Low back disorders: evidence-based prevention and rehabilitation
"In Low Back Disorders: Evidence-Based Prevention and Rehabilitation, Second Edition, internationally recognized low back specialist Stuart McGill presents original research to quantify the forces that specific movements and exercises impose on the low back, dispels myths regarding spine stabil...
Gespeichert in:
| 1. Verfasser: | |
|---|---|
| Format: | Buch |
| Sprache: | English |
| Veröffentlicht: |
Champaign, Ill. [u.a.]
Human Kinetics
2007
|
| Ausgabe: | 2. ed. |
| Schlagworte: | |
| Online-Zugang: | Inhaltsverzeichnis Klappentext |
| Zusammenfassung: | "In Low Back Disorders: Evidence-Based Prevention and Rehabilitation, Second Edition, internationally recognized low back specialist Stuart McGill presents original research to quantify the forces that specific movements and exercises impose on the low back, dispels myths regarding spine stabilization exercises, and suggests preventive approaches and strategies to offset injuries, reduce pain, and restore function." "The second edition presents enhanced algorithms to guide progessive therapeutic exercise and specially designed patient assessment provocation tests to help you determine the cause of back troubles, guide your choices in the best ways to eliminate problems, and improve the development of appropriate activities for functional gain. Whereas the first edition focused on increasing spine stability, the second edition provides new information on dealing with both regional instability or mobility and regional stiffness present in individuals where most of the motion occurs at a single spinal segment."--BOOK JACKET. |
| Beschreibung: | XVI, 312 S. zahlr. Ill., graph. Darst. |
| ISBN: | 9780736066921 0736066926 |
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| 520 | 1 | |a "In Low Back Disorders: Evidence-Based Prevention and Rehabilitation, Second Edition, internationally recognized low back specialist Stuart McGill presents original research to quantify the forces that specific movements and exercises impose on the low back, dispels myths regarding spine stabilization exercises, and suggests preventive approaches and strategies to offset injuries, reduce pain, and restore function." "The second edition presents enhanced algorithms to guide progessive therapeutic exercise and specially designed patient assessment provocation tests to help you determine the cause of back troubles, guide your choices in the best ways to eliminate problems, and improve the development of appropriate activities for functional gain. Whereas the first edition focused on increasing spine stability, the second edition provides new information on dealing with both regional instability or mobility and regional stiffness present in individuals where most of the motion occurs at a single spinal segment."--BOOK JACKET. | |
| 650 | 2 | |a Back Injuries |a prevention & control | |
| 650 | 2 | |a Back Injuries |a rehabilitation | |
| 650 | 2 | |a Low Back Pain |a prevention & control | |
| 650 | 2 | |a Low Back Pain |a rehabilitation | |
| 650 | 2 | |a Evidence-Based Medicine | |
| 650 | 4 | |a Médecine factuelle | |
| 650 | 4 | |a Back Injuries |x prevention & control | |
| 650 | 4 | |a Back Injuries |x rehabilitation | |
| 650 | 4 | |a Backache | |
| 650 | 4 | |a Backache |x Prevention | |
| 650 | 4 | |a Evidence-Based Medicine | |
| 650 | 4 | |a Evidence-based medicine | |
| 650 | 4 | |a Low Back Pain |x prevention & control | |
| 650 | 4 | |a Low Back Pain |x rehabilitation | |
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Datensatz im Suchindex
| _version_ | 1804137361730174976 |
|---|---|
| adam_text | CONTENTS
List of
Tests
and Exercises
ix
Preface
xi
Acknowledgments
xiii
Photo Credits
xiv
Why and How You Should Read This Book
xv
PART
і
Scientific Foundation
____________________________
CHAPTER
1
Introduction to the Issues
2
Legislative Landscape: The Unfortunate Adverse Impact on Bad Backs
3
Deficiencies in Current Low Back Disorder Diagnostic Practices
3
Is It True That
85 %
of Back Troubles Are of Unknown Etiology?
5 ·
Diagnosis by-
Hypothesis Testing
5 ·
Is It True That Most Chronic Back Complaints Are Rooted
in Psychological Factors?
