How doeso nea pplayn d measure definition Vlf.tmn'UUnnlae nd durincgl inipcraalc tiEcses?e ntiallya,r et wow ays. of Manaunadl to The requitrhees oft reatment publishriensge arch manuale xtracftreodm c linitcraila ls. therapy. ando thejro urnacllsi nitcrailar lesp restehnet have effectitvree atmesnetl ecttreeda tmentte chniques. tom easure ise ssentiBayL 6,9 a care wee nsurteh actu rretnrte atments araes a pplicable Aftera na ssiduous oft he oudinetdh ee xaminatainodn havdee monstrated provideevdi denscuep porbteycd a sceo ntrOorlc sa ssee ­ riedse sig\\Tnhse.n i nformatwiaosn selecptae­d medicianse" the cient-respphoinlsoes opfhrioems witchl iniecxaple rtainsde ando thersw erei ntegrawtiethdi nth e examitniaoann d Sackestutg gesthtaetdt he treatmenptr oceIsnse .s sentchee, assestrsemaetnmte,n t, bascel inidceacli sion ont hreCeo m[)OIlerlts:a ndc linirceaals onmientgh odasr e ine vidence- searc(h2,c) l iniecxaple rtainsde( ,3 ) basepdr inciplesse rvateno d ofo r­ Sackeatctk nowledtgheadt thopedic manualli ttehreartauprye . ix Copyrighted Material x Preface References 1.I n ternatiFoendaelr atioofn O rthopaedMiacn ual6 .B u etoMAw, Keneya Tl Evidenbcaes emde dicitnhee: TherapiAsctcse.s sJeadn ua6r,y2 005a,t h:t tpww:w // needf orn ewd efinit]i oEnv.a luatCiloiPnnr ac2t0.0 0; .omotr.g/homepiafgoemltlifomt.htm 6:85-92. 2.G r osAs, K ayT ,H ondraMs, GoldsmiCt,hH aineTs, 7.S a ckeDtLt,S trauSsEs,R ichardWsSo,nR osenbeW,r g PelosPo,K ennedCy, H ovinJg. M anuatlh erafpoyr HaynesR B.E vidence-bmaesdeidc iHnoew. t op ractice mechaninceaclkd isordae rssy:s temarteivci eMwa.n andt eacEhB M. EdinburgChh;u rchiLlilv ingstone: Tber2.0 02;173:1 -419. 2000. 3.N i euwboAe.rH ow selefv ideinset v idebnacsee pdr ac­8.D r ievMe.r A ree videnbcaes epdr actaincdeb esptr ac­ ticienp hysiothePrbaypsyi?o RtebsIe nrt 2.0 04;9-:iivi. i ticteh es ameWe?s tern]N uninRge s2.0 02;24:591-597. 4.C o henAM , StavPrZi, H ershWR . A categoriza9t.iB io anl okcoewrskA,i G rimme1(,r MilaneSs,Ke u mar S. anda nalyosfit sh ec riticoifse mvsi denbcaes emde di­ Applicaotfci uornr ernets eaervcihd etnocc el inical phys­ cinIen.t ]M edI nforma2t0i0c4s;.37 53-:4 3. iotherapy prAallciteHide cael.t2]b0 .0 3;33:230-237. 5.S a ckeDtLt. T hef alolfc linical raensdte haerr icsohef clinical prreascetaircCcelhi .nI nvesMte d.2 000;23: 331-333. Copyrighted Material

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Orthopedic Manual Therapy is an evidence based textbook designed to provide examination, treatment and reassessment measures for orthopedic clinicians. The textbook examines current manual therapy approaches, literature associated with examination and treatment techniques involving manual therapy, a
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Orthopedic Manual Therapy: An Evidence-Based Approach PDF

606 Pages·2006·103.97 MB·English
by  Chad Cook
