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MUSCLE STRETCHING IN MANUAL THERAPY A CLINICAL MANUAL ,,
The Extremities --
Volume I
Olaf Evjenth & Jern Hamberg
ALFTA REHAB
Olaf Evjenth & Jern Hamberg
MUSCLE STRETCHING IN MANUAL THERAPY A Clinical Manual
II / v
Muscle stretching 2000 years ago, Statue from Bangkok.
Volume I The Extremities
ALFTA REHAB
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MUSCLESTRETCHING IN MANUAL THERAPY, A CLINICAL MANUAL, TWO VOLUMES by Olaf Evjenth, M.s. Lecturer in Manual Therapy, Hans & OlafInstitute, Oslo, Norway and Jern Hamberg, M.D. Alfta Rehab Center AB Alfta, Sweden
Original title: TCijning av Muskier, Varfor och Hur? Copyright © Alfta Rehab F Ciriag, Alfta, Sweden No part of this publication may be reproduced, stored in retrieval system, or transmitted in any form or by any means, electronic, mechanical, photocopying, recording or otherwise, without the prior written permission of the publisher.
Translated from Swedish by M. Michael Brady Photos by BjCim Hamberg Drawings by Elna Jonsson 5th Edition Printed by Istiruco Grafico Silvio Basile, Italy, 2002
Distributor: Alfta Rehab Center Promotion AB, Box 94, S-822 22 Alfta, Sweden ISBN 91-85934-02-X
PREFACE
Today, one patient in four seeking medical aid does so solely with a locomotor system complaint. Many of the remaining three-quarters of all patients seeking medical aid primarily for other reasons also complain of stiffness , aches, and painful movement. The muscular-skeletal disorders of patients in these two categories comprise the greatest single cause of sick leave. The persons affected dominate the group of those who retire early on disability pensions. The socio-economic problems resulting from muscular-skeletal disorders are undoubtedly greater and more widespread than indicated by any single statistic. Years of research and experience in studying and treating locomotor system maladies have clearly proven the effectiveness of treatment through " relaxation and stretching of shortened muscles and other related ·structures. The techniques involved are basically therapeutic, but they may also be applied in preventative exercise at all levels of physicallraining programs, for persons of all ages. Our research has been pragmatically oriented towards attaining results for a greater number of patients over longer periods of time. Hence we have not conducted double-blind tests, but instead have allowed our patients to function as their own controls. Prolonged dysfunction, which diminishes dramatically after relaxation and stretching treatment, is more than ample proof of treatment effectiveness, both for the therapist and for the patients involved. This book is a compendium of therapeutic techniques that we have used to successfully treat patients with reduced mobility caused by shortened structures. Treatments for the extremities and their associated joints are covered in Volume I. Treatments for the spine and the temporomandibular joint are covered in Volume II. Although the temporo-mandibular joint is anatomically removed from the spine, it is therapeutically recognized as being closely connected to the cervical spine and therefore is included in Volume II. Each of the two Volumes is arranged to be used as an independent clinical reference.
In this Volume I: The general principles of manual therapy are outlined in Part 1, along with a guide to the organization of the therapy techniques. The therapy techniques are fully described in Part 2 and Part 3, one to a page. Each description consists of a drawing showing the muscles involved , two photos showing the starting and final positions of the technique, and an explicit text giving positions, grips and procedures. The Movement Restriction Tables and Index of Muscles of ParI 4" list the muscles which may restrict movement and reference them to pag