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E-Book - Clinical Application of Neuromuscular Techniques, Volume 1

E-Book - Clinical Application of Neuromuscular Techniques, Volume 1

Leon Chaitow | Judith DeLany

(2008)

Additional Information

Book Details

Abstract

The book discusses theories and physiology relevant to the manual treatment of chronic pain, especially as it regards the soft tissues of the upper body. Step-by-step protocols that address each muscle of a region and a regional approach to treatment are features that make this book unique. A structural review of each region, including ligaments and functional anatomy, adds value for new students and practitioners alike.

  • Comprehensive ‘one-stop’ text on care of somatic pain and dysfunction
  • Designed and written to meet the needs of those working with neuromuscular dysfunction in a variety of professions
  • All muscles covered from perspective of assessment & treatment of myofascial pain
  • Describes the normal anatomy and physiology as well as the dysfunctions which may arise
  • Gives indications for treatments and guidance on making the appropriate treatment choice for each patient
  • Combines NMT, MET, PR and much more to give a variety of treatment options for each case
  • Describes the different NMT techniques in relation to the joint anatomy involved
  • Practical step-by-step technique descriptions
  • Includes not only manual techniques but also acupuncture, hydrotherapies and nutritional support as well as guidance for the patient in the use of self-help approaches
  • Two-color format
  • Up-to-date evidence based content

