The new edition of this popular book continues to present the latest scientific evidence for the successful use of the high velocity low amplitude (HVLA) thrust technique. Prepared in a readily accessible, amply illustrated format, this book is designed to equip practitioners with a detailed understanding of the underlying basis of the HVLA thrust technique and the best means to safely employ it in the effective management of a range of disorders of the spine and pelvic regions. The book is arranged in three sections to maximise understanding of what can be challenging areas to comprehend and effectively manage. Section One explores the biomechanics of movement and forces between adjacent vertebrae followed by a discussion of positioning and NlockingO. These chapters are then followed by a discussion about safety with particular reference to the management of the cervical spine. A chapter on evidence O and what represents good medical evidence O concludes. Section Two presents O using an ample array of clear photographs and useful summary boxes O over 40 HVLA techniques ranging from the atlanto-occipital joint (C0-C1) to the coccyx. Section Three concludes with treatment failures (often, technique derived) and analysis. Prepared by authors of international renown - and now with an associated website containing over 45 minutes of useful film footage - this book will be ideal for all manual therapy practitioners dealing with the management of the spine and pelvic areas. O Presents the scientific basis of the HVLA thrust O one of the oldest and most commonly used manipulative techniques available O Provides an accessible synthesis of the latest evidence for the effective use of the HVLA thrust O Clearly explains coupled motion and describes the latest scientific research in this area O Presents over 250 photographs, and 60 minutes of film on an associated website O Contains a detailed discussion regarding patient safety O Presents a comprehensive discussion surrounding treatment failures O Well illustrated and clearly written for easy understanding O Advises readers with regards to safe patient selection O particularly important for the management of the cervical spine O Suitable for both the novice and expert readerships O 2-colour throughout with over 30 new imagesO Clinical history, presentation and examination for patients presenting with cervical artery dissectionO Addresses the important issues surrounding patient consentO Additional research and guidelines that support the: O use of HVLA thrust techniquesO use of spinal manipulation in the treatment of radiculopathy, pregnant women and children
Foreword Preface Acknowledgements Part A HVLA thrust techniques - an osteopathic perspective 1 Introduction 2 Osteopathic history, principles and practice 3 Kinematics and coupled motion of the spine 4 Minimal leverage positioning for HVLA thrust techniques 5 Safety and HVLA thrust techniques 6 Evidence informed practice 7 Consent Part B HVLA thrust techniques 8 Cervical and cervicothoracic spine Note: Before reviewing up-slope and down-slope HVLA thrust techniques, the Introduction on the website should be viewed. 8.1 Atlanto-occipital joint C0-1: Contact point on occiput; Chin hold; Patient supine; Anterior and superior thrust in a curved plane; Ligamentous myofascial positioning 8.2 Atlanto-occipital joint C0-1: Contact point on atlas; Chin hold; Patient supine; Anterior and superior thrust in a curved plane; Ligamentous myofascial positioning 8.3 Atlanto-axial joint C1-2: Chin hold; Patient supine; Rotation thrust; Ligamentous myofascial positioning 8.4 Atlanto-axial joint C1-2: Cradle hold; Patient supine; Rotation thrust; Ligamentous myofascial positioning 8.5 Cervical spine C2-7: Up-slope gliding; Chin hold; Patient supine 8.6 Cervical spine C2-7: Up-slope gliding; Chin hold; Patient supine - variation 8.7 Cervical spine C2-7: Up-slope gliding; Cradle