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Orthopedic Clinical Examination PDF With Web Resource

Orthopedic Clinical Examination PDF With Web Resource

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    Ebook

    Orthopedic Clinical Examination With Web Resource provides readers with fundamental knowledge for developing proficiency at performing systematic orthopedic evaluations. Michael P. Reiman, who is internationally respected for his teaching, clinical practice, and research focused on orthopedic assessment and treatment methods, presents an evidence-based guide on the examination process for various parts of the body.

    The text takes a structured approach, moving from broad to focused, that guides clinicians in examining each client and condition. The text presents specific components of the examination in the same sequence, ensuring repetition and improved consistency in learning. Screenings are used early in the examination sequence not only to determine the appropriateness of performing an orthopedic examination but also to rule out other potential pain generators and thereby narrow the focus of the examination.

    Orthopedic Clinical Examination emphasizes evidence-based practice and therefore focuses on tests that are clinically relevant, providing students and clinicians with the most appropriate testing options rather than listing tests with no regard for their clinical value. Both treatment-based and pathological-based diagnostic styles are covered in detail so that readers will gain a thorough understanding of both approaches and be able to implement them separately or in tandem. In addition to musculoskeletal testing, the text provides information on including subjective history, observation, diagnostic imaging, systems and neurological screening, and performance-based measures in each examination.

    The text is organized into five parts and is structured such that readers will first acquire requisite knowledge about anatomy and the examination process before advancing to acquiring specific examination skills. Part I presents information about the musculoskeletal and nervous systems as well as tissue behavior and healing. Part II introduces the principles of the examination sequence. Parts III and IV present the region-specific examination sequence for evaluating clients, including specifics on analyzing the head, spine, and extremities. Each chapter in these two parts covers the anatomy of the region, various types of injuries that occur, specific tests and measures that can be used, and cross-references to specific case studies for further review. Part V highlights additional considerations that may be necessary for special populations during the examination process.

    Orthopedic Clinical Examination includes learning tools that enhance comprehension and engagement:

    • Full-color photographs and illustrations demonstrate anatomy, patient conditions, and clinician positioning to serve as a visual reference and ensure proper testing techniques.

    • A library of 50 videos, found in the web resource, provides students with visual demonstrations of assessments and treatments.

    • Color-coding graphics throughout chapters help readers quickly discern whether evidence supporting the reported finding is ideal, good, or less than good.

    • Overviews of common orthopedic conditions for each body region are in the 12 applied chapters.

    • Twenty-four case studies guide users in the proper questions to ask and steps to take in conducting examinations.

    • Links to abstracts of articles provide additional clinical learning scenarios.

    For instructors, an image bank, test package, and instructor guide with activities aid in teaching and testing students. The web resource and ancillaries are available at www.HumanKinetics.com/OrthopedicClinicalExamination.

    With Orthopedic Clinical Examination, current and future clinicians will gain the knowledge and confidence they need in performing examinations and making diagnoses in clinical settings.

    Table of Contents

    Part I. Review of Anatomy Systems

    Chapter 1. Musculoskeletal System

    Gilbert M. Willett, PT, PhD, OCS, CSCS; Michael P. Reiman, PT, DPT, OCS, SCS, ATC, FAAOMPT, CSCS

    Bones

    Joints

    Skeletal Muscle and Connective Tissues

    Conclusion

    Chapter 2. Nervous System and Pain

    Michael P. Reiman, PT, DPT, OCS, SCS, ATC, FAAOMPT, CSCS; Adriaan Louw, PT, PhD, CSMT

    Structural Divisions of the Nervous System

    Neuromuscular Control

    Neurophysiology of Pain

    Conclusion

    Chapter 3. Tissue Injury and Healing

    Mark F. Reinking, PT, PhD, SCS, ATC; Michael P. Reiman, PT, DPT, OCS, SCS, ATC, FAAOMPT, CSCS

    Tissue Healing

    Muscle Injury

    Tendon Injury

    Ligament Injury

    Bone Injury

    Articular Cartilage Injury

    Peripheral Nerve Injury

    Conclusion

    Part II. Concepts and Principles of Examination

    Chapter 4. Evidence-Based Practice and Client Examination

    Michael P. Reiman, PT, DPT, OCS, SCS, ATC, FAAOMPT, CSCS

    Evidence-Based Practice and Diagnostic Accuracy

    Study Quality

    Broad to Narrow or Funnel Examination Focus

    Integration of Funnel Examination Approach

    The Examination Continuum

    Basic Principles of the Examination Process

    Conclusion

    Chapter 5. Client Interview and Observation

    Jonathan Sylvain, PT, DPT, OCS, FAAOMPT; Michael P. Reiman, PT, DPT, OCS, SCS, ATC, FAAOMPT, CSCS

