Maitland's Vertebral Manipulation

Elly Hengeveld

Description

The legacy of Geoff Maitland and his seminal work, Vertebral Manipulation, continues in this eighth edition, with Elly Hengeveld and Kevin Banks leading an international team of experts who demonstrate how to manage vertebral neuromusculoskeletal disorders using the principles and practice of the Maitland Concept. Together, they ensure the heart of the Concept beats on by promoting collaborative decision-making with the patient at centre and emphasizing the art and science of observation, listening, palpation and movement skills.

A key feature of the new edition focuses on a more evidence-based and analytical view of the role of mobilization and manipulation in clinical practice The authors have written in a way that reflects their application of the Maitland Concept and how they have integrated techniques in the light of advancement in professional knowledge. Each chapter stands alone as a ‘master class’.

The text is systematically arranged focusing on detailed assessment, clinical reasoning and re-assessment to determine the physical dysfunction and efficacy of manipulative physiotherapy techniques, while also advocating continuous communication and interaction. Techniques of passive mobilization are also described, specifically designed around the individual patient’s condition.

All the chapters are written from a clinical perspective and review the evidence which informs how to deal with and manage spinal and pelvic pain as they present to the practitioner. Furthermore, each vertebral region (cervical, thoracic, lumbar, sacroiliac/pelvic) is considered from the point of view of best practice in analysing and hypothesising subjective data, examination, treatment and management of spinal pain conditions.

Brand new to the eighth edition is the addition of a companion website – Maitland’s Manipulation eResources (www.maitlandsresources.com) – providing access to a range of valuable learning materials which include videos, MCQs, interactive case studies, research links, and bonus chapters

• World-leading experts provide evidence relating the Maitland Concept to clinical practice
• Evidence supporting practice
• Covers both subjective and physical examination
• Best practice management using mobilization and manipulation
• Case studies – how and when to integrate the Maitland Concept into clinical practice
• Chapter-based learning outcomes, keywords and glossaries
• Companion website – Maitland’s Manipulation eResources (www.maitlandsresources.com)

• Expert perspectives and supporting evidence
• Case studies
• Companion website – www.maitlandsresources.com – containing:
• Video Bank of over 480 video clips showing examination and treatment techniques
• Image Bank of over 1,000 illustrations
• Interactive case studies
• Over 200 MCQs
• Bonus chapters on additional principles and techniques of examination / treatment
• Weblink references to abstracts

Sujets

• Physical Therapy
• Allied Health Services
• Medical
• Médecine

Informations

• Publié par: Churchill Livingstone
• Date de parution: 22 août 2013
• Nombre de lectures: 0
• EAN13: 9780702054587
• Langue: English
• Poids de l'ouvrage: 23 Mo

Extrait

Maitland's Vertebral Manipulation

Management of Neuromusculoskeletal Disorders Volume 1

EI G HT H EDI T I O N

Edited by Elly Hengeveld MSc BPT OMTsvomp Clin Spec fisioswiss/MSK IMTA Member Oberentfelden, Switzerland Kevin Banks BA MMACP MCSP SRP IMTA Member Chartered Physiotherapist, Rotherham, UK Consulting Editor Matthew Newton HPC Reg, MCSP, MMACP, MIMTA Teacher, International Maitland Teachers' Association Orthopaedic Physiotherapy Practitioner, Doncaster, UK

Edinburgh London N ew York O xford Philadelphia S t Louis S ydney Toronto 2014

Content Strategist:Rita Demetriou-Swanwick Content Development Specialist:Sheila Black Project Manager:Anne Collett Designer:Christian Bilbow Illustration Manager:Jennifer Rose

Table of Contents

Cover image

Title Page

Dedication

Copyright

Contributors

Biography Geoffrey Douglas Maitland MBE AUA FCSP FACP (Monograph), FACP (Specialist Manipulative Physiotherapist) MAppSc (Physiotherapy)

Preface

Acknowledgements

In Memoriam: Kevin Banks (1959–2012)

Glossary Chapter 1 The Maitland Concept: assessment, examination and treatment of movement impairments by passive movement Chapter 2 Clinical reasoning: from the Maitland Concept and beyond

Chapter 3 Communication and the therapeutic relationship

Chapter 4 Management of cervical spine disorders: a neuro-orthopaedic perspective

