Therapeutic Stretching in Physical Therapy E-Book

Towards a Functional Approach
Churchill Livingstone (Verlag)
  • 1. Auflage
  • |
  • erschienen am 19. August 2013
  • |
  • 352 Seiten
E-Book | PDF mit Adobe DRM | Systemvoraussetzungen
978-0-7020-5426-6 (ISBN)

'This is a highly enjoyable and well presented book that I recommend for any clinician from student to experienced practitioner. It is suitable for all physiotherapists, manual therapists, sports physiotherapists/therapists, strength and conditioning coaches, sports scientists, athletes and patients who would like to understand, recover and improve their range and ease of movement.'

Jimmy Reynolds, Head of Sports Medicine - Academy, Ipswich Town Football Club, Oct 14

  • Helps transform thinking about the therapeutic value of stretching and how it is best applied in the clinical setting

  • Examines the difference between therapeutic and recreational stretching

  • Focuses on the use of stretching in conditions where individuals experience a loss in range of movement (ROM)

  • Explores what makes stretching effective, identifying behaviour as a main driving force for adaptive changes

  • Discusses the experience of pain, sensitization and pain tolerance in relation to stretching and ROM recovery

  • Contains over 150 photographs and 45 minutes of video describing this new revolutionary approach

  • Applicable to a variety of perspectives including osteopathy, chiropractic, physical therapy, sports and personal trainers

  • Ideal for experienced practitioners as well as those taking undergraduate and postgraduate courses

