Therapeutic Exercise Moving Toward Function

by Hall, Carrie M.; Brody, Lori Thein

• ISBN13: 9780781741354
• ISBN10: 0781741351
• Edition: 2nd
• Format: Hardcover
• Copyright: 2004-10-08
• Publisher: LWW

Summary

Therapeutic Exercise: Moving Toward Function, Second Edition provides a conceptual framework for learning how to make clinical decisions regarding the prescription of the therapeutic exercise--from deciding which exercise(s) to teach, to how to teach them, to the dosage required for the best possible outcome. Throughout this text, readers will learn how to treat, with the use of therapeutic exercise and related interventions, the impairments that correlate to functional limitations and the disability and to work toward the most optimal function possible. Features-- . Terminology follows that used in the APTA's "Guide to Physical Therapy Practice" to help the reader master the official language of the field . New chapters on the Prevention and the Promotion of Health, Wellness, and Fitness; and Impaired Aerobic Capacity and Endurance . New coverage of joint mobilization, with detailed techniques . Self-Management boxes provide step-by-step exercises written directly for the client . Patient-Related Instruction boxes address patient education issues, with tips on enhancing communication and compliance . Includes a sample complete intervention to encourage an understanding of the importance of encompassing the total body when prescribing therapeutic exercise . Plus fully updated literature review and evidence-based data Attention Faculty: A companion Website is available online at http://connection.lww.com/hallandbrody.

Table of Contents

UNIT 1 Foundations of Therapeutic Exercise	1	(56)
Introduction to Therapeutic Exercise and the Expanded Disablement Model	1	(9)
Carrie Hall
Definition of Physical Therapy	1	(1)
Therapeutic Exercise Intervention	2	(1)
The Disablement Process	2	(8)
Purpose of Defining the Disablement Process	2	(1)
Evolution of the Disablement Model	3	(1)
Modified Disablement Model	4	(6)
Patient Management	10	(25)
Carrie Hall
Introduction	10	(1)
Patient Management Model	10	(10)
Examination	10	(5)
Diagnosis	15	(1)
Prognosis and Plan of Care	16	(1)
Intervention	17	(2)
Outcome	19	(1)
Clinical Decision Making	20	(1)
Therapeutic Exercise Intervention	20	(10)
Therapeutic Exercise Intervention Model	21	(6)
Exercise Modification	27	(3)
Adjunctive Interventions	30	(5)
Physical Agents	30	(1)
Mechanical Modalities	30	(1)
Electrotherapeutic Modalities	31	(4)
Principles of Self Management and Exercise Instruction	35	(12)
Lori Thein Brody
Teaching in the Clinic	35	(1)
Safety	35	(1)
Self-Management	36	(1)
Adherence and Motivation	36	(2)
Health Behavior Models	36	(1)
Applications	36	(2)
Clinician-Patient Communication	38	(1)
Issues in Home Exercise Program Prescription	39	(3)
Understanding Instructions	39	(1)
Proper Exercise Execution	40	(1)
Equipment and Environment	41	(1)
Home Exercise Prescription	42	(5)
Considerations in Exercise Prescription	42	(1)
Determining Exercise Levels	43	(1)
Formulating the Program	44	(3)
Prevention and the Promotion of Health, Wellness, and Fitness	47	(10)
Janet Bezner
The Context for Primary Prevention	47	(3)
Definitions	47	(3)
Measurement of Wellness	50	(1)
Health Promotion and Wellness-Based Practices	50	(7)
From Illness to Wellness	52	(1)
The Use of Screening as an Examination Tool within a Wellness-Based Practice	52	(1)
Starting a Wellness-Based Practice	52	(5)
