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As we stated in our message in the book of abstracts for this
congress, we have planned the programme over a long period with one
clear objective: to present musculoskeletal medicine as an integral
part of orthodox medical practice, rather than as something
alternative or complementary. To this end we have based the plenary
programme as far as possible on accepted epidemiological,
anatomical, physiological and pathological phenomena.
Scientifically well-validated material must surely be the base upon
which any viable musculoskeletal medicine practice may be built.
While we have chosen the plenary programme to reflect
musculoskeletal medicine as a part of orthodoxy, we realize and
wish to emphasize that there is a wealth of original work that has
been carried out within FIMM. For this reason our first innovation
for the congress was to invite members of the scientific advisory
committee to select for a 'directed' programme the three topics
they felt were of greatest current importance. The results of this
democratic procedure was the choice of the sacroiliac joint, a
comparison of manual therapies and biomechanics. This illustrates
the broad direction of present thinking within FIMM.
As we stated in our message in the book of abstracts for this
congress, we have planned the programme over a long period with one
clear objective: to present musculoskeletal medicine as an integral
part of orthodox medical practice, rather than as something
alternative or complementary. To this end we have based the plenary
programme as far as possible on accepted epidemiological,
anatomical, physiological and pathological phenomena.
Scientifically well-validated material must surely be the base upon
which any viable musculoskeletal medicine practice may be built.
While we have chosen the plenary programme to reflect
musculoskeletal medicine as a part of orthodoxy, we realize and
wish to emphasize that there is a wealth of original work that has
been carried out within FIMM. For this reason our first innovation
for the congress was to invite members of the scientific advisory
committee to select for a 'directed' programme the three topics
they felt were of greatest current importance. The results of this
democratic procedure was the choice of the sacroiliac joint, a
comparison of manual therapies and biomechanics. This illustrates
the broad direction of present thinking within FIMM.
Neck and back pain are common symptoms which vary from the trivial
to the incapacitating. Conventional medical textbooks concentrate
disproportion ately on those causes which have clear-cut diagnostic
patterns and pathological features demonstrable by investigations.
Discussions of treatment often overemphasize the importance of the
tiny minority of patients who proceed to surgery. Real life is very
different. The majority of patients who consult their general
practitioners do not suffer from readily categorized diseases, have
no diagnostic investigational signs, and often respond to treatment
in no other way than that expected from the passage of time. It is
not surprising that such a situation has led to the emergence of a
number of gurus, both orthodox and unorthodox, who provide
diagnostic labels and treatment methods united by only one thing -
certainty. I had expected two such prominent exponents of
manipulative techniques as the authors of this book to be among
those offering certainty and demanding blind acceptance but I was
wrong. This book explores the scientific basis for treatment and
evaluates a vru: iety of therapeutic options. It offers an approach
to assessment and treatment which is overtly pragmatic but firmly
based in conventional clinical medicine. It is a book which invites
discussion, comment and criticism in an area where many texts offer
little but dogmatism."
to Medical Manipulation John K. Paterson, MB. BS. MRCGP currently
Vice-President and Han. Secretary of the British Association of
Manipulative Medicine and member of the Scientific Advisory
Committee of the International Federation of Manual Medicine and
Loic Burn, BA. MRCS. LRCP. DPhysMed currently President of the
British Association of Manipulative Medicine. Han. Secretary of the
Scientific Section of the British League against Rheumatism and
member of Council of the Back Pain Association ~~ M.TP PRESS
LIM.ITED ~ a member of the KLUWER ACADEMIC PUBLISHERS GROUP LA
CASTER I BOSTON I THE HAG E / DORDRECHT Published in the UK and
Europe by MTP Press Limited Falcon House Lancaster, England British
Library Cataloguing in Publication Data Paterson, John K. An
introduction to medical manipulation. 1. Manipulation
(Therapeutics) I. Title II. Burn, Loic 615.8'2 RM724 Published in
the USA by MTPPress A division of Kluwer Boston Inc 190 Old Derby
Street Hingham, MA 02043, USA Library of Congress Cataloging in
Publication Data Paterson, John K., 1921- An introduction to
medical manipulation. Bibliography: p. Includes index.
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