6 ·
Does Pain Cause Activity Intolerance?
7
Inadequacies in Current Care and Prevention of Low Back Disorders
7
Ill-Advised Rehabilitation Recommendations
8 ·
Can Back Rehabilitation Be
Completed in
6
to
12
Weeks?
10 ·
Should the Primary Coal of Rehabilitation
Be Restoring the Range of Motion?
7 7 ·
What Are Better Alternatives in Dealing
With Painful Backs?
7 7
Mechanical Loading and the Process of Injury: A Low Back Tissue Injury Primer
11
A Final Note
14
CHAPTER
2
Scientific Approach Unique to This Book
15
In Vitro Lab
15
In Vivo Lab
16
How the Virtual Spine Works
16 ·
Development of the Virtual Spine
21
CHAPTER
3
Epidemiological Studies on Low Back Disorders (LBDs)
22
Multidimensional Links Among
Biomechanica!,
Psychosocial,
and Personal Variables
22
Three Important Studies
23 ·
Do Workers Experience LBDs Because They Are
Paid to Act Disabled?
24 ·
Does Pain Have an Organic Basis—Or Is It All in the
Head?
25 ·
Are
Biomechanica!
Variables and
Psychosocial
Variables Distinct?
28
•
What Is the Significance of First-Time Injury Data for Cause and Prevention?
28
How Do Biomechanical Factors Affect LBD?
29
Mechanical Loading and LBD: Field-Based Risk Factors
29 ·
What Are the
Lastíng
Physiological Biomechanical, and Motor Changes to Which Injury Leads?
30 ·
What
Is the Optimal Amount of Loading for a Healthy Spine?
31
What Are the Links Between Personal Factors and LBD?
32
What the Evidence Supports
33
Contents
CHAPTER
4
Functional Anatomy of the Lumbar Spine
35
Basic Neural Structure
35
Vascular Anatomy
36
The Vertebrae
36
Vertebral Architecture and Load Bearing
36 ·
Posterior Elements of the Vertebrae
41
Intervertébral Disc
44
Load-Bearing Abilities
44 ·
Progressive Disc Injury
44
Muscles
47
Muscle Size
48 ·
Muscle Groups
49 ·
Abdominal Muscles
56 ·
Psoas
60 ·
Quadratus
Lumborum
61 ·
Muscle Summary
62
Ligaments
62
Longitudinal Ligaments
63 ·
Interspinous and Supraspinous Ligaments
63 ·
Other Ligaments
in the Thoracolumbar Spine
65 ·
Normal Ligament Mechanics and Injury Mechanics
65
Lumbodorsal Fascia (LDF)
66
A Quick Review of the Pelvis, Hips, and Related Musculature
67
Clinically Relevant Aspects of Pain and Anatomic Structure
70
Tissue-Specific Types of Pain
70 ·
Can Pain Descriptors Provide a Reliable Diagnosis?
71
A Final Note
71
CHAPTER
5
Normal and Injury Mechanics of the Lumbar Spine
72
Kinematic Properties of the Thoracolumbar Spine
72
Kinetics and Normal Lumbar Spine Mechanics
76
Loads on the Low Back During Functional Movements
76 ·
Loads on the Low Back
During Various Exercises
87
Dubious Lifting Mechanisms
91
Intra-Abdominal Pressure
92 ·
Lumbodorsal Fascia
94 ·
Hydraulic Amplifier
95
•
IAP, LDF, and Hydraulic Amplifier: A Summary
95
Other Important Mechanisms of Normal Spine Mechanics
95
Biomechanics of Diurnal Spine Changes
96 ·
Spinal Memory
96 ·
Anatomical Flexible
Beam and Truss: Muscle Cocontraction and Spine Stability
97
Injury Mechanisms
98
Summary of Specific Tissue Injury Mechanisms
98 ·
Injury Mechanics Involving the
Lumbar Mechanism
99 ·
Staying Within the Biomechanical Envelope
99
Biomechanica!
