A Practical Approach to Musculoskeletal Medicine

Emily Goodlad, Jill Kerr, Elaine Atkins

Description

This refreshing fourth edition of the established evidence-based textbook by Elaine Atkins, Jill Kerr and Emily Goodlad continues to uphold the Cyriax approach to clinical reasoning, assessment, diagnosis and treatment of musculoskeletal conditions.

Renamed A Practical Approach to Musculoskeletal Medicine, to reflect globally understood terminology, it focuses on the principles and practice of musculoskeletal medicine, providing practical guidance and tips for clinical practice based on extensive clinical experience and evidence.

The book is split into three sections. Section 1 presents the theory underpinning musculoskeletal medicine. The histology and behaviour of the soft tissues follow, with a review of the healing process, to enhance understanding of the effects of injury on the soft tissues. The first section ends with the principles of treatment as applied in musculoskeletal medicine and discusses the techniques of mobilization and injection, aims and application, and indications for use.

Section 2 adopts a regional approach. Anatomy is presented, including useful tips on surface marking to locate commonly injured anatomical structures. Assessment, lesions and treatment techniques are discussed for each region as appropriate for the stage in the healing process.

Section 3 provides resources to support the recording of assessment and to ensure safety, especially whilst learning the musculoskeletal medicine approach.

A Practical Approach to Musculoskeletal Medicine comprehensively and critically discusses current literature. It is a complete reference source for students and postgraduate medical practitioners, physiotherapists, osteopaths and other allied health professionals, including occupational therapists and podiatrists. It is essential reading.

• Review questions and case scenarios at the end of each chapter to revise key principles of the approach
• Updates on tendinopathy management (including optimal loading), cervical arterial dysfunction, spinal clinical models and manipulation
• Over 250 new illustrations and photographs

Evolve Resources containing:

• New taster video clips demonstrating assessment and treatment techniques
• Self-assessment section
• Image bank

Log on to http://evolve.elsevier.com/Atkins/msk

Sujets

• Physical Therapy
• Allied Health Services
• Medical
• Médecine

Informations

• Publié par: Elsevier
• Date de parution: 11 août 2015
• Nombre de lectures: 3
• EAN13: 9780702057403
• Langue: English
• Poids de l'ouvrage: 5 Mo

Extrait

A Practical Approach to Musculoskeletal Medicine
Assessment, Diagnosis, Treatment
Fourth Edition
Elaine Atkins, DProf MA Cert FE FCSP
Jill Kerr, MSc BSc MCSP
Emily Goodlad, MSc MCSP

Foreword by
Oliver Cyriax
Table of Contents
Cover image
Title page
Copyright
About the Authors
Foreword to the Fourth Edition
Foreword to the Third Edition
Foreword to the Second Edition
Preface
Dedication
Acknowledgements
Section 1: Principles of Musculoskeletal Medicine
Introduction
Introduction to Section 1
1: Clinical Reasoning in Musculoskeletal Medicine
Summary
Referred Symptoms
Segmental Reference
Clinical Examination
Observation
History
Inspection
Palpation
State at Rest
Examination by Selective Tension
Palpation
Review Questions
2: Soft Tissues of the Musculoskeletal System
Summary
Connective Tissue
Regular Connective Tissue
Irregular Connective Tissue
Muscle
Nervous Tissue
Connective Tissue Response to Mechanical Stress
Review Questions
3: Soft Tissue Healing
Summary
Inflammatory Phase
Repair Phase
Remodelling Phase
Review Questions
4: Musculoskeletal Medicine Treatment Techniques
Summary
Mobilization
Transverse Frictions
Graded Mobilization Techniques
Peripheral Graded Mobilization Techniques
Spinal Graded Mobilization Techniques
Traction
Musculoskeletal Medicine Injection Techniques
Review Questions
Section 2: Practice of Musculoskeletal Medicine
Introduction
Introduction to Section 2
5: The Shoulder
Summary
Anatomy
Guide to Surface Marking and Palpation
Commentary on the Examination
Capsular Lesions
Non-Capsular Lesions
Transverse frictions to the superior acromioclavicular capsular ligament (Cyriax, 1984; Cyriax and Cyriax, 1993)
Subacromial Pain Syndrome
Contractile Lesions
Review Questions
6: The Elbow
Summary
Anatomy
Guide to Surface Marking and Palpation
Commentary on the Examination
Capsular Lesions
Non-Capsular Lesions
Contractile Lesions
Review Questions
7: The Wrist and Hand
Summary
Anatomy
Guide to Surface Marking and Palpation
Commentary on the Examination
Capsular Lesions
Non-Capsular Lesions
Contractile Lesions
Transverse Frictions for de Quervain's Tenosynovitis
Transverse Frictions for Intersection Syndrome
Review Questions
8: The Cervical Spine
Summary
Anatomy
Commentary on the Examination
Cervical Arterial Dysfunction
Cervical Lesions – A Classification System of Four Clinical Models
Treatment of Cervical Lesions
9: The Thoracic Spine
Summary
Anatomy
Commentary on the Examination
Treatment of Thoracic Lesions
Thoracic Techniques
Review Questions
10: The Hip
Summary
Anatomy
A Guide to Surface Marking and Palpation
Commentary on the Examination
Capsular Lesions
Non-Capsular Lesions
Contractile Lesions
Review Questions
11: The knee
Summary
Anatomy
A Guide to Surface Marking and Palpation
Commentary on the Examination
Capsular Lesions
Non-capsular Lesions
Contractile Lesions
Review Questions
12: The Ankle and Foot
Summary
Anatomy
A Guide to Surface Marking and Palpation
Commentary on the Examination
Capsular Lesions
Non-capsular Lesions
Contractile Lesions
Review Questions
13: The Lumbar Spine
Summary
Anatomy
Commentary on the Examination
Management of Back Pain
Lumbar Lesions: A Classification System of Four Clinical Models
Treatment of Lumbar Lesions
Review Questions
14: The Sacroiliac Joint
Summary
Anatomy
Commentary on the Examination
Sacroiliac Joint Gapping/Distraction Technique (Saunders, 2000)
Rotation of the Pelvis Down/Posteriorly on the Painful Side (Saunders, 2000)
Rotation of the Pelvis Up/Anteriorly on the Painful Side (Saunders, 2000)
Review Questions
Section 3: Practical Resources
Introduction
Introduction to Section 3
A1: Assessment Tools: Star Diagrams; Pro Forma for Lumbar Spine Assessment
Star Diagrams
Cervical and Thoracic Spine
Lumbar Spine
Example 1 Clinical Model 1 in Cervical Spine
Example 2 Clinical Model 2 in the Lumbar Spine
Example 3 Clinical Model 3 in Lumbar Spine
Example 4 Lumbar Spine Highlighting Spasm and Painful Arc
Pro Forma for Lumbar spine assessment
A2: Safety Recommendations for Spinal Manipulative Techniques
A3: Courses in Musculoskeletal Medicine
Glossary
Index
Copyright

