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This is a basic textbook on the philosophy and use of manipulation in general medical practice. The first section introduces manipulation and the basic and physiological and anatomical foundations for manipulation. The second section shows in detail how to use clinical manipulation in regions of the head, neck, thorax, upper extremity, torso, lower extremity, and fascia, and self-help manipulative treatments. Over 250 exceptionally fine drawings of anatomy and treatment procedures illustrate all key anatomical features and manipulation techniques.
E-Book Content
Handbook of Basic Clinical Manipulation
Handbook of Basic Clinical Manipulation Donald Lee McCabe D O ,
F A C F P ,
F A P M
Freeland Medical Center, Freeland, Washington, USA
The Parthenon Publishing Group International Publishers in Medicine; Science & Technology
NEW YORK
LONDON
Published in the USA by The Parthenon Publishing Group Inc. One Blue Hill Plaza PO Box 1564, Pearl River, New York 10965, USA Published in the UK by The Parthenon Publishing Group Limited Casterton Hall, Carnforth, Lanes. LA6 2LA, England Copyright ©1996 Parthenon Publishing Group Library of Congress Cataloging-in-Publication Data McCabe, Donald Lee, 1 9 2 5 The handbook of basic clinical manipulation /Donald Lee McCabe. p. cm. Includes bibliographical references and index. ISBN: 1-85070-670-0 1. Manipulation—Handbooks, manuals, etc. I. Title. [DNLM: 1. Manipulation, Orthopedic—handbooks. 2. Osteopathic Medicine. WB 39 M478h 1995] RM724.M38 1995 615.8'2-dc20 DNLM/DLC for Library of Congress 95-23661 CIP British Library Cataloguing in Publication Data McCabe, Donald Lee Handbook of Basic Clinical Manipulation. I. Title 616.0754 ISBN 1-85070-670-0 First published 1996 No part of this book may be reproduced in any form without permission from the publishers except for the quotation of brief passages for the purposes of review Typesetting by H&H Graphics, Blackburn Printed and bound by J.W. Arrowsmith Ltd., Bristol
IV
Contents ix
List of illustrations
xvii
Foreword Part 1 Orientation 1
Introduction Manipulation: an ancient art/new science Homeostasis: life in balance
3 4 6
2
Lesions What is a 'lesion'? What causes a lesion? Structure governs function
9 9 10 12
3
Palpation Structural considerations Examination and evaluation Radiology in structural evaluation
17 22 22 25
4
Basic structural analysis
27
5
Manipulation The art of manipulation A geriatric case history A pediatric case history
31 40 43
V
BASIC
CLINICAL
MANIPULATION
Part 2 Clinical manipulation 6
Head region Anatomical review General assessment of cranial bone motion Cranial manipulation
47 47 50 51
7
Neck region Anatomical review Cervical spine structure and mechanics Cervical ligaments Testing Cervical soft tissue palpation and lesions Cervical manipulation Muscle energy technique Musculoskeletal manipulation
59 59 64 66 67 69 71 74 75
8
Thoracic region Anatomical review Dorsal spine Thoracic assessment and soft tissue manipulation Active mobilization of skeletal lesions Ribs
81 81 82 92 97 100
9
Upper extremity Anatomical review Clavicle Scapula Shoulder Elbow Wrist and hand
111 111 112 116 120 127 133
10
Torso region Anatomical review Abdomen Lumbar spine Pelvic girdle Pelvic testing Coccyx testing Lower torso soft tissue considerations Lumbar and pelvic manipulative techniques Visceral manipulation Abdominal omentum (visceral) lift
137 137 137 141 143 145 146 147 148 161 161
vi
CONTENTS
11
Lower