Table of contents : Manual Therapy for the Low Back and Pelvis: A Clinical Orthopedic Approach Title Page Copyright Dedication REVIEWERS PREFACE ORGANIZATION Part 1: Anatomy, Pathology, and Assessment Part 2: Treatment Techniques Part 3: Self-Care for the Client and Therapist ANCILLARIES ACKNOWLEDGMENTS ABOUT THE AUTHOR CONTENTS PART ONE: Anatomy, Pathology, and Assessment CHAPTER 1: Anatomy and Physiology Review CHAPTER OUTLINE OBJECTIVES KEY TERMS INTRODUCTION THE LUMBAR SPINE AND PELVIS Lumbar Spine Pelvic Girdle LUMBAR SPINAL JOINTS AND PELVIC JOINTS Lumbar Spinal Joints Pelvic Joints MOTIONS OF THE LUMBAR SPINE AND PELVIS Lumbar Spine Motions Pelvic Motions MUSCULATURE OF THE LUMBAR SPINE AND PELVIS Muscles of the Trunk Muscles of the Pelvis LIGAMENTS OF THE LUMBAR SPINE AND PELVIS Ligaments of the Lumbar Spine Ligaments of the Pelvis Ligaments of the Hip Joint PRECAUTIONS Anterior Structures: Abdominal Aorta Anterior Structures: Femoral Triangle Posterior Structures: Sciatic Nerve Motions CHAPTER SUMMARY CHAPTER 2: Common Musculoskeletal Pathologic Conditions CHAPTER OUTLINE OBJECTIVES KEY TERMS INTRODUCTION HYPERTONIC MUSCULATURE Description of Hypertonic Musculature Globally Tight Musculature Myofascial Trigger Points Summary of Hypertonic Musculature JOINT DYSFUNCTION Description of Joint Dysfunction SPRAINS AND STRAINS Description of Sprains and Strains Mechanism and Causes of Sprains and Strains SACROILIAC JOINT INJURY Description of Sacroiliac Joint Injury Mechanism and Causes of Sacroiliac Joint Injury Sacroiliac Joint Muscle Splinting and Symptoms PATHOLOGIC DISC CONDITIONS AND SCIATICA Description of Pathologic Disc Conditions PIRIFORMIS SYNDROME Description of Piriformis Syndrome Mechanism and Causes of Piriformis Syndrome DEGENERATIVE JOINT DISEASE Description of Degenerative Joint Disease Mechanism and Causes of Degenerative Joint Disease SCOLIOSIS Description of Scoliosis Mechanism and Causes of Scoliosis ANTERIOR PELVIC TILT AND HYPERLORDOTIC LUMBAR SPINE Description of Anterior Pelvic Tilt and Hyperlordotic Lumbar Spine Mechanism and Causes of Anterior Pelvic Tilt and Lumbar Hyperlordosis Muscles of Pelvic Tilt FACET SYNDROME Description of Facet Syndrome Mechanism and Causes of Facet Syndrome SPONDYLOLISTHESIS Description of Spondylolisthesis Mechanism and Causes of Spondylolisthesis CHAPTER SUMMARY CHAPTER 3: Assessment and Treatment Strategy CHAPTER OUTLINE OBJECTIVES KEY TERMS INTRODUCTION HEALTH HISTORY PHYSICAL ASSESSMENT EXAMINATION Postural Assessment Range of Motion and Manual Resistance Assessment Palpation Joint Play/Mobilization Assessment Special Assessment Tests TREATMENT STRATEGY Treatment Techniques Frequency of Sessions Self-Care Advice ASSESSMENT AND TREATMENT OF SPECIFIC CONDITIONS Hypertonic Musculature Joint Dysfunction Lumbar Sprains and Strains Sacroiliac Joint Injury Pathologic Disc and Sciatica Piriformis Syndrome Degenerative Joint Disease Scoliosis Anterior Pelvic Tilt and Hyperlordotic Lumbar Spine Facet Syndrome Spondylolisthesis CHAPTER SUMMARY PART TWO: Treatment Techniques CHAPTER 4: Body Mechanics for Deep Tissue Work to the Low Back and Posterior Pelvis CHAPTER OUTLINE OBJECTIVES KEY TERMS INTRODUCTION MECHANISM OVERVIEW OF TECHNIQUE PERFORMING THE TECHNIQUE CHAPTER SUMMARY CASE STUDY CHAPTER 5: Massaging the Anterior Abdomen and Pelvis CHAPTER OUTLINE OBJECTIVES KEY TERMS INTRODUCTION OVERVIEW OF TECHNIQUE PERFORMING THE TECHNIQUE ABDOMINAL MASSAGE ROUTINES CHAPTER SUMMARY CASE STUDY CHAPTER 6: Multiplane Stretching CHAPTER OUTLINE OBJECTIVES KEY TERMS INTRODUCTION MECHANISM Stretching Functional Groups Multiplane Stretching OVERVIEW OF TECHNIQUE Multiplane Stretching of the Right Erector Spinae Group PERFORMING THE TECHNIQUE MULTIPLANE STRETCHING ROUTINES CHAPTER SUMMARY CASE STUDY CHAPTER 7: Contract Relax Stretching CHAPTER OUTLINE OBJECTIVES KEY TERMS INTRODUCTION MECHANISM OVERVIEW OF TECHNIQUE PERFORMING THE TECHNIQUE CONTRACT RELAX ROUTINES CHAPTER SUMMARY CASE STUDY CHAPTER 8: Agonist Contract Stretching CHAPTER OUTLINE OBJECTIVES KEY TERMS INTRODUCTION MECHANISM OVERVIEW OF TECHNIQUE PERFORMING THE TECHNIQUE AGONIST CONTRACT ROUTINES CHAPTER SUMMARY CASE STUDY CHAPTER 9: Contract Relax Agonist Contract Stretching CHAPTER OUTLINE OBJECTIVES KEY TERMS INTRODUCTION MECHANISM OVERVIEW OF TECHNIQUE PERFORMING THE TECHNIQUE CONTRACT RELAX AGONIST CONTRACT ROUTINES CHAPTER SUMMARY CASE STUDY CHAPTER 10: Joint Mobilization CHAPTER OUTLINE OBJECTIVES KEY TERMS INTRODUCTION MECHANISM Comparison of Joint Mobilization and Stretching OVERVIEW OF TECHNIQUE PERFORMING THE TECHNIQUE JOINT MOBILIZATION ROUTINES CHAPTER SUMMARY CASE STUDY PART THREE: Self-Care for the Client and Therapist CHAPTER 11: Self-Care for the Client CHAPTER OUTLINE OBJECTIVES KEY TERMS INTRODUCTION HYDROTHERAPY Cold Hydrotherapy Heat Hydrotherapy Contrast Hydrotherapy: Alternating Cold and Heat Treatments STRETCHING POSTURAL ADVICE Stoop-Bending/Leaning-Forward Posture Carrying a Heavy Weight Prolonged Sitting Prolonged Standing Bad Sleeping Posture CHAPTER SUMMARY CASE STUDY CHAPTER 12: Self-Care for the Therapist CHAPTER OUTLINE OBJECTIVES KEY TERMS INTRODUCTION MECHANISM: MOTOR CONTROL OVERVIEW AND PERFORMING THE TECHNIQUE SELF-CARE STABILIZATION EXERCISES CHAPTER SUMMARY CASE STUDY REVIEW QUESTIONS Answers to Case Study and Review Questions INDEX