Revised and updated: a fresh new look to this established best seller, offering unique insights into this versatile and highly effective technique in the physical therapists' toolbox. Muscle Energy Techniques (METs) is a must for any student or practitioner of physical therapy, osteopathy, physiotherapy, chiropractic, or massage therapy. This practical guide, packed full of colour photographs, fully illustrates the theory and practice of a range muscle energy techniques. The book is broken in five parts. In Part I, the author examines the theory and principles behind muscle energy techniques, with chapters introducing the technique itself, muscle imbalances, myofascial slings and core muscle relationships, which leads neatly into the practice behind the technique. Parts II to IV break down the technique into body areas, i.e., upper body, lower body, trunk and pelvis, with clear descriptive explanations of the techniques accompanied by colour photographs with directional arrows showing the practitioner how to maximise the benefits of the treatment. Clear drawings allow the reader to understand the basic anatomy of each muscle. A concluding Part V shows two applications of METs: self-lengthening techniques for the shoulder complex and muscle weakness testing and the gluteals. The complete guide for any student or practitioner of physical therapy and related modalities, this is a book that you will refer to again and again.

As an easily accessible companion to Raymond Perrin's The Perrin Technique 2nd Edition, this handbook provides the basics of the why and the how of the Perrin Technique so that ME/CFS and fibromyalgia sufferers who are severely fatigued and unable to read - or even hold - a 530 page book can still obtain the core information needed to understand the importance of good neurolymphatic drainage to health and to recovery. For a thorough understanding of the structural and neuro-immunological problems that can lead to myalgic encephalomyelitis, chronic fatigue syndrome and fibromyalgia, the comprehensive book is essential but for those who just want the basics - why they are ill, why they have the symptoms they have and what they need to do to get better - the Concise Perrin Technique offers illustrated, step-by-step guidance along with answers to the FAQs that Dr Perrin has encountered over 30 years of treating ME/CFS with manual technique.

Chiropractic is by far the most common form of alternative medicine in the United States today, but its fascinating origins stretch back to the battles between science and religion in the nineteenth century. At the center of the story are chiropractic's colorful founders, D. D. Palmer and his son, B. J. Palmer, of Davenport, Iowa, where in 1897 they established the Palmer College of Chiropractic. Holly Folk shows how the Palmers' system depicted chiropractic as a conduit for both material and spiritualized versions of a ""vital principle,"" reflecting popular contemporary therapies and nineteenth-century metaphysical beliefs, including the idea that the spine was home to occult forces. The creation of chiropractic, and other Progressive-era versions of alternative medicine, happened at a time when the relationship between science and religion took on an urgent, increasingly competitive tinge. Many remarkable people, including the Palmers, undertook highly personal reinterpretations of their physical and spiritual worlds. In this context, Folk reframes alternative medicine and spirituality as a type of populist intellectual culture in which ideologies about the body comprise a highly appealing form of cultural resistance.

This fourth volume contains further ground-breaking and highly relevant work. Taking on the placebo and nocebo phenomenon, pain management and muscles and pain the volume yet again promotes the forward thinking and cutting edge work of the Physiotherapy Pain Association. In Part 1 a number of internationally renowned clinicians and researchers have come together to produce the first published attempt to broadly address and critically appraise the placebo and nocebo phenomenon from a clinical perspective for physiotherapists. The information and the way the material is presented should fascinate as well as challenge readers to think and work differently. Understanding the placebo fully requires a radical shift in thinking about human recovery mechanisms and the way in which treatments can be triggered to work at their most efficient. Part 2 takes on three more pain management topics - the integration of pain management approaches and techniques for individual therapists working with individual patients or in 'out-patient' settings; information giving for patients and addressing the taxing problem of improving fitness in patients with chronic pain related incapacity. The last part is devoted to some major issues surrounding the relationship of muscles to pain. Many current beliefs about the role of muscles come under scrutiny and some are constructively challenged by new proposals. Perhaps the most exciting aspect of the work presented here is that physiotherapy, if it fully integrates the information provided into clinical practice, should be increasingly recognised as the central and essential component of modern management of musculoskeletal pain states. The Topical Issues in Pain series derives from the work, study days and seminars of the Physiotherapy Pain Association and is written by clinicians for clinicians. Each volume reviews the literature and presents best practice in a lively and understandable text. All clinicians will benefit from the straightforward advice.

J Martin Littlejohn was a person who stood literally and figuratively shoulder to shoulder with the founder of osteopathy, A T Still. A proud presbyterian Scot who made his career and reputation in the USA, only to have it questioned and discredited after returning to pursue his osteopathic practice in London, Littlejohn was a controversial character. Undoubtedly a pioneer in establishing osteopathic medicine both in the USA and in the UK, he was also a fraud, using contentious qualifications to promote his academic and scientific credibility. No one has been able to write a comprehensive study of Littlejohn until now. John O'Brien has spent years researching the man. Using the objective eye of a professional historian, he has visited the institutions of Littlejohn's life and career, in Northern Ireland, Chicago, Illinois and Kirksville, Missouri, and the National Osteopathic Archive in London, as well as holding interviews with Littlejohn's family in the UK. He was granted access to previously unseen historic material as well as personal family mementos and photographs. This book will be read by anyone with an interest in the history of osteopathy. It gives a thorough description of the life and work of J Martin Littlejohn, with a broad analysis of how and why he took the major decisions to affect his career, for good or bad. And of course the consequences of those decisions, which had a major influence on the development of osteopathy in the 20th century. Key points: * 30 photographs, some previously unseen * Author access to previously unseen archives * Contributions from Littlejohn's family

