This manual, written for healthcare professionals, explores the pros and cons of a wide range of currently practiced rehabilitation methods, and includes tests, illustrated exercises, and worksheets for evaluating patients.

Carol McFarland and Don Burkhart have combined experience of more than fifty years as physical therapy practitioners.

List of Figures

ix

Foreword

xi

Preface

xiii

Acknowledgments

xv

Introduction

xvii

Abbreviations and Terms

xxi

Nonsurgical and Presurgical Management of Patients with Spine Pathologies

1

(20)

Approaches to Work with Lumbar Spine Pathologies

1

(7)

Presurgical Evaluation Program (PEP)

8

(13)

Psychological Testing and Interview

10

(1)

Physical Therapy Evaluation

11

(1)

Physical Therapy Presurgical Rating Guide

11

(6)

Rating Using the Physical Therapy Guide

17

(1)

Conference with the Physicians and PEP Team

17

(1)

Summary of the PEP Program

18

(3)

Evaluating the Patient Following Lumbar Spine Surgery

21

(10)

Lumbar Postsurgical Evaluation Form

23

(1)

Using Inclinometer Measures to Help Describe Function and Progress

24

(7)

Interim Testing of the Spine Patient: The Physical Capacities Test

31

(8)

Pain and General Health

32

(1)

Neurologic Screens

32

(1)

Stabilization Tests

33

(2)

Strength Tests

35

(1)

Spinal Range of Motion

36

(1)

MET Level

36

(3)

Cardiovascular Test Examples for the Physical Capacities Test

39

(8)

In-Patient Postsurgical Protocols

47

(8)

Managing Patients Following Lumbar Spine Surgery without Fusion

55

(8)

Managing Patients Following Lumbar Fusion

63

(14)

Managing Patients Following Intradiscal Electrothermal Therapy

77

(10)

Pre-IDET Evaluation

78

(1)

Post-IDET Rehabilitation Schedule

79

(8)

Managing Patients Following Selected Lumbar Injections

87

(4)

Epidural Steroid Injections

87

(1)

Zygapophysial Joint (z-joint) Injections

88

(3)

Exercise Selection for the Spine Patients

91

(64)

Exercise Selection Concepts

93

(5)

Exercise Progression

98

(1)

Exercise Illustrations

99

(30)

Sample Exercise Sheets

129

(26)

Protocol Development

155

(8)

Further Development of Lumbar Spine Protocols

156

(1)

Postsurgical Care on a Tissue-by-tissue Basis

157

(3)

Disc Protection

157

(1)

Ligamentous Status and Joint Mobility

158

(1)

Bone Integrity

159

(1)

Muscle Performance

160

(1)

Summary

160

(3)

Appendix

163

(10)

Reference List

173

(8)

Annotated Bibliography

181

(8)

Index

189

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Rehabilitation Protocols for Surgical and Nonsurgical Procedures: Lumbar Spine

9781556433801

1556433808

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