Principles of Manual Medicine 3rd Edition

PRINCIPLES OF MANUAL MEDICINE
......Page 1
Front Cover
......Page 0
Back Cover
......Page 2
Dedication
......Page 7
Contents
......Page 8
Preface
......Page 10
Acknowledgments
......Page 11
SECTION I: PRINCIPLES AND CONCEPTS
......Page 13
History
......Page 15
Medical Manipulators
......Page 16
Role of the Musculoskeletal System in Health and Disease
......Page 17
Concept of Neural Control
......Page 18
Circulatory Function
......Page 20
The Manipulable Lesion
......Page 22
Suggested Readings
......Page 23
Hand-Eye Coordination
......Page 25
Layer Palpation
......Page 27
Motion Sense......Page 29
Step 1. Gait Analysis
......Page 30
Step 2A. Static Analysis Posture
......Page 32
Step 2B. Static Posture Anatomic Levels
......Page 34
Step 3. Trunk Sidebending
......Page 35
Step 4. Standing Flexion Test
......Page 36
Step 5. Stork Test
......Page 37
Step 6. Seated Flexion Test
......Page 38
Step 7. Upper Extremity Screen
......Page 39
Step 8. Trunk Rotation
......Page 40
Step 9. Trunk Side Bending 
......Page 41
Step 10. Mobility of the Head and Neck
......Page 42
Step 11. Respiratory Movement of Thoracic Cage
......Page 44
Step 12. Lower Extremity Screen
......Page 46
Segemental Definition
......Page 48
Suggested Readings
......Page 49
3. BARRIER CONCEPTS IN STRUCTURAL DIAGNOSIS
......Page 51
Definitions
......Page 55
Suggested Readings
......Page 56
Clinical Goals For Manipulative Treatment
......Page 57
Neurologic Model
......Page 58
Psychobehavioral Model
......Page 60
Specific Joint Mobilization 
......Page 61
Factors Influencing Type of Manipulative Procedures
......Page 62
Contraindication to Manual Medicine Procedures
......Page 63
Suggested Readings
......Page 64
Axis
......Page 65
Thoracic Vertebrae
......Page 66
Layer Palpation
......Page 67
Backward Bending
......Page 73
Nonneutral Mechanics
......Page 74
Suggested Readings
......Page 75
Theories of Vertebral Motion Dysfunction
......Page 77
Dysfunctions of a Single Vertebral Motion Segment
......Page 78
Neutral (Group) Dysfunction
......Page 82
Hypermobility
......Page 83
Diagnosing Hypermobility
......Page 84
Suggested Reading
......Page 85
Therapeutic Principles of Soft-Tissue Technique
......Page 87
Bilateral-lateral stretch
......Page 90
Suboccipital muscle deep pressure
......Page 91
Lateral stretch
......Page 92
Lateral stretch
......Page 93
Prone Lateral Stretch
......Page 94
Deep pressure
......Page 95
Lymphatic Pump Techniques
......Page 96
Diaphragmatic Release Sitting Technique
......Page 97
Pelvic Diaphragm: Pelvic diaphragm supine
......Page 99
Rib Raising Sitting
......Page 100
Lymphatic Pump: Unilateral thoracic lymphatic pump
......Page 101
Lymphatic Pump: Lypmphatic pump, upper extremity
......Page 102
Visceral Technique: Supine mesenteric release
......Page 103
Visceral Technique: Cecum and sigmoid lifts, lateral recumbent
......Page 104
Visceral Technique: Liver and gallbladder drainage
......Page 105
Visceral Technique: Splenic drainage
......Page 106
Soft-Tissue Technique: Hyoid Mobilization
......Page 107
Soft-Tissue Technique: Cervical Lymphatic Drainage
......Page 108
Conclusion
......Page 109
Chapman Reflexes: anterior points
......Page 110
Chapman Reflexes: posterior points
......Page 111
Suggested Reading
......Page 112
What is Muscle Energy Technique?
