Musculoskeletal Interventions Techniques For Therapeutic Exercise Fourth Edition

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Musculoskeletal Interventions: Techniques for Therapeutic Exercise, Fourth Edition

Author : Barbara J. Hoogenboom,Michael L. Voight,William E. Prentice
Publisher : McGraw Hill Professional
Page : 1227 pages
File Size : 48,5 Mb
Release : 2021-05-06
Category : Medical
ISBN : 9781260459968

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Musculoskeletal Interventions: Techniques for Therapeutic Exercise, Fourth Edition by Barbara J. Hoogenboom,Michael L. Voight,William E. Prentice Pdf

The definitive resource for designing and implementing evidence-based rehabilitation programs using therapeutic exercise Written and edited by top experts in their fields, Musculoskeletal Interventions provides the rehabilitation techniques, strategies, and considerations you need to effectively treat patients of all ages, abilities, and functional levels. With expanded coverage of movement systems, along with clinical pearls and hundreds of illustrations, this edition has been fully revised to reflect a contemporary movement system approach patient care. It focuses on the practical application of theory in a clinical setting, making it ideal for students and experienced physical therapists alike. Designed to make finding what you need quickly and easily, Musculoskeletal Interventions is organized into five sections: Foundations of the Rehabilitation Process Introduces the human movement system, the Guide to Physical Therapist Practice, and the clinical reasoning process Provides grounding on tissue healing, the Neuromuscular Scan Examination, pain, posture, and function Treating Physiologic Impairments During Rehabilitation Details general impairments that require attention throughout the rehabilitation process Covers muscle performance, endurance and aerobic capacity, mobility, range of motion, and neuromuscular control Tools of Rehabilitation Explains how to achieve optimal outcomes using various tools, including plyometric exercise, open- and closed-kinetic chain interventions, proprioceptive neuromuscular facilitation techniques, joint mobilization, postural stability and balance interventions, core stabilization training, aquatic therapy, functional movement screening, and more Interventions Strategies for Specific Regions Describes applications of techniques and interventions related to common movement-based, overuse, traumatic, and postoperative musculoskeletal dysfunction Provides guidance on conditions common to the shoulder complex, elbow, wrist, hand, digits, groin, hip, thigh, knee, lower leg, ankle, foot, and spine Discusses pathomechanics and injury mechanisms while focusing on rehabilitation strategies and concerns for specific injuries and providing example protocols Special Considerations for Specific Patient Populations Provides application of all previous intervention strategies and how these may need to be selected, adapted, and utilized for geriatric patients, pediatric patient, and physically active females Musculoskeletal Interventions is filled with features that help you understand and retain critical information. Learning aids include objectives, tales, clinical pearls, figures, video links, summary points, chapter-ending treatment guidelines, and references.

Musculoskeletal Interventions

Author : Michael L. Voight,Barbara J. Hoogenboom,William E. Prentice
Publisher : McGraw Hill Professional
Page : 945 pages
File Size : 45,8 Mb
Release : 2006-12-26
Category : Medical
ISBN : 9780071709293

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Musculoskeletal Interventions by Michael L. Voight,Barbara J. Hoogenboom,William E. Prentice Pdf

The definitive, A-to-Z overview of evidence-based rehab programs using therapeutic exercise In this exceptional evidence-and-guide-based, clinically-oriented resource, you'll learn everything you need to know about the design, implementation, and supervision of therapeutic exercise programs for orthopedic injuries and disorders. The book's logical five-part organization begins with an instructive look at the foundations of the rehabilitation process, then covers the treatment of physiologic impairments during rehabilitation; rehabilitation tools; intervention strategies; and special considerations for specific patient populations. Features Helpful review of the foundations of the rehabilitation process, thorough coverage of managing the healing process through rehabilitation, and an algorithm-based approach to musculoskeletal rehabilitation Complete survey of rehabilitation tools, from isokinetics, aquatic therapy, and orthotics, to a four-step clinical model for the essentials of functional exercise Full chapters on functional progressions and functional testing and unique coverage of core stabilization training, impaired function, and impaired muscular control Unique coverage of a functional movement screen A practical system for history-taking and scanning Unique coverage of how to treat special segments of the population, including geriatric and pediatric patients, amputees, and the active female An easy-to-follow body region approach to intervention strategies Handy appendices covering the American College of Sports Medicine position statements on strength training and fitness development An abundance of study-enhancing illustrations, plus clinical pearls and protocols designed to speed clinical decision making

