Effectively assessing clients and knowing how to treat them is the cornerstone of manual therapy. This practical and informative book gives clear and detailed information about these two steps. The book provides step-by-step instructions (including Illustrations) for 19 assessment methods and 24 gentle treatment methods, some of which appear in print for the first time. These methods can be combined to give multiple options for treatment, as demonstrated in five practical examples which demonstrate how the practitioner can apply the methods to improve their clients' wellbeing. The author also describes his six-axis model of variance among treatment methods, which will be particularly useful for practitioners who may want to develop additional new treatment methods of their own. Jeff Burch seeks to demystify the complex and often inconsistent terminology found in many manual therapy texts, making this a practical text for readers of all levels. It will be a useful tool for osteopaths, massage therapists, chiropractors, occupational therapists, physical therapists, structural integrators, and all bodyworkers.
Since the first edition of Clinical Manual for Assessment and Treatment of Suicidal Patients was published in 2005, advances have been made that increase our understanding of suicidal and self-destructive behavior. Although clinicians cannot unerringly predict which patients will die by suicide, they can focus more successfully on early identification of suicidal behavior and effective intervention, and this new edition of the clinical manual thoroughly explores not only assessment of suicidality but what comes after an at-risk patient has been identified. The authors argue that treating specific psychiatric disorders is not enough to prevent suicide, and they offer clinicians the necessary information and strategies to bridge that gap. The authors' main premise is that suicide is a dangerous and short-term problem-solving behavior designed to regulate or eliminate intense emotional pain -- a quick fix where a long-term effective solution is needed -- and this understanding is the underpinning of the assessment and treatment strategies the authors recommend. The content of this new edition has been thoroughly reviewed and revised, and substantive changes have been made to specific chapters to ensure that the book represents the most current thinking and research, while retaining the strengths of the previous edition. The chapter on assessment has been revised to put the fundamental components of effective treatment in a clinical, case-oriented context and includes an easy-to-use assessment protocol that allows clinicians to determine where individual patients stand on seven dimensions (cognitive rigidity, problem-solving deficits, heightened mental pain, emotionally avoidant coping style, interpersonal deficits, self-control deficits, and environmental stress and social support deficits). The many issues involved in the use of psychotropic medications in suicidal patients are addressed in a new chapter, which includes information on the relevant classes of drugs (such as antidepressants and antianxiety agents) and the issues that may arise with their use, including side effects, degree of lethality, and tendency to aggravate suicidality on introduction and withdrawal of the medication. The chapter on special populations has been expanded to include adolescents, elders, and patients with co-occurring substance abuse or psychosis. Because of additional vulnerabilities, treating these groups may call for the use of added or special techniques to ensure the best therapeutic outcomes. Primary care physicians are the first point of contact for many patients, and they may require additional preparation in order to assess and respond to those experiencing suicidal thoughts. The chapter "Suicidal Patients in Primary Care" explores strategies for screening, recognizing, and assessing risk; treating the initial crisis; and developing a crisis management plan. "Tips for Success" appear at intervals, and "The Essentials" are included at the end of each chapter, highlighting the most important concepts. In addition, there are scores of helpful charts and exercises. Practical, accessible, and reader-friendly, the Clinical Manual for Assessment and Treatment of Suicidal Patients is not an academic book but rather is one designed to become an indispensable part of clinicians' working libraries.
This book introduces massage techniques for orthopedic conditions, promoting the alignment of soft tissue relating to pain and dysfunction. An essential manual for clinical massage therapy, it contains brief descriptions of rationale behind orthopedic massage, mechanisms of injury to and repair of soft tissue, and anatomy of each body area. The Second Edition also includes detailed assessment for each body region, discusses common lesions, and provides illustrated instructions on how to administer this scientifically based style of massage. Based on traditional orthopedic assessment protocols, coverage includes range of motion, passive and isometric testing, and tests that determine the severity of a condition or injury.
Master the techniques and problem-solving skills needed to manage spinal and TMJ disorders! Manual Physical Therapy of the Spine, 2nd Edition provides guidelines to manipulation, manual physical therapy examination, and treatment procedures of the spine and temporomandibular joint. Informed by evidence-based research, this text offers detailed instructions for reaching an accurate diagnosis and developing a plan of care. Written by well-known spinal manipulation expert Kenneth Olson, this resource provides the complete information you need to make sound decisions during clinical interventions. - Descriptions of manual therapy techniques include evidence-based coverage of the examination and treatment of spine and TMJ disorders, along with discussions of alternative treatment methods and potential adverse effects and contraindications to manipulation. - Guidelines for completing a comprehensive spinal examination include medical screening, the patient interview, disability assessment, and tests and measures, along with an evaluation of the examination findings and the principles involved in arriving at a diagnosis and plan of care. - Impairment-based manual physical therapy approach includes a review of the evidence to support its use to evaluate and treat spinal and TMJ conditions. - Case studies demonstrate the clinical reasoning used in manual physical therapy. - Guide to Physical Therapist Practice terminology is incorporated throughout the book, using accepted terms familiar in physical therapy settings. - Expert author Ken Olson is a highly respected authority on the subject of spinal manipulation in physical therapy. - A clear, consistent format for explaining techniques makes this reference easy to use in the clinical setting. - NEW! Coverage of emerging topics includes soft tissue assessment, mobilization, dry needling, myofascial pain and trigger points, thoracic outlet syndrome, cervicogenic dizziness, and differentiation of headache types, plus expanded coverage of examination procedures and psychologically informed management strategies for chronic low back pain. - 120 NEW video clips are added to the companion website — over 200 videos in total provide unique 3-dimensional views of exam and manipulation techniques, showing each procedure step by step from frontal, lateral, and cranial perspectives. - NEW! Full-color design and photographs show essential concepts and procedures from multiple angles, illustrating hand and body placement and direction of force. - UPDATED evidence-based research provides the latest thinking on manual therapy of the spine.
