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Physical Therapy Prescriptions for Musculoskeletal Disorders

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Overview

Physical Therapy Prescriptions for Musculoskeletal Disorders will assist the physician in understanding the physical therapy process once a prescription is written. To achieve this, typical cases of musculoskeletal conditions are followed from the original work-up to the physical therapy prescription. This includes a clear and concise presentation of a case, results of the physical exam, and the exercises that will be used during physical therapy. Each case also provides the actual prescription form, filled out appropriately for that condition.

This book will:

Provide an overview of diagnosis of the pathologies

Describe how to write an appropriate physical therapy prescription

Illustrate what is actually done in physical therapy once a prescription has been written

Provide detailed pictures of exercises performed in physical therapy

Discuss what is being done in physical therapy, which allows the physician to better communicate with his or her patient on the follow-up visit

Key Features Include:

Easy-to-follow format

Case-based presentations of real-life patients

Each case has author-approved recommendations and a prescription form

Over 80 images depicting physical therapy exercises

This practical manual is the perfect resource for physiatrists, orthopaedists, rheumatologists, neurologists, family practitioners, internists, nurse practitioners, physician assistants, physical therapists, occupational therapists, residents, and students.

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Editorial Reviews

Doody's Review Service
Reviewer: Daryl Lawson, PT, DSc (Elon University)
Description: This book uses case-based presentations of musculoskeletal disorders to help physicians understand and write effective physical therapy prescriptions, what takes place during physical therapy, and how physical therapists fulfill prescriptions. Each case is followed from the physician's examination to the physical therapy evaluation and treatment.
Purpose: The purpose is to help musculoskeletal physicians understand the physical therapy process once a prescription is written. The training of medical students, nurse practitioners, physician assistants, osteopaths, physiatrists, and residents offers little time for understanding the role of physical therapy. A book explaining this role for those in disciplines unfamiliar with physical therapy is needed.
Audience: The target audience is physiatrists, orthopedists, rheumatologists, neurologists, family practitioners, physician assistants, physical therapists, occupational therapists, residents, and students. It would be helpful to medically trained clinicians who refer patients for physical therapy.
Features: The book uses a consistent format for the 34 case presentations, beginning with a physician's examination and concluding with the physician's impression of the case and plan, one aspect of which is a referral to physical therapy. The next section in each case is a physical therapy examination, subjective and objective, including ROM, joint play, special tests, MMT, neurodynamic testing, tight tender points/soft tissue restrictions, posture and ergonomics. This is followed by the assessment and the plan, including manual therapy, modalities, and a home exercise program. Each case ends with a orthopedic rehabilitation prescription that is filled out to reflect the plan of care. The book has good photos of therapeutic exercise for each case that demonstrate the prescribed exercise and give the referring practitioner an idea of what their patients may be doing in physical therapy. It also provides a basic outline of a physical therapy examination and prescription based on the findings of the evaluation. It would have been helpful to introduce the target audience to the grading scale of MMT, ROM, neurodynamic testing, joint play, and ergonomics, since all of these concepts may be outside their training. The cases offer no evidence-based treatment based on the evaluation. Some of the findings on the evaluation are inconsistent with the exercises presented (e.g. Achilles tendon stretch picture when ankle ROM is the norm). The physical therapy examinations lack any outcome surveys or functional tests which would be important information for referring practitioners. Finally, the physical therapy assessment uses ICD-9 diagnostic language instead of incorporating the International Classification of Functioning, Disability, and Health (ICF) which is the preferred diagnostic code for physical therapy.
Assessment: This book may be useful to current or future referring practitioners. It gives some insight into a physical therapy evaluation, treatment, and prescription. It would not be appropriate for physical therapy students, physical therapist assistants, or physical therapists. A more comprehensive book on physical therapy evaluations and treatment that are evidence-based would be more appropriate for them.
From The Critics
Reviewer: Daryl Lawson, PT, DSc(Elon University)
Description: This book uses case-based presentations of musculoskeletal disorders to help physicians understand and write effective physical therapy prescriptions, what takes place during physical therapy, and how physical therapists fulfill prescriptions. Each case is followed from the physician's examination to the physical therapy evaluation and treatment.
Purpose: The purpose is to help musculoskeletal physicians understand the physical therapy process once a prescription is written. The training of medical students, nurse practitioners, physician assistants, osteopaths, physiatrists, and residents offers little time for understanding the role of physical therapy. A book explaining this role for those in disciplines unfamiliar with physical therapy is needed.
Audience: "The target audience is physiatrists, orthopedists, rheumatologists, neurologists, family practitioners, physician assistants, physical therapists, occupational therapists, residents, and students. It would be helpful to medically trained clinicians who refer patients for physical therapy. "
Features: The book uses a consistent format for the 34 case presentations, beginning with a physician's examination and concluding with the physician's impression of the case and plan, one aspect of which is a referral to physical therapy. The next section in each case is a physical therapy examination, subjective and objective, including ROM, joint play, special tests, MMT, neurodynamic testing, tight tender points/soft tissue restrictions, posture and ergonomics. This is followed by the assessment and the plan, including manual therapy, modalities, and a home exercise program. Each case ends with a orthopedic rehabilitation prescription that is filled out to reflect the plan of care. The book has good photos of therapeutic exercise for each case that demonstrate the prescribed exercise and give the referring practitioner an idea of what their patients may be doing in physical therapy. It also provides a basic outline of a physical therapy examination and prescription based on the findings of the evaluation. It would have been helpful to introduce the target audience to the grading scale of MMT, ROM, neurodynamic testing, joint play, and ergonomics, since all of these concepts may be outside their training. The cases offer no evidence-based treatment based on the evaluation. Some of the findings on the evaluation are inconsistent with the exercises presented (e.g. Achilles tendon stretch picture when ankle ROM is the norm). The physical therapy examinations lack any outcome surveys or functional tests which would be important information for referring practitioners. Finally, the physical therapy assessment uses ICD-9 diagnostic language instead of incorporating the International Classification of Functioning, Disability, and Health (ICF) which is the preferred diagnostic code for physical therapy.
Assessment: This book may be useful to current or future referring practitioners. It gives some insight into a physical therapy evaluation, treatment, and prescription. It would not be appropriate for physical therapy students, physical therapist assistants, or physical therapists. A more comprehensive book on physical therapy evaluations and treatment that are evidence-based would be more appropriate for them.
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Product Details