......Page 113
Muscle Physiology and Principles
......Page 114
Muscle Energy Techniques
......Page 116
Suggested Readings
......Page 118
Joint Play
......Page 119
Indications for the Use of Mobilization with Impulse
......Page 120
Localization
......Page 121
Balance and Control
......Page 122
Contraindications
......Page 123
Suggested Readings
......Page 124
Structure-Function Interface
......Page 125
Ease-Bind Concept
......Page 126
Dynamic Functional Procedures
......Page 127
Functional Palpation Exercise
......Page 128
Functional Techniques
......Page 130
Lumbar Spine- Sitting/ Dx- Nonneutral dysfunctions: extended, rotated, and sidebent (ERS) and Flexed, rotated, sidebent (FRS) 
......Page 131
Pubes- Supine/Dx- Superior or inferior pube 
......Page 132
Sacroiliac- Sitting/Dx- Left-on-left torsion 
......Page 133
Sacroiliac-Sitting/Dx- Left sacrum (flexed) anterior nutated
......Page 134
Sacroiliac-Sitting/Dx- Right sacrum (extended) posterior nutated 
......Page 135
Sacroiliac-Sitting/Dx- Left-on-right torsion 
......Page 136
Iliosacral-Sitting/Dx- Right anterior ilium 
......Page 137
Iliosacral-Sitting/Dx- Left posterior ilium 
......Page 138
Pelvis-Sitting/Dx- Pelvic compression 
......Page 139
Thoracolumbar Spine-Sitting/Dx- Vertebral dysfunction either ERS or FRS 
......Page 140
Upper Thoracic Spine-Sitting/Dx- Vertebral dysfunction either ERS or FRS 
......Page 141
Middle and Lower Thoracic Spine-Sitting/Dx- Vertebral dysfunction, either ERS or FRS 
......Page 142
Thoracic Spine and Ribs-Sitting/Dx- Combined vertebral and rib dysfunction 
......Page 143
Mid and Lower Ribs-Sitting/Dx- Structural or respiratory rib dysfunction......Page 145
First Rib-Sitting/Dx- Respiratory dysfunction, first rib......Page 146
Upper Ribs-Sitting/Dx- Respiratory rib dysfunction......Page 147
Single Rib (Variation 1)-Sitting/Dx- Respiratory or structural rib dysfunction......Page 148
Single Rib (Variation 2)-Sitting/Dx- Respiratory or structural rib dysfunction......Page 149
Single Typical Rib Dysfunction-Supine/Dx- Respiratory or structural rib dysfunction......Page 150
Sternum-Supine/Dx- Manubrioglodiolar sternal dysfunction......Page 151
Occipitoatlantal Junction (C0-C1)-Sitting/Dx- Flexion-extension C0-C1 dysfunction......Page 152
Upper Cervical Spine (C1-C2)- Sitting/Dx- Dysfunction at C1-C2......Page 153
Occipitoatloid Junction (C0-C1)-Supine/Dx- Flexion-extension dysfunction......Page 154
Typical Cervical Spine-Sitting/Dx ERS or FRS......Page 155
Typical Cervical Spine-Supine/Dx- ERS or FRS......Page 156
Shoulder Girdle- Step 1......Page 157
Shoudler Girdle- Step 2......Page 158
Shoulder Girdle- Step 3......Page 159
Acromioclavicular and Glenohumeral Joints-Sitting......Page 160
Radial Head-Sitting......Page 161
Wrist and Hand-Sitting......Page 162
Hip and Leg-Supine......Page 163
Knee and Fibular Head-Sitting......Page 164
Foot and Ankle......Page 165
Suggested Readings
......Page 166
Fascia
......Page 167
Muscle
......Page 168
Concepts in Myofascial Release Technique
......Page 169
Myofascial Release Treatment Concepts
......Page 170
Exercises in Palpation
......Page 171
Examples of Myofascial Release Technique
......Page 172
Lumbosacral Spine: One/Prone with longitudinal traction
......Page 173
Lumbosacral Spine: 2/Prone with transverse traction
......Page 174
Thoracolumbar Junction and Posterior Diaphragm/Prone
......Page 175
Sacral Release/Prone
......Page 176
Sacrotuberous ligament and urogential diaphragm release/Prone
......Page 177
Thoracic inlet (necklace) technique/Supine or sitting
......Page 178
Thoracic Spine/Sitting
......Page 179
