Low Back Disorders: Evidence-based Prevention and Rehabilitation

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Manufacturer: Human Kinetics Publishers

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Binding: Hardcover
Dewey Decimal Number: 617.564052
EAN: 9780736066921
ISBN: 0736066926
Label: Human Kinetics Publishers
Manufacturer: Human Kinetics Publishers
Number Of Items: 1
Number Of Pages: 328
Publication Date: 2007-08-30
Publisher: Human Kinetics Publishers
Studio: Human Kinetics Publishers

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Editorial Reviews:

Access the latest research and applications to build effective prevention and rehabilitation programs for your patients or clients with Low Back Disorders: Evidence-Based Prevention and Rehabilitation, Second Edition. Internationally recognized low back specialist Stuart McGill presents original research to quantify the forces that specific movements and exercises impose on the low back, dispels myths regarding spine stabilization exercises, and suggests prevention approaches and strategies to offset injuries and restore function.

Low Back Disorders: Evidence-Based Prevention and Rehabilitation, Second Edition, presents a clear exposition of back anatomy and biomechanics and demonstrates how to interpret the latest research on low back involvement for clinical applications. The text also contains detailed information on injuries associated with seated work and sport and ergonomic issues related to manual handling of materials. With Low Back Disorders: Evidence-Based Prevention and Rehabilitation, Second Edition, you will

gain valuable information on measured loading of the back during specific activities and apply it to avoid common--but counterproductive--practices in back rehabilitation;
learn how to analyze each patient's or client's unique physical characteristics and lifestyle factors to tailor preventive measures and treatments to individual needs;
learn how to help patients and clients progress through the stages of rehabilitation: corrective exercise, stability or mobility, endurance, and strength; and
acquire the information necessary to design an effective injury-prevention program.

This fully updated second edition expands knowledge of low back disorders and best practices in several areas. Enhanced algorithms guide progressive therapeutic exercise, and specially designed patient assessment provocation tests aid you in determining the cause of back troubles, guide your choices in the best ways to eliminate problems, and improve the development of appropriate activities for functional gain. Whereas the first edition focused on increasing spine stability, the second edition provides new information on dealing with both regional instability or mobility and regional stiffness present in individuals where most of the motion occurs at a single spinal segment.

With an expanded repertoire of pain-free motion exercises and additional information on ways to find and adjust stabilization exercises, Low Back Disorders: Evidence-Based Prevention and Rehabilitation, Second Edition, offers you new tools to help your patients and clients achieve pain-free exertion.

The text includes exercises and activities that provide a solid foundation of physical work in preparation for more advanced activities in sports and occupations. Also, the process of transitioning into performance exercise is outlined with an explanation of the critical stages of the performance pyramid, including the design of appropriate corrective exercise, building joint and whole-body stability, enhancing endurance, training true strength, and transitioning to ultimate performance.

Low Back Disorders: Evidence-Based Prevention and Rehabilitation, Second Edition, presents foundational information and corresponding clinical applications in a clear, well-sequenced format. Part I builds your knowledge of lumbar function and injury. Part II demonstrates how to use this knowledge to build evidence-based injury-prevention programs by assessing risks, creating ergonomic interventions, and training personnel. Part III focuses on improving rehabilitation techniques, including specific diagnostic and provocative tests, with specific therapeutic exercises proven to enhance performance and reduce pain through a continuum from corrective exercise to stability and mobility, endurance, strength, and power.

Additionally, the text offers these practical features to guide your learning and inform your practice:

More than 475 photos, graphs, and charts support the research and the scientific basis for the text's conclusions.
More than 50 tests and exercises with step-by-step instructions help you develop successful programs for your patients and clients.
Special sections highlight how the anatomical, biomechanical, and research results can be applied to clinical situations.
Extensive discussions on individualizing treatment for clients or patients help you improve your assessment skills by learning what questions to ask and what avenues of investigation to pursue with each patient or client.
Reproducible handout sheets for each of the 25 basic rehabilitation exercises, which include photos and blank lines for instructions, enable the creation of instruction sheets tailored to the current needs and progress rates of each patient or client.

Cutting-edge research and evidence-based application strategies from the leading spine specialist in North America make Low Back Disorders: Evidence-Based Prevention and Rehabilitation, Second Edition, the authoritative text for study, care, and treatment of the low back. Its unique approach to back care will guide you in developing intervention, rehabilitation, and prevention programs to address the unique needs of each patient or client and develop a strong scientific foundation for your practice.