Therapeutic Modalities for Musculoskeletal Injuries, 4E

Author : Denegar, Craig R.,Saliba, Ethan,Saliba, Susan
Publisher : Human Kinetics
Page : 384 pages
File Size : 42,8 Mb
Release : 2015-10-09
Category : Medical
ISBN : 9781450469012

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Therapeutic Modalities for Musculoskeletal Injuries, 4E by Denegar, Craig R.,Saliba, Ethan,Saliba, Susan Pdf

Therapeutic Modalities for Musculoskeletal Injuries, Fourth Edition, offers comprehensive coverage of therapeutic interventions for musculoskeletal injuries, providing the tools for optimal decision making for safe and effective use of each treatment method.

Musculoskeletal Interventions 3/E

Author : Barbara J. Hoogenboom,Michael L. Voight,William E. Prentice
Publisher : McGraw Hill Professional
Page : 464 pages
File Size : 55,9 Mb
Release : 2014-01-22
Category : Medical
ISBN : 9780071793704

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Musculoskeletal Interventions 3/E by Barbara J. Hoogenboom,Michael L. Voight,William E. Prentice Pdf

The definitive guide to designing and implementing evidence-based rehabilitation programs using therapeutic exercise -- updated in full color Musculoskeletal Interventions, 3rd Edition, is a comprehensive guide to the system considerations, design, implementation, and progression of rehabilitation programs for musculoskeletal injuries and dysfunction. Encompassing many aspects of musculoskeletal rehabilitation, with contributions from many renowned authors, it focuses on the practical application of theory in a clinical setting, making it valuable to both students and experienced physical therapists. Musculoskeletal Interventions features an easy-to-follow body region and functional approach to intervention strategies and is logically divided into five sections: Foundations of the Rehabilitation Process Addresses the important considerations in designing a rehabilitation program for the patient with a musculoskeletal injury Provides a guide-based overview of the rehabilitation process as well as an introduction to Clinical Reasoning and Algorithmic Thinking in rehabilitation Treating Physiologic Impairments During Rehabilitation Presents information on various physical impairments that may need to be addressed as part of the rehabilitation process The Tools of Rehabilitation Provides an overview of important rehabilitation tools and strategies Delivers detailed coverage of how these interventions should be incorporated into a rehabilitation program to achieve the individualized treatment goals for patients with musculoskeletal pathologies Intervention Strategies for Specific Injuries Covers specific rehabilitation techniques and interventions applied to the treatment of a wide variety of regional musculoskeletal injuries, dysfunctions, and post-operative conditions Special Consideration for Specific Patient Populations Discusses treatment considerations for specific patient populations, such as the geriatric patient, pediatric patient, and physically active female This edition is enhanced by a new full-color presentation, as well as the inclusion of valuable learning aids, such as clinical pearls, protocol grids, algorithms, learning objectives at the beginning of each chapter, and end-of-chapter treatment guidelines and references.

Therapeutic Exercise for Musculoskeletal Injuries

Author : Peggy A. Houglum
Publisher : Human Kinetics
Page : 1168 pages
File Size : 50,8 Mb
Release : 2018-10-30
Category : Medical
ISBN : 9781492585916

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Therapeutic Exercise for Musculoskeletal Injuries by Peggy A. Houglum Pdf

