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List of Tests and Exercises |
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ix | |
| Preface |
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xi | |
| Accessing and Using the Web Resource |
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xiii | |
| Acknowledgments |
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xv | |
| Photo Credits |
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xvii | |
| Why and How You Should Read This Book |
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xix | |
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Part I Scientific Foundation |
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1 | (164) |
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Chapter 1 Introduction to the Issues and Scientific Approach Unique to This Book |
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3 | (26) |
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Legislative Landscape: The Unfortunate Adverse Impact on Painful Backs |
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4 | (1) |
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Deficiencies in Current Diagnostic Practices |
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5 | (5) |
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Inadequacies in Current Care and Prevention |
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10 | (7) |
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Mechanical Loading and the Process of Injury: A Low Back Tissue Injury Primer |
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17 | (3) |
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Excellent Clinicians and Excellent Practice |
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20 | (1) |
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Unique Scientific Foundation of This Book |
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20 | (1) |
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21 | (1) |
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22 | (6) |
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28 | (1) |
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Chapter 2 Epidemiological Studies and What They Really Mean |
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29 | (20) |
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Influence of Randomized Controlled Trials and Other Epidemiological Approaches |
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29 | (2) |
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Misunderstandings of Epidemiology |
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31 | (1) |
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Multidimensional Links Among Biomechanical, Psychosocial, and Personal Variables |
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32 | (8) |
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How Do Biomechanical Factors Affect LBD? |
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40 | (4) |
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Links Between Personal Factors and LBD |
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44 | (1) |
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Studies of Exercise Intervention |
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45 | (1) |
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Practical Application: What the Evidence Supports |
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46 | (1) |
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47 | (1) |
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47 | (2) |
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Chapter 3 Functional Anatomy of the Lumbar Spine |
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49 | (48) |
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49 | (1) |
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49 | (1) |
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50 | (1) |
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50 | (10) |
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60 | (1) |
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60 | (8) |
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68 | (18) |
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86 | (4) |
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90 | (1) |
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Quick Review of the Pelvis, Hips, and Related Musculature |
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91 | (4) |
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Clinically Relevant Aspects of Pain and Anatomic Structure |
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95 | (1) |
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96 | (1) |
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Chapter 4 Normal and Injury Mechanics of the Lumbar Spine |
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97 | (56) |
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Kinematic Properties of the Thoracolumbar Spine |
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97 | (4) |
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Kinetics and Normal Lumbar Spine Mechanics |
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101 | (27) |
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Dubious Lifting Mechanisms |
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128 | (3) |
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Other Important Mechanisms of Normal Spine Mechanics |
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131 | (2) |
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133 | (14) |
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Biomechanical and Physiological Changes Following Injury |
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147 | (4) |
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151 | (2) |
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Chapter 5 Myths and Realities of Lumbar Spine Stability |
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153 | (12) |
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Why Spine Stability Is Important for Everyone |
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154 | (1) |
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Stability: A Qualitative Analogy |
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155 | (1) |
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Quantitative Foundation of Stability |
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156 | (5) |
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Stability Myths, Facts, and Clinical Implications |
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161 | (3) |
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164 | (1) |
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Part II Injury Prevention |
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165 | (50) |
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Chapter 6 LBD Risk Assessment |
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167 | (10) |
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Brief Review of the Risk Factors for LBD |
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167 | (1) |
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NIOSH Approach to Risk Assessment |
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168 | (2) |
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Snook Psychophysical Approach |
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170 | (1) |
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Lumbar Motion Monitor (LMM) |
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171 | (1) |
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172 | (1) |
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Biological Signal-Driven Model Approaches |
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173 | (2) |
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175 | (2) |
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Chapter 7 Reducing the Risk of Low Back Injury |
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177 | (38) |
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Lessons From the Literature |
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177 | (3) |
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LBD Prevention for Workers |
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180 | (19) |
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The Question of Back Belts |
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199 | (6) |
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LBD Prevention for Employers |
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205 | (3) |
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208 | (3) |
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211 | (1) |
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Reducing the Risk in Athletes |
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212 | (1) |
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213 | (2) |
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Part III Low Back Rehabilitation |
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215 | (112) |
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Chapter 8 Building Better Rehabilitation Programs for Low Back Injuries |
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217 | (30) |
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Pain-Reducing Mechanisms of Exercise |
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218 | (1) |
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Five-Stage Back Training Program |
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219 | (1) |
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Finding the Best Approach |
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220 | (2) |
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Stages of Patient Progression |
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222 | (16) |
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Guidelines for Developing the Best Exercise Regimen |
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238 | (7) |
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245 | (2) |
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Chapter 9 Evaluating the Patient |
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247 | (44) |
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Most Crucial Element in Evaluation |
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247 | (3) |
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First Clinician-Patient Meeting |
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250 | (4) |
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Assessing Posture and Movement Quality |
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254 | (6) |
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260 | (16) |
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276 | (10) |
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286 | (4) |
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290 | (1) |
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Chapter 10 Developing the Exercise Program |
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291 | (22) |
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Philosophy of Low Back Exercise Design |
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291 | (1) |
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292 | (1) |
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292 | (4) |
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Identifying Safe and Effective Exercises |
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296 | (4) |
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Beginner's Program for Pain Control and Stabilization |
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300 | (1) |
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Exercises That May Be Used in a Stabilization Program |
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301 | (7) |
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308 | (3) |
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311 | (2) |
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Chapter 11 Advanced Exercises |
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313 | (14) |
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Safely Increasing Challenges |
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314 | (6) |
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Occupational and Athletic Work Hardening |
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320 | (5) |
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325 | (2) |
| Epilogue |
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327 | (1) |
| Handouts for Patients or Clients |
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328 | (21) |
| Appendix |
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349 | (6) |
| Glossary |
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355 | (2) |
| References and Additional Readings |
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357 | (38) |
| Index |
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395 | (9) |
| About the Author |
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404 | |