UNIT 2 Physiologic Impairments and Therapeutic Exercise	57	(150)
Impaired Muscle Performance	57	(30)
Carrie Hall
Lori Thein Brody
Definitions	58	(1)
Strength	58	(1)
Power	58	(1)
Endurance	58	(1)
Muscle Actions	58	(1)
Morphology and Physiology of Muscle Performance	59	(3)
Gross Structure of Skeletal Muscle	59	(1)
Ultrastructure of Skeletal Muscle	60	(1)
Chemical and Mechanical Events During Contraction and Relaxation	60	(1)
Muscle Fiber Type	61	(1)
Motor Unit	61	(1)
Force Gradation	61	(1)
Factors Affecting Muscle Performance	62	(5)
Fiber Type	62	(1)
Fiber Diameter	62	(1)
Muscle Size	62	(2)
Muscle Architecture	64
Force-Velocity Relationship	62	(1)
Length-Tension Relationship	63	(1)
Training Specificity	64	(1)
Neurologic Adaptation	64	(1)
Muscle Fatigue	64	(1)
Lifespan Considerations	65	(1)
Cognitive Aspects of Performance	66	(1)
Effects of Alcohol	67	(1)
Effects of Corticosteroids	67	(1)
Causes of Decreased Muscle Performance	67	(3)
Neurologic Pathology	67	(1)
Muscle Strain	68	(2)
Disuse and Deconditioning	70	(1)
Length Associated Changes	70	(1)
Physiologic Adaptations to Training	70	(2)
Strength and Power	70	(2)
Endurance	72	(1)
Examination/Evaluation of Muscle Performance	72	(1)
Therapeutic Exercise Intervention for Impaired Muscle Performance	73	(9)
Activities	73	(5)
Dosage	78	(2)
Dosage for Strength Training	80	(1)
Dosage for Power Training	81	(1)
Dosage for Endurance Training	81	(1)
Dosage for Training the Advanced or Elite Athlete	81	(1)
Precautions and Contraindications	82	(5)
Impaired Aerobic Capacity/Endurance	87	(26)
Janet Bezner
Physiology of Aerobic Capacity and Endurance	87	(7)
Definitions	87	(1)
Energy Sources Used During Aerobic Exercise	88	(2)
Normal and Abnormal Responses to Acute Aerobic Exercise	90	(3)
Physiologic and Psychological Adaptations to Cardiorespiratory Endurance Training	93	(1)
Causes of Impaired Aerobic Capacity/Rehabilitation Indications	94	(2)
Examination/Evaluation of Aerobic Capacity	96	(4)
Patient/Client History	96	(1)
Systems Review	96	(1)
Screening Examination	96	(1)
Tests and Measures	97	(3)
Therapeutic Exercise Intervention	100	(5)
Mode	100	(1)
Dosage	101	(4)
Precautions and Contraindications	105	(2)
Graded Exercise Testing Contraindications and Supervision Guidelines	106	(1)
Supervision During Exercise	106	(1)
Patient-related Instruction/Education and Adjunctive Interventions	107	(1)
Lifespan Issues	108	(5)
Guidelines for Cardiovascular Endurance Training in the Young	108	(1)
Guidelines for Cardiovascular Endurance Training in the Elderly	108	(5)
Impaired Range of Motion and Joint Mobility	113	(36)
Lori Thein Brody
Morphology and Physiology of Normal Mobility	114	(1)
Causes and Effects of Decreased Mobility	114	(3)
Effects on Muscle	115	(1)
Effects on Tendon	115	(1)
Effects on Ligaments and Insertion Sites	116	(1)
Effects on Articular Cartilage	116	(1)
Effects on Bone	116	(1)
Effects of Remobilization	117	(2)
Effects on Muscle	117	(1)
Effects on Tendon	117	(1)
Effects on Ligaments and Insertion Sites	118	(1)
Effects on Articular Cartilage	118	(1)
Effects on Bone	118	(1)
Mobility Examination and Evaluation	119	(1)
Therapeutic Exercise Intervention for Decreased Mobility	120	(19)
Elements of the Movement System	120	(1)
Activities to Increase Mobility	120	(17)
Exercise Dosage	137	(1)
Precautions and Contraindications	138	(1)
Causes and Effects of Hypermobility	139	(1)
Therapeutic Exercise Intervention for Hypermobility	140	(3)
Elements of the Movement System	140	(1)
Stabilization Exercises	140	(2)
Precautions and Contraindications	142	(1)
