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Pediatric Manual Medicine E-Book

Pediatric Manual Medicine E-Book

Jane Elizabeth Carreiro

(2009)

Additional Information

Abstract

Whilst Carreiro’s other title, An Osteopathic Approach to Children, covers the theory on pediatric medicine from an osteopathic perspective exploring conditions and diseases of childhood, and the rational for osteopathic treatment, this new book deals with the practical methods to treating children and infants with osteopathic techniques. She includes background on NMT for children and infants. The text refers to all areas including fascias, ligaments, muscles and bones covering all techniques with regard to osteopathic treatment, including techniques such as BLT, a ligamentous technique, counterstrain using muscles, myofascial trigger points,myofascial realease, myofascial unwinding, etc.

  • Covers practical methods to treating children and infants with osteopatic techniques.
  • Includes NMT for children and infants.
  • Comprehensive, referring to all areas, including the fascia.
  • Elaborately illustrated with many drawings and photographs.
  • Includes dissections showing anatomical changes during growth.
  • Treatment covers different age groups.
  • The perfect companion to Carreiro's first book: An Osteopathic Approach to Children.

Table of Contents

Section Title Page Action Price
Front cover Cover
Pediatric manual medicine iii
Copyright page iv
Contents v
Preface vii
Acknowledgements ix
Chapter 1 Basic principles 1
OVERVIEW 1
SOME KEY DIFFERENCES TO REMEMBER WHEN TREATING CHILDREN 2
BASIC PRINCIPLES OF OSTEOPATHIC MANIPULATIVE APPROACHES 3
REFERENCES 12
Chapter 2 Head and neck 13
OVERVIEW 14
TORTICOLLIS 14
INFANTILE POSTURAL ASYMMETRY 15
ASSESSING ACTIVE CERVICAL ROTATION 17
ASSESSING PASSIVE CERVICAL ROTATION 18
ASSESSING PASSIVE CERVICAL SIDE-BENDING 19
ASSESSING MYOFASCIAL RESISTANCE TO BODY ON HEAD MOTION 20
ASSESSING SIDE-BENDING IN THE TORSO 21
THREE-POSITION SEGMENTAL DIAGNOSIS 22
TORTICOLLIS/INFANTILE POSTURAL ASYMMETRY 23
DIRECT MYOFASCIAL RELEASE 24
Cervical Tissue 24
BALANCED LIGAMENTOUS TENSION 25
Lower Cervical Spine 25
Seated Toddler/Infant 25
Supine Infant/Child/Athlete 25
FACILITATED POSITIONAL RELEASE (FPR) 26
Lower Cervical Spine – Superficial Tissues 26
Seated Toddler/Infant 26
FACILITATED POSITIONAL RELEASE 27
Lower Cervical Spine – Segmental Strain 27
C4 Extended Side-bent Rotated Right (Translated Left) 27
C4 Flexed Side-bent Rotated Left (Translated Right) 28
MUSCLE ENERGY ISOMETRIC CONTRACTION 29
Lower Cervical Spine – Flexed 29
Supine Child/Athlete 29
Lower Cervical Spine – Extended 30
Supine Child/Athlete 30
CERVICOGENIC VERTIGO 31
WHIPLASH 31
ASSESSMENT OF ACTIVE MOTION 33
First Rib 33
Supine Athlete 33
BALANCED MEMBRANOUS TENSION 34
First or Second Rib 34
Supine Child/Athlete 34
ACTIVE RESISTANCE REDUCTION TECHNIQUE 35
Cervical Spine 35
Supine Young Athlete/Child 35
FACILITATED POSITIONAL RELEASE (FPR) 37
Cervical Flexed Dysfunction 37
Supine Athlete/Child 37
Cervical Extended Dysfunction 38
Supine Athlete/Child 38
DIRECT MYOFASCIAL RELEASE 39
Anterior Cervical Fascias 39
Seated Athlete 39
MIGRAINE CEPHALGIA 40
COLIC 40
CERVICOGENIC CEPHALGIA 40
Clinical Notes 40
ASSESSING MECHANICS 42