    Effective Communication in the Client Interview and History

    Common Barriers to Effective Communication

    Qualities of an Effective Interview

    Standard Client Interview

    Client Interviews Relative to Musculoskeletal Pain

    Outcome Measurements

    Observation

    Clinical Reasoning

    Conclusion

    Chapter 6. Triage and Differential Diagnosis

    Michael P. Reiman, PT, DPT, OCS, SCS, ATC, FAAOMPT, CSCS

    Triage Screening for Red and Yellow Flags

    Diagnostic Imaging

    Vital Signs

    Differential Diagnosis and Medical Screening Examination

    Treatment Based Classification

    Conclusion

    Chapter 7. Orthopedic Screening and Nervous System Examination

    Michael P. Reiman, PT, DPT, OCS, SCS, ATC, FAAOMPT, CSCS; Adriaan Louw, PT, PhD, CSMT

    Musculoskeletal Screening

    Examination of the Physical Health of the Nervous System

    Peripheral Nerve Examination

    Conclusion

    Chapter 8. Range of Motion Assessment

    Michael P. Reiman, PT, DPT, OCS, SCS, ATC, FAAOMPT, CSCS

    Range of Motion and Flexibility

    Goniometry

    Qualitative Assessment of Motion

    Conclusion

    Chapter 9. Muscle Performance and Neuromuscular Control

    Michael P. Reiman, PT, DPT, OCS, SCS, ATC, FAAOMPT, CSCS

    Components of Muscle Performance

    Factors Affecting Muscle Performance

    Clinical Measures of Muscle Performance

    Conclusion

    Chapter 10. Special Tests

    Michael P. Reiman, PT, DPT, OCS, SCS, ATC, FAAOMPT, CSCS

    Examination Procedure

    Diagnostic Application of Special Tests

    Conclusion

    Chapter 11. Palpation

    B. James Massey, PT, DPT, OCS, FAAOMPT

    Palpation Procedure

    Palpation Components of the Musculoskeletal Examination

    Abdominal Palpation

    Pulse Palpation

    Bony Landmark Palpation

    Joint Motion

    Conclusion

    Chapter 12. Physical Performance Measures

    Robert J. Butler, PT, DPT, PhD

    Overview of Testing Hierarchy

    Single Body-Weight Physical Performance Measures

    Single Body-Weight Loading

    Single Body-Weight Loading and Momentum

    Agility

    Aerobic Capacity

    Upper Extremity

    General Core Stabilization

    Conclusion

    Chapter 13. Gait

    Janice K. Loudon, PT, PhD, SCS, ATC

    Walking Gait

    Running Gait

    Biomechanical Analysis of Walking and Running

    Conclusion

    Chapter 14. Posture

    Michael P. Reiman, PT, DPT, OCS, SCS, ATC, FAAOMPT, CSCS

    Body Type

    Optimal Standing Posture

    Other Posture Positions

    Abnormal Postures

    Dynamic Posture

    Palpation Assessment of Thoracic Posture

    Conclusion

    Part III. Examination of the Head and Spine

    Chapter 15. Face and Head

    Michael P. Reiman, PT, DPT, OCS, SCS, ATC, FAAOMPT, CSCS

    Clinically Applied Anatomy

    Client Interview

    Observation

    Triage and Screening

    Motion Tests

    Muscle Performance Testing

    Special Tests

    Palpation

    Physical Performance Measures

    Common Orthopedic Conditions of the Face and Head

    Conclusion

    Chapter 16. Temporomandibular Joint

    Michael P. Reiman, PT, DPT, OCS, SCS, ATC, FAAOMPT, CSCS

    Clinically Applied Anatomy

    Client Interview

    Observation

    Triage and Screening

    Motion Tests

    Muscle Performance Testing

    Special Tests

    Palpation

    Physical Performance Measures

    Common Orthopedic Conditions of the Temporomandibular Joint

    Conclusion

    Chapter 17. Cervical Spine

    Michael P. Reiman, PT, DPT, OCS, SCS, ATC, FAAOMPT, CSCS

    Clinically Applied Anatomy

    Client Interview

    Observation

    Triage and Screening