and Physiological Changes Following Injury
108
Tissue Damage Pathogenesis, Pain, and Performance
108 ·
Injury Process: Motor
Changes
109 ·
Specific Patterns of Muscle Inhibition Following Injury
110 ·
The
Crossed-Pelvis Syndrome and Gluteal Amnesia 1
10
CHAPTER
6
Myths and Realities of Lumbar Spine Stability
113
Stability: A Qualitative Analogy
113
Quantitative Foundation of Stability
114
Potential Energy as a Function of Height
115 ·
Potential Energy as a Function of Stiffness
and Elastic Energy Storage
1
1
7 ·
Muscles Create Force and Stiffness
118 ·
Sufficient
Stability
119
Stability Myths, Facts, and Clinical Implications
119
Contents
vii
PART
Π
Injury Prevention
__________________________________123
CHAPTER
7
LBD Risk Assessment
124
Brief Review of the Risk Factors for LBD
124
NIOSH Approach to Risk Assessment
125
1981
Guideline
125 · 1993
Guideline
126
Snook Psychophysical Approach
127
Lumbar Motion Monitor (LMM)
127
Ergowatch
128
Biological Signal-Driven Model Approaches
130
The Manas Model and the McGill Model
130 ·
EMG-Assisted Optimization
131
•
Simple or Complex Models?
131
The Challenge Before Us
131
CHAPTER
8
Reducing the Risk of Low Back Injury
133
Lessons From the Literature
133
Compensation Board Statistics—an Artifact?
134 ·
Ergonomie
Studies
134 ·
Rehab and
Prevention Studies
134 ·
Studies on the Connection Between Fitness and Injury
Disability
135 ·
Beyond Ergonomics: Is It Time to Modify the Worker?
135
LBD Prevention for Workers
136
Should Workers Avoid End Range of Spine Motion During Exertion?
136 ·
What Are the
Ways to Reduce the Reaction Moment?
138 ·
Should One Avoid Exertion Immediately
After Prolonged Flexion?
143 ·
Should Intra-Abdominal Pressure (IAP) Be Increased
During Lining?
144 ·
Are Twisting and Twisting Lifts Particularly Dangerous?
145
•
Is Lifting Smoothly and Not jerking the Load Always Best?
145 ·
Is There Any Way to
Make Seated Work Less Demanding on the Back?
148 ·
Some Short-Answer Questions
150
LBD Prevention for Employers
152
Injury Prevention Primer
154
A Note for Consultants
157
CHAPTER
9
The Question of Back Belts
158
Issues of the Back Belt Question
158
Scientific Studies
159
Clinical Trials
159 ·
Biomechanical Studies
161 ·
Studies of Belts, Heart Rate, and
Blood Pressure
162 ·
Psychophysical Studies
163
Summary of Prescription Guidelines
163
PART 111 Low Back Rehabilitation
___________________________165
CHAPTER
10
Building Better Rehabilitation Programs for
Low Back Injuries
166
Our Five-Stage Back Training Program
166
Finding the Best Approach
167
Stages of Patient Progression
169
Stage
1 :
Detect and Correct Perturbed Motion and Motor Patterns
169 ·
Stage
2:
Establish
Stability Through Exercises and Education
181 ·
Stage
3:
Develop Endurance
182
viii
________________________________________________________________________________ Contents
Guidelines for Developing the Best Exercise Regimen
183
Developing a Sound Basis for Exercise Prescription
183 *
Basic Issues in Low Back
Exercise Prescription
184
CHAPTER
11
Evaluating the Patient
189
The Most Crucial Element in Evaluation
189
First Clinician-Patient Meeting
190
Some Provocation Tests
192
A Note on Motion Palpation
198 ·
Distinguishing Between Lumbar and Hip Problems
198
Some Functional Screens
199
The Stiff Spine
203 ·
Control of
Torsionai
Motion
203 ·
Testing for Aberrant Gross
Lumbar Motion
204
Testing Muscle Endurance
210
CHAPTER
12
Developing the Exercise Program
213
Philosophy of Low Back Exercise Design
213
Clinical Wisdom
214
Sparing the Back While Stretching the Hips and Knees
214 ·
Flossing the Nerve Roots
for Those With Accompanying Sciatica
216
Identifying Safe and Effective Exercises
217
Incorporating and Patterning the Muscles