Suggested Readings
......Page 180
SECTION II: TECHNIQUE PROCEDURES
......Page 181
Motion
......Page 183
Suture Palpation Exercise
......Page 184
Cranial Meninges
......Page 188
Primary Respiratory Mechanism
......Page 189
Craniosacral Diagnosis
......Page 190
Assessment of Sphenobasilar Motion
......Page 191
Principles of Craniosacral Technique
......Page 193
Activating Forces
......Page 194
Craniosacral Techniques
......Page 195
Temporal Rocking
......Page 196
Lift Technique
......Page 197
Complications and Contraindications
......Page 198
Parietal Lift
......Page 199
Occipitomastoid Suture
......Page 200
Parietal Notch
......Page 201
Sphenosquamous Suture
......Page 202
Palatine
......Page 203
Facial Balance
......Page 204
Zygoma
......Page 205
Suggested Readings
......Page 206
Occipitoatlantal Articulation
......Page 207
Vertebral Artery
......Page 208
Mechanoreceptors and Nociceptors
......Page 209
Structural Diagnosis
......Page 210
Typical Cervical Sitting
......Page 211
Atlantoaxial (C1-C2) Sitting
......Page 212
Occipitoatlantal (C0-C1) Sitting
......Page 213
Typical Cervical Segments (C3-C7) Supine for Flexed, Rotated, and Side-Bent Dysfunction
......Page 214
Typical Cervical Segment (C3-C7) Supine for Extended, Rotated, and Side-bent Dysfunction
......Page 216
Atlantoaxial (C1-C2) Supine
......Page 217
Occipitoatlantal (C0-C1) Supine Extension Restriction
......Page 218
Occipitoatlantal (C0-C1) Supine for Flexion Restriction
......Page 219
Occipitoatlantal (C0-C1) Supine Condylar Glide
......Page 220
Stress Tests of the Upper Cervical Complex
......Page 222
Manual Medicine Therapeutic Procedures
......Page 223
Cervical Spine Scalene Muscle Stretch
......Page 224
Cervical Spine Muscle Energy Technique- Typical Cervical Vertebrae (C5-C6)
......Page 225
Cervical Spine Muscle Energy Technique- Typical Cervical Vertebrae (C2-C3)
......Page 227
Cervical Spine Muscle Energy Technique- Atlantoaxial (C1-C2)
......Page 228
Cervical Spine Muscle Energy Technique- Occipitoatlantal (C0-C1)
......Page 229
Cervical Spine Muscle Energy Technique- Occipitoatlantal (C0-C1)
......Page 230
Cervical Spine Muscle Energy Technique- Occipitoatlantal (C0-C1)......Page 231
Cervical Spine Mobilization with Impulse Technique- Typical Vertebrae (C5-C6 example) 
......Page 232
Cervical Spine Mobilization with Impulse Technique- C2-C3 Example
......Page 233
Cervical Spine Mobilization with Impulse Technique- Typical Cervical Segments (C2-C3 example)
......Page 234
Cervical Spine Mobilization with Impulse Technique- Atlantoaxial (C1-C2)
......Page 236
Cervical Spine Mobilization with Impulse Technique- Occipitoatlantal (C0-C1)
......Page 237
Cervical Spine Mobilization with Impulse Technique- Occipitoatlantal (C0-C1)
......Page 238
Cervical Spine Combined Soft-Tissue Inhibition and Craniosacral Condylar Decompression- Craniooccipital Junction
......Page 239
Suggested Readings
......Page 240
Atypical Thoracic Vertebrae
......Page 241
Thoracic Spine Motion
......Page 242
Motion Testing
......Page 243
Upper Thoracic Spine (T1-T5)
......Page 244
Mid to Lower Thoracic Spine
......Page 245
Mid to Lower Thoracic Spine Static Three Positions
......Page 246
Muscle Energy Technique- T1-T5- Sitting (Example: T4-T5)......Page 247
Muscle Energy Technique- T1-T5- Sitting (Example T2-T3)
......Page 249
Muscle Energy Technique- T1-T5- Sitting
......Page 250
Muscle Energy Technique- T5-T12- Sitting (Example: T8-T9)
......Page 251
Muscle Energy Technique- T5-T12- (Example: T8-T9) 
......Page 253
Muscle Energy Technique- T5-T12- Group Dysfunction
......Page 255
