In Low Back Disorders, Fourth Edition With HKPropel Access, internationally recognized low back specialist Stuart McGill, PhD, presents the research and applications of back anatomy, injury mechanisms, and biomechanics to build effective prevention and rehabilitation programs for patients or clients. Common misconceptions about pain and discomfort are addressed and corrected. Detailed insights into injury assessment are provided through a series of cutting-edge tests, with accompanying instructions, along with guidance and recommendations for individualized rehabilitation strategies and exercises. The fourth edition of Low Back Disorders now presents photos, illustrations, and graphs in full color to encourage a deep understanding of complex topics. The text includes access to 36 related video clips (19 of which are new to this edition) that illustrate key concepts from the text and guide readers in how to properly cue exercises and movements. With over 50 exercises and tests, patient assessment has been extensively enhanced with more information about provocative testing. The fourth edition has been updated with the latest evidence-based information and includes new sections on the following topics: The important role of fascia for efficient movement with minimal stress concentrations on vulnerable anatomical parts The benefits of choosing less stressful ways to move and reducing loading in the early stage of rehabilitation A bolstered assessment section with more tests to converge on a precise and specific understanding of the pain pathway The correct way to graduate from recovery to performance exercise Throughout the text, the author offers examples from everyday movements and activities to connect the mechanisms for low back pain to the clients and patients who present with these challenges. Learning aids such as checklists, sidebars, and a glossary help readers absorb and retain information. In addition to the video clips, 20 patient handouts that can be customized and printed out are available online via HKPropel Access. Low Back Disorders, Fourth Edition, begins by introducing the functional anatomy and biomechanics of the lumbar spine. It presents epidemiological studies on low back disorders and dispels common myths of lumbar spine stability. Part II reviews risk factors for low back disorders and common prevention methods, with specific attention paid to reducing workplace risk factors. Part III explains evaluating and diagnosing clients and developing exercise and rehabilitation programs. Specific exercises that are proven to enhance performance and reduce pain are also explained. Evidence-based research and cutting-edge application strategies from a leading spine specialist make Low Back Disorders, Fourth Edition, the authoritative text for the examination and rehabilitation of the low back. Its approach to back care will lead readers in developing intervention, rehabilitation, and prevention programs to address the unique needs of each patient or client. Earn continuing education credits/units! A continuing education exam that uses this book is also available. It may be purchased separately or as part of a package that includes both the book and exam. Note: A code for accessing HKPropel is included with this ebook.
Stuart McGill, PhD, is a distinguished professor emeritus at the University of Waterloo in Ontario, Canada, and chief scientific officer at Backfitpro Inc. He is a world-renowned lecturer and expert in spine function, injury prevention, and rehabilitation. He has received several awards for his work, including the Volvo Bioengineering Award for Low Back Pain Research from Sweden and the Order of Canada for contributions to back pain assessment and treatment. McGill previously served as the president of the Canadian Society for Biomechanics and as an elected member of the executive for the International Society of Biomechanics. He sat on the editorial boards of the journals Spine, Clinical Biomechanics, and Journal of Applied Biomechanics. McGill has produced over 245 scientific publications on lumbar function, mechanisms of low back injury, investigation of rehabilitation programs matched to specific categories of back pain patients, and the formulation of strategies to avoid work-related injuries. He has provided expertise to government agencies, corporations, professional athletes and teams, and legal firms. He is one of the few scientists who, in addition to performing research, is regularly requested by those in the medical profession and by sports teams to consult on challenging patients from around the world.
Part I. Scientific Foundation Chapter 1. Introduction to the Issues and Scientific Approach Unique to This Book Legislative Landscape: The Unfortunate Adverse Impact on Painful Backs Deficiencies in Current Diagnostic Practices Inadequacies in Current Care and Prevention Mechanical Loading and the Process of Injury: A Low Back Tissue Injury Primer Excellent Clinicians and Excellent Practice Unique Scientific Foundation of This Book In Vitro Lab In Vivo Lab A Final Note Chapter 2. Epidemiological Studies and What They Really Mean Influence of Randomized Controlled Trials and Other Epidemiological Approaches Misunderstandings of Epidemiology Multidimensional Links Among Biomechanical, Psychosocial, and Personal Variables How Do Biomechanical Factors Affect LBD? Links Between Personal Factors and LBD Studies of Exercise Intervention Practical Application: What the Evidence Supports What Works Clinically A Final Note Chapter 3. Functional Anatomy of the Lumbar Spine Anatomy Trains Fascia: How Our Understanding Has Changed and Its Large Influence on Biomechanics, Resilience, and Performance Basic Neural Structure Vascular Anatomy Vertebrae Sacroiliac Joints Intervertebral Disc Muscles Ligaments Lumbodorsal Fascia (LDF) Quick Review of the Pelvis, Hips, and Related Musculature Clinically Relevant Aspects of Pain and Anatomic Structure A Final Note Chapter 4. Normal and Injury Mechanics of the Lumbar Spine Kinematic Properties of the Thoracolumbar Spine Kinetics and Normal Lumbar Spine Mechanics Dubious Lifting Mechanisms Other Important Mechanisms of Normal Spine Mechanics Injury Mechanisms Biomechanical and Physiological Changes Following Injury A Final Note Chapter 5. Myths and Realities of Lumbar Spine Stability Why Spine Stability Is Important for Everyone Stability: A Qualitative Analogy Quantitative Foundation of Stability Stability Myths, Facts, and Clinical Implications A Final Note Part II. Injury Prevention Chapter 6. LBD Risk Assessment Brief Review of the Risk Factors for LBD NIOSH Approach to Risk Assessment Snook Psychophysical Approach Lumbar Motion Monitor (LMM) Ergowatch Approach Biological Signal-Driven Model Approaches A Final Note Chapter 7. Reducing the Risk of Low Back Injury Lessons From the Literature LBD Prevention for Workers The Question of Back Belts LBD Prevention for Employers Injury Prevention Primer A Note for Consultants Reducing the Risk in Athletes A Final Note Part III. Low Back Rehabilitation Chapter 8. Building Better Rehabilitation Programs for Low Back Injuries Pain-Reducing Mechanisms of Exercise Five-Stage Back Training Program Finding the Best Approach Stages of Patient Progression Guidelines for Developing the Best Exercise Regimen A Final Note Chapter 9. Evaluating the Patient Most Crucial Element in Evaluation First Clinician-Patient Meeting Assessing Posture and Movement Quality Some Provocation Tests Some Functional Screens Testing Muscle Endurance A Final Note Chapter 10. Developing the Exercise Program Philosophy of Low Back Exercise Design Clinical Wisdom Thoughts on Mobility Identifying Safe and Effective Exercises Beginner's Program for Pain Control and Stabilization Exercises That May Be Used in a Stabilization Program Special Conditions A Final Note Chapter 11. Advanced Exercises: Preparing for a More Robust Life Safely Increasing Challenges Occupational and Athletic Work Hardening A Final Note Epilogue Appendix Glossary References and Additional Readings Index About the Author