218 ·
Eliminating Unsafe Exercises
218 ·
Selecting
Safe and Effective Exercises
220
Beginner s Program for Stabilization: A Sample
221
Exercises That May Be Used in a Stabilization Program
222
CHAPTER
13
Advanced Exercises
230
Safely Increasing Challenges
231
Labile Surfaces and Resistance Training Machines
231 ·
Safely Progressing Back
Exercises
233
Occupational and Athletic Work Hardening
236
Low Back Exercises for High-Performance Workers or Athletes
236 ·
Low Back Exer¬
cises Only for Athletes
238
Looking Forward
241
Epilogue
243
Handouts for Patients or Clients
244
Appendix
268
Glossary
274
References and Additional Readings
276
Index
301
About the Author
312
LOW BACK DISORDERS
In Low Back Disorders: Evidence-Based Prevention and Rehabilitation,
Second Edition, internationally recognized low back specialist Stuart
McGill presents original research to quantify the forces that specific
movements and exercises impose on the low back, dispels myths regarding
spine stabilization exercises, and suggests preventive approaches and
strategies to offset injuries, reduce pain, and restore function.
The second edition presents enhanced algorithms to guide progessive
therapeutic exercise and specially designed patient assessment provocation
tests to help you determine the cause of back troubles, guide your choices
in the best ways to eliminate problems, and improve the development
of appropriate activities for functional gain. Whereas the first edition
focused on increasing spine stability, the second edition provides new
information on dealing with both regional instability or mobility and
regional stiffness present in individuals where most of the motion occurs
at a single spinal segment.
With Low Back Disorders: Evidence-Based Prevention and Rehabilitation,
Second Edition, you will
•
gain valuable information on measured loading of the back
during specific activities and apply it to avoid common
—
but
counterproductive
—
practices in back rehabilitation;
•
learn how to analyze each patient s or client s unique physical
characteristics and lifestyle factors to tailor preventive measures
and treatments to individual needs;
•
learn how to help patients and clients progress through the stages
of rehabilitation: corrective exercise, stability or mobility, endurance,
and strength; and
•
acquire the information necessary to design an effective injury-
prevention program.
Low Back Disorders: Evidence-Based Prevention ana Rehabilitation,
Second Edition, is the authoritative text for study, care, and treatment
of the low back. Its unique approach to back care and prevention will
guide you in developing intervention, rehabilitation, and prevention
programs to address the unique needs of each patient or client and
develop a strong scientific foundation for your practice.
|
| adam_txt |
CONTENTS
List of
Tests
and Exercises
ix
Preface
xi
Acknowledgments
xiii
Photo Credits
xiv
Why and How You Should Read This Book
xv
PART
і
Scientific Foundation
_
\
CHAPTER
1
Introduction to the Issues
2
Legislative Landscape: The Unfortunate Adverse Impact on Bad Backs
3
Deficiencies in Current Low Back Disorder Diagnostic Practices
3
Is It True That
85 %
of Back Troubles Are of Unknown Etiology?
5 ·
Diagnosis by-
Hypothesis Testing
5 ·
Is It True That Most Chronic Back Complaints Are Rooted
in Psychological Factors?
6 ·
Does Pain Cause Activity Intolerance?
7
Inadequacies in Current Care and Prevention of Low Back Disorders
7
Ill-Advised Rehabilitation Recommendations
8 ·
Can Back Rehabilitation Be
Completed in
6
to
12
Weeks?
10 ·
Should the Primary Coal of Rehabilitation
Be Restoring the Range of Motion?
7 7 ·
What Are Better Alternatives in Dealing
With Painful Backs?