Therapeutic Exercise for Musculoskeletal Injuries, Fourth Edition With Online Video, presents foundational information that instills a thorough understanding of rehabilitative techniques. Updated with the latest in contemporary science and peer-reviewed data, this edition prepares upper-undergraduate and graduate students for everyday practice while serving as a referential cornerstone for experienced rehabilitation clinicians. The text details what is happening in the body, why certain techniques are advantageous, and when certain treatments should be used across rehabilitative time lines. Accompanying online video demonstrates some of the more difficult or unique techniques and can be used in the classroom or in everyday practice. The content featured in Therapeutic Exercise for Musculoskeletal Injuries aligns with the Board of Certification’s (BOC) accreditation standards and prepares students for the BOC Athletic Trainers’ exam. Author and respected clinician Peggy A. Houglum incorporates more than 40 years of experience in the field to offer evidence-based perspectives, updated theories, and real-world applications. The fourth edition of Therapeutic Exercise for Musculoskeletal Injuries has been streamlined and restructured for a cleaner presentation of content and easier navigation. Additional updates to this edition include the following: • An emphasis on evidence-based practice encourages the use of current scientific research in treating specific injuries. • Full-color content with updated art provides students with a clearer understanding of complex anatomical and physiological concepts. • 40 video clips highlight therapeutic techniques to enhance comprehension of difficult or unique concepts. • Clinical tips illustrate key points in each chapter to reinforce knowledge retention and allow for quick reference. The unparalleled information throughout Therapeutic Exercise for Musculoskeletal Injuries, Fourth Edition, has been thoroughly updated to reflect contemporary science and the latest research. Part I includes basic concepts to help readers identify and understand common health questions in examination, assessment, mechanics, rehabilitation, and healing. Part II explores exercise parameters and techniques, including range of motion and flexibility, proprioception, muscle strength and endurance, plyometrics, and development. Part III outlines general therapeutic exercise applications such as posture, ambulation, manual therapy, therapeutic exercise equipment, and body considerations. Part IV synthesizes the information from the previous segments and describes how to create a rehabilitation program, highlighting special considerations and applications for specific body regions. Featuring more than 830 color photos and more than 330 illustrations, the text clarifies complicated concepts for future and practicing rehabilitation clinicians. Case studies throughout part IV emphasize practical applications and scenarios to give context to challenging concepts. Most chapters also contain Evidence in Rehabilitation sidebars that focus on current peer-reviewed research in the field and include applied uses for evidence-based practice. Additional learning aids have been updated to help readers absorb and apply new content; these include chapter objectives, lab activities, key points, key terms, critical thinking questions, and references. Instructor ancillaries, including a presentation package plus image bank, instructor guide, and test package, will be accessible online. Therapeutic Exercise for Musculoskeletal Injuries, Fourth Edition, equips readers with comprehensive material to prepare for and support real-world applications and clinical practice. Readers will know what to expect when treating clients, how to apply evidence-based knowledge, and how to develop custom individual programs.

Rehabilitation of Musculoskeletal Injuries

Author : Peggy A. Houglum,Kristine L. Boyle-Walker,Daniel E. Houglum
Publisher : Human Kinetics
Page : 1178 pages
File Size : 43,8 Mb
Release : 2022-11-17
Category : Electronic
ISBN : 9781718203150

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Rehabilitation of Musculoskeletal Injuries by Peggy A. Houglum,Kristine L. Boyle-Walker,Daniel E. Houglum Pdf

"This text gives readers an understanding of musculoskeletal injuries using the latest in contemporary science and peer-reviewed data. They will be able to apply what they learn to develop treatment plans using appropriate rehabilitation techniques when treating clients in the real world. Written with the entry-level master's student in mind, it may also serve practicing clinicians as a reference or guide in their daily patient care"--

Therapeutic Exercise

Author : William D. Bandy,Barbara Sanders
Publisher : Unknown
Page : 386 pages
File Size : 47,8 Mb
Release : 2001
Category : Medical
ISBN : 078172130X

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Therapeutic Exercise by William D. Bandy,Barbara Sanders Pdf

This entirely new resource focuses on the implementation of treatment plans and intervention using the newest appropriate therapeutic exercise techniques. It provides descriptions and rationale for use of a wide range of exercises to improve a patient's function and health status and to prevent potential future problems. The description of the purpose, position and procedure is given for each technique, providing a complete understanding of the exercise. Features include Pediatric and Geriatric Boxes, Case Studies, and Clinical Guidelines. Fourteen contributors in the fields of exercise science and physical therapy make the text a comprehensive, well-rounded overview of therapeutic exercise techniques.