Craniocervical Junction 42
ASSESSING SEGMENTAL MECHANICS 43
Chapter 3 The spine, rib cage and sacrum 99
OVERVIEW 100
THE RESPIRATORY–CIRCULATORY MODEL 100
SACRAL–PELVIC BOWL 102
BALANCED LIGAMENTOUS TECHNIQUE 102
Supine Infant 102
DIRECT MYOFASCIAL RELEASE 103
Supine Infant 103
Seated Toddler 104
BALANCED LIGAMENTOUS TECHNIQUE 105
Sacroiliac Joints 105
Supine Infant 105
TWELFTH RIB, ARCUATE LIGAMENTS AND DIAPHRAGM 106
DIRECT BALANCED LIGAMENTOUS TECHNIQUE 107
Twelfth Rib, Costal Arches, Diaphragm 107
Supine Child or Athlete 107
BALANCED LIGAMENTOUS TECHNIQUE 108
Twelfth Rib, Costal Arches, Diaphragm 108
Seated Toddler 108
Bilateral 12th Rib, Costal Arches, Diaphragm 109
Supine Infant 109
Thoracic Diaphragm 110
Supine Infant, Child, Athlete 110
Supine Child or Athlete 111
Seated Toddler 112
Ribs 113
Seated Toddler 113
DIRECT DECOMPRESSION TECHNIQUE 114
Ribs 114
Supine Infant 114
RIB RAISING 115
Soft Tissue 115
Supine Child 115
BALANCED LIGAMENTOUS TECHNIQUE 116
Second and Third Ribs 116
Supine Infant 116
BALANCED LIGAMENTOUS TECHNIQUE – ALTERNATE TECHNIQUE 117
Second and Third Ribs 117
Supine Infant 117
BALANCED LIGAMENTOUS TECHNIQUE 118
Second and Third Ribs 118
Seated Toddler 118
BALANCED LIGAMENTOUS TECHNIQUE – ALTERNATE TECHNIQUE 119
Second and Third Ribs 119
Seated Toddler 119
BALANCED LIGAMENTOUS TECHNIQUE 120
Upper Ribs 120
Supine Child or Athlete 120
BALANCED LIGAMENTOUS TECHNIQUE – ALTERNATE TECHNIQUE 121
Upper Ribs 121
Supine Child or Athlete 121
TREATMENT 121
First Rib 121
CONGENITAL SCOLIOSIS 122
IDIOPATHIC SCOLIOSIS 123
MUSCLE ENERGY ISOMETRIC 128
Lumbosacral Junction 128
Supine Athlete 128
Thoracolumbar Junction and Quadratus Lumborum Muscle 129
Supine Athlete 129
BALANCED LIGAMENTOUS TECHNIQUE 130
Lumbar or Thoracic Spine 130
Seated Toddler 130
Supine infant 131
Chapter 4 The shoulder complex 155
OVERVIEW 155
IMPINGEMENT SYNDROME 156
BALANCED LIGAMENTOUS TECHNIQUE 158
Clavicle 158
Seated Athlete 158
Scapulothoracic Joint 160
Seated Athlete 160
Humerus/Rotator Cuff 162
Seated Athlete 162
ROTATOR CUFF DISORDERS 163
ISOMETRIC MUSCLE ENERGY TECHNIQUE 164
Spencer Sequence 164
Side-lying Athlete 164
ACROMIOCLAVICULAR SPRAIN/STRAIN/DISLOCATION 171
DIRECT MYOFASCIAL RELEASE TECHNIQUE 172
Anterior Cervical Fascia 172
Seated Athlete 172
MYOFASCIAL RELEASE TECHNIQUE 173
Anterior Cervical Fascia 173
Seated Toddler 173
BALANCED LIGAMENTOUS TECHNIQUE 174
Clavicle 174
Supine Athlete 174
ARTICULATORY TECHNIQUE 175
Acromioclavicular Joint 175
Seated Athlete 175
Sternoclavicular Joint 176
Seated Athlete 176
DIRECT MYOFASCIAL TECHNIQUE 177
Scapula 177
Supine Athlete 177
SHOULDER (GLENOHUMERAL) DISLOCATION/INSTABILITY 178
BALANCED LIGAMENTOUS TECHNIQUE 179
Humerus/Rotator Cuff 179
Supine Athlete/Child 179
BRACHIAL PLEXUS INJURY/ERB’S PALSY 180
BALANCED LIGAMENTOUS TECHNIQUE 183
Scapulothoracic Joint 183
Seated Toddler or Infant 183
Alternate Technique 184
Clavicle–First Rib 185
Seated Toddler 185
ALTERNATIVE TECHNIQUE 185
BALANCED LIGAMENTOUS TECHNIQUE 186
Thoracic Inlet – Complete 186
Toddler, Infant 186
Clavicle 188
Seated Infant 188
ALTERNATIVE TECHNIQUE 188
BALANCED LIGAMENTOUS TECHNIQUE 189
Glenohumeral Joint 189
Seated Toddler 189
STINGER/ACUTE NERVE INJURY 190
DISORDERS AFFECTING UPPER EXTREMITY STABILIZATION 190
