Back Pain - A Movement Problem: A clinical approach incorporating relevant research and practice

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Back Pain: a movement problem is a practical manual to assist all students and clinicians concerned with the evaluation, diagnosis and management of the movement-related problems seen in those with spinal pain disorders. It offers an integrative model of posturo-movement dysfunction which describes the more commonly observed features and related key patterns of altered control. This serves as a framework, guiding the practitioner's assessment of the individual patient.


Examines aspects of motor control and functional movement in the spine, its development, and explores probable reasons why it is altered in people with back pain

Maps the more common clinical patterns of presentation in those with spinal pain and provides a simple clinical classification system based upon posturo-movement impairments

Integrates contemporary science with the insights of extensive clinical practice

Integrates manual and exercise therapy and provides guiding principles for more rational therapeutic interventions:

which patterns of movement in general need to be encouraged

which to lessen and how to do so

Abundantly illustrated to present concepts and to illustrate the difference between so-called normal and dysfunctional presentations

Written by a practitioner for practitioners

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Product Details

  • ISBN-13: 9780702030796
  • Publisher: Elsevier Health Sciences
  • Publication date: 3/4/2010
  • Pages: 400
  • Product dimensions: 7.70 (w) x 9.80 (h) x 0.90 (d)

Meet the Author

Manipulative Physiotherapist

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Table of Contents

Foreword vii

Preface ix

Acknowledgements xi

1 Introduction 1

2 The problem of back pain 3

3 The development of posture and movement 11

4 The analysis of movement 37

5 Classification of muscles 55

6 Salient aspects of normal function of the torso 73

7 Changed control of posture and movement: the dysfunctional state 153

8 Common features of posturomovement dysfunction 167

9 The two primary patterns of torso dysfunction 217

10 Clinical posturomovement impairment syndromes 239

11 Examining probable contributions towards dysfunctional posture and movement 265

12 A 'functional pathology of the motor system' involves a pattern generating mechanism underlying most spinal pain disorders 279

13 Therapeutic approach 297

14 Inherent implications in this model 369

Glossary 371

Index 373

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