Mobilization with Impulse Technique T1-T5- Sitting (Example: T3-T4) 
......Page 256
Mobilization with Impulse Technique T1-T5- Sitting
......Page 257
Mobilization with Impulse Technique T1-T5- Sitting Group Dysfunction Type 1 (Example T1-T4)
......Page 258
Mobilization with Impulse Technique T1-T5- Prone (Example: T3-T4)
......Page 259
Mobilization with Impulse Technique T1-T5- Prone (Example: group dysfunction T1-T4)
......Page 260
Mobilization with Impulse Technique T5-T10- Prone (Example T6-T7)
......Page 261
Mobilization with Impulse Technique T3-T12- Supine- Principles of the technique
......Page 262
Mobilization with Impulse Technique T3-T12- Supine
......Page 264
Mobilization with Impulse Technique T3-T12- Supine
......Page 265
Mobilization with Impulse Technique T3-T12- Supine
......Page 266
Mobilization with Impulse Technique T3-T12- Supine
......Page 267
Mobilization with Impulse Technique T5-T12- Sitting
......Page 268
Mobilization with Impulse Technique T5-T12- Sitting
......Page 270
Mobilization with Impulse Technique T5-T12- Sitting
......Page 271
Suggested Reading
......Page 272
Thoracic Inlet
......Page 273
Rib Anatomy
......Page 274
Rib Motions
......Page 275
Structural Diagnosis of the Rib Cage
......Page 277
Sitting-Posterior Palpation
......Page 278
Sitting- Anterior Palpation
......Page 279
Sitting- First Rib for Superior Subluxation
......Page 280
Supine- Respiratory Motion Restriction
......Page 281
Prone- Respiratory Movement of the 11th and 12th Ribs
......Page 283
Rib Cage Somatic Dysfunction
......Page 284
Treatment of Rib Cage Dysfunction
......Page 285
Structural Rib Dysfunction- Dx: Superior Subluxation First Rib (Eg- left side)
......Page 287
Structural Rib Dysfunction- Dx: Anterior Subluxation (Eg- Right fifth rib)
......Page 288
Structural Rib Dysfunction- Dx: Posterior Subluxation (Eg- right fifth rib)
......Page 290
Structural Rib Dysfunction- Dx: Rib Torsion (Eg. right fifth rib)
......Page 291
Structural Rib Dysfunction- Dx: External Torsion (Eg- right fifth rib)
......Page 292
Structural Rib Dysfunction- Dx: Anteroposterior Compression (Eg- right sixth rib)
......Page 294
Structural Rib Dysfunction- Dx: Lateral Compression (Eg- left, fifth rib)
......Page 295
Structural Rib Dysfunction- Dx: Laterally Flexed Superior (Eg- Left second rib)
......Page 296
Structural Rib Dysfunction- Dx: Laterally Flexed Rib (Eg- Left second rib)
......Page 298
Principles of Treatment of Exhalation Restriction
......Page 299
Respiratory Restriction- Ribs 1 and 2- Dx: Inhalation restriction (eg- right side)
......Page 300
Respiratory Restriction- Ribs 3 to 5- Dx: Inhalation restriction (eg- right side)
......Page 301
Respiratory Restriction- Ribs 6,7,8, and 9-Dx: Inhalation restriction (eg- right side)
......Page 302
Respiratory Restriction- Lower Ribs- Dx: Exhalation restriction (eg- left side)
......Page 303
Respiratory Restriction- Upper Ribs- Dx: Exhalation restriction (eg- left side)
......Page 304
Respiratory Restriction- Upper Ribs- Dx: Exhalation restriction (eg- left side)
......Page 306
Respiratory Restriction- First Rib- Dx: Exhalation restriction: pump handle component (eg- left side)
......Page 307
Respiratory Restriction- First Rib- Dx: Exhalation restriction: bucket-handle component (eg- left side)
......Page 308
Respiratory Restriction- Ribs 11 and 12- Dx: Exhalation restriction (eg- right side)
......Page 309
Respiratory Restriction- Ribs 11 and 12- Dx: Inhalation restriction (eg- right side)
......Page 310
Respiratory Restriction- Mobilization with Impulse Technique- Supine Dx: External Torsion Dysfunction (eg- left  fifth rib)
