Manipulative Therapy: Musculoskeletal Medicine

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Overview

Manipulative Therapy provides a systematic overview of chain reactions which are the basis of a rational holistic approach. These reactions are closely related to the upright human posture and to the "deep stabilisation system" as shown in the work of Richardson et al in Therapeutic Exercise for Spinal Stabilisation in Low Back Pain. This approach has meant a considerable advance in the therapy and rehabilitation of patients.

It gives a balanced picture of the importance of musles, joints and soft tissues, under the control of the nervous system, the textbook aims to treat disturbance of function, the most common cause of pain in the motor system, in the most effective way.

Locomotor system dysfunctions are shown to be treated very effectively using manual medicine techniques. Spinal column and joint mobility can be restored, and pain triggered by the autonomic nervous system can be positively influenced.

This is a comprehensive source of information relating to pathogenesis, diagnosis, indications and treatment methods, incorporating the latest research findings.Radiological diagnosis is is shown as laying the foundation for successful diagnosis and treatment with manual medicine techniques.Typical conditions associated with pain in the locomotor system is presented and describedin functional terms for the first time. The book concludes with chapters covering preventative aspects and expert assessment.

Manipulative Therapy: Musculoskeletal Medicine is the follow on from: Manipulative Therapy in Rehabilitation of the Locomotor System, published by Butterworth Heinemann, 1985.

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Editorial Reviews

Doody's Review Service
Reviewer: Dana J Lawrence, DC, MMedEd, MA (Palmer College of Chiropractic)
Description: This venerable book by Dr. Lewit, which actually represents an update of one that had seven previous German editions and three previous English versions, has undergone significant revision and change. It provides historical background on Lewit's work, discusses etiology and pathogenesis of musculoskeletal problems, looks at functional anatomy and radiology, and then delves into diagnosis and treatment focusing on the locomotor system. Prevention is discussed as well, and updated information is provided on manipulative therapy.
Purpose: The primary purpose is to discuss and describe the treatment and diagnosis of dysfunction of the locomotor system. Secondarily, the focus is on the use of manipulative interventions. The idea is to look at facilitation and inhibition of muscles through manual methods. This is a standard in the field, and because of the changes evident in this version, it continues to be a standard bearer.
Audience: This book will find use among students and practitioners of manual medicine, as well as those who treat musculoskeletal disorders, including MDs, DOs, DCs, ND, and PTs among others. Dr. Lewit is a worldwide leader in this field.
Features: The basic approach is to provide background information on how Lewit, working alongside others such as Vladimir Janda, developed the concepts and methods presented here. Then, the book shifts its focus to the etiology and pathogenesis of muscular dysfunction affecting the locomotor system, providing a sound foundation in assessing and diagnosing this system. The emphasis is on the theoretical basis for the therapeutic interventions which are used, and these techniques are described in great detail. The book leads readers through the methods, providing a series of short case reviews along the way which help illustrate the concepts. It is amply illustrated with clean figures and crisp photographs, and augmented by a rather extensive list of suggested readings. This version rearranges information from past editions, and adds support for the use of manipulative interventions.
Assessment: This is a solid and worthwhile update, and well worth obtaining. I have little to add, except that this is a great revision of a standard in the field, still the benchmark for information about manual therapy for locomotor system dysfunction and very much in the European model of manual care. It continues to build upon the pioneering work of people such as Lewit himself, Janda, Vojta, and others, and should be required reading for those who use manipulative interventions.
From The Critics
Reviewer: Dana J Lawrence, DC, MMedEd, MA(Palmer College of Chiropractic)
Description: This venerable book by Dr. Lewit, which actually represents an update of one that had seven previous German editions and three previous English versions, has undergone significant revision and change. It provides historical background on Lewit's work, discusses etiology and pathogenesis of musculoskeletal problems, looks at functional anatomy and radiology, and then delves into diagnosis and treatment focusing on the locomotor system. Prevention is discussed as well, and updated information is provided on manipulative therapy.
Purpose: The primary purpose is to discuss and describe the treatment and diagnosis of dysfunction of the locomotor system. Secondarily, the focus is on the use of manipulative interventions. The idea is to look at facilitation and inhibition of muscles through manual methods. This is a standard in the field, and because of the changes evident in this version, it continues to be a standard bearer.
Audience: This book will find use among students and practitioners of manual medicine, as well as those who treat musculoskeletal disorders, including MDs, DOs, DCs, ND, and PTs among others. Dr. Lewit is a worldwide leader in this field.
Features: The basic approach is to provide background information on how Lewit, working alongside others such as Vladimir Janda, developed the concepts and methods presented here. Then, the book shifts its focus to the etiology and pathogenesis of muscular dysfunction affecting the locomotor system, providing a sound foundation in assessing and diagnosing this system. The emphasis is on the theoretical basis for the therapeutic interventions which are used, and these techniques are described in great detail. The book leads readers through the methods, providing a series of short case reviews along the way which help illustrate the concepts. It is amply illustrated with clean figures and crisp photographs, and augmented by a rather extensive list of suggested readings. This version rearranges information from past editions, and adds support for the use of manipulative interventions.
Assessment: This is a solid and worthwhile update, and well worth obtaining. I have little to add, except that this is a great revision of a standard in the field, still the benchmark for information about manual therapy for locomotor system dysfunction and very much in the European model of manual care. It continues to build upon the pioneering work of people such as Lewit himself, Janda, Vojta, and others, and should be required reading for those who use manipulative interventions.
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Product Details

  • ISBN-13: 9780702030567
  • Publisher: Elsevier Health Sciences
  • Publication date: 9/10/2009
  • Pages: 450
  • Product dimensions: 7.40 (w) x 9.60 (h) x 0.90 (d)

Meet the Author

Professor Karel Lewit is a neurologist and specialist in manual medicine of international reputation, and one of the founding members of the Prague school. He is still working and teaching as a professor in Prague. He played a decisive role in promoting manual medicine in central Europe. Doctors and physiotherapists in Germany are to this day largely taught according to his principles. He worked together with Vladimir Janda and Philip Greenman, and his postisometric relaxation (PIR) and reciprocal inhibition (RI) were developed from Mitchel’s muscle energy technique.

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Table of Contents

Foreword vii

Preface ix

Acknowledgments xi

Abbreviations xiii

1 History and fundamental principles 1

2 Etiology and pathogenesis 9

3 Functional anatomy and radiology of the spinal column 39

4 Diagnosis of dysfunctions of the locomotor system 87

5 Indications for and principles underlying individual treatment methods 167

6 Therapeutic techniques 181

7 Clinical aspects of locomotor system dysfunction (vertebrogenic disorders) 301

8 Prevention of locomotor system dysfunctions 363

9 Expert assessment of locomotor system dysfunctions 371

10 The place of manipulative therapy and its future 377

Glossary 381

Bibliography 383

Further reading 389

Index 417

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