Therapeutic Interventions for Musculoskeletal Conditions With HKPropel Online Video

A patient-focused text on interventions for musculoskeletal conditions.

With a modern approach that reaches beyond application of isolated modalities to manage injuries, Therapeutic Interventions for Musculoskeletal Conditions With HKPropel Online Video presents a multimodal perspective on treatment that considers all aspects of the patient’s experience. This contemporary, patient-centered approach to therapeutic interventions closely resembles clinical practice and offers insights on how and why physical agents, manual therapies, and therapeutic exercises should be applied for an optimal plan of care.

To provide a comprehensive understanding of treatment options and implications, the book features full-color medical illustrations that show joint mechanoreceptors, neurophysiological processes, and physiological responses to interventions. Students can also refer to 24 related online videos that demonstrate how to apply evidence-based therapeutic interventions for musculoskeletal conditions, including the use of physical agents, manual therapy, and neuromuscular reeducation.

Therapeutic Interventions for Musculoskeletal Conditions features a case study that builds upon itself in each part, taking the student from the beginning of a plan of care at the initial evaluation of an injury and through the various steps and progressions of treatment. This unique approach helps the student see how interventions can be implemented, progressed upon, and used in conjunction with each other.

Split into five parts, each section of Therapeutic Interventions for Musculoskeletal Conditions walks students through a phase of patient recovery:

• Part I covers the initial evaluation and creation of a plan of care.
• Part II discusses the neurophysiology behind pain transmission, signal modulation, tissue injury, inflammation, and pain science.
• Part III focuses on understanding limitations in range of motion and discusses various therapeutic modalities and manual interventions used to restore motion.
• Part IV highlights the importance of neuromuscular control in the healing process and ways to facilitate recovery.
• Part V explores the role of mechanical signaling and exercise in tissue recovery.

Students and professionals alike will develop stronger decision-making skills when determining the safest and most effective use of different treatment methods with Therapeutic Interventions for Musculoskeletal Conditions.

Note: A code for accessing online videos is included with all new print books.

Audience

Graduate students studying athletic training or physical therapy.

Part I. Clinical Reasoning
Chapter 1. Patient Examination and Evaluation
Defining the Problem
The Diagnostic Process
Biopsychosocial Models of Health
Patient Self-Report Instruments
Psychological Considerations in Musculoskeletal Care
Summary

Chapter 2. Developing the Plan of Care
Clinical Decision Making
Steps in Developing the Plan of Care
Goal Setting With the SMART Framework
Selecting the Appropriate Intervention
Documentation when Developing a Plan of Care
Summary

Part II. Pain
Chapter 3. Pain Transmission, Sensation, and Signal Modulation
Introduction to Pain
The Pain Experience
Acute, Persisting, or Chronic Pain
Nociception and Signal Transmission
Pathways for Transmission of Acute Pain
Sensory Integration 
Pain Signal Modulation
Summary

Chapter 4. Tissue Injury, Inflammation, Nociception, and Healing
Tissue and Injury
Immediate Response to Injury
Inflammation
Macrophage Function
Inflammation Triggering Nociceptive Pain and Initiating Repair
Tissue Specific Healing
Factors Influencing Tissue Healing
Summary

Chapter 5. Pain Science and Patient Education
Nociplasticity and Sensitization
Explaining Pain
Summary

Chapter 6. Clinical Management of Pain
Cold
Superficial Heating
Transcutaneous Electrical Nerve Stimulation
Manual Therapies
Therapeutic Ultrasound
Laser
Summary

Chapter 7. Pain Management and Exercise
Exercise Recommendations and Medical Exercise Therapy
Exercise and Pathological Pain
Exercise Prescription Considerations
Components of Exercise Prescription
Summary

Part III. Restoring Motion
Chapter 8. Impaired Range of Motion
Causes of Impaired Motion
Hypomobility, Joint Health, and Biomechanics
Plan of Care for Motion Restrictions
Summary

Chapter 9. Manual Therapies
Informed Consent, Contraindications, and Precautions
Strain-Counterstrain
Muscle Energy
Massage
Myofascial Release
Instrument Assisted Soft-Tissue Mobilization
Clinical Decisions in Soft-Tissue Techniques
Joint Mobilization
Clinical Decisions in Mobilization Techniques
Exercise
Summary

Chapter 10. Facilitating Motion With Modalities
Superficial Heat
Ultrasound
Diathermy
Summary

Part IV. Neuromuscular Control
Chapter 11. Muscle Weakness, Atrophy, and Neuromuscular Impairment
Origins of Muscle Weakness
Origins of Atrophy
Origins of Impaired Proprioception and Neuromuscular Control
Summary

Chapter 12. Modalities to Facilitate the Restoration of Strength and Neuromuscular Function
Therapeutic Adjuncts to Exercise
Focal Joint Cooling
Transcutaneous Electrical Nerve Stimulation
Neuromuscular Electrical Stimulation
Blood Flow Restriction
Biofeedback
Vibration
Timing Considerations
Summary

Chapter 13. Exercise Prescription to Improve Strength and Neuromuscular Control
Avoiding Common Misconceptions in Therapeutic Exercise Programming 
Contemporary Therapeutic Considerations
Emerging Therapeutic Considerations
Integration and Maintenance of the Plan of Care
Summary

Part V. Repair and Mechanobiology
Chapter 14. Mechanical Signaling and Tissue Homeostasis
Foundational Principles and Mechanisms of Mechanobiology
Mechanobiology in Musculoskeletal Tissues
Summary