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An Evidence-BaAspepdr oach Copyrighted Material An Evidence-Based Approach CHADE .C OOKP,T ,P hDM,B A,o ese,O MT Orthopedic Manuali sa Tneh veirdaepnyc e-btaesxetdb odoeks ignteopd r ovide examinattiroena,t maenndtr eassessmmeeanstu rfeosro rthopecdliicn iciIatn s. examinceusr remnatn uatlh eraappyp roachleist,e raatsusroec iawtietdeh x amination andt reatment tecihnovnlivqiumneagsn uatlh eraapnyd,e videnrceeg arddiinagg nostic accuraocfcy l iniscpaelc itael.s tEsa.c hp roceduirspe r esenitne dsa t ep-by-msettehpo d witah v isuaaild oer p hotogrfaopreh a soef r eproduction. FeaturIensc lude: • Standardeixzaemdi natmieotnh otdh aatl lowfso rr eproducftrioomon n ec linician toa nothaenrdf osters standardized education • Comprehensrievvei eowfb iomechanaincdms a nuatlh eratphye ortiheasat s sesses currednotg mam,y thsa,n dt heoroifem se rit • Detaisletde p-by-psrtoecpe dufroeres a cthe chnitqhuaeat l loswt andardized reproducatniddo enc reavsaersi ation • Descripatnidod ni agnosvtailcu oefsc liniscpaelc itaels ts • Evidence-braesveideo wfr esearscuhp portmianngu at]h eratpeyc hniques StudentAid.ed.gov ISBNO (cid:20)13-171766-9 FUN DING YOUR fUTUR£ 90000 .. PrentHiaclel Health UppSeard dRliev er, NJ 07458 www.prenhall.coCmo/pyhrigehtead lMattehriapl rofessio9 n7s8 0131 717664 ORTHOPEDIC MANUAL THERAPY AN EVIDENCE-BAASpEPDR OACH ChadC ook,P T,P hD,M BA, OCSC,O MT AssistCalnitn iPcroafle ssor DepartmeonfCt o mmuniatyn dF amilMye dicine DivisioofPn h ysicTahle rapy DukeU niversity PEARSON ----­ Prentice Hall UppeSra ddRilvee Nre,w J ers07e4y5 8 Copyrighted Material LibraorfyC ongresCsa taloging-in-PubDlaitcaa tion CookC,h ad. Orthopedic mtahneuraa:lp a yne videnbcaes eadp proa/cC hh adC ook. p.;c m. Inclubdiebsl iographicala nrdie nfdeerxe.n ces ISBN0 -13-171766-9 I.M anipula(tTihoenr apeut2ic.Os r)t hopedi3c.sM. e diciPnhey,cs ail.1 .T itle. [DNLM:J .M anipulation,Orthopedic-methodWEs -H3a9Cn ndlboo 2ok0s0.7 J RM724.C26060 7 61S.8'2-dc22 2006015857 PublishJeurl:Li ee viAlne xander Notice:T hea uthoarnsdt hep ublisohfte hri vso lumhea ve AssisttaonP tu blishReerg:i nBar uno takecna rteh atth ei nformaatnidot ne chnirceaclo mmenda­ ExecutivEed itoMra:r kC ohen tioncso ntainheedr eianr eb aseodn rese(cid:187)racnhde xpert AssociaEtdei toMre:l isKsear ian consultaatnidao rnae,c curaantdec ompatiwbilteth h es tan­ EditorAisasli staNnitc:o lRea gonese dardgsc neraalclcye ptaettd h et imoef p ublicaNteivoenr.­ DirectoofrP roductiaonndM anufacrtiungB:r ucJeo hnson theleasssn ,e wi nfol1nabteicoonm easv ailacbhlaen,g iens ManaginPgr oductiEodni toPra:t riWcakl sh cliniacnadlt echnipcraalc tibceecso men ecessaTrhye. ProductioLni aisoCnh:r istZiinnag one readiesra dvisteocd a refully mcaonnusfualctt uirnesrtsr'u c­ ProductiEodni toKra:r eBne rrPyi,n Ter eeC omposition tionasn di nformatmiaotner fiaolra lslu pplainedse quip­ ManufacturMiannga gerI:l enSea nford mentb eforues e,a ndt o consuwlitt ha healtcha re ManufacturBiunyge rP:a t Brown professaison neacle ssTahriyas.d