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Book Details
Abstract
NATUROPATHIC PHYSICAL MEDICINE provides a philosophical naturopathic perspective, as well as practical clinical applications, for manual and physical approaches to health care. A wide range of bodywork and movement approaches and modalities are evaluated in relation to their ability to be appropriately used in naturopathic treatment and rehabilitation settings. The model of care emphasised in this text recognizes that naturopathically oriented therapeutic interventions usually focus on achieving one or all of the following: enhancement of function so that the person, system or part, can better self-regulate in response to adaptive demands; modification or removal of adaptive load factors; and symptomatic relief without creation of significant additional adaptive changes.
Table of Contents
| Section Title | Page | Action | Price |
|---|---|---|---|
| Front cover | Cover | ||
| Naturopathic Physical Medicine | iii | ||
| Copyright page | iv | ||
| Dedication | v | ||
| Table of Contents | vii | ||
| Authors and Contributors | ix | ||
| Foreword | xi | ||
| Preface | xiii | ||
| Acknowledgments | xv | ||
| Chapter 1: Physical Medicine in a Naturopathic Context | 1 | ||
| The naturopathic profession | 1 | ||
| Naturopathic medicine | 2 | ||
| The vis | 2 | ||
| International perspective | 3 | ||
| Allopathic medicine – a comparison | 4 | ||
| Psychoneuroimmunology – towards a broader allopathic model? | 4 | ||
| Complexity | 8 | ||
| The healing power of nature and a therapeutic order | 8 | ||
| Derivation – naturopathy’s antecedents | 12 | ||
| Naturopathic physical medicine | 13 | ||
| Non-naturopathic manual methods | 16 | ||
| What methods and modalities form naturopathic physical medicine? | 16 | ||
| Avoiding adaptive overload | 18 | ||
| References | 19 | ||
| Chapter 2: Adaptation and the Evolution of Disease and Dysfunction | 25 | ||
| Adaptation processes | 25 | ||
| Stress defined | 26 | ||
| Stress explained | 27 | ||
| Selye’s observation regarding GAS and LAS | 28 | ||
| Differing responses to adaptation | 30 | ||
| Identifying vulnerability | 41 | ||
| Postural adaptation influences on visceral and somatic function | 42 | ||
| Beyond dysfunction towards pathology | 43 | ||
| Adaptation following trauma | 43 | ||
| Maladaptation | 44 | ||
| ‘We are all athletes, but not all of us are in training!’ | 45 | ||
| Safe adaptation | 45 | ||
| Choice of therapeutic approaches | 45 | ||
| Treatment as a potential further stressor | 46 | ||
| Genetic influences | 46 | ||
| Structure and function: the adaptation cycle | 49 | ||
| Stating the obvious | 50 | ||
| References | 51 | ||
| Chapter 3: History of Naturopathic Physical Medicine | 57 | ||
| Contemporary overview of manual therapy approaches | 57 | ||
| Naturopathic timeline of physical modalities | 58 | ||
| Benedict Lust and the word ‘naturopathy’ | 58 | ||
| Bernarr Macfadden’s influence | 59 | ||
| Case management | 59 | ||
| A time of change | 67 | ||
| References | 71 | ||
| Chapter 4: Naturopathic Physical Medicine | 75 | ||
| Introduction | 75 | ||
| Definition of naturopathic physical medicine | 75 | ||
| Self-healing and regulation (vis medicatrix naturae) | 76 | ||
| The place of symptoms – the avoidance of suppression | 77 | ||
| First do no harm | 78 | ||
| Clinical goals of NPM | 80 | ||
| Practicing whole-body physical medicine | 88 | ||
| Interdependency | 91 | ||
| Technique choice | 94 | ||
| Conclusion | 95 | ||
| References | 95 | ||
| Chapter 5: Assessment and Palpation: Accuracy and Reliability Issues | 101 | ||
| Questions | 102 | ||
| Context | 102 | ||
| Interpreting palpation and assessment findings | 103 | ||
| Palpation accuracy issues | 104 | ||
| Posing questions to the body | 104 | ||
| STAR | 105 | ||
| Palpatory acronyms | 106 | ||
| Is quality of movement palpable? | 108 | ||
| Malalignment implications – including visceral | 108 | ||
| Naturopathic assessment calls for consideration of process | 109 | ||
| More examples of palpation accuracy issues | 109 | ||
| The need for a wider evidence base | 110 | ||
| Other variables | 111 | ||