Develop your knowledge of chiropractic and osteopathy with this comprehensive guide to advanced skills and peripheral manipulation techniques. This practical handbook takes into account the latest research, highlighting the neurophysiological effects of these techniques, and providing clear, step-by-step guidance from experienced manual therapists. Covering key topics such as the effects of manipulation on organs, working in sports settings, and motion palpation misconceptions, the book demonstrates how to work with a range of joints with advice on diagnostics, contraindications and safety precautions. This is an expert collaboration between professions and can be used as the go-to clinical handbook for all manual therapists.
Assessment and Treatment of Muscle Imbalance: The Janda Approachblends postural techniques, neurology, and functional capabilities in order to alleviate chronic musculoskeletal pain and promote greater functionality. Developed by Vladimir Janda, respected neurologist and physiotherapist , the Janda approach presents a unique perspective to rehabilitation. In contrast to a more traditional structural view, the Janda approach is functional—emphasizing the importance of the sensorimotor system in controlling movement and chronic musculoskeletal pain syndromes from sports and general activities.Assessment and Treatment of Muscle Imbalance: The Janda Approachis the only text to offer practical, evidence-based application of Janda’s theories. Filled with illustrations, photos, and step-by-step instructions, Assessment and Treatment of Muscle Imbalanceuses a systematic approach in presenting information that can be used in tandem with other clinical techniques. This resource for practitioners features the following tools: --A rationale for rehabilitation of the musculoskeletal sytem based on the relationship between the central nervous system and the motor system --A systematic method for the functional examination of the muscular system --Treatment processes focusing on the triad of normalization of peripheral structures, restoration of muscle balance, and facilitation of afferent systems and sensorimotor training --The role of muscle imbalance and functional pathology of sensorimotor systems for specific pain complaints, including cervical pain syndrome, upper- and lower-extremity pain syndromes, and low back pain syndromes Assessment and Treatment of Muscle Imbalanceprovides an evidence-based explanation of muscle imbalance. The step-by-step Janda system of evaluation is explained—including analysis of posture, balance, and gait; evaluation of movement patterns; testing of muscle length; and assessment of the soft tissue. The text explores treatment options for muscle imbalance through facilitation and inhibition techniques and sensorimotor training to restore neuromsucular function. It also includes four case studies examining musculoskeletal conditions and showing how the Janda approach compares with other treatments. This text combines theory, evidence, and applications to assist clinicians in implementing the Janda approach into their practice. Assessment and Treatment of Muscle Imbalance: The Janda Approachfocuses on the neurological aspects of muscle imbalance that are common causes of pain and dysfunction in sports and occupational activities. By distilling the scientific works of Vladimir Janda into a practical, systematic approach, this unique resource will assist health care providers in treating patients with musculoskeletal complaints as well as exercise professionals in developing appropriate exercise prescription and training programs.
Spinal Manual Therapy: An Introduction to Soft Tissue Mobilization, Spinal Manipulation, Therapeutic and Home Exercises, Second Edition is an easy-to-follow manual of clinical techniques for the spine, pelvis, and temporomandibular joint. The text provides "tools" rather than "recipes" and immerses the reader in the process of "thinking as a manual therapist", rather than functioning as a technician. The clinical utility of this revised second edition combines the art and science of present day spinal manual therapy. The focus of Spinal Manual Therapy, Second Edition is to provide clinically useful treatment techniques, while being mindful of the scientific literature related to the practice of spinal manual therapy. It is an ideal resource for all those interested in grasping the basics of spinal manual therapy and transferring that knowledge into practice within a clinical environment. The hands-on approach taken by Dr. Howard W. Makofsky makes this new edition the go-to textbook for spinal manual therapy. New to the Second Edition: New pictures of examination and treatment techniques with captions Additional case studies New evidence supporting spinal manual therapy Updated references throughout the text This unique textbook has a plethora of clinical techniques, including the rationale for each of their use. With over 300 figures, illustrations, and photographs for each examination/treatment technique for various regions of the body, students and clinicians learning manual therapy will benefit greatly from Spinal Manual Therapy, Second Edition. Inside you’ll find: Evaluation Soft tissue techniques Manipulative procedures Specific exercises Clinical problem solving Spinal Manual Therapy, Second Edition mirrors a course on the introduction to spinal manual therapy and will be welcomed into physical therapy curriculums, as well as appreciated by clinicians when entering clinical practice.
This updated version of the first edition condenses and synthesizes a variety of drawing directives that aid clinicians in the assessment process, as well as in therapy.