viicsee s peciiamlployr tant SenioDre sigCno ordinatMoarr:i Gau glielmo whenu sinnge ws upploiree sq uipmefnotcr l inipcuarlp oses. Oil-ecotfoM ra rketinKga:r eAnl lman Thea uthoarnsdp ublisdhiesrc laalirlme sponsifboiarln iyt y SenioMra rketiMnagn agerH:a rpeCro les liabilloistisyn,,j uorryd ,a magien curraesad c onsequence, CompositioPni:n eTr eeC ompositiIonnc,. direcotrli yn direocfttl hyeu, s ea nda pplicaotfia onnyo f Printaenrd B indeCro:u rier \Nestford thec onteontfts 1 1viosl ume. CoverP rintePrh:o enix Color Copyrig©h t2 007b yP earsoEnd ucatioInn,c .U,p perS addlRiev erN,e w Jerse0y7,4 58. PearsPorne ntHiaclel A.lr l ighrtess ervPerdi.n tientd h eU niteSdt atoefAs m ericTah.i psu blicaitspi roont ecbtyeC do pyriagnhdt permisssihoonu bledo btainferdo mth ep ublisphreirot roa nyp rohibirteepdr oducsttioorna,ig nae r etriseyvsatle omrt, r ansmis­ sioinna nyf oromr b ya nym eanse,l ectromneicch,a nipchaolt,o copyriencgo,r doirnl gi,k ewFiosrei .n formarteigoanr ding permis­ sion(wsr)i,tt eoR :i ghatnsd P ermissDieopnasr tment. PearsoPnr enticHea lI™i sa t rademoafrP ke arsEodnu catiIonnc,. Pearsoni®sa r egistterraedde moafrP ke arspoinc PrenticHea lli®sa r egistterraedde marPke aorfsE odnu catiIonnc,. PearsEodnu catLiToDn. L,o ndon PearsEodnu cacid6eMn e xicoS,A .d ec .v PearsEodnu catAiuosnt raPlTiY,aL imiteSdy,d neyP earsEodnu cation-JaTpoakyno, PearsEodnu catSiionng apoPrteeL,.t d PearsEodnu catMiaolna ysPitaeL,.t d PearsEodnu catNioornt Ahs iLat dH.o,n gK ong Pearson EduUcpapteiSroa nd,d le RNievweJ re,r sey. Pearson EduCcaantaidoLant,,d .T,o ronto PEARSON -----­ Prentice Hall 10 9 8 7 46 3 5 21 ISBN 0-13-171766-9 Copyrighted Material Contents Acknowledgments vii Preface ix Reviewers xi Chapt1e rO rthopMeadniucTa hle rapy 1 TheS cienocfOe r thopMedaincu Tahl erapy BiomechaCnhiacnagle s Muscle Reflexogenic Changes 7 NeurophysioClhoagnigceasl 8 PsycholoCghiacnagle s 9 SummaroyfB eneffriotMm a nuaTlh erapy 11 Chapt2e rO rthopMeadniucTa hle raApsys emsesnt 19 AssessmMeondte ls 19 TheT hreEel emenotfAs s sessment 26 TheP atiReenstp onse-MBoadseeld 28 Chapt3e rO rthopMeadniucTa hler apCyl inEixcaamli nation 35 TheC liniEcxaalm inaPtrioocne ss 35 Observation 35 TheS ubjectiveH/iPsattEoixreaynm ti nation 36 TheO bjective/EPxhaymsiincaatli on 41 Post-ExamiCnlaitniiRocenaa ls oning 48 Cilap4t eTrr eatmaenndRt e examination 55 Treatment 55 Reexamination 64 Chapt5e rM edicSaclr eening 71 TheM edicSaclr een 71 Upper Laonwde Qru artSecrr eening 73 ContrainditcoOa rttihoonpsMe adniucaT lh erapy 86 Chapt6e rM anuTahle rapoyft heC erviScpailn e 93 Prevalence 93 UppeCre rviScpailnA en atomy 93 LoweCre rviScpailnA en atomy 95 Biomechaonfti hceCs e rviScpailn e 100 AssessmaenndDt i agnosis 102 CliniEcxaalm ination 108 iii Copyrighted Material iv Content TreatmTeencth niques 131 TreatmOeunttc omes 142 Chapt7e r ManuTalhe rapoyft hTee mporomandJiobiunlta r 151 Prevalence 151 Anatomy 152 Biomechanics 153 AssessmaenndDt i