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Manipulation of the Spine, Thorax and Pelvis, 4th Edition

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Hardcover

Manipulation of the Spine, Thorax and Pelvis, 4th Edition

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Now in its fourth edition Manipulation of the Spine, Thorax and Pelvis continues to support the practitioner in acquiring and refining their skills on safely using high-velocity low-amplitude (HVLA) thrust techniques. This trusted and highly visual resource – now with 275 images and access to a website with 56 ‘technique’ videos – advocates an approach that uses minimal leverage to achieve a cavitation in a safe, comfortable and effective manner.

The new edition addresses the important issues surrounding patient consent and discusses safety issues in the broader context of relative risk. New sections include appropriate use of manipulation when treating radiculopathy and musculoskeletal conditions in pregnant women and children. It also further encourages the practitioner to reflect on how they are performing manipulative techniques and thus focus on improving their skills.

  • Step-by-step coverage of 41 commonly used manipulation (HVLA) thrust techniques supported by 275 photographs/drawings and 56 videos
  • Concise technique summaries provide an innovative review process
  • A troubleshooting section in which difficulties with technique application can be addressed
  • Comprehensive review of spinal kinematics and spinal positioning for manipulation techniques
  • Examines evidence relating to cavitation and the clinical effectiveness of spinal manipulation
  • Access to companion website – www.spinethoraxpelvis.com – containing:
    • video bank of 56 videos (13 new) demonstrating HVLA thrust techniques from Part B of the book
    • image bank of all 275 images from the book
  • 2-colour throughout with over 30 new images
  • Clinical history, presentation and examination for patients presenting with cervical artery dissection
  • Addresses the important issues surrounding patient consent
  • Additional research and guidelines that support the:
    • use of HVLA thrust techniques
    • use of spinal manipulation in the treatment of radiculopathy, pregnant women and children

Foreword Preface Acknowledgements

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 Safety and HVLA thrust techniques 6 Evidence informed practice 7 Consent

Part B HVLA thrust techniques

8 Cervical and cervicothoracic spine Note: Before reviewing up-slope and down-slope HVLA thrust techniques, the Introduction on the website should be viewed. 8.1 Atlanto-occipital joint C0–1: Contact point on occiput; Chin hold; Patient supine; Anterior and superior thrust in a curved plane; Ligamentous myofascial positioning 8.2 Atlanto-occipital joint C0–1: Contact point on atlas; Chin hold; Patient supine; Anterior and superior thrust in a curved plane; Ligamentous myofascial positioning 8.3 Atlanto-axial joint C1–2: Chin hold; Patient supine; Rotation thrust; Ligamentous myofascial positioning 8.4 Atlanto-axial joint C1–2: Cradle hold; Patient supine; Rotation thrust; Ligamentous myofascial positioning 8.5 Cervical spine C2–7: Up-slope gliding; Chin hold; Patient supine 8.6 Cervical spine C2–7: Up-slope gliding; Chin hold; Patient supine – variation 8.7 Cervical spine C2–7: Up-slope gliding; Cradle hold; Patient supine 8.8 Cervical spine C2–7: Up-slope gliding; Cradle hold; Patient supine; Reversed primary and secondary leverage 8.9 Cervical spine C2–7: Up-slope gliding; Patient sitting; Operator standing in front 8.10 Cervical spine C2–7: Up-slope gliding; Patient sitting; Operator standing to the side 8.11 Cervical spine C2–7: Down-slope gliding; Chin hold; Patient supine 8.12 Cervical spine C2–7: Down-slope gliding; Cradle hold; Patient supine 8.13 Cervical spine C2–7: Down-slope gliding; Patient sitting; Operator standing to the side 8.14 Cervicothoracic spine C7–T3: Rotation gliding; Patient prone; Operator at side of couch 8.15 Cervicothoracic spine C7–T3: Rotation gliding; Patient prone; Operator at head of couch 8.16 Cervicothoracic spine C7–T3: Rotation gliding; Patient prone; Operator at head of couch – variation 8.17 Cervicothoracic spine C7–T3: Sidebending gliding; Patient sitting 8.18 Cervicothoracic spine C7–T3: Sidebending gliding; Patient sitting; Ligamentous myofascial positioning 8.19 Cervicothoracic spine C7–T3: Sidebending gliding; Patient sidelying 8.20 Cervicothoracic spine C7–T3: Sidebending gliding; Patient sidelying; Ligamentous myofascial positioning 8.21 Cervicothoracic spine C7–T3: Extension gliding; Patient sitting; Ligamentous myofascial positioning

9 Thoracic spine and rib cage Note: Before reviewing thoracic spine and rib cage techniques the Upper limb positioning for sitting and supine thoracic spine techniques on the website should be viewed. 9.1 Thoracic spine T4–9: Extension gliding; Patient sitting; Ligamentous myofascial positioning 9.2 Thoracic spine T4–9: Flexion gliding; Patient supine; Ligamentous myofascial positioning 9.3 Thoracic spine T4–9: Rotation gliding; Patient supine; Ligamentous myofascial positioning 9.4 Thoracic spine T4–9: Rotation gliding; Patient prone; Short-lever technique 9.5 Ribs R1–3: Patient prone; Gliding thrust 9.6 Ribs R4–10: Patient supine; Gliding thrust; Ligamentous myofascial positioning 9.7 Ribs R4–10: Patient prone; Gliding thrust; Short-lever technique 9.8 Ribs R4–10: Patient sitting; Gliding thrust; Ligamentous myofascial positioning

10 Lumbar and thoracolumbar spine Note: Before reviewing sidelying HVLA thrust techniques in the lumbar and thoracolumbar spine, the Introduction on the website should be view

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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