  • ISBN-13: 9781605476728
  • Publisher: Lippincott Williams & Wilkins
  • Publication date: 12/13/2010
  • Pages: 384
  • Product dimensions: 6.00 (w) x 8.90 (h) x 0.50 (d)

Table of Contents

Part 1 Cervical Disorders 1

Case 1 Myofascial Neck Pain 2

Case 2 Cervical Radiculitis 11

Case 3 Whiplash Injury 19

Case 4 Chronic Neck Pain 28

Part 2 Shoulder 37

Case 5 Rotator Cuff Tendonitis 38

Case 6 Biceps Tendonitis 46

Case 7 Left AC Joint Arthritis 54

Case 8 Labral Tear 61

Part 3 Elbow 67

Case 9 Lateral Epicondylitis 68

Case 10 Medial Epicondylitis 75

Part 4 Wrist and Hand 82

Case 11 Carpal Tunnel Syndrome 83

Case 12 De Quervain Tenosynovitis 90

Part 5 Thoracic Pain 96

Case 13 Mid Back Myofascial Pain 97

Case 14 Thoracic Compression Fracture 104

Part 6 Lumbosacral Spine 110

Case 15 Lumbar Strain 111

Case 16 Subacute Discogenic Lower Back Pain 120

Case 17 Chronic Discogenic Lower Back Pain 130

Case 18 Spondylolisthesis 137

Case 19 Facet Arthropathy 143

Case 20 Sacroiliac Joint Pain 151

Case 21 Spinal Stenosis 157

Case 22 Acute Lumbar Radiculitis 165

Case 23 Lumbar Radiculopathy 174

Part 7 Thigh Pain 182

Case 24 Hamstring Strain 183

Case 25 Quadriceps Strain 190

Part 8 Knee Pain 196

Case 26 Meniscus Tear 197

Case 27 Patellofemoral Syndrome 205

Case 28 Knee Osteoarthritis 213

Case 29 Degenerative Meniscus Tear 222

Part 9 Lower Leg Pain 230

Case 30 Compartment Syndrome 231

Case 31 Medial Tibial Stress Syndrome ("Shin Splints") 242

Part 10 Ankle and Foot 252

Case 32 Achilles Tendonitis 253

Case 33 Ankle Sprain 261

Case 34 Plantar Fasciitis 268

Index 275

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