agnosis 155 CliniEcxaamli nation 156 TreatmTeencth niques 169 TreatmOeunttc omes 176 Chapt8e r ManuTahle raopfty h Teh oraScpiicn e 181 Prevalence 181 Anatomy 181 Biomechanics 186 AssessmaenndDt i agnosis 187 CliniEcxaalm ination 189 TreatmTeencth niques 206 TreatmOeunttc omes 217 Chapt9e r ManuTahle raopfty h eS houlder Complex 221 ChadE .C ooakn dE riJc.H egedus Prevalence 221 Anatomy 221 Biomechanics 227 AssessmaenndDt i agnosis 232 CliniEcxaalm ination 235 TreatmTeencth niques 280 TreatmOeunttc omes 287 Chapt1e0r ManuTahle raopfty h eE lbow-Wrist-Hand 295 Prevalence 295 Anatomy 296 Biomechanics 301 AssessmaenndDt i agnosis 309 CliniEcxaalm ination 312 TreatmTeencth niques 346 TreatmOeunttc omes 349 Chapt1e1r ManuTahle raopfty h eL umbaSrp ine 357 Prevalence 357 Anatomy 358 Biomechanics 361 AssessmaenndDt i agnosis 363 CliniEcxaalm ination 366 TreatmTeencth niques 391 TreatmOeunttc omes 400 Chapt1e2r Manual Thoeftr haSepa yc roiJloiiaancnt d P elvis 413 Prevalence 413 Anatomy 414 Biomechanics 418 Copyrighted Material ContentS v AssessmaenndDt i agnosis 421 CliniEcxaalm ination 424 TreatmTeencth niques 442 TreatmOeunttc omes 455 Chapt1e3r M anuTalh eraopfty h eH ip 461 Prevalence 461 Anatomy 461 Biomechanics 464 AssessmaenndDt i agnosis 465 CliniEcxaalm ination 467 TreatmTeencth niques 482 TreatmOeunttc omes 491 Chapt1e4r Manual Thoeftr haep yK nee 497 ChadE .C ook and FRloebmeirntg Prevalence 497 Anatomy 497 Biomechanics 503 AssessmaenndDt i agnosis 505 ClinEixcaalm ination 506 TreatmTeencth niques 536 TreatmOeunttc omes 540 Chapt1e5r M anuTahle raopfty h e FaonodAt n kle 547 KenL earmaannd C haEd. C ook Incidence 547 Anatomy 547 Biomechanics 557 AssessmaenndDt i agnosis 559 ClinEixcaalm ination 561 TreatmTeencth niques 585 Treatment Outcomes 590 Glossary 595 Index 601 Copyrighted Material Acknowledgments Iw oulldi kteo whoh ave oft his .. RoberStp rague, who .. Ron whoi nspiredp ro- mentormeeda ndm anyo fm y colleagues. videmde witmha nyo pportunities. .. ChristopShheorw alter, EA..cA.OMPT,.. TheP ioneersC liniMcaaslt eorfsiV lanual who hasp rovidemde witho pportunittioe s Withoutth emw,e 'hda ve to growa nde xcaelsa anda sa t eacher. follow. .. PhilSiipz ePTr,, whoh as MaitlaQnudi.t sei mplay , functionaesd a col- clinical laboraatnodar d,v isor. vii Copyrighted Material Preface The InternatiFoendaelr ation drivcel inipcraalc taincdei, n t urn, then eedf orin vestigoaft ion notteh atth eu seo f arei nappropriate. previousmleya surterde atm"eHn,LU.tVU' ;), pooer mpiriccoanls trourcth ta th avdee monstraa ted JD­ ofe ffectiveannedrs esl iability amonmga yn ot exercisebsea. p"p roprfioacrta er e. envelopedO ftena,g Teemeunpto nw hacto nstitutes mobiliza tpiroanc,tii csea significpaonitno tf c ontention. tisstuhee r­thaetv idence-cbaarsieesw d h ollaym atter pure\\'liyt htihn ee yeo ft heb eholder. advocatthee iorw n philosopahnide s methodso utsitdhee i0\\,r11 tivteoa cknowletdhgameta nyt reatment onh abictu,s