Lifespan Issues	143	(1)
Adjunctive Agents	143	(6)
Superficial Heat	143	(1)
Deep Heat	144	(5)
Impaired Balance	149	(18)
Lori Thein Brody
Judy Dewane
Definitions	149	(1)
Physiology of Balance	149	(3)
Contributions of sensory systems	150	(1)
Processing Sensory Information	151	(1)
Generating Motor Output	151	(1)
Motor Learning	152	(1)
Causes of balance impairment	152	(1)
Effects of training on balance	153	(1)
Examination and evaluation of impaired balance	154	(1)
Therapeutic exercise intervention for impaired balance	155	(8)
Mode	155	(1)
Posture	156	(1)
Movement	156	(2)
Dosage	158	(5)
Precautions and Contraindications	163	(4)
Impaired Posture	167	(18)
Carrie Hall
Introduction	167	(1)
Definitions	168	(4)
Posture	168	(1)
Standard Posture	168	(1)
Deviations in Posture	169	(2)
Movement	171	(1)
Causes of Impaired Posture and Movement	172	(6)
Range of Motion	173	(1)
Muscle length	173	(1)
Joint Mobility	173	(1)
Muscle Performance	173	(1)
Pain	174	(2)
Anatomic Impairments and Anthropometric Characteristics	176	(1)
Psychological Impairments	176	(1)
Lifespan considerations	177	(1)
Environmental Influences	178	(1)
Examination and Evaluation	178	(2)
Posture	178	(1)
Movement	179	(1)
Intervention	180	(2)
Elements of the Movement System	180	(1)
Activity and Dosage	181	(1)
Patient-Related Instruction and Adjunctive Interventions	182	(3)
Pain	185	(22)
Lori Thein Brody
Definitions	185	(1)
Physiology of Pain	185	(3)
Pain Pathways	186	(1)
Pain Theory	187	(1)
Examination and Evaluation	188	(2)
Pain Scales	188	(1)
McGill Pain Questionnaire	189	(1)
Disability and Health-Related Quality of Life Scales	190	(1)
Therapeutic exercise intervention for pain	190	(12)
Acute Pain	190	(1)
Chronic Pain	190	(12)
Adjunctive Agents	202	(1)
Transcutaneous electrical nerve stimulation	202	(1)
Heat	203	(1)
Cold	204	(1)
Medication	204	(3)
UNIT 3 Special Physiologic Considerations in Therapeutic Exercise	207	(76)
Soft Tissue Injury and Postoperative Treatment	207	(22)
Lori Thein Brody
Physiology of Connective Tissue Repair	207	(4)
Microstructure of Connective Tissues	207	(1)
Response to Loading	208	(1)
Phases of Healing	209	(2)
Principles of Treating Connective Tissue Injuries	211	(1)
Restoration of Normal Tissue Relationships	211	(1)
Optimal Loading	211	(1)
Specific Adaptations to Imposed Demands	212	(1)
Prevention of Complications	212	(1)
Management of impairments associated with connective tissue dysfunction	212	(7)
Sprain: Injury to Ligament and Capsule	213	(1)
Strain: Musculotendinous Injury	213	(2)
Tendinitis and Tendon Injuries	215	(4)
Cartilage Injury	219	(1)
Management of impairments associated with localized inflammation	219	(1)
Contusion	219	(1)
Management of impairments associated with fractures	220	(1)
Classification of Fractures	220	(1)
Application of Treatment Principles	220	(1)
Management of impairments associated with bony and soft tissue surgical procedures	221	(5)
Soft Tissue Procedures	222	(2)
Bony Procedures	224	(2)
Management of impairments associated with joint arthroplasty	226	(3)
Therapeutic Exercise for Arthritis	229	(15)
Kimberly Bennett
Review of Pertinent Anatomy and Kinesiology	229	(1)
Pathology	230	(3)
Osteoarthritis	230	(1)
Rheumatoid Arthritis	231	(2)
Exercise Recommendations for Prevention and Wellness	233	(1)
Therapeutic Exercise Intervention for Common Impairments	233	(6)
Pain	234	(1)
Impaired Mobility and Range of Motion	234	(1)
Impaired Muscle Performance	235	(2)
Impaired Aerobic Capacity	237	(2)