Chapter 5 Management of thoracic spine disorders

Chapter 6 Management of lumbar spine disorders

Chapter 7 Management of sacroiliac and pelvic disorders

Chapter 8 Sustaining movement capacity and performance

Appendix 4 Recording References

1 The Maitland Concept A personal commitment to the patient A mode of thinking: the primacy of clinical evidence

Techniques Examination Assessment Conclusion References

2 Clinical reasoning Introduction Clinical reasoning and evidence-based practice

Critical thinking and clinical reasoning

Importance of skilled clinical reasoning to expert practice

Clinical reasoning and the bio-psychosocial model of health and disability

Clinical reasoning as a hypothesis-oriented and collaborative process

Clinical reasoning and knowledge

Clinical reasoning and cognition/metacognition

Skilled questioning important to critical thinking and learning

Skilled questioning important to clinical practice Facilitating application of bio-psychosocial practice: clinical reasoning strategies and hypothesis categories Hypothesis categories

Pattern recognition

Complexity of clinical reasoning

Errors of clinical reasoning

Improving clinical reasoning: learning through clinical reasoning

We are all imposters References

3 Communication and the therapeutic relationship Introduction Therapeutic relationship

Communication and interaction

The process of collaborative goal setting

Critical phases of the therapeutic process

Verbatim examples Conclusion References

4 Management of cervical spine disorders Introduction Epidemiology of neck, head and facial pain

Common syndromes of the cervical region and their presentations

Clinical reasoning and the bio-psychosocial model

A definition for pain

Pain mechanisms

Input dominant mechanisms

Pain associated with changes in the nervous system

Centrally mediated mechanisms

The brain and pain

Output mechanisms

Examination of the cervical region

Physical examination

Palpation of peripheral nerves

Neurodynamic testing

Pre-cervical spine treatment screening – implications for examination

The treatment of the cervical region

Treatment with reference to neurodynamics References

5 Management of thoracic spine disorders Introduction: thoracic spine and the Maitland Concept Clues in the subjective examination to thoracic spine involvement

Improvement of signs and symptoms in areas remote from the thoracic spine after passive mobilization of the mid-thoracic spine region

Thoracic mobilization/manipulation: when to incorporate techniques to directly address neurodynamic signs/symptoms in the healing process of a lumbar disc lesion

Analysis of role of detailed examination in determining when to use thoracic passive mobilization techniques and associated interventions

Examination and treatment techniques References

6 Management of lumbar spine disorders Introduction Demedicalization and conceptualization of NSLBP

Scope of practice of physiotherapists regarding NSLBP

Clinical reasoning

Examination of the lumbar spine: subjective examination

Physical examination Passive accessory intervertebral movements (PAIVMs) Examination of motor control impairment

Mobilization and manipulation treatment techniques

Case studies References

7 Management of sacroiliac and pelvic disorders Introduction Applied theory and evidence supporting practice

Clinical reasoning

Subjective examination

Planning of the physical examination (‘structured reflection’)

Physical examination

Treatment Common clinical presentations References

8 Sustaining functional capacity and performance Introduction Role of passive movement in promotion of active movement and physical activity Functional restoration programmes and self-management

Cognitive behavioural principles

Conclusion References

1 The maitland concept

2 Clinical reasoning

3 Communication and the therapeutic relationship

4 Management of cervical spine disorders

5 Management of thoracic spine disorders

6 Management of lumbar spine disorders

7 Management of sacroiliac and pelvic disorders

8 Sustaining functional capacity and performance

Peripheral manipulation

Appendix 1 Movement diagram theory and compiling a movement diagram A contemporary perspective on defining resistance, grades of mobilization and depicting movement diagrams The movement diagram: a teaching aid, a means of communication and self- learning Pain Resistance (free of muscle spasm/motor responses)

Muscle spasm/motor responses

Modification

Compiling a movement diagram

Example – range limited by 50%

Clinical example – hypermobility

Treatment References

Appendix 2 Clinical examples of movement diagrams Hypermobility Scheuermann's disease

The spondylitic cervical spine Reference

Appendix 3 Examination refinements and movement diagrams Varied inclinations and contact points Sagittal posteroanterior movements in combined positions Diagrams of different movements on a patient with one disorder

Appendix 4 Recording Introduction Asterisks Conditions Some remarks with regards to recording

Recording of subjective examination findings

Recording of physical examination findings

Active movements

Passive movements

Recording of treatment interventions Information, instructions, exercises, warning at the end of a session Recording of follow-up sessions

Retrospective assessment

Written records by the patient

Conclusion References

Index