Table of contents for Low back disorders : evidenced based prevention and rehabilitation / Stuart McGill.

Bibliographic record and links to related information available from the Library of Congress catalog.

Note: Contents data are machine generated based on pre-publication provided by the publisher. Contents may have variations from the printed book or be incomplete or contain other coding.


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Contents
List of Tests and Exercises 
Why and How You Should Read This Book 
Acknowledgments 
Part I Scientific Foundation 
Chapter 1 Introduction to the Issues 
Legislative Landscape: The Unfortunate Adverse Impact on Bad Backs 
Deficiencies in Current Low Back Disorder Diagnostic Practices 
Is It True That 85% of Back Troubles Are of Unknown Etiology?
Diagnosis by hypothesis testing
Is It True That Most Chronic Back Complaints Are Rooted in Psychological Factors?
Does Pain Cause Activity Intolerance?
Inadequacies in Current Care and Prevention of Low Back Disorders 
Ill-Advised Rehabilitation Recommendations
Can Back Rehabilitation Be Completed in 6 to 12 Weeks?
Should the Primary Goal of Rehabilitation Be Restoring the Range of Motion?
What are better alternatives in dealing with painful backs?
Mechanical Loading and the Process of Injury: A Low Back Tissue Injury Primer 
A Final Note 
Chapter 2 Scientific Approach Unique to This Book 
In-Vitro Lab 
In-Vivo Lab 
How the Virtual Spine Works
Development of the Virtual Spine
Chapter 3 Epidemiological Studies on Low Back Disorders (LBDs) 
Multidimensional Links Among Biomechanical, Psychosocial, and Personal Variables 
Three Important Studies
Do Workers Experience LBDs Because They Are Paid to Act Disabled?
Does Pain Have an Organic Basis¿Or Is It All in the Head?
Are Biomechanical Variables and Psychosocial Variables Distinct?
What Is the Significance of First-Time Injury Data for Cause and Prevention?
How Do Biomechanical Factors Affect LBD? 
Mechanical Loading and LBD: Field-Based Risk Factors
What Are the Lasting Physiological, Biomechanical, and Motor Changes to Which Injury Leads?
What Is the Optimal Amount of Loading for a Healthy Spine?
What Are the Links Between Personal Factors and LBD? 
What the Evidence Supports 
Chapter 4 Functional Anatomy of the Lumbar Spine 
Basic Neural Structure 
Vascular Anatomy
The Vertebrae 
Vertebral Architecture and Load Bearing
Posterior Elements of the Vertebrae
,cona>Intervertebral Disc 
Progressive Disc Injury
Muscles 
Muscle Size
Muscle Groups
Abdominal Muscles
Psoas
Quadratus Lumborum
Muscle Summary
Ligaments 
Longitudinal Ligaments
Interspinous and Superspinous Ligaments
Other Ligaments in the Thoraco-Lumbar Spine
Normal Ligament Mechanics and Injury Mechanics
Lumbodorsal Fascia (LDF) 
A Quick Review of the Pelvis, Hips, and Related Musculature
Clinically Relevant Aspects of Pain and Anatomic Structure 
Tissue-Specific Types of Pain
Can Pain Descriptors Provide a Reliable Diagnosis?
A Final Note
Chapter 5 Normal and Injury Mechanics of the Lumbar Spine 
Kinematic Properties of the Thoraco-Lumbar Spine 
Kinetics and Normal Lumbar Spine Mechanics 
Standing and Bending Forward
Loads on the Low Back During Lifting
Loads on the Low Back During Walking
Loads on the Low Back During Pushing and Pulling
Loads on the Low Back During Sitting
Loads on the Low Back During Flexion Exercises
Loads on the low back during various pushup exercises
Loads on the Low Back During Extension Exercises
Loads from Backpack Carriage
Dubious Lifting Mechanisms 
Intra-Abdominal Pressure
Lumbodorsal Fascia
Hydraulic Amplifier
IAP, LDF, and Hydraulic Amplifier: A Summary
Other Important Mechanisms of Normal Spine Mechanics 
Biomechanics of Diurnal Spine Changes
Spinal Memory
Anatomical Flexible Beam and Truss: Muscle Cocontraction and Spine Stability
Injury Mechanisms 
Summary of Specific Tissue Injury Mechanisms
Injury Mechanics Involving the Lumbar Mechanism
Staying Within the ¿Biomechanical Envelope¿
Sources of Motor Control Errors
Biomechanical and Physiological Changes Following Injury 
Tissue Damage Pathogenesis, Pain, and Performance