7 7
Mechanical Loading and the Process of Injury: A Low Back Tissue Injury Primer
11
A Final Note
14
CHAPTER
2
Scientific Approach Unique to This Book
15
In Vitro Lab
15
In Vivo Lab
16
How the Virtual Spine Works
16 ·
Development of the Virtual Spine
21
CHAPTER
3
Epidemiological Studies on Low Back Disorders (LBDs)
22
Multidimensional Links Among
Biomechanica!,
Psychosocial,
and Personal Variables
22
Three Important Studies
23 ·
Do Workers Experience LBDs Because They Are
Paid to Act Disabled?
24 ·
Does Pain Have an Organic Basis—Or Is It All in the
Head?
25 ·
Are
Biomechanica!
Variables and
Psychosocial
Variables Distinct?
28
•
What Is the Significance of First-Time Injury Data for Cause and Prevention?
28
How Do Biomechanical Factors Affect LBD?
29
Mechanical Loading and LBD: Field-Based Risk Factors
29 ·
What Are the
Lastíng
Physiological Biomechanical, and Motor Changes to Which Injury Leads?
30 ·
What
Is the Optimal Amount of Loading for a Healthy Spine?
31
What Are the Links Between Personal Factors and LBD?
32
What the Evidence Supports
33
Contents
CHAPTER
4
Functional Anatomy of the Lumbar Spine
35
Basic Neural Structure
35
Vascular Anatomy
36
The Vertebrae
36
Vertebral Architecture and Load Bearing
36 ·
Posterior Elements of the Vertebrae
41
Intervertébral Disc
44
Load-Bearing Abilities
44 ·
Progressive Disc Injury
44
Muscles
47
Muscle Size
48 ·
Muscle Groups
49 ·
Abdominal Muscles
56 ·
Psoas
60 ·
Quadratus
Lumborum
61 ·
Muscle Summary
62
Ligaments
62
Longitudinal Ligaments
63 ·
Interspinous and Supraspinous Ligaments
63 ·
Other Ligaments
in the Thoracolumbar Spine
65 ·
Normal Ligament Mechanics and Injury Mechanics
65
Lumbodorsal Fascia (LDF)
66
A Quick Review of the Pelvis, Hips, and Related Musculature
67
Clinically Relevant Aspects of Pain and Anatomic Structure
70
Tissue-Specific Types of Pain
70 ·
Can Pain Descriptors Provide a Reliable Diagnosis?
71
A Final Note
71
CHAPTER
5
Normal and Injury Mechanics of the Lumbar Spine
72
Kinematic Properties of the Thoracolumbar Spine
72
Kinetics and Normal Lumbar Spine Mechanics
76
Loads on the Low Back During Functional Movements
76 ·
Loads on the Low Back
During Various Exercises
87
Dubious Lifting Mechanisms
91
Intra-Abdominal Pressure
92 ·
Lumbodorsal Fascia
94 ·
Hydraulic Amplifier
95
•
IAP, LDF, and Hydraulic Amplifier: A Summary
95
Other Important Mechanisms of Normal Spine Mechanics
95
Biomechanics of Diurnal Spine Changes
96 ·
Spinal Memory
96 ·
Anatomical Flexible
Beam and Truss: Muscle Cocontraction and Spine Stability
97
Injury Mechanisms
98
Summary of Specific Tissue Injury Mechanisms
98 ·
Injury Mechanics Involving the
Lumbar Mechanism
99 ·
Staying Within the "Biomechanical Envelope"
99
Biomechanica!
and Physiological Changes Following Injury
108
Tissue Damage Pathogenesis, Pain, and Performance
108 ·
Injury Process: Motor
Changes
109 ·
Specific Patterns of Muscle Inhibition Following Injury
110 ·
The
Crossed-Pelvis Syndrome and Gluteal Amnesia 1
10
CHAPTER
6
Myths and Realities of Lumbar Spine Stability
113
Stability: A Qualitative Analogy
113
Quantitative Foundation of Stability
114
Potential Energy as a Function of Height
115 ·
Potential Energy as a Function of Stiffness
and Elastic Energy Storage
1
1
7 ·
Muscles Create Force and Stiffness
118 ·
Sufficient
Stability
119
Stability Myths, Facts, and Clinical Implications
119
Contents
vii
PART
Π
Injury Prevention
_123
CHAPTER
7
LBD Risk Assessment
124
Brief Review of the Risk Factors for LBD
124
NIOSH Approach to Risk Assessment
125
1981
Guideline
125 · 1993
Guideline
126
Snook Psychophysical Approach
127
Lumbar Motion Monitor (LMM)
127
Ergowatch
128
Biological Signal-Driven Model Approaches
130
The Manas Model and the McGill Model
130 ·
EMG-Assisted Optimization
131
•
Simple or Complex Models?
