This is the fourth edition of the classic text. This edition contains numerous changes from previous editions. Besides including current, up-to-date references, the format of the text has been completely revised. Each chapter begins with bulleted highlights, key words, and a glossary of terms unique to that chapter. Key concepts of each chapter appear in highlighted boxes for easier visibility and quick reference. The first 9 chapters are dedicated to the basic principles of the Maitland concept.
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This is the fourth edition of the classic text. This edition contains numerous changes from previous editions. Besides including current, up-to-date references, the format of the text has been completely revised. Each chapter begins with bulleted highlights, key words, and a glossary of terms unique to that chapter.
Key concepts of each chapter appear in highlighted boxes for easier visibility and quick reference. The first 9 chapters are dedicated to the basic principles of the Maitland concept. This provides the framework for the open, flexible clinical decision making that has become the hallmark of the Maitland concept. Neurodynamics, which is the influence of the peripheral nerves and their influence on pathology and treatment, is also introduced in this chapter.
This is not new from previous editions, but has been expanded for this edition. The importance and value of communication is a theme repeated throughout the text.
This chapter is a must-read for any person who interacts with patients regardless of practice setting. The impact of clinical reasoning, biopsychosocial paradigms, evidence-based practice, and qualitative and quantitative research on physical therapy is discussed, and the importance of clinical reasoning is presented. The next 2 chapters cover the principles of assessment and examination.
Once again, the importance of clinical reasoning and analytical assessment is stressed. Contraindications and precautions to physical therapy there is a text box that contains thorough discussion of the indicators of change.
Two chapters are devoted to the principles that govern mobilization and manipulation treatment techniques. The various grades of mobilization are clearly presented. Emphasis is placed on the value of the assessment to help guide the process to select and progress a treatment plan. Four classifications or groups of joint signs are presented, and the treatment is discussed at length. A table lists the most valuable techniques for the specific joint and the clinical group.
Mini-case studies demonstrate the treatment progression and the clinical reasoning used to treat a given disorder. The importance of integrating specific home exercise programs for specific problems and goals is reinforced here. This chapter not only introduces how specific syndromes and pathologies should respond to treatment, but also examines the influence of cognitive emotional responses on the prognosis.
There is a well-done diagram comparing intra-articular and peri-articular symptoms. The last 7 chapters are dedicated to the study of the shoulder and shoulder girdle complex, the elbow complex, the wrist and hand complex, the hip region, the knee complex, the ankle and foot complex, and the craniomandibular complex, respectively.
Besides the discussion of each specific joint and soft tissue complex, the differential examination for the contribution of other structures ie, spinal or neural structures is presented in each chapter. The explanation of the physical examination is thorough, and helpful clinical advice is given regarding the procedures.
The physical examination and treatment techniques are clearly depicted in photographs. This material is summarized and highlighted for quick reference in boxes. The sections on clinical profiles for specific pathologies are concise and well done and also cover clinical reasoning.
The case studies in each chapter demonstrate not only treatment progression, but also the reassessment and recording methodology used. There are 2 appendixes. The first appendix covers the theory and construction of movement diagrams. Movement diagrams have been a mainstay in the Maitland concept, which is a method to analyze the relationship between joint mobility and pain, resistance, and spasm.
Research is presented that challenges some of the ideas about when joint resistance begins and how that may effect the grading of joint mobilization. The second appendix examines self-management strategies, identifying barriers to adherence and containing interesting evidence-based tips to assist patients in improving their short- and long-term adherence.
The main menu is arranged in the same manner as the book. The various treatments are shown using the different grades of movement. This dynamic presentation is helpful as the amplitudes utilized in the assessment and treatment of the various structures cannot be truly appreciated in any still photograph. The high-quality video clips clearly show the body mechanics, hand holds, and position of the therapist in relationship to the patient.
Each video clip can be paused for further study by the viewer. The evidence cited in the book is current, and the references are well documented. The CD-ROM ties the text and photos together so that the reader is exposed to the material in multiple, complementary formats. Oxford University Press is a department of the University of Oxford. It furthers the University's objective of excellence in research, scholarship, and education by publishing worldwide.
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Maitland's Peripheral Manipulation
The legacy of Geoff Maitland and his seminal work, Peripheral Manipulation , continues in this fifth edition, with Elly Hengeveld and Kevin Banks leading an international team of experts who demonstrate how to manage peripheral neuromusculoskeletal disorders using the principles and practice of the Maitland Concept. Together, they ensure the heart of the Concept beats on by promoting collaborative decision-making with the patient at centre and emphasizing the art and science of observation, listening, palpation and movement skills. A key feature of the new edition focuses on a more evidence-based and analytical view of the role of mobilization and manipulation in clinical practice. The authors have written in a way that reflects their application of the Maitland Concept and how they have integrated techniques in the light of advancement in professional knowledge. The text is systematically arranged focusing on detailed assessment, clinical reasoning and re-assessment to determine the physical dysfunction and efficacy of manipulative physiotherapy techniques, while also advocating continuous communication and interaction. All the chapters are written from a clinical perspective and review the evidence which informs how to deal with and manage peripheral joint pain as they present to the practitioner. Furthermore, each peripheral region craniomandibular, upper limbs and lower limbs is considered from the point of view of best practice in analysing and hypothesising subjective data, examination, treatment and management of peripheral pain conditions.