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Movement Stability and Lumbopelvic Pain

The human lumbopelvic area has become the focus of a considerable amount of new and intriguing research relevant to effective diagnosis and treatment of low back pain. Back function has recently been studied from a broader perspective, including the analysis of the coupled function in spine, pelvis and legs. These approaches lead to new questions about dynamic stability and motor control in general, and specifically�about the spine and pelvis. These new insights obviously imply new approaches in the prevention and treatment of low back pain and pelvic pain. Unique to this book is its in-depth coverage of this subject area by a team of international contributors who represent the broad range of professionals involved in clinical research and therapy. These experts cover a vast area of lumbopelvic experience, from effective treatment and rehabilitation to epidemiology, anatomy, biomechanics, pain and motor control, surgery and manual therapy. Evidence -based focus Final conclusions including perspectives with each chapter Each chapter is relevant and up to date New high profile contributors Updated references Introduction and closure for each chapter Special attention given to stability and muscle function
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Table of Contents

PART 1 Biomechanical, clinical-anatomical and evolutionary aspects of lumbopelvic pain and dysfunction SECTION 1 Clinical-anatomical aspects 1. The muscular, ligamentous and neural structure of the lumbosacrum and its relationship to low back pain, FH Willard 2. Anatomical linkages and muscle slings of the lumbopelvic region, C DeRosa, J Porterfield 3. Anatomy and biomechanics of the lumbar fasciae: implications for lumbopelvic control and clinical practice, PJ Barker, CA Briggs 4. Clinical anatomy of the anterolateral abdominal muscles, DM Urquhart, PW Hodges 5. Clinical anatomy of the lumbar multifidus, L Danneels 6. Clinical anatomy and function of psoas major and deep sacral gluteus maximus, S Gibbons 7. The SIJ, sensory-motor control and pain, A Indahl, S Holm 8. The role of the pelvic girdle in coupling the spine and the legs: a clinical-anatomical perspective on pelvic stability, A Vleeming, R Stoeckart SECTION 2 Evolution, biomechanics and kinematics 9. Evolution of the human lumbopelvic region and its relationship to some clinical deficits of the spine and pelvis, CO Lovejoy 10. Kinematic models and the human pelvis, A Huson 11. How to use the spine, pelvis and legs effectively in lifting, MA Adams, P Dolan 12. Is the sacroiliac joint an evolved costovertebral joint? S Gracovetsky 13. The evolution of myths and facts regarding function and dysfunction of the pelvic girdle, D Lee PART 2 Insights in function and dysfunction of the lumbopelvic region 14. Anatomical, biomechanical and clinical perspectives on sacroiliac joints: an integrative synthesis of biodynamic mechanisms related to ankylosing spondylitis, AT Masi, M Benjamin, A Vleeming 15. A suspensory system for the sacrum in pelvic mechanics: biotensegrity, SM Levin 16. Why and how to optimize posture, RE Irvin 17. Gait style as an etiology to lower back pain, HJ Dananberg 18. A detailed and critical biomechanical analysis of the sacroiliac joints and relevant kinesiology: the implications for lumbopelvic function and dysfunction, RL DonTigny 19. Stability or controlled instability? S Gracovetsky PART 3 Diagnostic methods SECTION 1 Visualization in relation to pelvic dysfunction 20. Basic problems in the visualization of the sacroiliac joint, PF Dijkstra 21. CT and MRI of the sacroiliac joints, JMD O'Neill, E Jurriaans 22. Visualization of pelvic biomechanical dysfunction, T Ravin SECTION 2 The pelvic girdle 23. Movement of the sacroiliac joint with special reference to the effect of load, B Sturesson 24. What is pelvic girdle pain? HC Ostgaard 25. The pattern of intra-pelvic motion and lumbo-pelvic muscle recruitment alters in the presence of pelvic girdle pain, B Hungerford, WGilleard, P Hodges, D Lee SECTION 3 Low back 26. Different diagnosis of low back pain, SV Paris 27. Conditions of weight bearing: asymmetrical overload syndrome (AOS), JA Porterfield, C DeRosa 28. Evidence-based clinical testing of the lumbar spine and pelvis, M Laslett PART 4 Guidelines 29. European guidelines for prevention in low back pain, G Muller on behalf of the COST B13 Working Group on European Guidelines for Prevention in Low Back Pain 30. Evidence-based medicine for acute and chronic low back pain: guidelines, M van Tulder, B Koes 31. European guidelines on the diagnosis and treatment of pelvic girdle pain, A Vleeming on behalf of the COST B13 Working Group on European Guidelines for Diagnosis and Treatment of Pelvic Girdle Pain PART 5 Effective training and treatment SECTION 1 Psychological, social and motivational aspects 32. Behavioral analysis, fear of movement/(re) injury and cognitive-behavioral management of chronic low back pain, JWS Vlaeyen, LMG van Cleef SECTION 2 Motor control 33. Functional control of the spine, PW Hodges, J Cholewicki 34. Motor control in chronic pain: new ideas for effective intervention, G Lorimer Moseley SECTION 3 Different views on effective training and treatment 35. The painful and unstable lumbar spine: a foundation and approach for restabilization, SM McGill 36. Important aspects for efficacy of treatment with specific stabilizing exercises for postpartum pelvic girdle pain, B Stuge, NK Vollestad 37. Breathing pattern disorders and back pain, L Chaitow 38. Effective rehabilitation of lumbar and pelvic girdle pain, V Mooney PART 6 Integrating different views and opinions when dealing with a complex system 39. An intregrated approach for the management of low back and pelvic girdle pain - a case report, D Lee 40. An integrated therapeutic approach to the treatment of pelvic girdle pain, D Lee, A Vleeming

About the Author

Founder, Spine and Joint Center, Rotterdam, Netherlands


"The work is full of amazing facts to ponder." Robert McWilliams, Structural Integration, June 2008

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