Dutton's Orthopaedic: Examination, Evaluation and Intervention Fourth Edition

Author : Mark Dutton
Publisher : McGraw Hill Professional
Page : 1687 pages
File Size : 47,6 Mb
Release : 2016-07-29
Category : Medical
ISBN : 9781259586460

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Dutton's Orthopaedic: Examination, Evaluation and Intervention Fourth Edition by Mark Dutton Pdf

Updated edition of the #1 orthopaedic evidence-based textbook and reference guide A Doody's Core Title for 2019! Dutton’s Orthopaedic: Examination, Evaluation and Intervention provides readers with a systematic logical approach to the evaluation and intervention of the orthopedic patient. In this comprehensive and up-to-date fourth edition, Dutton strikes the perfect balance in its coverage of examination and treatment. The textbook emphasizes the appropriate use of manual techniques and therapeutic exercise while outlining the correct applications of electrotherapeutic and thermal modalities as adjuncts to the rehabilitative process. The content reflects the consistent unified voice of a single author – a prominent practicing therapist who delivers step-by-step guidance on the examination of each joint and region. This in-depth coverage leads you logically through systems review and differential diagnosis aided by decision-making algorithms & features new coverage on balance and concussions. New videos on testing and method techniques are available on AcessPT (if adopted) Also this edition has added 10-15 board review questions per chapter and has updated chapters to reflect the latest research and treatment techniques.

Therapeutic Programs for Musculoskeletal Disorders

Author : James Wyss, MD, MPT
Publisher : Demos Medical Publishing
Page : 408 pages
File Size : 51,9 Mb
Release : 2012-12-17
Category : Medical
ISBN : 9781617050794

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Therapeutic Programs for Musculoskeletal Disorders by James Wyss, MD, MPT Pdf

Therapeutic Programs for Musculoskeletal Disorders is a guide for musculoskeletal medicine trainees and physicians to the art and science of writing therapy prescriptions and developing individualized treatment plans. Chapters are written by teams of musculoskeletal physicians, allied health professionals, and trainees to underscore the importance of collaboration in designing programs and improving outcomes. The book employs a literature-driven treatment approach to the common musculoskeletal problemsthat clinicians encounter on a daily basis. Each condition-specific chapter includes clinical background and presentation, physical examination, and diagnostics, followed by a comprehensive look at the rehabilitation program. Case examples with detailed therapy prescriptions reinforce key points. The book includes a bound-in DVD with downloadable patient handouts for most conditions. Therapeutic Programs for Musculoskeletal Disorders Features: A concise but comprehensive approach to the conservative treatment of musculoskeletal disorders A focus on developing individualized treatment plans incorporating physical modalities, manual therapy, and therapeutic exercise A logical framework for writing effective therapy-based prescriptions for common limb and spine problems Case examples with detailed therapy prescriptions A targeted review of the associated literature in each condition-specific chapter A DVD with illustrated handouts covering home modalities and therapeutic exercises for key problems that can be provided to patients The first reference bringing together physicians, allied health professionals, and residents to provide an integrated foundation for improved team care utilizing an evidence-based approach to musculoskeletal rehabilitation

Musculoskeletal and Sports Medicine For The Primary Care Practitioner, Fourth Edition

Author : Richard B. Birrer,Francis G. O'Connor,Shawn F. Kane
Publisher : CRC Press
Page : 850 pages
File Size : 51,9 Mb
Release : 2016-01-06
Category : Medical
ISBN : 9781482220124

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Musculoskeletal and Sports Medicine For The Primary Care Practitioner, Fourth Edition by Richard B. Birrer,Francis G. O'Connor,Shawn F. Kane Pdf

Primary care practitioners are often the first medical professionals to see patients after an injury, making it critical for them to stay up to date on the latest developments in sports medicine. Musculoskeletal and Sports Medicine for the Primary Care Practitioner contains the most current information on major topics in sports science and clinical medicine. It is a valuable resource for primary care physicians and allied health professionals who practice, teach, and hold specialty certifications in sports medicine and related fields. The book discusses key concepts related to the diagnosis, treatment, and prevention of sports injuries. This edition adds new sections on pro-inflammatory treatments, field-side acupuncture, and brief musculoskeletal ultrasound as well as a new chapter on wellness and video illustrations of important musculoskeletal maneuvers at www.crcpress.com/9781482220117. The book follows the Strength of Recommendation Taxonomy (SORT), which addresses the quality, quantity, and consistency of evidence. It recommends levels of patient-oriented evidence to assist physicians in their diagnoses. Also included is a link to videos that demonstrate important musculoskeletal maneuvers used in sports medicine. As exercise and sports move beyond the realm of leisurely activity to a necessary component of good health, this book has become an important resource for all those involved in sports medicine.