BALANCED LIGAMENTOUS TECHNIQUE 191
Shoulder Complex 191
Supine Child 191
REFERENCES 192
Chapter 5 Femur, hip and pelvis 193
OVERVIEW 194
DELAYED SITTING 196
BALANCED LIGAMENTOUS TECHNIQUE 198
General Approach Lumbosacral Junction, Pelvis and Hip 198
Toddler or Infant 198
CONDITIONS OF THE FEMORAL HEAD AND EPIPHYSIS 199
DEVELOPMENTAL DYSPLASIA OF THE HIP (DDH) 199
ASSESSMENT OF DEVELOPMENTAL HIP DYSPLASIA 200
BALANCED LIGAMENTOUS TECHNIQUE 202
Rotator Muscles of the Hip 202
Long Lever Technique 202
Supine Infant 202
BALANCED LIGAMENTOUS TENSION TECHNIQUE 203
The Composite Hip Joint 203
Supine Infant 203
PERSISTENT FEMORAL ANTEVERSION 204
Assessing Femoral Anteversion 205
Child/Athlete 205
Assessing Femoral Rotation 206
Child/Adolescent 206
ISOMETRIC MUSCLE ENERGY TECHNIQUE 208
Functional Malposition of the Femur 208
Internal Rotation 208
External Rotation of the Femur 209
LEGG–CALVÉ–PERTHES' DISEASE 210
SLIPPED CAPITAL FEMORAL EPIPHYSIS 211
BALANCED LIGAMENTOUS TECHNIQUE 213
Rotator Muscles of the Hip 213
Long Lever Technique 213
Supine Athlete 213
Seated Toddler 214
Lumbosacral Junction, Pelvis and Hip 215
The Differential Technique 215
Seated Athlete/Older Child 215
BALANCED LIGAMENTOUS TENSION TECHNIQUE 217
The Composite Hip Joint 217
Seated Toddler 217
Side-lying Athlete 218
FLUID TECHNIQUE 219
Hip 219
Side-lying Athlete/Supine Infant 219
INNOMINATE DYSFUNCTIONS 220
Standing Flexion Test 222
Static Assessment Anterior Superior Iliac Spines 223
Static Assessment Posterior Superior Iliac Spines (PSIS) 224
Assessment of the Innominate 225
Supine Athlete 225
Seated Toddler 226
Assessing Femoral–Hip–Pelvic Relationship 227
Seated Toddler 227
Assessment of the Innominate 228
Supine Infant 228
ISOTONIC MUSCLE ENERGY TECHNIQUE 229
Anterior Rotated Innominate 229
Supine Athlete/Child 229
RECIPROCAL INHIBITION/ISOMETRIC MUSCLE ENERGY TECHNIQUE 230
Anterior Rotated Innominate 230
Supine Athlete/Child 230
ISOTONIC/RECIPROCAL INHIBITION 231
Anterior Rotated Innominate 231
Supine Athlete/Child 231
ISOMETRIC MUSCLE ENERGY TECHNIQUE 232
Posterior Rotated Innominate 232
Prone Athlete 232
ISOTONIC MUSCLE ENERGY TECHNIQUE 233
Posterior rotated innominate 233
Supine Older Child 233
ISOTONIC CONCENTRIC MUSCLE ENERGY TECHNIQUE 234
Inflare Innominate 234
Supine Young Athlete/Child 234
ISOMETRIC MUSCLE ENERGY TECHNIQUE 235
Outflare Innominate 235
Supine Young Athlete/Child 235
BALANCED LIGAMENTOUS TECHNIQUE 236
Innominate 236
Standing Young Athlete 236
Innominate and Pelvic Bowl Dysfunction 238
Seated Toddler 238
Innominate/Pelvic Bowl 239
Supine Infant 239
LEG LENGTH DISCREPANCY AND LIFT THERAPY 240
POSTURAL STRESS TESTING 241
POSTURAL STUDY 242
STRESS FRACTURES 242
APOPHYSEAL AVULSION FRACTURES AND ENTHESOPATHIES 243
ILIAC APOPHYSITIS 243
PAIN PATTERNS WITH COMMON PELVIC ENTHESOPATHIES 245
ILIOTIBIAL BAND CONDITIONS 247
Snapping Hip Syndrome/Runner’s Knee 247
Ober Test for ITB Restriction 251
Supine Test for Proximal ITB Restriction 252
ISOMETRIC/MUSCLE ENERGY TECHNIQUE 254
Abductors/Tensor Fasciae Latae 254
Supine Athlete 254
ISOTONIC ECCENTRIC MUSCLE ENERGY 255
Tensor Fasciae Latae Muscle 255
Side-lying Athlete 255
Supine Athlete 256
MUSCLE STRAIN/SPASM 257
ISOTONIC ECCENTRIC MUSCLE ENERGY 258
Knee Flexors 258
