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At the request of a Subcommittee of the United States Senate, in February, 1975, the National Institute of Neurological Disorders and Stroke (now the National Institute of Neurological and Communi cative Disorders and Stroke) conducted a Workshop on the Research Status of Spinal Manipulative Therapy. The Workshop was held in response to the Senate Subcommittee's request for an "independent unbiased study of the fundamentals of the chiropractic profession. " Since spinal manipulative therapy is a key tenet of chiropractic, the Institute felt a research workshop focused on that issue would provide a useful base upon which to examine the broad concept of the role of biomechanical alterations of the spine in health and disease. This would include the pathophysiologic and clinical hypotheses formulated by medical and osteopathic physicians as w~ll as chiropractors. Why the relatively sudden interest of the Senate Subcommittee in chiropractic? There were probably many reasons for that interest, but suffice to say anticipation of discussion on the role of chiro practic in any national system of health insurance could in itself have provided adequate stimulus for the request. In any case, the NINCDS was asked to review what was and what was not known about the fundamentals of chiropractic. I stress "fundamentals" since as a research organization, the NINCDS is not charged with review ing matters such as clinical education, licensure or clinical prac tice. A small expert committee of scientific consultants helped the Institute design the format and agenda for the Workshop.
Evidence-based practice has become a central part of physiotherapy today, but it is still an area which is constantly expanding and being updated. Written by an international team of experts, this second edition continues to outline the basic definitions of evidence-based practice and clinical reasoning, while detailing how to find and critically appraise evidence and clinical practice guidelines and the steps to follow in the implementation and evaluation of evidence. For those struggling to understand both the concepts and how to implement them, this book will prove to be an invaluable and practical guide. Considers how both quantitative and qualitative research can be used to answer clinical questions Written for readers with different levels of expertise Highlighted critical points and text box summaries (basic) Detailed explanations in text (intermediate) Footnotes (advanced) Presents detailed strategies for searching physiotherapy-relevant databases Extensive consideration of clinical practice guidelines Chapter asking the question: When and how should new therapies be introduced into clinical practice? Search strategies Evaluating quality of interventions Placebo effects Meta-regression
Master the techniques and problem-solving skills needed to manage spinal and TMJ disorders! Manual Physical Therapy of the Spine, 2nd Edition provides guidelines to manipulation, manual physical therapy examination, and treatment procedures of the spine and temporomandibular joint. Informed by evidence-based research, this text offers detailed instructions for reaching an accurate diagnosis and developing a plan of care. Written by well-known spinal manipulation expert Kenneth Olson, this resource provides the complete information you need to make sound decisions during clinical interventions. - Descriptions of manual therapy techniques include evidence-based coverage of the examination and treatment of spine and TMJ disorders, along with discussions of alternative treatment methods and potential adverse effects and contraindications to manipulation. - Guidelines for completing a comprehensive spinal examination include medical screening, the patient interview, disability assessment, and tests and measures, along with an evaluation of the examination findings and the principles involved in arriving at a diagnosis and plan of care. - Impairment-based manual physical therapy approach includes a review of the evidence to support its use to evaluate and treat spinal and TMJ conditions. - Case studies demonstrate the clinical reasoning used in manual physical therapy. - Guide to Physical Therapist Practice terminology is incorporated throughout the book, using accepted terms familiar in physical therapy settings. - Expert author Ken Olson is a highly respected authority on the subject of spinal manipulation in physical therapy. - A clear, consistent format for explaining techniques makes this reference easy to use in the clinical setting. - NEW! Coverage of emerging topics includes soft tissue assessment, mobilization, dry needling, myofascial pain and trigger points, thoracic outlet syndrome, cervicogenic dizziness, and differentiation of headache types, plus expanded coverage of examination procedures and psychologically informed management strategies for chronic low back pain. - 120 NEW video clips are added to the companion website — over 200 videos in total provide unique 3-dimensional views of exam and manipulation techniques, showing each procedure step by step from frontal, lateral, and cranial perspectives. - NEW! Full-color design and photographs show essential concepts and procedures from multiple angles, illustrating hand and body placement and direction of force. - UPDATED evidence-based research provides the latest thinking on manual therapy of the spine.
Applies and modifies Maitland techniques to neural mobilization, refining and improving practical skills for clinical physiotherapists and physically-based occupational therapists. The text outlines the concept of neurodynamics and the basic mechanisms in movement of the nervous system and describes what can go wrong. Causal mechanisms are linked to diagnosis and treatment of pain and musculoskeletal problems in a systematic way. Various treatment techniques for each diagnostic category are presented and applied to specific clinical problems such as neck pain, headache, tennis elbow, carpal tunnel syndrome, low back pain to name a few. These are common problems in which therapists often miss a neural component
Rainer Thiele deals with chiropractic and examines two questions: Is chiropractic treatment of lower back pain a successful therapeutic approach? Is chiropractic treatment a standard treatment for headaches? On the topic of chiropractic in lower back pain, a congress abstract was published by the author using the latest randomized clinical studies and discussed as a poster contribution to the 16th Congress for Health Services Research in Berlin. A systematic review answers the question about chiropractic treatment of headaches. About the author: Dr. scient. med. Rainer Thiele wrote this work as part of his doctoral studies in medical science at the UFL (Private University of Liechtenstein) as a cumulative dissertation. He is managing director of the specialist practice for Chiropractic / Osteopathy and Sports Medicine in Munich.
This book will enable readers to understand the principles underpinning the management of pain which a particular emphasis upon the care of the older adult. The chapters will explore concepts that are recognised to be involved in the pain experience but each author will then add their own unique perspective by applying the principles to their specialist area of practice and the care of the older adult. It is structured to include the aims and outcomes of the chapter at the beginning so that readers can track their progress, and provides chapter outlines and further reading suggestions foir this unique topic area.