Manipulative Therapy in Rehabilitation of the Locomotor System

by Lewit, Karel

• ISBN13: 9780750629645
• ISBN10: 0750629649
• Format: Paperback
• Copyright: 1999-05-01
• Publisher: Elsevier Science Health Science div

Summary

When first published in 1985, this book was readily welcomed by both students and practitioners of physical medicine. It was the first full English-language introduction to the work of a world authority in the field; it remains unique, but its success has prompted some revision. Completely revised for the third edition, this book continues to offer a thought-provoking account of musculoskeletal disorders which will deepen the understanding of all therapists.

Table of Contents

Preface	vii
Acknowledgements	ix
Introduction	1	(7)
History	4	(4)
Theoretical considerations	8	(27)
Morphological aspects	8	(1)
Theoretical implications of manipulation	9	(1)
Functional aspects	10	(1)
The clinical phenomenon of segmental movements restriction	11	(1)
Joint play and movement restriction	12	(1)
Movement restriction and reflex changes	12	(1)
Blockage as an articular phenomenon	13	(1)
Possible mechanism of joint blockage and manipulation	14	(2)
The effect of manipulation	16	(1)
Probable causes of blockage in vertebral motor segments	16	(3)
The spinal column and its function	19	(2)
Disturbance of function (blockage) in childhood	21	(2)
Possible consequences of blockage in the vertebral motor segment	23	(1)
The significance of disturbed movement patterns (stereotypes)	23	(3)
The pathogenic mechanism of disturbed movement patterns	26	(1)
The role of respiration in locomotor disturbance	27	(2)
The significance of constitutional hypermobility	29	(1)
The significance of soft tissues	30	(1)
The reflex factor in the pathogenesis of pain in disturbed function	30	(2)
Radicular pain	32	(1)
The Term `vertebrogenic'	33	(1)
Conclusions	33	(2)
Functional anatomy and radiography of the spinal column	35	(48)
Diagnosis of structural changes	35	(1)
Diagnosis of disturbed function (mobility studies)	35	(1)
Diagnosis of disturbed static function (spinal curvature and `malalignment')	35	(1)
X-ray of the lumbar spine and the pelvis	36	(2)
X-ray evaluation of lumbar spinal statics	38	(5)
The pelvis	43	(5)
The lumbar spine	48	(6)
The thoracic spine	54	(3)
The cervical spine	57	(26)
Examination of locomotor function and its disturbance	83	(64)
Case history	83	(1)
Examination	84	(1)
Examination of posture (inspection)	84	(2)
Palpation (soft tissue lesions)	86	(3)
Root syndromes	89	(4)
Examination of mobility	93	(1)
Examination of the lower extremities and the pelvis	94	(7)
Examination of the lumbar spine	101	(3)
Examination of the thoracic spine and the ribs	104	(4)
Examination of the cervical spine	108	(6)
Examination of the extremity joints	114	(5)
Examination of disturbed equilibrium	119	(1)
Examination of disturbed muscle function	120	(1)
Examination of muscles tending to weakness	121	(3)
Examination of short (tight) muscles	124	(2)
Examination of hypermobility (range of movement	126	(5)
Examination of coordinated movement (locomotor patterns)	131	(6)
Examination of respiration	137	(1)
Syndromes	137	(1)
Testing	138	(1)
The course of examination with special regard to chain-reaction patterns	139	(2)
The functional approach	141	(3)
Problems of differential diagnosis	144	(3)
Indications for tratment	147	(11)
Methods of treatment	147	(1)
Manipulation	147	(3)
Traction	150	(1)
Soft tissue manipulation	151	(1)
Exteroceptive stimulation	151	(1)
Reflex therapy	151	(2)
Remedial exercise	153	(2)
Tratment of faulty statics	155	(1)
Immobilization and supports	155	(1)
Pharmacotherapy	156	(1)
Surgery	156	(1)
Regimen	156	(1)
Strategy and tactics	156	(1)
Conclusions	157	(1)
Therapeutic techniques	158	(94)
Manipulation	158	(3)
Extremity joints	161	(12)
The spinal column	173	(1)
The lumbar spine	174	(4)
The pelvis	178	(2)
The thoracic spine	180	(5)
The ribs	185	(3)
The cervical spine	188	(5)
Self-mobilization	193	(8)
Functional techniques	201	(1)
Strain and counterstrain	202	(1)
Soft tissue manipulation	202	(6)
Exteroceptive stimulation - stroking	208	(1)
Post-isometric muscle relaxation	209	(1)
Treatment of individual muscles and points of attachment	210	(28)
Remedial exercise	238	(1)
Training weak muscles	239	(3)
Training for some of the most important stereotypes (movement patterns)	242	(8)
Supports	250	(1)
Hints on reflex therapy	251	(1)
Clinical aspects of disturbed function of the locomotor system	252	(40)
Backache	252	(10)
Pseudoradicular and other pain due to disturbed motor function of the lower extremities	262	(1)
Pain originating in the lower extremities	263	(1)
Pseudoradicular and other pain due to disturbed locomotor function of the upper extremities	264	(4)
The cervicocranial syndrome	268	(4)
Disturbances of equilibrium	272	(4)
The syndrome of the `upper quarter'	276	(1)
Basilar impression and a narrow cervical spinal canal	276	(1)
Root syndromes	277	(5)
Vertebrovisceral correlations	282	(5)
Post-traumatic states	287	(1)
The clinical picture of movement restriction at important joints	288	(4)
Prophylaxis	292	(7)
Importance of the problem	292	(1)
Principles of prophylaxis	293	(2)
Sports	295	(1)
Clothing	296	(1)
Manipulation as a prophylactic measure	297	(2)
Problems of expertise	299	(4)
The role of trauma	300	(3)
The place of manipulative therapy and its future	303	(3)
Bibliography	306	(35)
Index	341