Spotlight customer reviews:

Customer Rating:

Summary: Good info. maybe outdated, too technical for average reader
Comment: It appears that some of the research in this book is older-not the most recent findings available. I was hoping this would provide a user friendly presentation of back disorders found in the population today and applicable evidence. I am somewhat familiar with anatomy from both Pilates and Yoga training but still didn't get a lot from this book. The studies showed pictures and older equipment, the material may be beneficial for some but a warning to the general population just hoping to learn more about their own body/injury and prevention or rehabilitation exercises-not that promising from my perspective. Obviously I am not a medical professional but I do think this book would be more valuable to someone with anatomy experience.

Customer Rating:

Summary: Low Back Disorders
Comment: Phenomenal work. Great for those who work with patients with back issues. I would highly recommend it!

Customer Rating:

Summary: Too Important to be Read only by Therapists
Comment: Though longer and harder to read than most exercise books written for the general reader, Stuart McGill's, Low Back Disorders, has such ground breaking information it is well worth buying.

McGill sets out cutting edge research to show, among other things:
1. Why endurance is more protective than strength;
2. Why stability is vastly more important than flexibility;

3. Why usually "preserving the normal low back curve" during exercise causes less stress on the spine than doing a pelvic tilt or flattening the back against the exercise mat;

4. Why back exercises should not be done during the first hour or 2 after arising; and,

5. Why adding repetitions to an exercise is safer and more productive than prolonging the hold during each repetition. Holds should be no longer than 7-8 seconds.

Following these and other specific recommendations makes doing McGill's exercises and those in other books safer and more effective.

McGill says no one exercise plan can fit the needs of every patient so he leaves it up to the therapist to determine the number of sets and repetitions needed to generate endurance. This is fine for therapists but gives inadequate guidance for the non-therapist reader and fails to take into account the needs of all those whose back problems are not so unique as to require a therapist.

By paying attention to the table of contents and the section headings, the reader can probably avoid getting bogged down in the details of the research findings. Or one can simply read the injury prevention primer (pp. 154-156), chapter 10 for the background to the exercises, and chapter 12 for the exercises.

McGill devises several new exercises that build the muscles of the back and torso while placing less stress on the spine. He also revises the way some of the old standard exercises are done.
However, he does not provide enough alternate exercises when his exercises prove too difficult or painful to do.

Because no one book can meet everyone's needs, I also encourage buying:
1. The Back Pain Book by Mike Hage; and,
2. The Multifidus Back Pain Solution by Jim Johnson.

Both books are very easy to read. Hage's book is a comprehensive, well illustrated treasure.

Johnson's book highlights the need for and shows 4 ways to do one key exercise, an exercise that both McGill and Hage (I have the 1992 edition of Hage's book) include but show only one way to do, a way that is painful for me.

In summary, all 3 books provide uniquely valuable information and each one of them has helped me.

Customer Rating:

Summary: Must have book for rehab. professionals.
Comment: This book is a great reference text for anyone who treats low back injuries and works to create lumbar core stabilization. Following the work of Janda and others, McGill has taken core stabilization to the next level. His research based approach is 100% applicable and easy to follow. He presents the science of how the body works and this is great. McGill, also being a Ph.D., does not have a medical, chiropractic, or other bias...he presents things as he finds them through studies. This is a great book and well worth every penny...

For those in the fitness field, I recommend the Ultimate Back Fitness book...very applicable and easier to follow...

Customer Rating:

Summary: Mostly NOT a book for the layman.
Comment: Some other reviewers have (directly or indirectly) made it clear that this book is primarily for researchers, doctors, and other health-care professionals, but I would like to re-state this as clearly and emphatically as possible, as some buyers may be seriously misled by claims (not made by the author!) that it is "a book that can be read by almost everyone" or one that "every patient suffering from low back pain should read". Only Part 3 (about specific exercises to do and not do) fits that description. Parts 1 and 2 are highly technical and addressed almost entirely to physicians and academic researchers. For someone without a good working knowledge of anatomy (that's me, in case you think I'm being condescending to the ignorant masses), these parts of the book are impossible to follow. My advice to the sufferer from low-back pain (again, that's me) would be to get the book from a library and concentrate entirely on part 3.

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