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Low Back Disorders 3rd Edition With Web Resource

Low Back Disorders 3rd Edition With Web Resource

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    Low Back Disorders, Third Edition With Web Resource, guides readers through the assessment and treatment of low back pain, providing evidence-based research on the best methods of rehabilitation and prevention of future injury. In this book, internationally recognized low back specialist Stuart McGill presents the research and applications of back anatomy and biomechanics to build effective prevention and rehabilitation programs for patients or clients.

    This third edition of Low Back Disorders contains all of the essential tools for those with low back maladies. Strong foundational information on anatomy and injury mechanisms guide readers through the essential functions of the structures of the low back and related tissues, and common misconceptions about pain and discomfort are addressed and corrected. The text provides detailed insights into injury assessment by an extensively expanded set of tests with accompanying instructions. These provide guidance and recommendations for individualized rehabilitation strategies and exercises. Also new to this edition is a web resource featuring 20 fillable Handouts for Patients or Clients that can be edited and printed to suit practitioner and patients’ needs. The web resource also contains an online video suite that showcases various exercises and assessments. In addition to offering strategies for relieving and potentially eliminating pain, the text provides insight into the conditions and environments that may initially cause back pain and makes recommendations on reducing these influences so that clients can be pain free.

    This book contains more than 500 photos, graphs, and charts on anatomy, biomechanics, and assessments; 50 tests and exercises with step-by-step instructions are available to aid readers in developing successful programs for patients and clients. In addition to the evidence-based foundation of this edition, the following enhancements have been made:
    • Completely updated information and streamlined chapter organization ensure that practitioners use best clinical practices.
    • Practical checklists throughout the text provide easy access to testing and assessment clinical techniques and information.
    • Practical Applications provide clinical information to aid readers in understanding concepts and theory.
    • To aid instructors, the text includes a newly added image bank to visually support class lectures.

    Low Back Disorders, Third Edition With Web Resource, contains essential research and corresponding clinical applications in a clear and organized format. Part I introduces the functional anatomy and biomechanics of the lumbar spine. It also presents epidemiological studies on low back disorders and dispels common myths of lumbar spine stability. Part II reviews risk factors for low back disorders and common prevention methods, with specific attention paid to reducing workplace risk factors. Part III explains evaluating and diagnosing clients and developing exercise and rehabilitation programs. Specific exercises that are proven to enhance performance and reduce pain are also explained.

    Evidence-based research and cutting-edge application strategies from a leading spine specialist in North America make Low Back Disorders, Third Edition With Web Resource, the authoritative text for the examination and rehabilitation of the low back. Its approach to back care will lead readers in developing intervention, rehabilitation, and prevention programs to address the unique needs of each patient or client.

    Audience

    A reference for physical and occupational therapists, sport and orthopedic physicians, rehabilitation specialists, athletic trainers, and fitness specialists. Also useful for students as a primary or secondary resource on biomechanics and low back disorders.

