Back Stability:Integrating Science and Therapy 2nd Edition / Edition 2

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Back Stability: Integrating Science and Therapy, Second Edition, is designed to help practitioners recognize and manage back conditions using proven clinical approaches to stabilize the spine. More than just another sequence of back exercises, this text provides a theoretical foundation that will guide you in selecting the most effective exercises for each client and integrating them into a complete program to offer the best possible care in back health.

A focus on evidence-based practice pervades Back Stability to address one of the most common maladies of modern living: back pain. This text combines research from around the world in the areas of anatomy, physiology, pathology, biomechanics, exercise physiology, and motor skill training with the practical knowledge of author Christopher Norris, a physiotherapist, exercise professional, and teacher for more than 30 years. With his expertise, you will gain the practical knowledge to help you recognize and assess inappropriate movement patterns—whether caused by injury or simple day-to-day activity—and use a process of clinical decision making to determine which exercises to use in developing effective back care programs.

In addition to updated research, the second edition has undergone many changes that improve the book's layout and make it more user friendly:

-The 33 new exercises as well as modified versions of previous exercises help refine and customize each program.

-Detailed teaching elements throughout the book provide constructive and motivating ways to prescribe exercises to clients and patients.

-Photographs clearly demonstrate each exercise technique and, where appropriate, are overlayed with arrows or lines to show proper body alignment.

-A second color is integrated throughout the text, enhancing the visual flow.

-Bullet points summarize and facilitate quick reference of exercise technique, and checklists aid in exercise prescription.

-A larger format for the text allows for a more attractive presentation with bigger photos and easier recognition of important information.
The second edition of Back Stability is organized into five parts that follow a logical progression from initial concepts to clinical applications. The text introduces the problems of back pain and instability and provides an explanation of spinal anatomy, movements, and the physics of lifting. A discussion follows of the basic skills required for developing stability. Assessments of posture and muscle balance are highlighted, and foundational movements for development of core stability are introduced.
After covering the basics, the text moves into more practical applications by presenting progressive exercises and basic equipment used for developing greater stability. Information on abdominal training, resistance apparatus, speed and power, and practical functional progressions will help your patients or clients increase back stability and enhance performance. Finally, real-life patient examples illustrate how to structure a full back stability program.

Back Stability: Integrating Science and Therapy, Second Edition, presents an alternative method for the treatment of back pain and provides each patient or client the opportunity to actively participate in recovery and maintenance. By integrating the science behind back pain into a useable format for understanding and application, Back Stability offers proven methods of care and assists your work with clients and patients to alleviate their pain, increase their back stability, and help them return to a fully functional lifestyle.

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Editorial Reviews

Doody's Review Service
Reviewer: Christopher J Hughes, PT, PhD, OCS, CSCS (Slippery Rock University)
Description: This book is written for practitioners who prescribe exercise for patients who suffer from low back pain. Unique to this edition are the photographs of all exercises with key points and teaching points. The previous edition was published in 2000.
Purpose: The purpose was to update the first edition with more integration of the science underlying the practical application of exercise in treating low back pain so practitioners can easily implement evidence-based care. This is a suitable objective, given the fact that many individuals suffer from low back pain and need guidance in exercise prescription to improve spine stability.
Audience: Physical therapists are the main audience, but athletic trainers, exercise physiologists, and personal trainers will also find the book useful. The author, a physiotherapist with over 30 years of clinical experience, operates two private clinics in England that specialize in back rehabilitation. He also is a visiting lecturer at several U.K. universities.
Features: The book is well organized, the presentation of material is colorful, and drawings are well defined. The 19 chapters are grouped into five parts. Part one thoroughly covers the anatomical and biomechanical basis of the lumbar spine, highlighting key points in bold print throughout. Part two includes chapters on posture, muscle balance, and teaching clients foundation movements to control the spine in a neutral position. Each of the four chapters in part three specifically addresses how to progress stability training using limb loading, unstable base, and gym ball and foam roller props. The first two chapters in part four emphasize proper abdominal training with critical analysis of sit-up and straight leg raise exercises. Plentiful photographs and figures help to clearly present the concepts. Chapter 14 discusses core strength development using resistance training such as free weights and machines. Chapter 15 presents more advanced training techniques using speed and power movements in developing core stability. Chapter 16 is unique in the way the author leads readers through a progression from training performance components of stability to improving a client's functional tasks. The material has a strong ergonomic emphasis. Part five discusses client assessment and essential planning in designing a spine stability program. The book concludes with five case histories to reinforce clinical application of the principles discussed. Unique aspects of the book include the wealth of information it presents, the plentiful figures that effectively demonstrate over 100 exercises easily referenced in its exercise finder index, and the how-to approach to presenting the information.
Assessment: This is a much needed book on exercise prescription for patients with low back pain. Although not clinically diagnostic, the book appropriately promotes movement awareness as one of the essential elements in alleviating back pain and improving spine stability. Very few books currently on the market have such a blend of learning and application dealing in this area. I recommend it as a resource.
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Product Details

