Now reflecting the tremendous increase in knowledge and research evidence on the use of manipulative techniques in clinical practice, Manipulation of the Spine, Thorax and Pelvis, 5th Edition, helps your students acquire and refine their skills on the safe use of high-velocity low-amplitude (HVLA) thrust techniques. This highly regarded resource advocates an approach that uses minimal leverage to achieve cavitation in a safe, comfortable and effectivemanner—supported by up-to-date, high-quality images and videos. In one comprehensive volume, students will find essential information on all aspects of the delivery of manipulation techniques, including important issues surrounding patient consent and safety issues in the broader context of relative risk.
Provides step-by-step coverage of 43 commonly used manipulation (HVLA) thrust techniques, supported by 293 photographs/drawings and 60 videos—all fully updated in light of recent research evidence
Includes concise technique summaries for quick review, a troubleshooting section that addresses difficulties with technique application, and a comprehensive review of spinal kinematics and spinal positioning for manipulation techniques
Contains a new chapter on the possible biological and psychological mechanisms relating to the efficacy of manipulation in clinical practice, and a new section on rib cage HVLA techniques
Offers detailed information on kinematics and coupled motion of the spine, minimal leverage positioning for HVLA thrust techniques, safety and minimising risk in the application of manipulation, and current evidence relating to the use of manipulation in paediatric and pregnant patient populations
Examines evidence relating to cavitation and the clinical effectiveness of spinal manipulation
Encourages students to reflect on how they are performing manipulative techniques in order to improve their skills
An eBook version is included with purchase. The eBook allows access to all of the text, figures, and references, with the ability to search, customize content, make notes and highlights, and have content read aloud
The website https://evolve.elsevier.com – accompanying this text includes video sequences of all the techniques described in Part B (with the exception of the last technique described in Chapter 12.) These are indicated in the text by the following symbol.
Part A HVLA thrust techniques – an osteopathic perspective 1. Introduction 2. Osteopathic history, principles and practice 3. Kinematics and coupled motion of the spine 4. Minimal leverage positioning for HVLA thrust techniques 5. Cavitation 6. Mechanisms of Effectiveness 7. Safety 8. Evidence-informed practice 9. Consent
Part B HVLA thrust techniques 10 Cervical and cervicothoracic spine Note: Before reviewing up-slope and down-slope HVLA thrust techniques, the Introduction on the website should be viewed. 10.1 Atlanto-occipital joint C0–1: Contact point on occiput; Chin hold; Patient supine; Anterior and superior thrust in a curved plane; Ligamentous myofascial positioning 10.2 Atlanto-occipital joint C0–1: Contact point on atlas; Chin hold; Patient supine; Anterior and superior thrust in a curved plane; Ligamentous myofascial positioning 10.3 Atlanto-axial joint C1–2: Chin hold; Patient supine; Rotation thrust; Ligamentous myofascial positioning 10.4 Atlanto-axial joint C1–2: Cradle hold; Patient supine; Rotation thrust; Ligamentous myofascial positioning 10.5 Cervical spine C2–7: Up-slope; Chin hold; Patient supine 10.6 Cervical spine C2–7: Up-slope; Chin hold; Patient supine – variation 10.7 Cervical spine C2–7: Up-slope; Cradle hold; Patient supine 10.8 Cervical spine C2–7: Up-slope; Cradle hold; Patient supine; Reversed primary and secondary leverage 10.9 Cervical spine C2–7: Up-slope; Patient sitting; Operator standing in front 10.10 Cervical spine C2–7: Up-slope; Patient sitting; Operator standing to the side 10.11 Cervical spine C2–7: Down-slope; Chin hold; Patient supine 10.12 Cervical spine C2–7: Down-slope; Cradle hold; Patient supine 10.13 Cervical spine C2–7: Down-slope; Patient sitting; Operator standing to the side 10.14 Cervicothoracic spine C7–T3: Rotation; Patient prone; Operator at side of couch 10.15 Cervicothoracic spine C7–T3: Rotation; Patient prone; Operator at head of couch 10.16 Cervicothoracic spine C7–T3: Rotation; Patient prone; Operator at head of couch – variation 10.17 Cervicothoracic spine C7–T3: Sidebending; Patient sitting 10.18 Cervicothoracic spine C7–T3: Sidebending; Patient sitting; Ligamentous myofascial positioning 10.19 Cervicothoracic spine C7–T3: Sidebending; Patient sidelying 10.20 Cervicothoracic spine C7–T3: Sidebending; Patient sidelying; Ligamentous myofascial positioning 10.21 Cervicothoracic spine C7–T3: Extension; Patient sitting; Ligamentous myofascial positioning
11 Thoracic Spine Note: Before reviewing thoracic spine techniques the Upper limb positioning for sitting and supine thoracic spine techniques on the website should be viewed. 11.1 Thoracic spine T4–9: Extension; Patient sitting; Ligamentous myofascial positioning 11.2 Thoracic spine T4–9: Flexion; Patient supine; Ligamentous myofascial positioning 11.3 Thoracic spine T4-9: Patient supine; Ligamentous myofascial positioning 11.4 Thoracic spine T4–9: Rotation; Patient supine; Ligamentous myofascial positioning 11.5 Thoracic spine T4–9: Rotation; Patient prone; Short-lever technique
Peter Gibbons, MB, BS, DO, DM-Smed, MHSc, Associate Professor Osteopathic Medicine, Head of the School of Health Sciences, Victoria University, Melbourne, Australia and Philip Tehan, DO, DipPhysio, MHSc, Senior Lecturer, Osteopathic Medicine, School of Health Sciences, Victoria University, Melbourne, Australia
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