Rehabilitation Techniques for Sports Medicine and Athletic Training

Author : William Prentice
Publisher : Taylor & Francis
Page : 895 pages
File Size : 47,5 Mb
Release : 2024-06-01
Category : Medical
ISBN : 9781040139158

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Rehabilitation Techniques for Sports Medicine and Athletic Training by William Prentice Pdf

Rehabilitation Techniques for Sports Medicine and Athletic Training, Seventh Edition is the definitive reference for athletic training students and professionals who are interested in gaining more in-depth exposure to the theory and practical application of rehabilitation techniques used in a sports medicine environment. Dr. William Prentice and his contributors have combined their knowledge and expertise to produce a single text that encompasses all aspects of sports medicine rehabilitation. Featuring more than 1,000 full-color illustrations, 700 high-resolution videos, and an integrated laboratory manual, this newly updated Seventh Edition provides the athletic trainer with a complete guide to the design, implementation, and supervision of rehabilitation programs for sport-related injuries. The Seventh Edition includes new and updated information on topics including: • Pharmacology and the role of medication in pain management and performance • Nutrition and its impact on rehabilitation • Rehabilitation techniques for the core • Roles within the rehabilitation team • Pathomechanics and epidemiology of common injuries • Psychological considerations and communication with injured patients • Tips for documentation from Dr. Prentice Included with the text are online supplemental materials for faculty use in the classroom. Rehabilitation Techniques for Sports Medicine and Athletic Training, Seventh Editionis a comprehensive resource for athletic training students, faculty, and clinicians; physical therapists who manage rehabilitation programs for sports-related injuries; as well as for strength and conditioning coaches who supervise performance enhancement programs on return to play.

Routledge Handbook of Sports Therapy, Injury Assessment and Rehabilitation

Author : Keith Ward
Publisher : Routledge
Page : 765 pages
File Size : 53,6 Mb
Release : 2015-09-16
Category : Health & Fitness
ISBN : 9781136660733

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Routledge Handbook of Sports Therapy, Injury Assessment and Rehabilitation by Keith Ward Pdf

The work of a sports therapist is highly technical and requires a confident, responsible and professional approach. The Routledge Handbook of Sports Therapy, Injury Assessment and Rehabilitation is a comprehensive and authoritative reference for those studying or working in this field and is the first book to comprehensively cover all of the following areas: Sports Injury Aetiology Soft Tissue Injury Healing Clinical Assessment in Sports Therapy Clinical Interventions in Sports Therapy Spinal and Peripheral Anatomy, Injury Assessment and Management Pitch-side Trauma Care Professionalism and Ethics in Sports Therapy The Handbook presents principles which form the foundation of the profession and incorporates a set of spinal and peripheral regional chapters which detail functional anatomy, the injuries common to those regions, and evidence-based assessment and management approaches. Its design incorporates numerous photographs, figures, tables, practitioner tips and detailed sample Patient Record Forms. This book is comprehensively referenced and multi-authored, and is essential to anyone involved in sports therapy, from their first year as an undergraduate, to those currently in professional practice.

Pathology and Intervention in Musculoskeletal Rehabilitation

Author : David J. Magee,James E. Zachazewski,William S. Quillen
Publisher : Elsevier Health Sciences
Page : 991 pages
File Size : 48,6 Mb
Release : 2008-01-01
Category : Medical
ISBN : 9781416002512

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Pathology and Intervention in Musculoskeletal Rehabilitation by David J. Magee,James E. Zachazewski,William S. Quillen Pdf