  • ISBN-13: 9780736070171
  • Publisher: Human Kinetics Publishers
  • Publication date: 4/3/2008
  • Edition description: New Edition
  • Edition number: 2
  • Pages: 360
  • Product dimensions: 8.50 (w) x 11.10 (h) x 1.10 (d)

Meet the Author

Christopher M. Norris, PhD, is a physiotherapist and director of Norris Associates, which operates two private clinics in northwestern England that specialize in exercise therapy for back rehabilitation. Norris is also a consultant to several Blue Chip industries in northwestern England providing on-site physiotherapy services, on-site holistic therapy, training in ergonomics, and training in manual handling.

In addition to more than 30 years of clinical experience, Norris has served as a postgraduate lecturer in the United Kingdom and Europe and as an external examiner and visiting lecturer for several universities in the United Kingdom. He serves on the board of directors of the International Sports and Spine Society and on the international advisory board (IAB) for the Journal of Bodywork Movement Therapies. He is a former IAB member of Physical Therapy in Sport and Sport Exercise and Injury.

Norris resides in Congleton in the Cheshire region of England. In his free time he enjoys coaching and practicing ju jitsu, running in the Cheshire countryside, and hill walking in the Peak National Park.

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Table of Contents

Part I. Conceptual Foundation

Chapter 1. What Is Back Stability
Scope of the Problem
A New Look at the Etiology and Treatment of Back Pain
Model Used in This Book: Lumbar Stabilization

Chapter 2. Biomechanics of the Lumbar Spine
Anatomy of the Vertebral Column
Axial Compression
Movements of the Lumbar Spine and Pelvis
The Mechanics of Bending and Lifting
Lifting Methods

Chapter 3. Stabilization Mechanisms of the Lumbar Spine
Posterior Ligamentous System
Thoracolumbar Fascia
Trunk Muscle Action
Intra-Abdominal Pressure Mechanism

Chapter 4. Principles of Muscle Imbalance
Basic Concepts
Muscle Adaptation to Increased and Decreased Usage
Training Specificity
Changes in Muscle Length

Part II. Establishing Stability

Chapter 5. Posture
Optimal Postural Alignment
Postural Stability and Body Sway
Basic Postural Assessment
Principles of Postural Correction
Posture Types and How to Correct Them

Chapter 6. Muscle Balance Tests
Assessing Stretched Muscles—Testing Inner-Range Holding Ability
Assessing Shortened Muscles
Principles of Muscle Stretching
Stretching Target Muscles
Assessing Segmental Control

Chapter 7. Foundation Movements
Teaching Your Clients to Control Pelvic Tilt
Teaching Your Clients to Identify and Assume the Neutral Position
Teaching Your Clients to Use Abdominal Hollowing
Teaching Your Clients to Contract the Multifidus Muscles at Will

Part III. Progressing Stability Training

Chapter 8. Limb Loading
Superimposed Limb Movements

Chapter 9. Unstable Base
Theory of Proprioception
Benefits of Training

Chapter 10. Gym Ball
Gym Ball Exercises

Chapter 11. Foam Rollers

Part IV. Building Back Fitness

Chapter 12. Faults With Traditional Abdominal Training
Straight-Leg Raise
Potentially Dangerous Exercises

Chapter 13. Abdominal Training Using Stability Concepts
Modifications of the Sit-Up
Modifications of the Straight-Leg Raise (SLR)
Ab Roller Exercises
Testing Midsection Muscle Endurance

Chapter 14. Resistance Training for Core Strength
Weight Training

Chapter 15. Speed and Power in Core Training
Theory of Power Through Speed Training

Chapter 16. Functional Training
Movement Analysis
Movement Components
Lifting Techniques

Part V. Clinical Application

Chapter 17. Preliminary Client Assessment
Assessing Pain
Assessing Disability

Chapter 18. Designing the Program
Needs Analysis
Program Aims
Training Plan
Principles for Designing a Stability Program

Chapter 19. Case History Illustrations
Overweight Client
Athlete With Poor Stability
Client With Acute Pain
Patient Unwilling to Exercise
Pregnant Client With Back Pain

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