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Low Back Disorders, Second Edition
 
 
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Low Back Disorders, Second Edition [Hardcover]

Stuart McGill (Author)
4.5 out of 5 stars  See all reviews (35 customer reviews)

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Book Description

0736066926 978-0736066921 August 13, 2007 2

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 progessive 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.


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Editorial Reviews

Review

""McGill's text on "Low Back Disorders" is one that every treating clinician should have for their own professional library.""
-"AAESS News "(Australian Association for Exercise and Sports Science)
""This is a fine blend between science and practical application by a credible author. The author is in a unique position to share his own valuable research and clinical experience to advance the treatment of alleviating low back disorders." "
Doody's Book Review Service

Review

"McGill's text on Low Back Disorders is one that every treating clinician should have for their own professional library."
-AAESS News (Australian Association for Exercise and Sports Science)

"This is a fine blend between science and practical application by a credible author. The author is in a unique position to share his own valuable research and clinical experience to advance the treatment of alleviating low back disorders."
–Doody's Book Review Service

"McGill has created an outstanding scientific work on the prevention and rehabilitation of low back disorders."
–CHOICE


Product Details

  • Reading level: Ages 18 and up
  • Hardcover: 328 pages
  • Publisher: Human Kinetics; 2 edition (August 13, 2007)
  • Language: English
  • ISBN-10: 0736066926
  • ISBN-13: 978-0736066921
  • Product Dimensions: 11 x 8.4 x 1 inches
  • Shipping Weight: 3 pounds (View shipping rates and policies)
  • Average Customer Review: 4.5 out of 5 stars  See all reviews (35 customer reviews)
  • Amazon Best Sellers Rank: #37,731 in Books (See Top 100 in Books)

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35 Reviews
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Average Customer Review
4.5 out of 5 stars (35 customer reviews)
 
 
 
 
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22 of 22 people found the following review helpful:
5.0 out of 5 stars Great Evidence-Based Book, November 5, 2010
This review is from: Low Back Disorders, Second Edition (Hardcover)
This is a great evidence-based book, meaning that the information it covers is backed-up by research. On almost every page you can find multiple citations of published studies- which can provide a great starting point for a literature search if a topic interests you.

The book is divided up into 3 parts:

-Scientific Foundation, where you get a lot of general info about various topics such as anatomy of the spine, back belts, the epidemiology of back pain, and so on

-Injury Prevention, where you learn about, well, the research on preventing back problems

-Low Back Rehab, where you learn about the author's 5-stage back training program

The book definitely emphasizes spinal stability, and rightly so, as the research strongly supports this intervention. Unsafe exercises are discussed as well.

With lots of pictures and a not-too-technical tone, I can certainly recommend that anyone who deals with low back pain patients check it out. Other evidence-based back books I liked include Treat Your Own Spinal Stenosis.
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76 of 93 people found the following review helpful:
5.0 out of 5 stars A 'must read' for everyone who deals with backs, January 28, 2006
By 
T. Jordan (Columbus, OH USA) - See all my reviews
(REAL NAME)   
Everyone who deals with backs, either in sports (athletes, coaches, trainers), physicians, therapists, and back pain patients themselves, should read this book. I am a physician who specializes in back disorders and back pain. I have followed Dr. McGill's reseach for many years and it has revolutionized my practice like nothing else. One of my top priorities with back pain patients is to review what exercises they have been given in the past. I invariably stop them from doing several excercises that Dr. McGill's research has proven to be quite harmful for the back. I Substitute the 'big three' excercises that are described in this book, and many of the patients need no further intervention. There is a great deal of misinformation regarding back excercise, and many of the excercise routines used in sports, schools, military, and fitness centers are harmful. That is why this book is so important; not because it gives another fitness guru's opinion, but because it gives good, scientifically based facts on one of the tougher clinical issues from a world renown expert. Thank you Dr. McGill - keep the research coming!
Also check out Dr. McGill's other book "Ultimate back fitness and performance" for a less technically dense description of many of the same issues.
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14 of 15 people found the following review helpful:
5.0 out of 5 stars Comprehensive and Practical Approach to Patient Reactivation, December 11, 2002
This wonderful text focuses on the all important role of activity, exercise, and fitness in the prevention and treatment of low back disorders. In particular, the clinical publications emerging from Australia and Denmark are reviewed and balanced by scientific investigation of spinal loads with different activities. Professor McGill's book is highly practical and thoroughly evidence-based.

This new book fills a void as a perfect cornerstone to the biopsychosocial model of patient reactivation recommended by international guidelines throughout the world (AHCPR, CSAG, DIHTA). Most significantly, the patient reactivation model being advocated by evidence-based experts today is made more clinically relevant as a result of this thoughtful and practical presentation of the "tools of the trade" for presecribing physiologically sound reactivation approaches. This is the ideal complement to simple reassuring reactivation advice being recommended for acute, uncomplicated low back pain patients and more involved cognitive-behavioral strategies being recommended for complex, chronic patients. It is most relevant for those subacute patients who are at risk of becoming chronically disabled.

McGill highlights the recent scientific evidence which has unmasked the failure of diagnostic imaging to find the "cause" of back pain. He instead points clinicians towards the often ignored literature about the methods available for establishing the patient's functional diagnosis. This section is of great clinical value since most health care providers perform a limited functional assessment of low back pain patients.

Popular concepts such as stability are defined, quantified, and made practical. The author explains how he determines spinal load profiles of routine activities of daily living and common exercises. In turn, many common beliefs about exercise are revealed as based on myth rather than evidence.

For example he exposes the myths of lifting with a straight back, the pelvic tilt, performing sit-ups with bent knees, and the prone superman exercise. Other popular approaches such as the use of back belts or abdominal hollowing are discussed from a functional perspective.

This book is most valuable to practicing clinicians for his elegant presentation of safe back exercises for subacute back pain patients. These simple exercises are shown along with the evidence demonstrating their safety and value. For instance, the cat-camel, quadruped leg reach, side bridge, and trunk curl are shown as biomechanically safe exercises which can be prescribed as a beginner program for most low back pain patients. Hopefully, randomized, controlled clinical trials will soon follow to further validate such exercises in patient populations.

Many sufferers of low back pain are engaged in ardous sport or occupational activities. The book concludes with a section on more advanced exercises that have preventive and conditioning value, although would be inappropriate for the subacute treatment phase. This is once again invaluable information for practicing clinicians which can help steer patients away from chronic pain, disability, treatment dependency, overmedication, deconditioning, fear-avoidance behavior, and unncessary surgery. Pr. McGill is to be applauded for this utterly brilliant and practical patient information presented in such a humble, small package.

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Inside This Book (learn more)
Key Phrases - Statistically Improbable Phrases (SIPs): (learn more)
clinical biomechanics, sufficient spine stability, passive tissue forces, pars lumborum, virtual spine, future back troubles, full spine flexion, aberrant motor patterns, orthopedic axes, full lumbar flexion, psoas activation, psoas lumborum, better rehabilitation programs, challenged breathing, annulus damage, low back tissues, motor control errors, ideal sitting posture, higher load rates, pars thoracis, spine load, low back troubles, abdominal bracing, low back health, labile surfaces
Key Phrases - Capitalized Phrases (CAPs): (learn more)
Functional Anatomy of the Lumbar Spine, Elsevier Science, Developing the Exercise Program, Human Kinetics, Evaluatine the Patient, Primal Pictures, Advanced Exercises, Low Back Rehabilitation, The Question of Back Belts, Fast Normal Slow, Ratio Mean
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