......Page 311
Respiratory Restriction- Mobilization with Impulse Technique- Rib 1 Dx: Inhalation or Exhalation Restriction (eg- left first rib)
......Page 312
Respiratory Restriction- Mobilization with Impulse Technique- Rib 1 Dx: Exhalation restriction (eg- left first rib)
......Page 313
Respiratory Restriction- Mobilization with Impulse Technique- Rib 2 Dx: Exhalation restriction (eg- left second rib)
......Page 314
Respiratory Restriction- Mobilization with Impulse Technique- Typical Ribs (3 to 10) Dx: Inhalation or Exhalation restriction (eg- left ribs)
......Page 315
Respiratory Restriction- Mobilization with Impulse Technique- Lower Typical Ribs and ribs 11 and 12 Dx: Inhalation or exhalation restriction (eg- left side)
......Page 317
Respiratory Restriction- Mobilization with Impulse Technique- Dx: Ribs 11 and 12 (eg- Right side)
......Page 318
Suggested Readings
......Page 319
Functional Anatomy
......Page 321
Structural Diagnosis of Lumbar Spine Dysfunction
......Page 322
Manual Medicine Procedures for Dysfunctions of Lumbar Spine
......Page 324
Muscle Energy Technique- Sitting Nonneutral dysfunction
......Page 325
Muscle Energy Technique- Sitting Nonneutral dysfunction 
......Page 327
Muscle Energy Technique- Sitting Neutral (Group Dysfunction)
......Page 328
Muscle Energy Technique- Sitting Neutral (Group dysfunction)
......Page 329
Muscle Energy Technique- Sitting Bilateral Extension Restriction
......Page 330
Muscle Energy Technique- Lateral Recumbent (Sims Position)
......Page 331
Muscle Energy Technique- Lateral Recumbent Nonneutral Dysfunction
......Page 333
Muscle Energy Technique- Lateral Recumbent
......Page 334
Muscle Energy Technique- Lateral Recumbent Position Neutral (Group dysfunction)
......Page 336
Mobilization with Impulse Technique- Lateral Recumbent Position Neutral (group dysfunction)
......Page 337
Mobilization with Impulse Technique- Lateral Recumbent Position Nonneutral Dysfunction
......Page 339
Mobilization with Impulse Technique- Lateral Recumbent Position Nonneutral Dysfunction
......Page 341
Mobilization with Impulse Technique- Sitting Sagittal Plane Restriction
......Page 343
Mobilization with Impulse Technique- Nonneutral Dysfunction
......Page 344
Mobilization with Impulse Technique- Sitting Nonneutral Dysfunction
......Page 345
Mobilization with Impulse Technique- Sitting Neutral (Group dysfunciton)
......Page 346
Suggested Readings
......Page 347
Models of Pelvic Dysfunction
......Page 349
Functional Anatomy
......Page 350
Movement at the Symphysis Pubis
......Page 352
Sacroiliac Motion
......Page 353
Structural Diagnosis of Pelvic Girdle Somatic Dysfunction
......Page 354
Standing
......Page 356
Standing Flexion Test
......Page 357
One-Legged Stork Test (Gillet)
......Page 358
Standing Trunk Side Bending
......Page 360
Sitting Flexion Test
......Page 361
Supine Pubic Symphysis Height
......Page 362
Supine and Prone Iliac Crest Height
......Page 363
Prone Leg Length at Medial Malleolus
......Page 364
Prone Ischial Tuberosity Level
......Page 365
Prone Sacrotuberous Ligament Tension
......Page 366
Prone Inferior Lateral Angle (ILA)
......Page 367
Prone Posterior Superior Iliac Spine, Sacral base and L5
......Page 368
Prone Four-point Sacral Motion
......Page 369
Prone Spring Test
......Page 370
Prone Sacroiliac Rocking Test
......Page 371
Prone Sacroiliac Motion Spring Test
......Page 372
Prone Sacroiliac Motion Test by Gapping
......Page 373
Supine Leg Length
......Page 374
Supine Anterior Superior Iliac Spine (ASIS)
......Page 375
Sacroiliac Dysfunctions
......Page 376
Iliosacral Dysfunctions