© 2016 Elaine Atkins, Jill Kerr and Emily Goodlad. Published by Elsevier Ltd. All Rights Reserved.
First edition 1998
Second edition 2005
Third edition 2010
Fourth edition 2016
No part of this publication may be reproduced or transmitted in any form or by any means, electronic or mechanical, including photocopying, recording, or any information storage and retrieval system, without permission in writing from the publisher. Details on how to seek permission, further information about the Publisher’s permissions policies and our arrangements with organizations such as the Copyright Clearance Center and the Copyright Licensing Agency, can be found at our website: www.elsevier.com/permissions .
This book and the individual contributions contained in it are protected under copyright by the Publisher (other than as may be noted herein).
ISBN 978-0-7020-5736-6

Notices
Knowledge and best practice in this field are constantly changing. As new research and experience broaden our understanding, changes in research methods, professional practices, or medical treatment may become necessary.
Practitioners and researchers must always rely on their own experience and knowledge in evaluating and using any information, methods, compounds, or experiments described herein. In using such information or methods they should be mindful of their own safety and the safety of others, including parties for whom they have a professional responsibility.
With respect to any drug or pharmaceutical products identified, readers are advised to check the most current information provided (i) on procedures featured or (ii) by the manufacturer of each product to be administered, to verify the recommended dose or formula, the method and duration of administration, and contraindications. It is the responsibility of practitioners, relying on their own experience and knowledge of their patients, to make diagnoses, to determine dosages and the best treatment for each individual patient, and to take all appropriate safety precautions.
To the fullest extent of the law, neither the Publisher nor the authors, contributors, or editors, assume any liability for any injury and/or damage to persons or property as a matter of products liability, negligence or otherwise, or from any use or operation of any methods, products, instructions, or ideas contained in the material herein.



Printed in China
About the Authors
Elaine Atkins, DProf MA Cert FE FCSP ; Jill Kerr, MSc BSc MCSP ; Emily Goodlad, MSc MCSP
The original authors, Monica Kesson and Elaine Atkins, studied physiotherapy together at St Thomas’ Hospital, London, in the early 1970s, where the methods of Dr James Cyriax were taught. From that early inspiration they continued to develop their clinical practice encompassing a wider scope of physiotherapy skills but always building on the solid, logical base provided by musculoskeletal medicine.
Jill Kerr and Emily Goodlad joined Elaine Atkins in the writing of the third edition, and the successful team has stayed together for this fourth edition. Their ideas and individual skills have developed still further and derive from their many years of teaching musculoskeletal medicine. This is reflected in the reorganization and updating of the text, as well as the inclusion of additional activities at the end of each chapter and on the linked Evolve Resources website, to enhance students’ learning and review. Their extensive clinical experience is evident throughout.
The authors continue to combine clinical practice with a teaching commitment to the Society of Musculoskeletal Medicine and have an active role in developing and achieving the Society’s strategic educational aims.
Foreword to the Fourth Edition
When my father started at St Thomas’ in the 1920s, a smart treatment for ‘rheumatism’ and ‘fibrositis’ was to have your teeth removed.
Father’s pioneering work in this neglected area may have derived in part from gleeful scepticism. More important was his profound knowledge of applied anatomy and a capacity for clinical excellence. With these pragmatic skills, and not an MRI scanner in sight, Dr Cyriax mapped with broad success an unacknowledged continent of musculoskeletal disorders.
For decades, individual practitioners would visit our home in Regent’s Park where there was one topic of conversation. Discussion of any social issue turned to the same point: astonishment that in all the world only a few liberal cognoscenti could distinguish the caps