131
The Challenge Before Us
131
CHAPTER
8
Reducing the Risk of Low Back Injury
133
Lessons From the Literature
133
Compensation Board Statistics—an Artifact?
134 ·
Ergonomie
Studies
134 ·
Rehab and
Prevention Studies
134 ·
Studies on the Connection Between Fitness and Injury
Disability
135 ·
Beyond Ergonomics: Is It Time to "Modify" the Worker?
135
LBD Prevention for Workers
136
Should Workers Avoid End Range of Spine Motion During Exertion?
136 ·
What Are the
Ways to Reduce the Reaction Moment?
138 ·
Should One Avoid Exertion Immediately
After Prolonged Flexion?
143 ·
Should Intra-Abdominal Pressure (IAP) Be Increased
During Lining?
144 ·
Are Twisting and Twisting Lifts Particularly Dangerous?
145
•
Is Lifting Smoothly and Not jerking the Load Always Best?
145 ·
Is There Any Way to
Make Seated Work Less Demanding on the Back?
148 ·
Some Short-Answer Questions
150
LBD Prevention for Employers
152
Injury Prevention Primer
154
A Note for Consultants
157
CHAPTER
9
The Question of Back Belts
158
Issues of the Back Belt Question
158
Scientific Studies
159
Clinical Trials
159 ·
Biomechanical Studies
161 ·
Studies of Belts, Heart Rate, and
Blood Pressure
162 ·
Psychophysical Studies
163
Summary of Prescription Guidelines
163
PART 111 Low Back Rehabilitation
_165
CHAPTER
10
Building Better Rehabilitation Programs for
Low Back Injuries
166
Our Five-Stage Back Training Program
166
Finding the Best Approach
167
Stages of Patient Progression
169
Stage
1 :
Detect and Correct Perturbed Motion and Motor Patterns
169 ·
Stage
2:
Establish
Stability Through Exercises and Education
181 ·
Stage
3:
Develop Endurance
182
viii
_ Contents
Guidelines for Developing the Best Exercise Regimen
183
Developing a Sound Basis for Exercise Prescription
183 *
Basic Issues in Low Back
Exercise Prescription
184
CHAPTER
11
Evaluating the Patient
189
The Most Crucial Element in Evaluation
189
First Clinician-Patient Meeting
190
Some Provocation Tests
192
A Note on Motion Palpation
198 ·
Distinguishing Between Lumbar and Hip Problems
198
Some Functional Screens
199
The "Stiff" Spine
203 ·
Control of
Torsionai
Motion
203 ·
Testing for Aberrant Gross
Lumbar Motion
204
Testing Muscle Endurance
210
CHAPTER
12
Developing the Exercise Program
213
Philosophy of Low Back Exercise Design
213
Clinical Wisdom
214
Sparing the Back While Stretching the Hips and Knees
214 ·
Flossing the Nerve Roots
for Those With Accompanying Sciatica
216
Identifying Safe and Effective Exercises
217
Incorporating and Patterning the Muscles
218 ·
Eliminating Unsafe Exercises
218 ·
Selecting
Safe and Effective Exercises
220
Beginner's Program for Stabilization: A Sample
221
Exercises That May Be Used in a Stabilization Program
222
CHAPTER
13
Advanced Exercises
230
Safely Increasing Challenges
231
Labile Surfaces and Resistance Training Machines
231 ·
Safely Progressing Back
Exercises
233
Occupational and Athletic Work Hardening
236
Low Back Exercises for High-Performance Workers or Athletes
236 ·
Low Back Exer¬
cises Only for Athletes
238
Looking Forward
241
Epilogue
243
Handouts for Patients or Clients
244
Appendix
268
Glossary
274
References and Additional Readings
276
Index
301
About the Author
312
LOW BACK DISORDERS
In Low Back Disorders: Evidence-Based Prevention and Rehabilitation,
Second Edition, internationally recognized low back specialist Stuart
McGill presents original research to quantify the forces that specific
movements and exercises impose on the low back, dispels myths regarding
spine stabilization exercises, and suggests preventive approaches and
strategies to offset injuries, reduce pain, and restore function.