......Page 378
Treatment Sequence
......Page 379
Symphysis Pubis Muscle Energy Technique- Supine/Position: Symphysis either Superior or Inferior ('shotgun technique')
......Page 380
Symphysis Pubis Muscle Energy Technique- Supine/Position: Left Superior Sumphysis
......Page 381
Symphysis Pubis Muscle Energy Technique- Supine/ Right Symphysis Inferior
......Page 382
Iliosacral Muscle Energy Technique- Supine/Position: Left superior hip bone shear dysfunction
......Page 383
Iliosacral Muscle Energy Technique- Lateral Recumbent/Position: Right inferior hip bone shear
......Page 384
Iliosacral Muscle Energy Technique- Prone/Dx Position: Right inferior hip bone shear......Page 385
Sacroiliac Muscle Energy Technique- Prone/Dx 
Position: Left unilateral anterior nutated sacrum (left sacrum flexed)......Page 386
Sacroiliac Muscle Energy Technique- Prone/Dx 
Position: Right posterior nutated sacrum (right extended sacrum)......Page 387
Sacroiliac Muscle Energy Technique- Sims Position/Dx: Left-on-left forward (anterior) sacral torsion......Page 389
Sacroiliac Muscle Energy Technique- Lateral Recumbent/Dx: Left-on-left forward (anterior) sacral torsion
......Page 391
Sacroiliac Muscle Energy Technique- Lateral Recumbent/Dx: Right-on-left Backward (posterior) sacral torsion
......Page 392
Sacroiliac Muscle Energy Technique- Sitting/Dx: Bilateral anterior nutated (flexed) sacrum 
......Page 394
Sacroiliac Muscle Energy Technique- Sitting/Dx: Bilateral Posterior nutated (extended) sacrum
......Page 395
Iliosacral Muscle Energy Technique- Supine/Dx: Left posterior hip bone
......Page 396
Iliosacral Muscle Energy Technique- Prone/Dx: Left posterior hip bone
......Page 397
Iliosacral Muscle Energy Technique- Lateral recumbent/Dx: Left posterior hip bone
......Page 398
Iliosacral Muscle Energy Technique- Prone/Dx: Right anterior hip bone
......Page 399
Iliosacral Muscle Energy Technique- Supine/Dx: Right anterior hip bone
......Page 400
Iliosacral Muscle Energy Technique- Lateral Recumbent/Dx: Right anterior hip bone
......Page 401
Iliosacral Muscle Energy Technique- Supine/Dx: Right hip bone internally rotated (inflare)
......Page 402
Iliosacral Muscle Energy Technique- Supine/Dx: Left hip bone externally rotated (out-flare)
......Page 403
Symphysis Pubis Mobilization with Impulse Technique- Supine/Dx; Pubic Dysfunction either superior or inferior ('shotgun technique')
......Page 404
Sacroiliac Mobilization with Impulse Technique- Lateral Recumbent/Dx: Left unilateral anterior nutated sacrum (left sacrum flexed) 
......Page 405
Sacroiliac Mobilization with Impulse Technique- Prone/Dx: Left unilateral anterior nutated sacrum (left sacrum flexed)
......Page 406
Sacroiliac Mobilization with Impulse Technique- Left Lateral Recumbent/Dx: Left-on-left anterior (forward) sacral torsion
......Page 407
Sacroiliac Mobilization with Impulse Technique- Supine/Dx: Right-on-left Backward (posterior) sacral torsion
......Page 408
Sacroiliac Mobilization with Impulse Technique- Sitting/Dx: Left-on-left Forward (anterior) sacral torsion
......Page 409
Sacroiliac Mobilization with Impulse Technique- Sitting/Dx: Right-on-left backward (posterior) sacral torsion
......Page 410
Iliosacral Mobilization with Impulse Technique- Supine/Dx: Left superior hip bone shear
......Page 411
Iliosacral Mobilization with Impulse Technique- Lateral Recumbent/Dx: Right inferior hip bone shear
......Page 412
Iliosacral Mobilization with Impulse Technique- Lateral Recumbent/Dx: Right anterior hip bone
......Page 413
Iliosacral Mobilization with Impulse Technique- Lateral Recumbent/Dx: Left posterior hip bone