Design and implement a rehab program on your own with Pathology and Intervention in Musculoskeletal Rehabilitation, 2nd Edition. Part of Magee's popular Musculoskeletal Rehabilitation Series, this pathology text for physical therapists provides clear guidance on patient management relative to specific musculoskeletal pathology, injury, and illness - all based on a sound understanding of basic science and principles of practice. It focuses on the specific pathologies most often seen in the clinic, and discusses the best methods for intervention for the different areas of the body in the context of the tissue-healing model. Each intervention features a rationale, along with the pathology and problem presented; stage of healing; evidence in the literature; and clinical reasoning considerations. Dedicated and focused information on the specific pathologies most often seen in the clinic, as well as the best methods for intervention for the different areas of the body, minimizes duplication of information by referring you to other titles in the Musculoskeletal Rehabilitation Series for basic scientific information regarding inflammation, healing, tissue deformation, and the development of muscular strength and endurance. Trusted experts in musculoskeletal rehabilitation, along with internationally recognized contributors, present the best evidence behind contemporary interventions directed toward the treatment of the impairments and functional limitations associated with acute, chronic, and congenital musculoskeletal conditions occurring across the lifespan. Evidence-based content, with over 4,000 references, supports the scientific principles for rehabilitation interventions, providing the best evidence for the management of musculoskeletal pathology and injury. NEW! The Skin and Wound Healing chapter looks at the numerous tools available to assist in objectively monitoring and treating a patient with an acute or chronic wound. NEW! Rotator Cuff Pathology chapter highlights the anatomy, function, and etiology of the rotary cuff, and addresses rotary cuff injuries, physical examination, and non-operative and operative treatment. UPDATED! Substantially revised chapter on the Thoracic Ring ApproachT facilitates clinical reasoning for the treatment of the thoracic spine and ribs through the assessment and treatment of thoracic spine disorders and how they relate to the whole kinetic chain. UPDATED! Revised Lumbar Spine - Treatment of Motor Control Disorders chapter explores some of the research evidence and clinical reasoning pertaining to instability of the lumbar spine so you can better organize your knowledge for immediate use in the clinical setting. UPDATED! Significantly revised chapter on the treatment of pelvic pain and dysfunction presents an overview of specific pathologies pertaining to the various systems of the pelvis - and highlights how "The Integrated Systems Model for Disability and Pain" facilitates evidence-based management of the often complex patient with pelvic pain and dysfunction. NEW! Musculoskeletal Bone and Soft Tissue Tumors chapter covers common bones tumors, anatomic considerations and rehabilitation, pediatric patients, and amputation related to cancer. UPDATED! Thoroughly revised chapters with additional references ensure you get the most recent evidence and information available. NEW! Full color design and illustration program reflects what you see in the physical world to help you recognize and understand concepts more quickly.

Therapeutic Exercise

Author : Carolyn Kisner,Lynn Allen Colby
Publisher : F A Davis Company
Page : 928 pages
File Size : 54,5 Mb
Release : 2007
Category : Medical
ISBN : 0803615841

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Therapeutic Exercise by Carolyn Kisner,Lynn Allen Colby Pdf

Thoroughly updated to highlight current evidence to support best practice, this new 5th edition offers the most up-to-date guidelines for managing musculoskeletal conditions. Now even more extensively illustrated, it provides principles of therapeutic exercise and manual therapy. It describes pathologic conditions and surgical procedures commonly encountered by therapists in the clinical setting. This renowned manual remains the authoritative source for exercise instruction for the therapist and for patient self management.

Pathology and Intervention in Musculoskeletal Rehabilitation - E-Book

Author : David J. Magee,James E. Zachazewski,William S. Quillen
Publisher : Elsevier Health Sciences
Page : 992 pages
File Size : 44,7 Mb
Release : 2008-09-18
Category : Medical
ISBN : 9781416069423

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Pathology and Intervention in Musculoskeletal Rehabilitation - E-Book by David J. Magee,James E. Zachazewski,William S. Quillen Pdf

Detailed and evidence-based, this text focuses on musculoskeletal pathology and injury with descriptions of current and practical rehabilitation methods. PATHOLOGY AND INTERVENTION IN MUSCULOSKELETAL REHABILITATION provides everything you need to create and implement rehabilitation programs for your patients with musculoskeletal disorders due to injury, illness, or surgery. Each intervention includes a rationale, pathology and related problems, stages of healing, evidence in literature, and clinical reasoning considerations. This is the third volume of the new four-volume musculoskeletal rehabilitation series anchored by "Magee’s Orthopedic Physical Assessment, 5th Edition." A companion CD with references and links to MEDLINE abstracts, provides easy access to the articles referenced in the text. Evidence-based content, with over 4,000 references, supports the scientific principles for rehabilitation interventions, providing the best evidence for the management of musculoskeletal pathology and injury. Over 150 tables and 250 boxes help organize and summarize important information, highlighting key points. Over 700 drawings, clinical photos, radiographs, and CT and MRI scans demonstrate and clarify important concepts. Trusted experts in musculoskeletal rehabilitation — David Magee, James Zachazewski, Sandy Quillen, plus more than 70 contributors — provide authoritative guidance on the management of musculoskeletal pathology and injury.