The second edition presents enhanced algorithms to guide progessive
therapeutic exercise and specially designed patient assessment provocation
tests to help you determine the cause of back troubles, guide your choices
in the best ways to eliminate problems, and improve the development
of appropriate activities for functional gain. Whereas the first edition
focused on increasing spine stability, the second edition provides new
information on dealing with both regional instability or mobility and
regional stiffness present in individuals where most of the motion occurs
at a single spinal segment.
With Low Back Disorders: Evidence-Based Prevention and Rehabilitation,
Second Edition, you will
•
gain valuable information on measured loading of the back
during specific activities and apply it to avoid common
—
but
counterproductive
—
practices in back rehabilitation;
•
learn how to analyze each patient's or client's unique physical
characteristics and lifestyle factors to tailor preventive measures
and treatments to individual needs;
•
learn how to help patients and clients progress through the stages
of rehabilitation: corrective exercise, stability or mobility, endurance,
and strength; and
•
acquire the information necessary to design an effective injury-
prevention program.
Low Back Disorders: Evidence-Based Prevention ana Rehabilitation,
Second Edition, is the authoritative text for study, care, and treatment
of the low back. Its unique approach to back care and prevention will
guide you in developing intervention, rehabilitation, and prevention
programs to address the unique needs of each patient or client and
develop a strong scientific foundation for your practice. |
| any_adam_object | 1 |
| any_adam_object_boolean | 1 |
| author | McGill, Stuart |
| author_facet | McGill, Stuart |
| author_role | aut |
| author_sort | McGill, Stuart |
| author_variant | s m sm |
| building | Verbundindex |
| bvnumber | BV023102727 |
| callnumber-first | R - Medicine |
| callnumber-label | RD771 |
| callnumber-raw | RD771.B217 |
| callnumber-search | RD771.B217 |
| callnumber-sort | RD 3771 B217 |
| callnumber-subject | RD - Surgery |
| classification_rvk | YK 3050 |
| ctrlnum | (OCoLC)77520734 (DE-599)HBZHT015327320 |
| dewey-full | 617.5/64052 |
| dewey-hundreds | 600 - Technology (Applied sciences) |
| dewey-ones | 617 - Surgery & related medical specialties |
| dewey-raw | 617.5/64052 |
| dewey-search | 617.5/64052 |
| dewey-sort | 3617.5 564052 |
| dewey-tens | 610 - Medicine and health |
| discipline | Medizin |
| discipline_str_mv | Medizin |
| edition | 2. ed. |
| format | Book |
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| id | DE-604.BV023102727 |
| illustrated | Illustrated |
| index_date | 2024-07-02T19:45:21Z |
| indexdate | 2024-07-09T21:11:05Z |
| institution | BVB |
| isbn | 9780736066921 0736066926 |
| language | English |
| oai_aleph_id | oai:aleph.bib-bvb.de:BVB01-016305436 |
| oclc_num | 77520734 |
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| owner_facet | DE-20 DE-355 DE-BY-UBR DE-706 |
| physical | XVI, 312 S. zahlr. Ill., graph. Darst. |
| publishDate | 2007 |
| publishDateSearch | 2007 |
| publishDateSort | 2007 |
| publisher | Human Kinetics |
| record_format | marc |