......Page 414
Suggested Readings
......Page 415
Brachalgia
......Page 417
Sternoclavicular Joint......Page 418
Test for Restricted Abduction
......Page 419
Mobilization Without Impulse (articulatory technique) Dx: restricted abduction 
......Page 420
Muscle Energy Technique-Supine/Dx: Restricted Abduction
......Page 421
Muscle Energy-Sitting/Dx: Restricted abduction
......Page 422
Test for Restricted horizontal flexion
......Page 423
Mobilization Without Impulse (articulatory technique) Dx: Restricted horizontal Flexion......Page 424
Muscle Energy Technique-Supine/Dx: Restricted horizontal flexion
......Page 425
Mobilization Without Impulse (articulatory technique)/Dx: Restricted horizontal flexion
......Page 426
Test for Restricted Abduction and Adduction
......Page 427
Muscle Energy Technique-Sitting/Dx: Restricted Abduction
......Page 428
Test for Restricted Internal and External Rotation
......Page 429
Muscle Energy Technique/Dx: Restricted internal or external rotation
......Page 430
Glenohumeral Joint
......Page 431
Muscle Energy Procedure
......Page 432
Glenoidal Labrum (Green's) Technique
......Page 435
Spencer Seven-Step Technique
......Page 436
Dx: Restricted Abduction-Adduction (humeroulnar joint)
......Page 438
Muscle Energy Technique- Dx: Restricted Elbow extension
......Page 439
Muscle Energy Technique-Dx: Restricted Pronation and Supination
......Page 440
Diagnosis of Radial Head Dysfunction- Test 1: Palpation Asymmetry 
......Page 441
Diagnosis of Radial Head Dysfunction- Test 2: Motion of Radial Head 
......Page 442
Muscle Energy Technique-Position: Radial head posterior
......Page 443
Mobilization with Impulse Technique- Position: Radial Head posterior 
......Page 444
Mobilization with Impulse Technique- Position: Radial Head anterior
......Page 445
Wrist and Hand Region Diagnosis
......Page 446
Muscle Energy Technique
......Page 448
Mobilization with Impulse Technique
......Page 450
Joint Play: Long-Axis Extension- Radiocarpal joint
......Page 451
Joint Play: Distal Radioulnar and Ulna-meniscal-triquetral articulations
......Page 452
Joint Play: Midcarpal Joint
......Page 453
Joint Play: Midcarpal Joint Dorsal Tilt
......Page 454
Joint Play: First Carpometacarpal Joint
......Page 455
Myofascial Release
......Page 456
Myofascial Release- Wrist Retinaculi
......Page 457
Flexor Retinaculi and Flexor Tendons
......Page 458
Upper Limb Tension Test 1: Median Nerve Bias
......Page 459
Upper Limb Tension Test 2: Radial Nerve Bias
......Page 461
Suggested Readings
......Page 462
Hip Joint
......Page 463
Supine- Ax of hip capsular pattern
......Page 464
Supine- Acetabular labrum technique
......Page 465
Prone- Mobilization of anterior capsule
......Page 466
Supine- Mobilization of posterior capsule
......Page 467
Muscle Energy Technique- Motion Tested: Abduction
......Page 468
Muscle Energy Technique- Motion Tested: Adduction
......Page 469
Muscle Energy Technique- Motion Tested: External Rotation with hip flexed to 90 degrees
......Page 470
Muscle Energy Technique- Motion Tested: Internal Rotation with hip flexed to 90 degrees
......Page 471
Muscle Energy Technique- Motion Tested: Partial hip flexion
......Page 472
Muscle Energy Technique- Motion Tested: Hip Extension
......Page 473
Muscle Energy Technique- Motion Tested: Knee Flexion
......Page 474
Muscle Energy Technique- Motion Tested: Internal rotation with hips in neutral
......Page 475
Muscle Energy Technique- Motion Tested: External rotation with hips at neutral
......Page 476
Supine- Medial Meniscus Technique Mobilization without Impulse 
......Page 477