Dr Eyel Lederman is Director, Centre for Professional Development in Manual Therapy, London, UK and a practicing osteopath. Eyal completed his PhD in physiotherapy at King's College London where he researched the neurophysiology of manual therapy. He is actively involved in manual therapy research at UCL, exploring the clinical use of functional stretching. Eyal regularly teaches manual therapy techniques and the physiological basis of manual therapy in different schools across the UK and abroad. He has published many articles in the area and is the author of Harmonic Technique, The Science and Practice of Manual Therapy, Neuromuscular Rehabilitation in Manual and Physical Therapies and Therapeutic Stretching: Towards a Functional Approach.
  • Englisch
  • London
Elsevier Health Sciences
  • 53,77 MB
978-0-7020-5426-6 (9780702054266)
0702054267 (0702054267)
weitere Ausgaben werden ermittelt
  • Front cover
  • Half title page
  • Dedication
  • Therapeutic Stretching
  • Copyright page
  • Table of Contents
  • Preface
  • The Website
  • 1 Introduction to Therapeutic and Functional Stretching
  • What Is Stretching?
  • Therapeutic, Sports and Recreational Stretching
  • Is stretching essential for normalization of ROM?
  • Is stretching useful therapeutically?
  • Towards a Functional- Behavioural Approach
  • Advantages of functional challenges
  • Towards a Process Approach
  • Processes underpinning ROM recovery
  • Classification of Stretching
  • What about traditional forms of stretching?
  • Summary
  • References
  • 2 Functional and Dysfunctional ROM
  • ROM Ingredients
  • Active end-range
  • Passive end-range
  • ROM and sensitivity
  • Defining functional and dysfunctional ROM
  • Functional ROM
  • Dysfunctional ROM
  • Functional and clinical ROM ideals
  • Summary
  • References
  • 3 Causes of ROM Loss and Therapeutic Potential of Rehabilitation
  • Defining the Boundary of ROM Rehabilitation
  • Self-limiting conditions
  • Persistent conditions
  • Progressive conditions
  • Summary
  • References
  • 4 Adaptation in ROM Loss and Recovery
  • The Wonders of Mechanotransduction
  • Dysfunctional Adaptation and ROM Losses
  • Connective tissue and intracapsular structures
  • Muscle changes
  • Connective tissue change in muscle
  • Adaptation in ROM Recovery
  • Recovery in connective tissue
  • Adaptive recovery in muscle
  • Muscle connective tissue
  • Adaptation in Other Tissues/ Systems/Dimensions
  • What (Really) Drives Adaptation in Recovery
  • Summary
  • References
  • 5 Specificity in ROM Rehabilitation
  • Specificity and Generalization
  • Transfer of training
  • Measuring similarities
  • Studies of Specificity and Transfer
  • Transfer in stretching
  • Studies of Specificity and Transfer in Patients
  • Implications for ROM Rehabilitation
  • Promoting Generalization and Transfer in ROM Rehabilitation
  • A Note on Sensory Specificity
  • Summary
  • References
  • 6 The Overloading Condition for Recovery
  • Loading Levels and Thresholds
  • Overloading in relation to ROM loss and recovery
  • Impediments to overloading
  • The "inconsequential" elongation
  • Rate of stretching
  • The "undesirable" plastic ROM change
  • Graded Challenge and the Task Parameters
  • The Fallacy of Specific Tissue Stretching/Loading
  • Summary
  • References
  • 7 Exposure and Scheduling the ROM Challenge
  • Duration of Challenge
  • Duration in the presence of ROM pathology
  • Competition in ROM adaptation
  • Ratio between maintaining and recuperating signals
  • Termination of ROM challenge
  • Scheduling in Functional and Extra-Functional Approaches
  • A note on control of active ROM and task exposure
  • Adherence to THE Programme
  • Summary
  • References
  • 8 Rehabilitating the Active ROM:
  • Goals and Focus of Attention
  • External-internal focus in ROM rehabilitation
  • Regression from goal to movement level
  • Task-specific Muscle Recruitment
  • Integrate or fragment?
  • Synergy in pathology
  • Focus of ROM Rehabilitation
  • Importance of Cognition
  • Cognition and feedback
  • Limitations of Extra-Functional Stretching Approaches
  • Motor control during active and passive stretching
  • Autogenic inhibition
  • Reciprocal inhibition
  • Summary
  • References
  • 9 Pain Management and ROM Desensitization
  • ROM Sensitization
  • Persistent sensitization
  • ROM Desensitization
  • When is ROM desensitization beneficial?
  • Factors supporting ROM desensitization
  • Psychological dimension
  • Emotional factors
  • Cognitive-behavioural factors
  • Contextual effects
  • Physical components
  • Active movement
  • Passive movement and stretching
  • Transient nature of desensitization
  • Stretching and Pain Control
  • Clinical Reasoning in ROM Rehabilitation in the Presence of Pain
  • Summary
  • References
  • 10 Stretch-tolerance Model
  • Origin of Stretch-Tolerance Model
  • Stiff versus Long
  • Is a Tolerance Model Logical?
  • Stretch-Tolerance Relevance to ROM Rehabilitation
  • Implication for Agility Training
  • Summary
  • References
  • 11 Psychological and Behavioural Considerations in ROM Rehabilitation
  • Activity Avoidance as ROM Limitation
  • Reassurance
  • Cognitive reassurance
  • Behavioural reassurance
  • Reassurance for the therapist
  • ROM Loss and Psychological Distress
  • Summary
  • References
  • 12 Towards a Functional Approach
  • The Potency of ROM Challenge
  • Determining the Level and Form of ROM Rehabilitation
  • Recovery behaviour
  • Managed recovery behaviour
  • Assisted recovery behaviour
  • Management at extra-functional level
  • Progressive and Regressive Management
  • The Context Short-cut
  • Co-creating a ROM Recovery Environment
  • Prioritizing managment
  • Summary
  • 13 Demonstration of Functional Approach in ROM Rehabilitation
  • General principles for functional stretching
  • Contents of THE demonstration
  • 13.1. Demonstration of principles
  • 13.1.1 Amplifying the movement parameters during a dynamic task
  • 13.1.2 Amplifying movement parameters during a static task
  • 13.1.3 Alternating between dynamic and static tasks
  • 13.1.4 Context and localization of amplification
  • 13.1.5 Mixing ranges and planes
  • 13.1.6 Overcoming compensatory movement patterns
  • 13.1.7 Therapist's stance and patient handling
  • 13.2. Shoulder ROM challenges
  • 13.2.1 ROM challenge during dynamic tasks
  • 13.2.2 ROM challenges during static tasks
  • 13.2.3 Guided challenge within a functional task
  • 13.2.4 Assisted supine ROM challenges
  • 13.3. Elbow ROM Challenges
  • 13.3.1 Assisted supine
  • 13.4. Trunk ROM Challenges
  • 13.4.1 Standing challenges
  • 13.4.2 Seated challenges
  • 14 Summary
  • What is Therapeutic Stretching?
  • What Model is Used for Therapeutic Stretching?
  • How are Therapeutic Stretching Techniques Classified?
  • Why do We Need a Functional Approach?
  • When do We Use a Functional Approach or Traditional Stretching?
  • What Defines End-range?
  • When is Movement Considered Functional (Normal) or Dysfunctional (Abnormal)?
  • What Causes ROM Loss?
  • What is the Potential for ROM Recovery?
  • What Happens in Adaptive ROM Loss and Recovery?
  • What Drives Adaptive Recovery?
  • Why is Specificity Important?
  • How Much Force is Required for Stretching?
  • Can Tissue Loading be Made Safe?
  • How long and how often should the Exposure to Stretching be?
  • What do We Aim to Recover in the Active Range?
  • Should Movement be Fragmented or Rehabilitated as a Whole?
  • Can Passive Movement or Stretching Improve the Active Range?
  • Can Traditional Active Approaches Improve Motor Control and Functionality?
  • Is it Possible to have ROM Loss without TISSUE CHANGES?
  • How do We DESENSITIZE ROM or Alleviate Pain?
  • Stretch or Wait?
  • What is Stretch Tolerance?
  • What is the Contribution of Psychological Factors to ROM Loss and Recovery?
  • How can We Improve Adherence?
  • What's not in This Book?
  • Finally
  • Index
  • A
  • B
  • C
  • D
  • E
  • F
  • G
  • H
  • I
  • L
  • M
  • N
  • O
  • P
  • R
  • S
  • T
  • U
  • V
  • W
  • Y

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