Pain is the most frustrating condition a physiotherapist encounters. This is the first yearbook of the Physiotherapy Pain Association for Chartered Physiotherapists. It considers two challenging aspects of pain in physiotherapy practice and provides insights and approaches to management that can be applied by all clinicians. Part 1 critically reviews pathology, pain mechanisms and current therapies and offers a biopsychosocial approach to assessment, prevention, and management of pain following whiplash injury. It assists the reader to understand and work with people who have developed chronic pain. Part 2 considers the relationship between fear and anxiety and activity and exercise behaviour; it describes an approach to back pain rehabilitation that incorporates an understanding of the key elements of fear-avoidance. In particular, it shows how the language that clinicians use may assist patients to develop positive attitudes that foster coping mechanisms. The Physiotherapy Pain Association Yearbooks are written by clinicians for clinicians. Each volume reviews the literature and presents best practice in a lively and understandable text. All clinicians will benefit from the straightforward advice.

This is the second volume in the series stimulated by/deriving from the work and study days of the Physiotherapy Pain Association. This volume is about some fundamental changes in practice which aim to prevent chronic incapacity from musculoskeletal pain problems. It is also about our relationships with our patients, and theirs with their pain and their families. As such, the information provided is essential to all professions involved in physical rehabilitation and prevention of chronic incapacity. When practice changes there is a necessary extension of traditional thinking into new territories and new skills to be taken on. In particular, all the chapters in this book underline the recognition that while musculoskeletal pain has a biomedical origin, there are also important psychosocial components that require management within a biopsychosocial framework. Authors provide background knowledge and practical guidance to help readers integrate the biopsychosocial model and biopsychosocial assessment into patient management. The material in this book is as important to the management of acute pain as it is to chronic pain states. Importantly, the book is not about categorising patients as having either real or not real pain. It represents a determined effort by all the authors to present clinicians with tools that will help them to better understand their patients; help prevent them becoming disabled, and help most to lead far more active and productive lives - no matter how complex the presentation. Volumes in the Topical Issues in Pain series are written by clinicians for clinicians. Each volume reviews the literature and presents best practice in a lively and understandable text. All clinicians will benefit from the straightforward advice. I look forward to this series and to the activities of the Physiotherapy Pain Association because they promise to revolutionise the morale, dignity and way of thinking of physiotherapists and thereby to affect everyone concerned with pain. Patrick Wall Physiotherapy 95(2):101-2

This book challenges some long-held beliefs, models of treatment, and clinical reasoning about pain. It presents the current evidence on whatwe know about the sympathetic nervous system and the implications it has for patients with complex regional pain syndromes. Part 1 tackles controversial issues surrounding the role of the sympathetic nervous system in pain states and explores clinical challenges and questions that surround the topic. Can visceral disease precipitate musculoskeletal disorder? What do we know about mind body pathways? Where does the immune system fit in? What is complex regional pain syndrome? What is sympathetic maintained pain? How is it managed and treated? What are sympathetic blocks? Do they work? What happens to tissues when they are immobilised or under-used? What role does the sympathetic nervous system play in oedema, ischaemia and supersensitivity development? How can it cause pain? Part 2 is devoted to pain management. A single and highly authoritative chapter provides the information and clinical tools for us to deal more effectively with the distress and anger shown by some patients with back pain. There are excellent guidelines for clinicians seeking to further their 'Yellow Flag' assessment and management skills Part 3 addresses clinical effectiveness. It introduces, explains and discusses the concept and provides a rich resource for further research and investigation of the topic. There is also a critical look at 'evidence' and research into the effectiveness of acupuncture and TENS to help our understanding of the systematic review process and the pitfalls that so often occur in clinical research. The Topical Issues in Pain series derives from the work, study days and seminars of the Physiotherapy Pain Association and is written by clinicians for clinicians. Each volume reviews the literature and presents best practice in a lively and understandable text. All clinicians will benefit from the straightforward advice.

Osteopathic history has been handed down to the profession in half-truths and superficial generalisations that have caused friction and wariness among colleagues, particularly when a more united profession was attempting to emerge. ''Bonesetters: A History of Osteopathy'' has been written using primary sources and previously unreleased archive material in order to bring clarification and to provide an accepted base of knowledge for osteopathy and osteopathic practice. There are many instances of cooperation between bonesetters and osteopaths during the early decades of the last century. This book aims to clarify the past in readable portions without the reader being overwhelmed by the number of institutions involved or weighed down metaphorically by the complexity of certain situations. The true heroes of this tale are the number of early practitioners dedicating their time and expertise to their communities, often under considerable difficulties. They made it possible for successive generations to enter these same informed neighbourhoods to practice successfully without duress. Yet these areas are changing and osteopathy needs to address this. There are lessons to learn from osteopathic history and one hopes that students, colleagues and others interested in its past gain something from this book. It is primarily designed as a ready reckoner for students who require some knowledge of our past but not necessarily too detailed. For those who aspire to a more thorough discourse, this book may act as a launching pad to do so. Qualified practitioners who need to refresh their memory can dip into the book at leisure or during gaps in daily practice. ''Bonesetters: A History of Osteopathy'' educates every reader in the gradual development and acceptance of osteopathic practice and suggests lessons to be learned for the future of the profession.

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