The big back book. Tips and tricks for therapists

474 Pages·2017·12.435 MB·English

by  Johnson J.

The Big Back Book
Tips and Tricks for Therapists
Jane Johnson, MSc
Chartered Physiotherapist
Health and Care Professions Council
Chartered Society of Physiotherapy
United Kingdom
907 illustrations
Thieme
Stuttgart • New York • Delhi • Rio de Janeiro
Library of Congress Cataloging-in-Publication Data Important note: Medicine is an ever-changing sci-
is available from the publisher. ence undergoing continual development. Research
and clinical experience are continually expanding
Section opener images: Reproduced with our knowledge, in particular our knowledge of prop-
permission from Gilroy & MacPherson, Atlas of er treatment and drug therapy. Insofar as this book
Anatomy, 3rd edition, © 2016, Thieme Publishers, mentions any dosage or application, readers may rest
New York, New York. Illustrators: Markus Voll and assured that the authors, editors, and publishers have
Karl Wesker. made every effort to ensure that such references are in
accordance with the state of knowledge at the time
of production of the book.
Nevertheless, this does not involve, imply, or
express any guarantee or responsibility on the part
of the publishers in respect to any dosage instruc-
tions and forms of applications stated in the book.
Every user is requested to examine carefully the
manufacturers’ leaflets accompanying each drug and
to check, if necessary in consultation with a physi-
cian or specialist, whether the dosage schedules men-
tioned therein or the contraindications stated by the
manufacturers differ from the statements made in
the present book. Such examination is particularly
important with drugs that are either rarely used or
have been newly released on the market. Every dos-
age schedule or every form of application used is
entirely at the user’s own risk and responsibility. The
authors and publishers request every user to report
© 2017 by Georg Thieme Verlag KG
to the publishers any discrepancies or inaccuracies
noticed. If errors in this work are found after publi-
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To all of the students and fellow therapists whose comments over the years
have contributed to my knowledge of assessment and treatment techniques.
Also, to the patients from whom honest feedback has proved invaluable.

Contents
Preface viii
Acknowledgments ix
Section I: Cervical Spine 1
Chapter 1: Neck Assessment 3
Chapter 2: Neck Treatment 53
Chapter 3: Neck Aftercare 113
Section II: Thoracic Spine 143
Chapter 4: Thoracic Assessment 145
Chapter 5: Thoracic Treatment 217
Chapter 6: Thoracic Aftercare 289
Section III: Lumbar Spine 319
Chapter 7: Lumbar Assessment 321
Chapter 8: Lumbar Treatment 363
Chapter 9: Lumbar Aftercare 393
References 449
Index 455
vii
Preface
This book came about following the delivery, book is partly dedicated to those parti-
over many years, of a series of workshops on cipants. Many times over the course of
the specific topics of neck and back assess- delivering the workshops, I was asked ques-
ment and treatment. The workshops focused tions to which I had no answer, and this
on a simple premise: to share tips that I had fired my own enthusiasm for investigation.
picked up over many years working as a phy- The more questions I was asked, and the
sical therapist and massage therapist. The more I experimented, the less I felt I knew.
workshops tended to attract therapists who I continued to keep copious notes. What
lacked confidence or who felt that they had was apparent was that the participating
not received comprehensive training in the therapists each had different and often con-
area of assessment and treatment, yet who trasting responses to which techniques they
themselves attracted patients for whom preferred and found helpful. This is why you
such treatment was required. The work- will discover that suggestions throughout
shops also attracted therapists who were The Big Back Book are just that—suggestions.
frustrated at not achieving what they felt I have deliberately avoided being prescrip-
were good results for their clients and who tive with regard to methods of assessment
thirsted to seek answers regarding different and treatment.
techniques. Perhaps it was because some of Although I had made a tentative foray into
the therapists in attendance felt they lacked self-publishing and produced The Neck and
knowledge, or because some were motivated The Thorax, I was delighted when Thieme
to vary their approach, that these workshops Medical Publishers agreed to buy these
generated much discussion and debate, and titles from me and to combine them with
sharing of ideas. I began keeping notes for The L umbar Spine to create the book you
the purposes of introducing new ideas into have here.
the workshops and generating further dis- I continue to feel that there is much to
cussion. I formed the idea for writing three learn myself about these topics. Neverthe-
separate books containing tips and tricks less, this book is based on the questions I was
for therapists: The Neck, The Thorax, and The able to answer during those workshops and
Lumbar Spine. is offered to you as a collection of examples
During the workshops, participants were of those methods that have worked well for
invited to give and receive different as- me over the years. It is a book I wish I had
sessment and treatment techniques, the had early on in my career.
facilitation of which hugely informed my
own practice. This is the reason why the Jane Johnson
viii
Acknowledgments
I would like to thank Lee Lawrence for for- I would also like to thank Angelika F indgott
matting my manuscript and illustrations of Thieme Medical Publishers for her imme-
and for massive contribution to the images diate enthusiastic response to this book, and
in this book, for addressing many editorial to the team at Thieme for believi ng, like me,
amendments, and for liaising with the pub- that therapists will benefit from the dis-
lishers on my behalf regarding technical semination of this information.
elements of the book.
Thank you Jair Herculano for producing
numerous line drawings so quickly and on
schedule.
ix