Table of Contents

Section Title Page Action Price
Front Cover Cover
Clinical Application of Neuromuscular Techniques: The Upper Body v
Copyright Page vi
Contents vii
List of boxes xv
Foreword xvii
Preface to the Second Edition xix
Acknowledgments xxi
Chapter 1. Connective tissue and the fascial system 1
THE FASCIAL NETWORK 2
FASCIA AND PROPRIOCEPTION 2
FASCIA: COLLAGENOUS CONTINUITY 2
FURTHER FASCIAL CONSIDERATIONS 2
ELASTICITY 3
CONNECTIVE TISSUE AS A ‘SPONGE’ 6
DEFORMATION CHARACTERISTICS 6
HYPERMOBILITY AND CONNECTIVE TISSUE 7
TRIGGER POINTS, FASCIA AND THE NERVOUS SYSTEM 8
SUMMARY OF FASCIAL AND CONNECTIVE TISSUE FUNCTION 13
FASCIAL DYSFUNCTION 16
RESTORING GEL TO SOL 17
A DIFFERENT MODEL LINKING TRAUMA AND CONNECTIVE TISSUE 17
THERAPEUTIC SEQUENCING 19
Chapter 2. Muscles 23
DYNAMIC FORCES – THE ‘STRUCTURAL CONTINUUM’ 23
SIGNALS 25
ESSENTIAL INFORMATION ABOUT MUSCLES 25
TYPES OF MUSCLE 25
ENERGY PRODUCTION IN NORMAL TISSUES 27
ENERGY PRODUCTION IN THE DECONDITIONED INDIVIDUAL 28
MUSCLES AND BLOOD SUPPLY 28
MOTOR CONTROL AND RESPIRATORY ALKALOSIS 31
MAJOR TYPES OF VOLUNTARY CONTRACTION 33
TERMINOLOGY 33
MUSCLE TONE AND CONTRACTION 33
VULNERABLE AREAS 34
MUSCLE TYPES 34
COOPERATIVE MUSCLE ACTIVITY 35
MUSCLE SPASM, TENSION, ATROPHY 37
WHAT IS WEAKNESS? 39
TRICK PATTERNS 39
WHEN SHOULD PAIN AND DYSFUNCTION BE LEFT ALONE? 40
SOMATIZATION – MIND AND MUSCLES 41
Chapter 3. Reporting stations and the brain 45
PROPRIOCEPTION 45
REFLEX MECHANISMS 47
NEUROMUSCULAR DYSFUNCTION FOLLOWING INJURY (Ryan 1994) 51
MECHANISMS THAT ALTER PROPRIOCEPTION 52
AN EXAMPLE OF PROPRIOCEPTIVE DYSFUNCTION 52
NEURAL INFLUENCES 53
THERAPEUTIC REHABILITATION USING REFLEX SYSTEMS 59
CONCLUSION 60
Chapter 4. Causes of musculoskeletal dysfunction 63
ADAPTATION – GAS AND LAS 63
POSTURE, RESPIRATORY FUNCTION AND THE ADAPTATION PHENOMENON 64
MAKING SENSE OF THE PICTURE 67
POSTURAL AND EMOTIONAL INFLUENCES ON MUSCULOSKELETAL DYSFUNCTION 69
POSTURAL IMBALANCE AND THE DIAPHRAGM 73
RESPIRATORY INFLUENCES 75
ADDITIONAL EMOTIONAL FACTORS AND MUSCULOSKELETAL DYSFUNCTION 78
SELECTIVE MOTOR UNIT INVOLVEMENT 78
CONCLUSION 79
Chapter 5. Patterns of dysfunction 81
UPPER CROSSED SYNDROME 82
LOWER CROSSED SYNDROME 82
LAYER (STRATIFICATION) SYNDROME 83
CHAIN REACTION LEADING TO FACIAL AND JAW PAIN: AN EXAMPLE 84
PATTERNS FROM HABITS OF USE 84
THE BIG PICTURE AND THE LOCAL EVENT 85
JANDA’S ‘PRIMARY AND SECONDARY’ RESPONSES 85
RECOGNIZING DYSFUNCTIONAL PATTERNS 86
FUNCTIONAL SCREENING SEQUENCE 88
BREATHING PATTERN ASSESSMENTS 92
TRIGGER POINT CHAINS 94
Chapter 6. Trigger points 97
ISCHEMIA AND MUSCLE PAIN 101
ISCHEMIA AND TRIGGER POINT EVOLUTION 102
ISCHEMIA AND FIBROMYALGIA SYNDROME (FMS) 103
FMS AND MYOFASCIAL PAIN 105
FACILITATION – SEGMENTAL AND LOCAL 105
VARYING VIEWPOINTS ON TRIGGER POINTS 109
CENTRAL AND ATTACHMENT TRIGGER POINTS 112
PRIMARY, KEY AND SATELLITE TRIGGER POINTS 112
ACTIVE AND LATENT TRIGGER POINTS 113
ESSENTIAL AND SPILLOVER TARGET ZONES 114
TRIGGER POINTS AND JOINT RESTRICTION 114
TESTING AND MEASURING TRIGGER POINTS 114
CLINICAL FEATURES OF MYOFASCIAL TRIGGER POINTS 118
Chapter 7. The internal environment 125
LOCAL MYOFASCIAL INFLAMMATORY INFLUENCES 125
WHEN INFLAMMATION BECOMES GLOBAL 131
MUSCLES, JOINTS AND PAIN 140
SOURCE OF PAIN 142
NEUROTOXIC ELEMENTS AND NEUROPATHIC PAIN 144
WHEN SHOULD PAIN AND DYSFUNCTION BE LEFT ALONE? 151
PAIN MANAGEMENT 154
Chapter 8. Assessment, treatment and rehabilitation 161
NUMEROUS INFLUENCES 162
A BIOMECHANICAL EXAMPLE 162
‘LOOSENESS AND TIGHTNESS’ AS PART OF THE BIOMECHANICAL MODEL 163
THREE-DIMENSIONAL PATTERNS 165
NEUROMUSCULAR MANAGEMENT OF SOFT TISSUE DYSFUNCTION 166
NUTRITION AND PAIN: A BIOCHEMICAL PERSPECTIVE 167
PSYCHOSOCIAL FACTORS IN PAIN MANAGEMENT: THE COGNITIVE DIMENSION 170
GUIDELINES FOR PAIN MANAGEMENT 171
WELLNESS EDUCATION 172
GOAL SETTING AND PACING 172
Chapter 9. Modern neuromuscular techniques 177
NEUROMUSCULAR THERAPY – AMERICAN VERSION 177
EUROPEAN (LIEF’S) NEUROMUSCULAR TECHNIQUE (NMT) 191
Chapter 10. Associated therapeutic modalities and techniques 205
HYDROTHERAPY AND CRYOTHERAPY 206
INTEGRATED NEUROMUSCULAR INHIBITION TECHNIQUE (INIT) 210
LYMPHATIC DRAINAGE TECHNIQUES 212
McKENZIE METHOD® 213
MASSAGE 215
MOBILIZATION AND ARTICULATION 217
MUSCLE ENERGY TECHNIQUES (MET) AND VARIATIONS 218
MYOFASCIAL RELEASE TECHNIQUES (MFR) 221
NEURAL MOBILIZATION OF ADVERSE MECHANICAL OR NEURAL TENSION 223
POSITIONAL RELEASE TECHNIQUES (PRT) (Chaitow 1996a) 225
REHABILITATION 230
RELAXATION METHODS 231
RHYTHMIC (OSCILLATORY, VIBRATIONAL, HARMONIC) METHODS 231
SPRAY AND STRETCH FOR TRIGGER POINT TREATMENT 233
ADDITIONAL STRETCHING TECHNIQUES 235
USING MULTIPLE THERAPIES 236
Chapter 11. The cervical region 243
THE VERTEBRAL COLUMN: A STRUCTURAL WONDER 244
MOVEMENTS OF THE CERVICAL SPINE 250
ASSESSMENT OF THE CERVICAL REGION 253
CERVICAL TREATMENT: SEQUENCING 273
Chapter 12. The cranium 325
CRANIAL STRUCTURE 326
NMT TREATMENT TECHNIQUES FOR THE CRANIUM 351
Chapter 13. Shoulder, arm and hand 399
STRUCTURE 401
ASSESSMENT 407
TREATMENT 429
ELBOW 485
INTRODUCTION TO ELBOW TREATMENT 485
STRUCTURE AND FUNCTION 485
EVALUATION 487
RANGES OF MOTION OF THE ELBOW 488
INDICATIONS FOR TREATMENT (DYSFUNCTIONS/SYNDROMES) 489
TREATMENT 493
FOREARM, WRIST AND HAND 498
FOREARM 499
WRIST AND HAND 499
PHALANGES 508
THUMB 511
PREPARING FOR TREATMENT 511
ANTERIOR FOREARM TREATMENT 513
POSTERIOR FOREARM TREATMENT 522
INTRINSIC HAND MUSCLE TREATMENT 529
Chapter 14. The thorax 539
STRUCTURE 540
POSTERIOR THORAX 541
ANTERIOR THORAX 550
THORACIC TREATMENT TECHNIQUES 557
Index 579
ELSEVIER CD-ROM LICENCE AGREEMENT 596