Supine Athlete 258
ISOTONIC CONCENTRIC MUSCLE ENERGY 259
Treatment of Abductors 259
Supine Athlete 259
ISOTONIC ECCENTRIC MUSCLE ENERGY 260
Treatment of Abductors 260
Supine Athlete 260
LOWER EXTREMITY SPASTICITY 261
RECIPROCAL INHIBITION MUSCLE ENERGY 262
Abductors 262
Athlete 262
Adductors 263
Athlete 263
LOWER EXTREMITY HYPOTONIA 264
ISOTONIC CONCENTRIC MUSCLE ENERGY 265
Knee Flexors 265
MYOSITIS OSSIFICANS 266
PIRIFORMIS SYNDROME 266
Assessment of Piriformis 267
Supine Child 267
ISOMETRIC MUSCLE ENERGY TECHNIQUE 269
Piriformis 269
Child/Athlete 269
ISOTONIC ECCENTRIC MUSCLE ENERGY TECHNIQUE 270
Piriformis 270
Child 270
MERALGIA PARESTHETICA 271
REFERENCES 272
Chapter 6 Lower leg 273
OVERVIEW 274
Q (QUADRICEPS) ANGLE 275
KNEE MECHANICS 275
KNEE POSTURAL ALIGNMENT 276
GENU VALGUS 276
GENU VARUS 276
OSGOOD–SCHLATTER SYNDROME 277
ROTATED TIBIA/TIBIAL TORSION 279
Screening of Intraosseous Tibial Torsion 280
Infant and Toddler 280
Passive Range of Motion Assessment of the Tibia 280
Seated Athlete 280
Passive Functional Motion Assessment of the Tibia 281
Infant/Toddler 281
Functional/Active Assessment of the Tibia 282
Supine and Seated Athlete 282
DIRECT MYOFASCIAL RELEASE 283
Long Restrictor Muscles 283
Infant 283
ISOMETRIC MUSCLE ENERGY TECHNIQUE 284
Externally Rotated Tibia 284
Internally Rotated Tibia 285
THRUST TECHNIQUE (‘J’ TECHNIQUE) 286
Internally Rotated Tibia 286
Chapter 7 Foot and ankle 329
OVERVIEW 330
GAIT 330
CONDITIONS RESULTING IN AN INTURNED FOOT 331
CALCANEUS VARUS/INVERTED CALCANEUS/REARFOOT VARUS 331
Assessment of Calcaneus Varus 333
METATARSUS ADDUCTUS 334
CLUBFOOT/TALIPES EQUINUS VARUS 334
CONDITIONS RESULTING IN AN OUT-TURNED FOOT 335
TALIPES CALCANEOVALGUS/REARFOOT VALGUS 335
ROCKER-BOTTOM FOOT/VERTICAL TALUS 336
PES PLANUS 336
Assessment of Medial Arch 338
Active Testing of the Calcaneus 339
Retraining Dorsal and Plantar Flexor Muscles 339
DROPPED LATERAL ARCH 340
PES CAVUS 340
PEDAL COMPENSATION IN LEG LENGTH DISCREPANCIES 341
PLANTAR FASCIITIS 341
SEVER DISEASE (CALCANEAL APOPHYSITIS) 341
TREATMENT OF THE FOOT AND ANKLE 342
BALANCED LIGAMENTOUS TECHNIQUE 343
Calcaneus 343
Child 343
Alternate Hand Position 344
Athletes and Adolescents 344
DECOMPRESSION BALANCED LIGAMENTOUS TECHNIQUE 345
Ankle Mortise and Talus (Talocrural Joint) 345
COMPRESSION BALANCED LIGAMENTOUS TECHNIQUE 346
Talocrural Joint 346
BALANCED LIGAMENTOUS TECHNIQUE 347
Talocalcaneonavicular Joint 347
SPRINGING/ARTICULATORY TECHNIQUE 348
Navicular and Medial Longitudinal Arch 348
BALANCED LIGAMENTOUS TECHNIQUE 349
Navicular and Medial Longitudinal Arch 349
Cuboid and Lateral Longitudinal Arch 350
DECOMPRESSION 351
Transverse Arch and Second Cuneiform 351
BALANCED LIGAMENTOUS TECHNIQUE 352
Metatarsal–Cuneiform Articulation 352
THE USE OF FOOT ORTHOTICS 353
TRAUMATIC INJURIES 354
ANTERIOR TIBIA ON TALUS 354
TREATMENT 354
BALANCED LIGAMENTOUS TECHNIQUE 355
Talocrural Joint 355
INVERSION ANKLE SPRAIN 356
Myofascial Milking Technique 358
Athlete 358
HIGH-VELOCITY LOW-AMPLITUDE TALOTIBIAL/INVERSION SPRAIN 359
THRUST TECHNIQUE FOR A POSTERIOR FIBULAR HEAD 360
REFERENCES 361
Index 363
A 363
B 363
C 364
D 364
E 364
F 365
G 365
H 365
I 365
J 366
K 366
L 366
M 366
N 366
O 367
P 367
Q 367
R 367
S 367
T 368
U 369
V 369
W 369
Z 369