This book is based on the evidence from research undertaken by the authors over a number of years. The significance of these findings to the treatment and prevention of low back pain are now widely acknowledged, not only among researchers but also, and perhaps more importantly, among practitioners concerned with the management and prevention of back pain. In this new edition they have taken the opportunity to extend the scope of the book to accommodate the most recent evidence, which has emerged since the first edition was published in 1999. This is an important book in that it not only presents the evidence but also gives practical guidance on how the findings may be applied in everyday practice. This new edition will continue to provide an indispensable practical reference source for all those working in the field of musculoskeletal pain and dysfunction.
SECTION 1: Introduction 1. The time to move forward SECTION 2: The joint protection mechanismsPart 1 Introduction 2. Lumbo-pelvic stability: a functional model of the biomechanics and motor controlPart 2 Specific joint protection of the spinal segments 3. Abdominal mechanism and support of the lumbar spine and pelvis 4. Paraspinal mechanism and support of the lumbar spine Part 3 The antigravity muscle support system 5. Stiffness of the lumbo-pelvic region for load transfer6. The role of weightbearing and non-weightbearing muscles SECTION 3: IMPAIRMENT IN THE JOINT PROTECTION MECHANISMS: CONCEPTS 7. The deload model of injury 8. Joint injury 9. Pain models SECTION 4 IMPAIRMENT IN THE JOINT PROTECTION MECHANISMS: LOW BACK PAIN 10. Abdominal mechanism in low back pain 11. Paraspinal mechanism in low back pain 12. Impairments in the muscles controlling pelvic orientation and weightbearing SECTION 5 TREATMENT AND PREVENTION OF LOW BACK PAIN 13. Principles of the segmental stabilization exercise model 14. Local segmental control15. Closed chain segmental control16. Open chain segmental control and progression into function
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