Special Considerations in Exercise Prescription and Modification	239	(2)
Ligament or joint capsule laxity precautions	239	(1)
Restoring muscle balance	240	(1)
Normalizing specific joint movement patterns	241	(1)
Exercise modifications in response to pain or fatigue	241	(1)
Pacing treatment	241	(1)
Patient Education	241	(3)
Therapeutic Exercise for Fibromyalgia Syndrome and Chronic Fatigue Syndrome	244	(15)
Kimberly Bennett
Pathology	244	(3)
Fibromyalgia syndrome	244	(2)
Chronic fatigue syndrome	246	(1)
Therapeutic exercise intervention for prevention and wellness	247	(1)
Therapeutic exercise intervention for common impairments	247	(5)
Impaired muscle performance	248	(1)
Impaired aerobic capacity	249	(1)
Impaired range of motion	250	(1)
Impaired posture	250	(1)
Impaired response to emotional stress	251	(1)
Pain	252	(1)
Precautions/contraindications	252	(1)
Adjunctive interventions and patient-related instruction	253	(6)
Therapeutic Exercise in Obstetrics	259	(24)
M.J. Strauhal
Physiologic Changes Related to Pregnancy - Support Element	259	(3)
Endocrine System	259	(1)
Cardiovascular System	260	(2)
Respiratory System	262	(1)
Physiologic Changes Related to Pregnancy-Base Element	262	(1)
Musculoskeletal System	262	(1)
Therapeutic Exercise Intervention for Wellness	263	(3)
Precautions and Contraindications	263	(1)
Exercise Guidelines	263	(3)
Exercise Intensity	266	(1)
Exercise Classes	266	(1)
Therapeutic Exercise Intervention For Common Impairments	266	(10)
Adjunctive Interventions	266	(1)
Normal Antepartum Women	266	(6)
High Risk Antepartum	272	(2)
Postpartum	274	(2)
Therapeutic Exercise Intervention For Common Impairments	276	(7)
Nerve Compression Syndromes	276	(1)
Other Impairments	277	(6)
UNIT 4 Sample Specialties of Therapeutic Exercise Intervention	283	(66)
Closed Kinetic Chain Training	283	(26)
Susan Lynn Lefever
Physiologic Principles of Closed Kinetic Chain Training	284	(3)
Muscular Factors	284	(1)
Biomechanical Factors	284	(2)
Neurophysiologic Factors	286	(1)
Examination and Evaluation	287	(1)
Standardization Tools	287	(1)
Therapeutic Exercise Intervention	287	(4)
Elements of the Movement System	288	(2)
Activity or Technique	290	(1)
Dosage	290	(1)
Application of Closed Kinetic Chain Exercises	291	(15)
Lower Extremity Examples & Progression	291	(1)
Upper Extremity Examples & Progression	292	(14)
Precautions and Contraindications	306	(3)
Proprioceptive Neuromuscular Facilitation	309	(21)
Chuck Hanson
Definitions and Goals	309	(1)
Basic Neurophysiologic Principles of proprioceptive neuromuscular facilitation	309	(5)
Muscular Activity	309	(1)
Diagonals of Movement	310	(4)
Motor Development	314	(1)
Examination and Evaluation	314	(2)
Impaired range of motion and muscle length	314	(1)
Impaired muscle performance (power)	314	(1)
Impaired muscle performance (endurance)	314	(1)
Impaired balance	314	(1)
Impaired posture	314	(1)
Impaired motor control	314	(1)
Pain	314	(2)
Treatment Implementation	316	(10)
Patterns of Facilitation	316	(1)
Procedures	317	(3)
Techniques of Facilitation	320	(6)
Patient-related instruction	326	(4)
Aquatic Physical Therapy	330	(19)
Lori Thein Brody
Physical Properties of Water	330	(4)
Buoyancy	330	(1)
Hydrostatic Pressure	330	(1)
Viscosity	330	(4)
Physiologic Responses to Immersion	334	(2)
Effects of Water Temperature	336	(1)
Physiologic Responses to Exercise and Immersion	336	(1)
Examination and Evaluation for Aquatic Rehabilitation	337	(1)
Therapeutic Exercise Intervention	337	(6)
Mobility Impairment	337	(3)
Balance Impairment	340	(3)