Chapter 15. Exercise and Physical Agents as Stimuli for Tissue Repair
Tissue Specific Loading Considerations
Physical Agents
Summary

Craig R. Denegar, PhD, MPT, ATC, is a professor emeritus at the University of Connecticut, a physical therapist and retired athletic trainer, and a fellow of the National Athletic Trainers’ Association. He had many roles as a clinician-scholar over more than four decades. He served as a head athletic trainer at the collegiate level before merging clinical practice with teaching, research, and academic leadership. He served as the director for two athletic training education programs and was the director of the doctoral program of physical therapy and head of the kinesiology department at the University of Connecticut. He also served as the subject external examiner for the BSc physiotherapy and MSc physiotherapy preregistration programs at University College Dublin from 2015 to 2019. Denegar completed his PhD in sports medicine at the University of Virginia and a MPT at Slippery Rock University.?During his career he taught in the areas of anatomy, clinical examination, therapeutic interventions,?research methods, and clinical epidemiology. Denegar is a former editor in chief of the Journal of Athletic Training and served on the editorial boards of the Journal of Sport Rehabilitation and Journal of Strength and Conditioning Research and Open Access Journal of Sports Medicine. He has coauthored six textbooks, including this edition of Therapeutic Interventions for Musculoskeletal Conditions, and he authored or coauthored numerous book chapters and more than 150 peer-reviewed manuscripts.

Grant Norte, PhD, ATC, is an associate professor in the kinesiology division of the School of Kinesiology and Rehabilitation Sciences at the University of Central Florida. He codirects the Cognitive, Neuroplasticity, & Sarcopenia (CNS) Laboratory within the Institute of Exercise Physiology and Rehabilitation Science. Norte's research focuses on the neurophysiological aspects of knee joint injuries, aiming to develop innovative treatments for improved patient outcomes. His multidisciplinary approach investigates neural, muscular, movement, and patient-oriented impairments following orthopedic trauma, with an emphasis on ACL injury.

Norte has authored or coauthored over 85 manuscripts, with his work supported by the National Athletic Trainers' Association, American College of Sports Medicine, and National Strength and Conditioning Association. A southern California native, he earned his undergraduate degree in exercise science and sports medicine from California Lutheran University. He completed a postprofessional athletic training program at the University of Virginia and later returned there to earn his doctorate in sports medicine. His professional experience includes an athletic training fellowship at The Steadman Clinic in Vail, Colorado, and serving as head athletic trainer at the State University of New York at New Paltz.

Norte has taught courses in athletic injury assessment, neurological and pathological foundations of rehabilitation, clinical biomechanics, orthopedic injury, and research methodology. He is an active member of the National Athletic Trainers' Association, American College of Sports Medicine, and Athletic Trainers’ Osteoarthritis Consortium, and he serves on the Journal of Athletic Training editorial board. Norte is dedicated to mentoring students and fostering collaborative networks with colleagues, both domestically and internationally.

Neal R. Glaviano, PhD, ATC, is an assistant professor in the department of kinesiology at the University of Connecticut (UConn). He serves as a core faculty member of the master’s program in athletic training and served as the clinical education coordinator for five years. Glaviano is the codirector of the Sports Optimization and Rehabilitation Laboratory, is a member of the UConn Institute for Sports Medicine, and serves as the director of graduate studies within the department of kinesiology. Glaviano completed his undergraduate degree in athletic training from the University of Connecticut in 2007. He then earned his MEd in athletic training in 2008 and PhD in sports medicine in 2016, both from the University of Virginia. His professional experience includes working clinically in private physical therapy clinics and providing outreach to high schools in Connecticut and Virginia. As a researcher, Glaviano has authored or coauthored numerous publications and two book chapters, and his work has been supported by the U.S. Department of Defense. His research interests encompass patellofemoral pain, muscle inhibition, rehabilitation, and therapeutic exercise. Glaviano’s recent studies have included clinical trials evaluating therapeutic interventions on individuals with patellofemoral pain, evaluating muscle activating during therapeutic exercises, and the effects of neuromuscular electrical stimulation on quadriceps strengthening.

All ancillaries are free to adopting instructors through HKPropel.

Instructor guide. Includes chapter-specific files that contain the chapter objectives, summary, lecture outline, and three to five activity ideas.

Test package. Contains 450 questions in true-false, fill-in-the-blank, essay and short-answer, and multiple-choice formats. The files may be downloaded for integration with a learning management system or printed for use as paper-based tests. Instructors may also create their own customized quizzes or tests from the test bank questions to assign to students directly through HKPropel. Multiple-choice and true-false questions are automatically graded, and instructors can review student scores in the platform.

Chapter quizzes. Contains ready-made quizzes (10 questions each) to assess student comprehension of the most important concepts in each chapter. Each quiz may be downloaded or assigned to students directly through HKPropel. The chapter assessments are automatically graded, and instructors can review student scores in the platform.

Presentation package. Features more than 450 PowerPoint slides of text, artwork, and tables from the book that can be used for class discussion and presentation. The slides in the presentation package can be used directly within PowerPoint or printed to make handouts for students. Instructors can easily add, modify, and rearrange the order of the slides.

Image bank. Includes most of the figures, photos, and tables from the text, sorted by chapter. These can be used in developing a customized presentation based on specific course requirements.

Instructors also receive access to all student materials in HKPropel. For Therapeutic Interventions for Musculoskeletal Conditions, this includes access to online videos.