Supine- Medial and Lateral Meniscus Technique Mobilization without Impulse 
......Page 478
Supine- Medial and Lateral Meniscal Tracking Joint Play
......Page 479
Sitting- Muscle energy technique/Position: Tibia internally rotated
......Page 480
Prone- Muscle Energy technique/Dx: Internal/External Rotation
......Page 481
Prone- Muscle Energy Technique/Dx: Tibia externally
 rotated......Page 482
Testing for Anteroposterior Glide
......Page 483
Sitting- Muscle Energy Technique/Position: Fibular Head anterior
......Page 484
Supine- Mobilization with Impulse Technique/Position: Posterior Fibular Head 
......Page 485
Supine- Mobilization with Impulse Technique/Position: Anterior
 Fibular Head......Page 486
Ankle Region-Distal Tibiofubular joint- Supine/Dx: Distal Tibiofibular Dysfunction 
......Page 487
Supine- Mobilization with Impulse Technique/Position: Anterior Distal Tibiofibular Joint 
......Page 488
Ankle Region: Talotibial Joint/Dx 
......Page 489
Supine- Mobilization with Impulse Technique/Position: Talus Plantar Flexed
......Page 490
Testing for anteromedial-to-posterolateral glide
......Page 491
Supine-Mobilization with Impulse Technique/Position: Anteromedial or Posterolateral talus
......Page 492
Foot
......Page 493
Prone- Mobilization with Impulse Technique (J-Stroke technique)/Position: Cuboid Pronated (internally rotated)
......Page 494
Supine- Muscle Energy Technique and Mobilization with Impulse technique/Position: Cuboid Pronated (internally rotated)
......Page 495
Muscle Energy Technique and Mobilization with Impulse Technique/Position: Navicular Internally Rotated or Externally Rotated
......Page 496
Muscle Energy Technique/Position: Depression of the Cuneiforms
......Page 497
Joint Play/Dx: Evaluation and restoration of medial and lateral rotations
......Page 498
Motion Testing and Joint Play
......Page 499
Lower Limb Tension Test (Sciatic Bias)......Page 500
Suggested Readings
......Page 501
SECTION III: CLINICAL INTEGRATION AND CORRELATION
......Page 503
Principles of Muscle Imbalance
......Page 505
Four Components of the Motor System
......Page 506
Muscle Fiber Type
......Page 507
Scientific-Clinical Theory of Janda
......Page 508
Goals of Treatment of Muscle Imbalances
......Page 510
Retraining
......Page 512
Evaluation and Treatment of the Lower Quarter
......Page 513
Test 4
......Page 514
Muscle Assessment
......Page 516
Abdominal Muscles
......Page 536
Test 1
......Page 543
Test 5
......Page 544
Assessement of Muscle Length and Treatment by Manual Stretching
......Page 546
Upper Quarter Retraining 
......Page 557
Self-Mobilizing Exercises for Specific Joint Dysfunction
......Page 567
Suggested Readings
......Page 580
Plain Film
......Page 583
Dynamic Studies
......Page 586
Special Imaging Studies
......Page 587
Diagnostic Blocks and Injections
......Page 589
Special Magnetic Resonance Imaging Studies
......Page 590
Electrodiagnostic Studies
......Page 591
Laboratory Testing
......Page 592
Suggested Readings
......Page 593
Anti-inflammatory Agents
......Page 595
Injections
......Page 596
Prolotherapy
......Page 597
Heel Lift
......Page 598
Traction
......Page 600
Exercise
......Page 601
Suggested Readings
......Page 602
The "Dirty Half Dozen" In The Failed Lower Back Syndrome
......Page 603
Chronic Recurrent Low Back Pain Syndrome (Cocktail Syndrome)
......Page 604
Case History
......Page 605
Intercostal Neuralgias
......Page 606
Cervical Cranial Syndrome
......Page 608
Cephalgia Associated with Traumatic Brain Injury
......Page 609
Suggested Readings
......Page 610
FIGURE CREDITS
......Page 611
SUBJECT INDEX
......Page 613