    Motion Tests

    Muscle Performance Testing

    Special Tests

    Palpation

    Physical Performance Measures

    Common Orthopedic Conditions of the Cervical Spine

    Conclusion

    Chapter 18. Thoracic Spine

    Michael P. Reiman, PT, DPT, OCS, SCS, ATC, FAAOMPT, CSCS

    Clinically Applied Anatomy

    Client Interview

    Observation

    Triage and Screening

    Motion Tests

    Muscle Performance Testing

    Special Tests

    Palpation

    Physical Performance Measures

    Common Orthopedic Conditions of the Thoracic Spine

    Conclusion

    Chapter 19. Lumbar Spine

    Michael P. Reiman, PT, DPT, OCS, SCS, ATC, FAAOMPT, CSCS

    Clinically Applied Anatomy

    Client Interview

    Observation

    Triage and Screening

    Motion Tests

    Muscle Performance Testing

    Special Tests

    Palpation

    Physical Performance Measures

    Common Orthopedic Conditions of the Lumbar Spine

    Conclusion

    Chapter 20. Sacroiliac Joint and Pelvic Girdle

    Michael P. Reiman, PT, DPT, OCS, SCS, ATC, FAAOMPT, CSCS

    Clinically Applied Anatomy

    Client Interview

    Observation

    Triage and Screening

    Motion Tests

    Muscle Performance Testing

    Special Tests

    Palpation

    Physical Performance Measures

    Common Orthopedic Conditions of the Sacroiliac Joint and Pelvic Girdle

    Conclusion

    Part IV. Examination of the Extremities

    Chapter 21. Shoulder

    Michael P. Reiman, PT, DPT, OCS, SCS, ATC, FAAOMPT, CSCS; Christopher Fiander, PT, DPT, OCS, CSCS

    Clinically Applied Anatomy

    Client Interview

    Observation

    Triage and Screening

    Motion Tests

    Muscle Performance Testing

    Special Tests

    Palpation

    Physical Performance Measures

    Common Orthopedic Conditions of the Shoulder Joint

    Conclusion

    Chapter 22. Elbow and Forearm

    Dawn Driesner Kennedy, PT, DPT, OCS, COMT, FAAOMPT; Michael P. Reiman, PT, DPT, OCS, SCS, ATC, FAAOMPT, CSCS

    Clinically Applied Anatomy

    Client Interview

    Observation

    Triage and Screening

    Motion Tests

    Muscle Performance Testing

    Special Tests

    Palpation

    Physical Performance Measures

    Common Orthopedic Conditions of the Elbow Joint

    Conclusion

    Chapter 23. Wrist and Hand

    Jonathan Sylvain, PT, DPT, OCS, FAAOMPT; Michael P. Reiman, PT, DPT, OCS, SCS, ATC, FAAOMPT, CSCS; Gary P. Austin, PT, PhD, OCS, FAFS, FAAOMPT

    Clinically Applied Anatomy

    Client Interview

    Observation

    Triage and Screening

    Motion Tests

    Muscle Performance Testing

    Special Tests

    Palpation

    Physical Performance Measures

    Common Orthopedic Conditions of the Wrist and Hand

    Conclusion

    Chapter 24. Hip

    Michael P. Reiman, PT, DPT, OCS, SCS, ATC, FAAOMPT, CSCS

    Clinically Applied Anatomy

    Client Interview

    Observation

    Triage and Screening

    Motion Tests

    Muscle Performance Testing

    Special Tests

    Palpation

    Physical Performance Measures

    Common Orthopedic Conditions of the Hip Joint

    Conclusion

    Chapter 25. Knee

    David Logerstedt, PT, PhD, MPT, SCS; Michael P. Reiman, PT, DPT, OCS, SCS, ATC, FAAOMPT, CSCS

    Clinically Applied Anatomy

    Client Interview

    Observation

    Triage and Screening

    Motion Tests

    Muscle Performance Testing

    Special Tests

    Palpation

    Physical Performance Measures

    Common Orthopedic Conditions of the Knee

    Conclusion

    Chapter 26. Lower Leg, Ankle, and Foot

    Shefali Christopher, PT, DPT, SCS, LAT, ATC; Michael P. Reiman, PT, DPT, OCS, SCS, ATC, FAAOMPT, CSCS