togmu,r u-bapsreodm otioornn ,r,, ,rr\(y\ potentinaoltal pyp licfaobcrla er e.4 latioofnc ompltehxe oretaincaatlo miocra l construtchatts alm aecaks uracbalrer yotvoec rl iniccaarle ,,9 aren otc onsidered How doeso nea pplayn d measure definition Vlf.tmn'UUnnlae nd durincgl inipcraalc tiEcses?e ntiallya,r et wow ays. of Manaunadl to The requitrhees oft reatment publishriensge arch manuale xtracftreodm c linitcraila ls. therapy. ando thejro urnacllsi nitcrailar lesp restehnet have effectitvree atmesnetl ecttreeda tmentte chniques. tom easure ise ssentiBayL 6,9 a care wee nsurteh actu rretnrte atments araes a pplicable Aftera na ssiduous oft he oudinetdh ee xaminatainodn havdee monstrated provideevdi denscuep porbteycd a sceo ntrOorlc sa ssee ­ riedse sig\\Tnhse.n i nformatwiaosn selecptae­d medicianse" the cient-respphoinlsoes opfhrioems witchl iniecxaple rtainsde ando thersw erei ntegrawtiethdi nth e examitniaoann d Sackestutg gesthtaetdt he treatmenptr oceIsnse .s sentchee, assestrsemaetnmte,n t, bascel inidceacli sion ont hreCeo m[)OIlerlts:a ndc linirceaals onmientgh odasr e ine vidence- searc(h2,c) l iniecxaple rtainsde( ,3 ) basepdr inciplesse rvateno d ofo r­ Sackeatctk nowledtgheadt thopedic manualli ttehreartauprye . ix Copyrighted Material x Preface References 1.I n ternatiFoendaelr atioofn O rthopaedMiacn ual6 .B u etoMAw, Keneya Tl Evidenbcaes emde dicitnhee: TherapiAsctcse.s sJeadn ua6r,y2 005a,t h:t tpww:w // needf orn ewd efinit]i oEnv.a luatCiloiPnnr ac2t0.0 0; .omotr.g/homepiafgoemltlifomt.htm 6:85-92. 2.G r osAs, K ayT ,H ondraMs, GoldsmiCt,hH aineTs, 7.S a ckeDtLt,S trauSsEs,R ichardWsSo,nR osenbeW,r g PelosPo,K ennedCy, H ovinJg. M anuatlh erafpoyr HaynesR B.E vidence-bmaesdeidc iHnoew. t op ractice mechaninceaclkd isordae rssy:s temarteivci eMwa.n andt eacEhB M. EdinburgChh;u rchiLlilv ingstone: Tber2.0 02;173:1 -419. 2000. 3.N i euwboAe.rH ow selefv ideinset v idebnacsee pdr ac­8.D r ievMe.r A ree videnbcaes epdr actaincdeb esptr ac­ ticienp hysiothePrbaypsyi?o RtebsIe nrt 2.0 04;9-:iivi. i ticteh es ameWe?s tern]N uninRge s2.0 02;24:591-597. 4.C o henAM , StavPrZi, H ershWR . A categoriza9t.iB io anl okcoewrskA,i G rimme1(,r MilaneSs,Ke u mar S. anda nalyosfit sh ec riticoifse mvsi denbcaes emde di­ Applicaotfci uornr ernets eaervcihd etnocc el inical phys­ cinIen.t ]M edI nforma2t0i0c4s;.37 53-:4 3. iotherapy prAallciteHide cael.t2]b0 .0 3;33:230-237. 5.S a ckeDtLt. T hef alolfc linical raensdte haerr icsohef clinical prreascetaircCcelhi .nI nvesMte d.2 000;23: 331-333. Copyrighted Material

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Orthopedic Manual Therapy is an evidence based textbook designed to provide examination, treatment and reassessment measures for orthopedic clinicians. The textbook examines current manual therapy approaches, literature associated with examination and treatment techniques involving manual therapy, a
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