Injury Process: Motor Changes
Specific Patterns of Muscle Inhibition Following Injury
The Crossed-Pelvis Syndrome and Gluteal Amnesia
Chapter 6 Lumbar Spine Stability: Myths and Realities
Stability: A Qualitative Analogy 
Quantitative Foundation of Stability 
Potential Energy as a Function of Height
Potential Energy as a Function of Stiffness and Elastic Energy Storage
Muscles create force and stiffness
Sufficient Stability
Stability Myths, Facts, and Clinical Implications 
Part II Injury Prevention 
Chapter 7 LBD Risk Assessment 
Brief Review of the Risk Factors for LBD
NIOSH Approach to Risk Assessment 
1981 Guideline
1993 Guideline
Snook Psychophysical Approach 
Lumbar Motion Monitor (LMM) 
4D WATBAK 
Euler Angles and Orthopedic Moments
Biological Signal¿Driven Model Approaches 
The Marras Model and the McGill Model
EMG-Assisted Optimization
Simple or Complex Models?
The Challenge Before Us 
Chapter 8 Reducing the Risk of Low Back Injury 
Lessons From the Literature 
Compensation Board Statistics - An Artifact?
Ergonomic Studies
Rehab and Prevention Studies
Studies on the Connection Between Fitness and Injury Disability
Beyond Ergonomics - Is it time to "modify" the worker?
LBD Prevention for Workers 
Should Workers Avoid End Range of Spine Motion During Exertion?
What Are the Ways to Reduce the Reaction Moment?
Should One Avoid Exertion Immediately After Prolonged Flexion?
Should Intra-Abdominal Pressure (IAP) Be Increased While Lifting?
Are Twisting and Twisting Lifts Particularly Dangerous?
Is Lifting Smoothly and Not Jerking the Load Always Best?
Is There Any Way to Make Seated Work Less Demanding on the Back?
Some Short-Answer Questions
LBD Prevention for Employers 
Injury Prevention Primer 
A Note for Consultants 
Reducing the Risk in Athletes
Chapter 9 The Question of Back Belts 
Issues of the Back Belt Question 
Scientific Studies 
Clinical Trials
Biomechanical Studies
Studies of Belts, Heart Rate, and Blood Pressure
Psychophysical Studies
Summary of Prescription Guidelines 
Part III Low Back Rehabilitation 
Chapter 10 Building Better Rehabilitation Programs for Low Back Injuries 
Our Five-Stage Back Training Program 
Finding the Best Approach 
Stages of Patient Progression 
Stage 1. Detect and correct perturbed motion/motor patterns
Stage 2. Establish Stability Through Exercises and Education
Stage 3. Develop Endurance
Guidelines for Developing the Best Exercise Regimen 
Developing a Sound Basis for Exercise Prescription
Basic Issues in Low Back Exercise Prescription
Chapter 11 Evaluating the Patient 
The Most Crucial Element in Evaluation
First Clinician¿Patient Meeting 
Some Provocation Tests
Compression tests
Extension tests
Neural tests
Reflex testing
Testing for lumbar joint shear stability
A Note on Motion Palpation
Distinguishing Between Lumbar and Hip Problems 
Some Functional Screens
Posture
Manual Tests for Control of Motion
The ¿stiff¿ spine
Control of torsional motion 
Testing for Aberrant Gross Lumbar Motion
Testing Muscle Endurance
Lateral Musculature Test
Flexor Endurance Test
Back Extensors Test
Chapter 12 Developing the Exercise Program 
Preliminary Matters 
Philosophy of Low Back Exercise Design
Clinical Wisdom
Sparing the Back While Stretching the Hips and Knees
Flossing the Nerve Roots for Those With Accompanying Sciatica
Preliminaries to Training the Stabilizing Muscles
Identifying Safe and Effective Exercises
Beginner¿s Program for Stabilization - A Sample
Chapter 13 Advanced Exercises 
Safely Increasing Challenges 
Labile Surfaces and Resistance Training Machines
Safely Progressing Back Exercises
Occupational and Athletic Work Hardening 
Low Back Exercises for High-Performance Workers or Athletes
Low Back Exercises Only for Athletes
Looking Forward
Epilogue 
Patient/Client Handouts
Appendix 
Glossary 
References 
Index 
About the Author 

Library of Congress Subject Headings for this publication:

Backache.
Evidence-based medicine.
Back Injuries -- prevention & control.
Back Injuries -- rehabilitation.
Evidence-Based Medicine.
Low Back Pain -- prevention & control.
Low Back Pain -- rehabilitation.