Therapeutic Exercise for Lumbopelvic Stabilization

This book is based on the evidence from research undertaken by the authors over a number of years. The significance of these findings to the treatment and prevention of low back pain are now widely acknowledged, not only among researchers but also, and perhaps more importantly, among practitioners concerned with the management and prevention of back pain. In this new edition they have taken the opportunity to extend the scope of the book to accommodate the most recent evidence, which has emerged since the first edition was published in 1999. This is an important book in that it not only presents the evidence but also gives practical guidance on how the findings may be applied in everyday practice. This new edition will continue to provide an indispensable practical reference source for all those working in the field of musculoskeletal pain and dysfunction.


Features

# Written by 4 of the foremost researchers in the field of musculoskeletal dysfunction
# Based on the very latest research from the key workers in the field around the world
# Demonstrates the clinical relevance of the research to the student and busy practitioner
# Presents a new, problem-solving approach to back pain assessment and management based on the latest understanding of the anatomy, physiology and biomechanics involved involved
# Suggests future directions for clinical management and future research
# Extensively illustrated with line diagrams and photographs.
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What's New

# Many new illustrations
# Old sections 2 and 3 combined and completely rewritten and restructured
# New detailed chapters on Panjabi's model related to the passive system, the neural system and the muscle system with more emphasis on the importance of the neural system than in the first edition. The dysfunction in each system will now be detailed and the interrelationships between the systems emphasized.
# New emphasis on the principles relating to the prevention of musculo-skeletal injury and its importance for reducing health costs
# New chapter in Section 3 on prevention strategies
# More detail on the issues of the neural spine and ergonomics
# Acute and early intervention to be dealt with in separate chapters
# Issues relating to the management of chronic pain conditions to be included
# Explains the integration between the local and global muscle systems
# Explains how to integrate therapeutic exercise with other treatment programs e. g. manual therapy and electrotherapy and how to progress the client from one program to another.
# All text retained from previous edition to be revised and updated.
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Contents

SECTION 1: Introduction 1. The time to move forward SECTION 2: The joint protection mechanisms Part 1 Introduction 2. Lumbo-pelvic stability: a functional model of the biomechanics and motor control Part 2 Specific joint protection of the spinal segments 3. Abdominal mechanism and support of the lumbar spine and pelvis 4. Paraspinal mechanism and support of the lumbar spine Part 3 The antigravity muscle support system 5. Stiffness of the lumbo-pelvic region for load transfer 6. The role of weightbearing and non-weightbearing muscles SECTION 3: IMPAIRMENT IN THE JOINT PROTECTION MECHANISMS: CONCEPTS 7. The deload model of injury 8. Joint injury 9. Pain models SECTION 4 IMPAIRMENT IN THE JOINT PROTECTION MECHANISMS: LOW BACK PAIN 10. Abdominal mechanism in low back pain 11. Paraspinal mechanism in low back pain 12. Impairments in the muscles controlling pelvic orientation and weightbearing SECTION 5 TREATMENT AND PREVENTION OF LOW BACK PAIN 13. Principles of the ‘segmental stabilization’ exercise model 14. Local segmental control 15. Closed chain segmental control 16. Open chain segmental control and progression into function