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As we stated in our message in the book of abstracts for this congress, we have planned the programme over a long period with one clear objective: to present musculoskeletal medicine as an integral part of orthodox medical practice, rather than as something alternative or complementary. To this end we have based the plenary programme as far as possible on accepted epidemiological, anatomical, physiological and pathological phenomena. Scientifically well-validated material must surely be the base upon which any viable musculoskeletal medicine practice may be built. While we have chosen the plenary programme to reflect musculoskeletal medicine as a part of orthodoxy, we realize and wish to emphasize that there is a wealth of original work that has been carried out within FIMM. For this reason our first innovation for the congress was to invite members of the scientific advisory committee to select for a 'directed' programme the three topics they felt were of greatest current importance. The results of this democratic procedure was the choice of the sacroiliac joint, a comparison of manual therapies and biomechanics. This illustrates the broad direction of present thinking within FIMM.
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BACK PAIN An International Review BACK PAIN An International Review Edited by John K. Paterson, MB, BS, MRCGP President of the British Association of Manipulative Medicine; Member of the Scientific Advisory Committee and Chairman of the Terminology Subcommittee of the Federation Intemationale de M edecine M anuelle and Loic Burn, BA, MRCS, LRCP, DPhysMed President of the Federation Intemationale de Medecine Manuelle; Past President of the British Association of Manipulative Medicine; Member Ex-Committee, Scientific Section, British League against Rheumatism; Member, Council of Management, National Back Pain Association KLUWER ACADEMIC PUBLISHERS DORDRECHT/BOSTON/LONDON Distributors for the United States and Canada: Kluwer Academic Publishers, PO Box 358, Accord Station, Hingham, MA 02018-0358, USA for all other countries: Kluwer Academic Publishers Group, Distribution Center, PO Box 322, 3300 AH Dordrecht, The Netherlands British Library Cataloguing in Publication Data Back pain - an international review. 1.~an.Back.Backache I. Paterson, John K (John Kirkpatrick), 1921- 616.73 ISBN-13:978-94-010-7472-8 DOl: 10.1007/978-94-009-2165-8 II. Burn, Loic, 1936- e-ISBN-13:978-94-009-2165-8 Copyright © 1990 by Kluwer Academic Publishers Softcover reprint of the hardcover 1st edition 1990 All rights reserved. No part of this publication may be reproduced, stored in a retrieval system, or transmitted in any form or by any means, electronic, mechanical, photocopying, recording or otherwise, without prior permission from the publishers, Kluwer Academic Publishers BV, PO Box 17, 3300 AA Dordrecht, The Netherlands. Published in the United Kingdom by Kluwer Academic Publishers, PO Box 55, Lancaster, UK Kluwer Academic Publishers BV incorporates the publishing programmes of D. Reidel, ~artinus Nijhoff, Dr W. Junk and MTP Press. Contents x List of Contributors Preface XVI Introduction L. Burn XVIl The economics of back pain xxiii P. Lapsley PLENARY PAPERS 1 The peripheral modulation of nociceptive input B. Lynn 3 2 Intradiscal pressure changes and the clinician G.B.!. Andersson 12 3 Electromyography - its significance to the manipulator 1. V. Basmajian 21 4 The clinical testing of pain A.E. Reading 27 5 The spinal modulation of pain S. McMahon 37 6 Principles and problems in clinical research in low back