| The way forward – focus on kinetics and kinematics | 114 | ||
| Leg-length discrepancy measurement by palpation | 115 | ||
| Are there indicators that can suggest successful palpation outcomes? | 116 | ||
| Are there indicators that can suggest unsuccessful outcomes? | 116 | ||
| The opinions of experts | 117 | ||
| References | 120 | ||
| Chapter 6: Assessment/Palpation Section: Skills | 125 | ||
| What this chapter is and is not | 125 | ||
| Excavating for anatomic and physiological evidence | 127 | ||
| Principles of palpation | 129 | ||
| Notes on applied pressure | 129 | ||
| Assessment of the common compensatory pattern | 138 | ||
| Assessing the tissues | 140 | ||
| General assessments: posture and respiration | 183 | ||
| Orthopedic testing and assessment | 186 | ||
| Radiographic examination | 190 | ||
| References | 190 | ||
| Chapter 7: Modalities, Methods and Techniques | 197 | ||
| Chapter objectives | 198 | ||
| Efficacy and safety | 198 | ||
| Principles consistent with all techniques of manual medicine | 200 | ||
| Categories and classification models: low back pain as an example | 205 | ||
| Evaluation of the various modalities | 210 | ||
| Manual methods, modalities and techniques used in naturopathic physical medicine | 213 | ||
| Conclusion | 281 | ||
| References | 281 | ||
| Chapter 8: Integrated Naturopathic (Manual) Physical Medicine Protocols | 299 | ||
| Evidence and opinion | 300 | ||
| UNTT and NMT | 300 | ||
| Lief’s NMT | 300 | ||
| Guidelines, not instructions | 300 | ||
| Comparison with constitutional hydrotherapy | 301 | ||
| Osteopathic evidence | 301 | ||
| A chiropractic perspective – and dysponesis | 309 | ||
| How would Lief’s NMT methods compare with the OMT protocols? | 310 | ||
| And what about massage? | 310 | ||
| The naturopathic context | 310 | ||
| References | 311 | ||
| Chapter 9: Rehabilitation and Re-education (Movement) Approaches | 313 | ||
| Introduction | 314 | ||
| The story of human movement | 317 | ||
| Phylogeny: dimensional mastery | 318 | ||
| Optimal instantaneous axis of rotation | 334 | ||
| Muscle imbalance physiology | 339 | ||
| Corrective exercise programming | 349 | ||
| Program design | 356 | ||
| Biomechanical attractors | 362 | ||
| Barriers to rehabilitation success | 385 | ||
| Muscular system as expression of psychological state | 387 | ||
| Exercise and body composition ratios | 390 | ||
| Rehabilitation/movement re-education approaches | 393 | ||
| Classical movement and rehabilitation approaches | 399 | ||
| Model of dimensional mastery | 406 | ||
| The unified model of rehabilitation | 407 | ||
| References | 408 | ||
| Chapter 10: Naturopathic Physical Medicine Approaches to General Health Enhancement and Specific Conditions | 417 | ||
| Integrated, not isolated, interventions | 418 | ||
| General approaches – and the lack of evidence from purely ‘naturopathic’ sources | 418 | ||
| How adequate, overall, is naturopathic physical medicine training? | 424 | ||
| Should HVLA be employed by naturopaths? | 426 | ||
| Are other physical medicine providers offering naturopathic care? | 427 | ||
| The organizational role of the musculoskeletal system | 427 | ||
| The evidence for general (constitutional) physical medicine approaches | 428 | ||
| The physiology of physical (manual) medicine | 429 | ||
| Naturopathic physical medicine approaches to specific andgeneral conditions | 438 | ||
| Conclusion | 495 | ||
| References | 495 | ||
| Chapter 11: Naturopathic Hydrotherapy | 515 | ||
| History of hydrotherapy in relation to naturopathy | 515 | ||
| Physiological responses to hydrotherapy application | 517 | ||
| Classification of hydrotherapy applications | 519 | ||
| Reflex effects of external hydrotherapy application | 523 | ||
| Selected clinical hydrotherapy research | 524 | ||
| Naturopathic applications and the role of constitutional hydrotherapy | 530 | ||
| Representative treatment descriptions | 531 | ||
| References | 535 | ||
| Chapter 12: Electrotherapy Modalities | 539 | ||
| Chapter objectives | 539 | ||
| Naturopathic clinical strategies | 539 | ||
| Goals of clinical treatments | 540 | ||
| Electrotherapy modalities | 540 | ||
| References | 557 | ||
| Index | 563 |