    Table of Contents

    List of Tests and Exercises
    Preface
    Accessing and Using the Web Resource
    Acknowledgments
    How and Why You Should Read This Book
    Part I: Scientific Foundation
    Chapter 1.  Introduction to the Issues and Scientific Approach Unique to This Book
    Legislative Landscape: The Unfortunate Adverse Impact on Painful Backs
    Deficiencies in Current Diagnostic Practices
    Inadequacies in Current Care and Prevention
    Mechanical Loading and the Process of Injury: A Low Back Tissue Injury Primer
    Excellent Clinicians and Excellent Practice
    Unique Scientific Foundation of This Book
    In Vitro Lab
    In Vivo Lab
    A Final Note
    Chapter 2. Epidemiological Studies and What They Really Mean
    Influence of Randomized Controlled Trials and Other Epidemiological Approaches
    Misunderstandings of Epidemiology
    Multidimensional Links Among Biomechanical, Psychosocial, and Personal Variables
    Are Biomechanical Variables and Psychosocial Variables Distinct?
    How Do Biomechanical Factors Affect LBD?
    Links Between Personal Factors and LBD
    Studies of Exercise Intervention
    Practical Application: What the Evidence Supports
    What Works Clinically
    A Final Note
    Chapter 3. Functional Anatomy of the Lumbar Spine
    Anatomy Trains
    Basic Neural Structure
    Vascular Anatomy
    Vertebrae
    Sacroiliac Joints
    Intervertebral Disc
    Muscles
    Ligaments
    Lumbodorsal Fascia (LDF)
    Quick Review of the Pelvis, Hips, and Related Musculature
    Clinically Relevant Aspects of Pain and Anatomic Structure
    A Final Note
    Chapter 4. Normal and Injury Mechanics of the Lumbar Spine
    Kinematic Properties of the Thoracolumbar Spine
    Kinetics and Normal Lumbar Spine Mechanics
    Dubious Lifting Mechanisms
    Other Important Mechanisms of Normal Spine Mechanics
    Injury Mechanisms
    Biomechanical and Physiological Changes Following Injury
    A Final Note
    Chapter 5. Myths and Realities of Lumbar Spine Stability
    Why Spine Stability Is Important for Everyone
    Stability: A Qualitative Analogy
    Quantitative Foundation of Stability
    Stability Myths, Facts, and Clinical Implications
    A Final Note
    Part II: Injury Prevention
    Chapter 6. LBD Risk Assessment
    Brief Review of the Risk Factors for LBD
    NIOSH Approach to Risk Assessment
    Snook Psychophysical Approach
    Lumbar Motion Monitor (LMM)
    Ergowatch
    Biological Signal–Driven Model Approaches
    A Final Note
    Chapter 7. Reducing the Risk of Low Back Injury
    Lessons From the Literature
    LBD Prevention for Workers
    The Question of Back Belts
    LBD Prevention for Employers
    Injury Prevention Primer
    A Note for Consultants
    Reducing the Risk in Athletes
    A Final Note
    Part III: Low Back Rehabilitation
    Chapter 8. Building Better Rehabilitation Programs for Low Back Injuries
    Pain-Reducing Mechanisms of Exercise
    Five-Stage Back Training Program
    Finding the Best Approach
    Stages of Patient Progression
    Guidelines for Developing the Best Exercise Regimen
    A Final Note
    Chapter 9. Evaluating the Patient
    Most Crucial Element in Evaluation
    First Clinician–Patient Meeting
    Assessing Posture and Movement Quality
    Some Provocation Tests
    Some Functional Screens
    Testing Muscle Endurance
    A Final Note
    Chapter 10. Developing the Exercise Program
    Philosophy of Low Back Exercise Design
    Clinical Wisdom
    Thoughts on Mobility
    Identifying Safe and Effective Exercises
    Beginner’s Program for Stabilization
    Exercises That May Be Used in a Stabilization Program
    Special Conditions
    A Final Note
    Chapter 11. Advanced Exercises
    Safely Increasing Challenges
    Occupational and Athletic Work Hardening
    A Final Note
    Epilogue
    Handouts for Patients or Clients
    Appendix
    Glossary
    References and Additional Readings
    Index
    About the Author

    About the Author

    Stuart McGill, PhD, is a professor at the University of Waterloo, Ontario, Canada, and a world-renowned lecturer and expert in spine function, injury prevention, and rehabilitation. He has written more than 300 scientific publications on lumbar function, mechanisms of low back injury, investigation of rehabilitation programs matched to specific categories of back pain patients, and the formulation of work-related injury avoidance strategies. He has received several awards for his work, including the Volvo Bioengineering Award for Low Back Pain Research from Sweden.

    McGill has been an invited lecturer at many universities and delivered more than 300 addresses to societies around the world. As a consultant, he has provided expertise on assessment and reduction of the risk of low back injury to government agencies, corporations, professional athletes and teams, and legal firms. He is one of the few scientists who, in addition to performing research, is regularly requested by the medical profession to consult with challenging patients from around the world.

    Ancillaries

    Ancillaries are free to course adopters and available at www.HumanKinetics.com/LowBackDisorders.

    Image bank. Includes more than 500 photos, illustrations, and tables that are found throughout the book. These images are organized by chapter and can be used in classroom presentations, handouts, and activities.

    Web resource with online video. Includes 20 fillable Handouts for Patients and Clients that can be edited and printed to provide clients with valuable information. Many of the forms also appear throughout the book as demonstrations of their functionality and purpose. Additionally, 17 video clips demonstrate various exercises for rehabilitation and strength. Most videos include author of Stuart McGill’s explanations of techniques and benefits. Videos bring content to life and help readers understand key concepts so that they can apply these techniques with confidence.