Aquatic Rehabilitation to Treat Functional Limitations	343	(1)
Coordinating Land and Water Activities	343	(1)
Patient-Related Education	344	(1)
Precautions/contraindications	344	(5)
UNIT 5 Functional Approach to Therapeutic Exercise of the Lower Extremities	349	(206)
The Lumbopelvic Region	349	(53)
Carrie Hall
Review of Anatomy and Kinesiology	350	(1)
Lumbar Spine	350	(3)
Pelvic Girdle	353	(1)
Myology	354	(3)
Gait	357	(1)
Examination and Evaluation	357	(7)
Patient History	357	(1)
Screening Examination	358	(1)
Tests and Measures	359	(5)
Therapeutic Exercise Intervention for Common Physiologic Impairments	364	(25)
Aerobic Capacity Impairment	365	(1)
Balance and Coordination Impairment	365	(1)
Muscle Performance Impairment	366	(9)
General Disuse and Deconditioning	375	(3)
Range of Motion, Muscle Length, and Joint Mobility	378	(5)
Pain	383	(3)
Posture and Movement Impairment	386	(3)
Therapeutic Exercise Intervention for Common Diagnoses	389	(1)
Lumbar Disk Herniation	389	(2)
Examination and Evaluation Findings	389	(1)
Treatment	390	(1)
Spinal Stenosis	391	(1)
Examination and Evaluation Findings	391	(1)
Treatment	391	(1)
Spondylolysis and Spondylolisthesis	392	(1)
Examination and Evaluation Findings	393	(1)
Treatment	393	(1)
Adjunctive Interventions	393	(9)
Bracing	393	(1)
Traction	394	(8)
The Pelvic Floor	402	(34)
Elizabeth Shelly
Review of Anatomy and Kinesiology	403	(2)
Skeletal Muscles	403	(1)
Pelvic Diaphragm Muscles	403	(1)
Related Muscles	404	(1)
Pelvic Floor Function	404	(1)
Physiology of Micturition	405	(1)
Anatomic Impairments	405	(3)
Birth Injury	407	(1)
Neurologic Dysfunction	407	(1)
Psychological Impairments	408	(1)
Motivation	408	(1)
Sexual Abuse	408	(1)
Examination/Evaluation	408	(3)
Risk Factors	409	(1)
Screening Questionnaires	409	(1)
Results of the Internal Examination	409	(1)
Patient Self-Assessment Tests	410	(1)
Therapeutic Exercise Interventions for Common Physiologic Impairments	411	(8)
Impaired Muscle Performance	411	(1)
Active Pelvic Floor Exercises	412	(2)
Pain	414	(1)
Joint Mobility and Range of Motion (including muscle length) Impairments	415	(3)
Posture Impairment	418	(1)
Coordination Impairment	418	(1)
Clinical Classifications of Pelvic Floor Muscle Dysfunction	419	(4)
Supportive Dysfunction	419	(1)
Common Impairments	420	(1)
Hypertonia Dysfunction	421	(1)
Incoordination Dysfunction	422	(1)
Visceral Dysfunction	422	(1)
Therapeutic Exercise Intervention for Common Diagnoses	423	(5)
Incontinence	423	(3)
Organ Prolapse	426	(1)
Chronic Pelvic Pain	426	(1)
Levator Ani Syndrome	426	(1)
Coccygodynia	427	(1)
Vulvodynia	427	(1)
Vaginismus	428	(1)
Nonrelaxing puborectails syndrome	428	(1)
Dyspareunia	428	(1)
Adjunctive Interventions	428	(8)
Biofeedback	428	(1)
Basic Bladder Training	429	(1)
Scar Mobilization	429	(2)
Externally Palpating the Pelvic Floor Muscles	431	(5)
The Hip	436	(52)
Carrie Hall
Anatomy And Kinesiology	436	(5)
Osteology and Arthrology	436	(2)
Muscles	438	(1)
Nerves and Blood Supply	438	(1)
Kinematics	438	(2)
Kinetics	440	(1)
Kinetics and Kinematics of Gait	441	(1)
Anatomic Impairments	441	(3)
Angles of Inclination and Torsion	441	(2)
Leg Length Discrepancy	443	(1)
Examination and Evaluation	444	(6)
History	444	(1)
Lumbar Spine Clearing Examination	444	(1)
Other Clearing Tests	444	(2)
Gait and Balance	446	(1)
Joint Mobility and Integrity	446	(1)
Muscle Performance	446	(1)
Pain and Inflammation	447	(1)
Range of motion and Muscle Length	448	(1)
Work, Community, and Leisure Integration or Reintegration	448	(1)
