BOOK
E-Book - Clinical Application of Neuromuscular Techniques, Volume 1
(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 |