    Clinically Applied Anatomy

    Client Interview

    Observation

    Triage and Screening

    Motion Tests

    Muscle Performance Testing

    Special Tests

    Palpation

    Physical Performance Measures

    Common Orthopedic Conditions of the Lower Leg, Ankle, and Foot

    Conclusion

    Part V. Examination of Special Populations

    Chapter 27. Emergency Sport Examination

    John DeWitt, PT, DPT, SCS, ATC; Mitch Salsbery, PT, DPT, SCS, CSCS

    Sports-Related Concussion

    Cervical Spine Injuries

    Cardiac Disorders

    Compartment Syndrome

    Asthma

    Pneumothorax

    Heat-Related Illness

    Fractures

    Endocrine emergencies

    Conclusion

    Chapter 28. Geriatric Examination

    Michael Schmidt, PT, DPT, OCS, FAAOMPT; Charles Sheets, PT, OCS, SCS, Dip MDT; Tasala Rufai, PT, DPT, GCS

    Influence of Age on Diagnosis

    Change in Tissue Properties as a Result of Aging

    Influence of Age on Pain

    Physical Requirements for Activities of Daily Living

    Osteoporosis

    Examination of Balance

    Conclusion

    Chapter 29. Pediatric Examination

    Dora J. Gosselin, PT, DPT, PCS, C/NDT

    Child’s Musculoskeletal System

    Multisystem Pathologies

    Pathologies of the Spine

    Upper Extremity Pathology

    Lower Extremity Pathology

    Conclusion

    About the Author

    Michael P. Reiman, PT, DPT, OCS, SCS, ATC, FAAOMPT, CSCS, is an assistant professor of physical therapy and the codirector of the orthopaedic manual therapy fellowship program at Duke University Medical Center. As a clinician, Reiman has more than 20 years of experience assessing, rehabilitating, and training athletes and clients. He has presented on orthopedic assessment and treatment methods at national and international conferences and actively participates in research regarding various testing methods for orthopedic examination and intervention and human performance. Reiman coauthored Functional Testing in Human Performance and has written 12 book chapters and more than 40 peer-reviewed articles. He currently serves on the editorial boards for multiple sport- and orthopedic-related journals.

    Reiman received his doctoral degree in physical therapy from MGH Institute of Health Professions and is currently pursuing his PhD. In addition to his certifications as an athletic trainer and strength and conditioning specialist, Reiman is a manual therapy fellow through the American Academy of Orthopedic and Manual Physical Therapists, a USA Weightlifting level 1 coach, and a USA Track and Field level 1 coach. He is also the chair of the Sports Section Hip Special Interest Group of the American Physical Therapy Association.

    Reviews

    “This is an excellent, comprehensive, evidence-based, orthopedic musculoskeletal clinical examination book. It provides more depth and breadth than any current orthopedic clinical examination books and is well organized and easy to follow. The accompanying online videos are detailed and easy to follow.

    "The review of systems is very detailed and serves as a knowledge base for the rest of the book. The client interview and differential diagnosis sections are excellent. . . . The pictures and video demonstrations are well done and easy to understand and follow.

    "This is an excellent and detailed guide to the orthopedic clinical examination. It is well written and comprehensive. There are many other orthopedic examination books available, but the strength of this one is the detailed coverage of each topic. The supplemental web resources with case studies and videos make it unique.”

    —David M Nissenbaum, MPT, MA, LAT, OCS, PES (PRO Physical Therapy)

    Five Stars, Doody’s Book Review

    Ancillaries

    All ancillaries are free to course adopters and available at
    www.HumanKinetics.com/OrthopedicClinicalExamination.

    Instructor guide. Includes chapter objectives and conclusions, outlines of the chapters content, and lists of additional resources.

    Test package. Includes more than 200 questions to assist instructors in lesson planning. Tests can be modified based on course curriculum and specific class needs.

    Image bank. Includes all of the figures, photos, typeset figures, and tables from the text, organized by chapter. Images can be used in classroom presentations and lectures, handouts, and activities.

    The image guide is also available for purchase • ISBN 978-1-4925-0547-1

    Web resource. Includes 50 videos that demonstrate special tests, muscle testing, and performance-based measures for teaching students proper techniques and form. Included are 24 case studies and hundreds of abstracts that provide real-world application of techniques found in the book and allow further research and study of examination methods. 

    The web resource is also available for purchase • ISBN 978-1-4925-0548-8

    Sample Content

       BonesBonesCommon Orthopedic ConditionsCommon Orthopedic Conditions