Special Tests	448	(2)
Therapeutic Exercise Interventions For Common Physiologic Impairments	450	(21)
Impaired Muscle Performance	450	(9)
Range of Motion, Muscle Length, Joint Mobility, and Integrity Impairments	459	(8)
Balance	467	(1)
Pain	468	(2)
Leg Length Discrepancy	470	(1)
Therapeutic Exercise Interventions For Common Diagnoses	471	(17)
Osteoarthritis	471	(3)
Iliotibial Band-Related Diagnoses	474	(4)
Nerve Entrapment Syndromes	478	(10)
The Knee	488	(36)
Lori Thein Brody
Rob Landel
Review of Anatomy and Kinesiology	488	(4)
Anatomy	488	(3)
Kinematics	491	(1)
Kinetics	492	(1)
Anatomic Impairments	492	(1)
Genu Valgum	493	(1)
Genu Varum	493	(1)
Examination and Evaluation	493	(1)
Patient/client History	493	(1)
Tests and Measures	493	(1)
Therapeutic Exercise Intervention for Physiologic Impairments	494	(6)
Mobility Impairment	494	(2)
Impaired Muscle Performance	496	(4)
Therapeutic Exercise Intervention for Common Diagnoses	500	(24)
Ligament Injuries	500	(6)
Fractures	506	(2)
Meniscal Injuries	508	(1)
Degenerative Arthritis Problems	509	(3)
Tendinoplasties	512	(2)
Patellofemoral Pain	514	(10)
The Ankle/Foot	524	(31)
John P. Monohan
Ryan Hartely
Carrie Hall
Stan Smith
Review of Anatomy and Kinesiology	524	(3)
Osteology	524	(1)
Arthrology	525	(1)
Myology	526	(1)
Neurology	526	(1)
Foot and Ankle Kinesiology	527	(6)
Gait Kinetics	529	(1)
Gait Kinematics	530	(3)
Anatomic Impairments	533	(1)
Subtalar varus	533	(1)
Forefoot Varus	533	(1)
Forefoot Valgus	534	(1)
Examination and Evaluation	534	(1)
Patient/Client History	534	(1)
Joint Integrity and Mobility Examination	534	(1)
Muscle Performance	534	(1)
Pain	534	(1)
Posture	534	(1)
Range of Motion	535	(1)
Other Examination Procedures	535	(1)
Therapeutic Exercise Intervention for Common Physiologic Impairments	535	(8)
Balance and Coordination Impairment	535	(1)
Muscle Performance	536	(1)
Pain and Swelling	537	(1)
Posture and Movement Impairment	538	(1)
Range of Motion and Joint Integrity Impairment	539	(4)
Therapeutic Exercise Intervention for Common Ankle and Foot Diagnoses	543	(6)
Plantar Fascitis	543	(2)
Posterior Tibial Tendon Dysfunction	545	(1)
Achilles Tendinosis	545	(1)
Functional Nerve Disorders	545	(2)
Ligament Sprains	547	(2)
Ankle Fractures	549	(1)
Adjunctive Interventions	549	(6)
Adhesive Strapping	549	(1)
Wedges and Pads	550	(1)
Biomechanical Foot Orthotics	550	(1)
Heel and Full Sole Lifts	550	(5)
UNIT 6 Functional Approach to Therapeutic Exercise for the Upper Extremities	555	(184)
The Temporomandibular Joint	555	(27)
Darlene Hertling
Review of Anatomy and Kinesiology	555	(6)
Bones	555	(1)
Joints	556	(1)
Muscles	557	(3)
Nerves and Blood Vessels	560	(1)
Kinetics	560	(1)
Examination and Evaluation	561	(1)
Subjective Data	561	(1)
Mobility Impairment Examination	561	(1)
Pain Examination	561	(1)
Special Tests and Other Assessments	562	(1)
Therapeutic Exercise Interventions for Common Physiologic Impairment	562	(10)
Mobility Impairment	562	(6)
Posture and Movement Impairments	568	(4)
Therapeutic Exercise Interventions for Common Diagnoses	572	(3)
Capsulitis and Retrodiskitis	572	(1)
Degenerative Joint Disease	573	(1)
Derangement of the Disk	573	(2)
Surgical Procedures	575	(1)
Adjunctive Therapy	575	(7)
The Cervical Spine	582	(28)
Carol N. Kennedy
Review Of Anatomy And Kinesiology	582	(5)
Craniovertebral Complex	582	(2)
Midcervical Spine	584	(1)
Vascular System	585	(1)
Nerves	585	(1)
Muscles	586	(1)
Examination and Evaluation	587	(1)
History and Clearing Tests	587	(1)