hold; Patient supine 8.8 Cervical spine C2-7: Up-slope gliding; Cradle hold; Patient supine; Reversed primary and secondary leverage 8.9 Cervical spine C2-7: Up-slope gliding; Patient sitting; Operator standing in front 8.10 Cervical spine C2-7: Up-slope gliding; Patient sitting; Operator standing to the side 8.11 Cervical spine C2-7: Down-slope gliding; Chin hold; Patient supine 8.12 Cervical spine C2-7: Down-slope gliding; Cradle hold; Patient supine 8.13 Cervical spine C2-7: Down-slope gliding; Patient sitting; Operator standing to the side 8.14 Cervicothoracic spine C7-T3: Rotation gliding; Patient prone; Operator at side of couch 8.15 Cervicothoracic spine C7-T3: Rotation gliding; Patient prone; Operator at head of couch 8.16 Cervicothoracic spine C7-T3: Rotation gliding; Patient prone; Operator at head of couch - variation 8.17 Cervicothoracic spine C7-T3: Sidebending gliding; Patient sitting 8.18 Cervicothoracic spine C7-T3: Sidebending gliding; Patient sitting; Ligamentous myofascial positioning 8.19 Cervicothoracic spine C7-T3: Sidebending gliding; Patient sidelying 8.20 Cervicothoracic spine C7-T3: Sidebending gliding; Patient sidelying; Ligamentous myofascial positioning 8.21 Cervicothoracic spine C7-T3: Extension gliding; Patient sitting; Ligamentous myofascial positioning 9 Thoracic spine and rib cage Note: Before reviewing thoracic spine and rib cage techniques the Upper limb positioning for sitting and supine thoracic spine techniques on the website should be viewed. 9.1 Thoracic spine T4-9: Extension gliding; Patient sitting; Ligamentous myofascial positioning 9.2 Thoracic spine T4-9: Flexion gliding; Patient supine; Ligamentous myofascial positioning 9.3 Thoracic spine T4-9: Rotation gliding; Patient supine; Ligamentous myofascial positioning 9.4 Thoracic spine T4-9: Rotation gliding; Patient prone; Short-lever technique 9.5 Ribs R1-3: Patient prone; Gliding thrust 9.6 Ribs R4-10: Patient supine; Gliding thrust; Ligamentous myofascial positioning 9.7 Ribs R4-10: Patient prone; Gliding thrust; Short-lever technique 9.8 Ribs R4-10: Patient sitting; Gliding thrust; Ligamentous myofascial positioning 10 Lumbar and thoracolumbar spine Note: Before reviewing sidelying HVLA thrust techniques in the lumbar and thoracolumbar spine, the Introduction on the website should be viewed. 10.1 Thoracolumbar spine T10-L2: Neutral positioning; Patient sidelying; Rotation gliding thrust 10.2 Thoracolumbar spine T10-L2: Flexion positioning; Patient sidelying; Rotation gliding thrust 10.3 Lumbar spine L1-5: Neutral positioning; Patient sidelying; Rotation gliding thrust 10.4 Lumbar spine L1-5: Flexion positioning; Patient sidelying; Rotation gliding thrust 10.5 Lumbar spine L1-5: Neutral positioning; Patient sitting; Rotation gliding thrust 10.6 Lumbosacral joint (L5-S1): Neutral positioning; Patient sidelying; Thrust direction is dependent on apophysial joint plane 10.7 Lumbosacral joint (L5-S1): Flexion positioning; Patient sidelying; Thrust direction is dependent on apophysial joint plane 11 Pelvis 11.1 Sacroiliac joint: Left innominate posterior; Patient prone; Ligamentous myofascial positioning 11.2 Sacroiliac joint: Right innominate posterior; Patient sidelying 11.3 Sacroiliac joint: Left innominate anterior; Patient supine 11.4 Sacroiliac joint: Sacral base anterior; Patient sidelying 11.5 Sacrococcygeal joint: Coccyx anterior; Patient sidelying Part C Technique failure and analysis Index The website - www.spinethoraxpelvis.com - accompanying this text includes video sequences of all the techniques described in Part B (with the exception of the last technique described in Chapter 11.) These are indicated in the text by the following symbol. It also contains an image bank of downloadable images from the book. The website is designed to be used as an adjunct to the text and not as a stand-alone product.
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