Assessment and treatment of muscle imbalance : the Janda approach

著者

    • Page, Phillip
    • Frank, Clare C.
    • Lardner, Robert

書誌事項

Assessment and treatment of muscle imbalance : the Janda approach

Phil Page, Clare C. Frank, Robert Lardner

Human Kinetics, c 2010

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注記

Includes bibliographical references (p.247-287) and index

内容説明・目次

内容説明

Assessment and Treatment of Muscle Imbalance: The Janda Approach blends postural techniques, neurology, and functional capabilities in order to alleviate chronic musculoskeletal pain and promote greater functionality. Developed by Vladimir Janda, respected neurologist and physiotherapist , the Janda approach presents a unique perspective to rehabilitation. In contrast to a more traditional structural view, the Janda approach is functional-emphasizing the importance of the sensorimotor system in controlling movement and chronic musculoskeletal pain syndromes from sports and general activities. Assessment and Treatment of Muscle Imbalance: The Janda Approach is the only text to offer practical, evidence-based application of Janda's theories. Filled with illustrations, photos, and step-by-step instructions, Assessment and Treatment of Muscle Imbalance uses a systematic approach in presenting information that can be used in tandem with other clinical techniques. This resource for practitioners features the following tools: --A rationale for rehabilitation of the musculoskeletal sytem based on the relationship between the central nervous system and the motor system --A systematic method for the functional examination of the muscular system --Treatment processes focusing on the triad of normalization of peripheral structures, restoration of muscle balance, and facilitation of afferent systems and sensorimotor training --The role of muscle imbalance and functional pathology of sensorimotor systems for specific pain complaints, including cervical pain syndrome, upper- and lower-extremity pain syndromes, and low back pain syndromes Assessment and Treatment of Muscle Imbalance provides an evidence-based explanation of muscle imbalance. The step-by-step Janda system of evaluation is explained-including analysis of posture, balance, and gait; evaluation of movement patterns; testing of muscle length; and assessment of the soft tissue. The text explores treatment options for muscle imbalance through facilitation and inhibition techniques and sensorimotor training to restore neuromsucular function. It also includes four case studies examining musculoskeletal conditions and showing how the Janda approach compares with other treatments. This text combines theory, evidence, and applications to assist clinicians in implementing the Janda approach into their practice. Assessment and Treatment of Muscle Imbalance: The Janda Approach focuses on the neurological aspects of muscle imbalance that are common causes of pain and dysfunction in sports and occupational activities. By distilling the scientific works of Vladimir Janda into a practical, systematic approach, this unique resource will assist health care providers in treating patients with musculoskeletal complaints as well as exercise professionals in developing appropriate exercise prescription and training programs.

目次

Part I. The Scientific Basis of Muscle Imbalance Chapter 1. Structural and Functional Approaches to Muscle Imbalance Intrinsic Versus Extrinsic Fuction Muscle Balance in Function and Pathology Muscle Imbalance Paradigms Summary Chapter 2. The Sensorimotor System Sensorimotor Hardware and Software Neuromuscular Aspects of Postural Stability and Joint Stabilization Pathology in Proprioception Summary Chapter 3. Chain Reactions Articular Chains Muscular Chains Neurological Chains Summary Chapter 4. Pathomechanics of Musculoskeletal Pain and Muscle Imbalance Pathology of Musculoskeletal Pain Pathomechanics of Muscular Imbalance Causes of Muscle Tightness and Weakness Janda's Classification of Muscle Imbalance Patterns Summary Part II. Functional Evaluation of Muscle Imbalance Chapter 5. Posture, Balance, and Gait Analysis Muscle Analysis of Standing Posture Evaluation of Balance Evaluation of Gait Summary Chapter 6. Evaluation of Movement Patterns Janda's Basic Movement Patterns Additional Movement Tests Complementary to Janda's Tests Selected Manual Muscle Tests Summary Chapter 7. Muscle Length Testing Muscle Length Assessment Technique Lower-Quarter Muscles Upper-Quarter Muscles Hypermobility Summary Chapter 8. Soft-Tissue Assessment Characteristics of Trigger Points Assessment of Trigger Point or Tender Point Chains Scars Myofascia Summary Part III. Treatment of Muscle Imbalance Syndromes Chapter 9. Normalization of Peripheral Structures Central Indirect techniques Local Direct techniques Summary Chapter 10. Restoration of Muscle Balance Factors Contributing to Muscle Weakness Additional Treatment Techniques for Muscle Weakness Factors Contributing to Muscle Tightness Additional Treatment Techniques for Muscle Tightness Summary Chapter 11. Sensorimotor Training Role of Sensorimotor Training in Janda's Treatment Sensorimotor Training Components Sensorimotor Training Progression Summary Part IV. Clinical Syndromes Chapter 12. Cervical Pain Syndromes Regional Considerations Common Pathologies Case Study Summary Chapter 13. Upper-Extremity Pain Syndromes Regional Considerations Assessment Common Pathologies Case Study Summary Chapter 14. Lumbar Pain Syndromes Regional Considerations Common Pathologies Sacroiliac Dysfunction Assessment Management of Low Back Pain Syndromes Case Study Conclusion Summary Chapter 15. Lower-Extremity Pain Syndromes Regional Considerations Assessment Common Pathologies Case Study Summary

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