Posture and Movement Examination	588	(1)
Muscle Performance, Neurologic, and Special Tests	588	(1)
Therapeutic Exercise Interventions For Common Physiologic Impairments	588	(17)
Impaired Muscle Performance	588	(5)
Mobility Impairment	593	(7)
Posture Impairment	600	(5)
Therapeutic Exercise Interventions For Common Diagnoses	605	(5)
Disk Dysfunction	605	(1)
Cervical Sprain and Strain	605	(1)
Neural Entrapment	606	(1)
Cervicogenic Headache	607	(3)
The Thoracic Spine	610	(33)
Rob Landel
Carrie Hall
Marilyn Moffat
Sandra Rusnak-Smith
Review of Anatomy	610	(4)
Osteology/Arthrology/Myology	610	(1)
Kinetics	611	(3)
Anatomic Impairments	614	(4)
Kyphosis	614	(3)
Scoliosis	617	(1)
Examination and Evaluation	618	(2)
History	618	(1)
Systems Review	618	(1)
Tests and Measures	619	(1)
Therapeutic Exercise Interventions for Common Physiologic Impairments	620	(13)
Impaired Muscle Performance	621	(2)
Impaired Range of Motion and Muscle Length	623	(6)
Impaired Posture and Motor Function	629	(4)
Therapeutic Exercise Interventions for Common Diagnoses	633	(10)
Parkinson's Disease	633	(2)
Scoliosis	635	(2)
Kyphosis	637	(1)
Thoracic Outlet Syndrome	637	(6)
The Shoulder Girdle	643	(55)
Carrie Hall
Review of Anatomy and Kinesiology	643	(6)
Sternoclavicular Joint	643	(1)
Acromioclavicular Joint	644	(1)
Scapulothoracic Joint	645	(1)
Glenohumeral Joint	645	(1)
Scapulohumeral Rhythm	646	(1)
Myology	647	(2)
Examination and Evaluation	649	(4)
Patient/Client History	649	(1)
Clearing Examination	650	(1)
Motor Function (Motor Control and Motor Learning)	651	(1)
Muscle Performance	651	(1)
Pain	651	(1)
Peripheral Nerve Integrity	652	(1)
Posture	652	(1)
Range of Motion, Muscle Length, Joint Mobility, and Joint Integrity	652	(1)
Work (Job/School/Play), Community, and Leisure Integration or Reintegration (Including Instrumental Activities of Daily Living)	653	(1)
Therapeutic Exercise Interventions For Common Physiologic Impairments	653	(20)
Pain	653	(8)
Range of Motion and Joint Mobility Impairments	661	(5)
Impaired Muscle Performance	666	(6)
Posture and Movement Impairment	672	(1)
Therapeutic Exercise Interventions For Common Diagnoses	673	(25)
Rotator Cuff Disorders	673	(7)
Adhesive Capsulitis	680	(5)
Adjunctive Interventions: Taping	685	(1)
Scapular Corrections	686	(1)
Prevention of Allergic Reaction	687	(3)
Prevention of Skin Breakdown	690	(8)
The Elbow, Forearm, Wrist, and Hand	698	(41)
Lori Thein Brody
Anatomy	698	(4)
Elbow and Forearm	698	(2)
Wrist	700	(2)
Hand	702	(1)
Regional Neurology	702	(3)
Kinesiology	705	(3)
Elbow and Forearm	705	(1)
Wrist	706	(1)
Hand	706	(2)
Examination and Evaluation	708	(1)
History	708	(1)
Observation and Clearing Tests	708	(1)
Mobility Examination	708	(1)
Muscle Performance Examination	709	(1)
Pain and Inflammation Examination	709	(1)
Other Tests	709	(1)
Therapeutic Exercise Interventions for Common Physiologic Impairments	709	(6)
Impaired Mobility	709	(2)
Impaired Muscle Performance	711	(2)
Impaired Endurance	713	(1)
Pain and Inflammation	714	(1)
Posture and Movement Impairment	714	(1)
Therapeutic Exercise Interventions for Common Diagnoses	715	(24)
Cumulative Trauma Disorders	715	(1)
Nerve Injuries	716	(3)
Musculotendinous Disorders	719	(4)
Bone and Joint Injuries	723	(6)
Complex Regional Pain Syndrome	729	(3)
Stiff Hand and Restricted Motion	732	(7)
UNIT 7 Case Studies	739	(20)
Appendix 1 Red Flags: Recognizing Signs and Symptoms	759	(5)
Appendix 2 Red Flags: Potentially Serious Symptoms and Signs in Exercising Patients	764	(7)
Index	771