| spelling | McGill, Stuart Verfasser aut Low back disorders evidence-based prevention and rehabilitation Stuart McGill 2. ed. Champaign, Ill. [u.a.] Human Kinetics 2007 XVI, 312 S. zahlr. Ill., graph. Darst. txt rdacontent n rdamedia nc rdacarrier "In Low Back Disorders: Evidence-Based Prevention and Rehabilitation, Second Edition, internationally recognized low back specialist Stuart McGill presents original research to quantify the forces that specific movements and exercises impose on the low back, dispels myths regarding spine stabilization exercises, and suggests preventive approaches and strategies to offset injuries, reduce pain, and restore function." "The second edition presents enhanced algorithms to guide progessive therapeutic exercise and specially designed patient assessment provocation tests to help you determine the cause of back troubles, guide your choices in the best ways to eliminate problems, and improve the development of appropriate activities for functional gain. Whereas the first edition focused on increasing spine stability, the second edition provides new information on dealing with both regional instability or mobility and regional stiffness present in individuals where most of the motion occurs at a single spinal segment."--BOOK JACKET. Back Injuries prevention & control Back Injuries rehabilitation Low Back Pain prevention & control Low Back Pain rehabilitation Evidence-Based Medicine Médecine factuelle Backache Backache Prevention Evidence-based medicine Rückenschmerz (DE-588)4050838-9 gnd rswk-swf Lendenwirbelsäulenkrankheit (DE-588)4035317-5 gnd rswk-swf Lendenwirbelsäulenkrankheit (DE-588)4035317-5 s DE-604 Rückenschmerz (DE-588)4050838-9 s Digitalisierung UB Regensburg application/pdf http://bvbr.bib-bvb.de:8991/F?func=service&doc_library=BVB01&local_base=BVB01&doc_number=016305436&sequence=000003&line_number=0001&func_code=DB_RECORDS&service_type=MEDIA Inhaltsverzeichnis Digitalisierung UB Regensburg application/pdf http://bvbr.bib-bvb.de:8991/F?func=service&doc_library=BVB01&local_base=BVB01&doc_number=016305436&sequence=000004&line_number=0002&func_code=DB_RECORDS&service_type=MEDIA Klappentext |
| spellingShingle | McGill, Stuart Low back disorders evidence-based prevention and rehabilitation Back Injuries prevention & control Back Injuries rehabilitation Low Back Pain prevention & control Low Back Pain rehabilitation Evidence-Based Medicine Médecine factuelle Backache Backache Prevention Evidence-based medicine Rückenschmerz (DE-588)4050838-9 gnd Lendenwirbelsäulenkrankheit (DE-588)4035317-5 gnd |
| subject_GND | (DE-588)4050838-9 (DE-588)4035317-5 |
| title | Low back disorders evidence-based prevention and rehabilitation |
| title_auth | Low back disorders evidence-based prevention and rehabilitation |
| title_exact_search | Low back disorders evidence-based prevention and rehabilitation |
| title_exact_search_txtP | Low back disorders evidence-based prevention and rehabilitation |
| title_full | Low back disorders evidence-based prevention and rehabilitation Stuart McGill |
| title_fullStr | Low back disorders evidence-based prevention and rehabilitation Stuart McGill |
| title_full_unstemmed | Low back disorders evidence-based prevention and rehabilitation Stuart McGill |
| title_short | Low back disorders |
| title_sort | low back disorders evidence based prevention and rehabilitation |
| title_sub | evidence-based prevention and rehabilitation |
| topic | Back Injuries prevention & control Back Injuries rehabilitation Low Back Pain prevention & control Low Back Pain rehabilitation Evidence-Based Medicine Médecine factuelle Backache Backache Prevention Evidence-based medicine Rückenschmerz (DE-588)4050838-9 gnd Lendenwirbelsäulenkrankheit (DE-588)4035317-5 gnd |
| topic_facet | Back Injuries prevention & control Back Injuries rehabilitation Low Back Pain prevention & control Low Back Pain rehabilitation Evidence-Based Medicine Médecine factuelle Backache Backache Prevention Evidence-based medicine Rückenschmerz Lendenwirbelsäulenkrankheit |
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