Therapeutic Interventions for Musculoskeletal Conditions

A patient-focused text on interventions for musculoskeletal conditions. With a modern approach that reaches beyond application of isolated modalities to manage injuries, Therapeutic Interventions for Musculoskeletal Conditions With HKPropel Online Video presents a multimodal perspective on treatment that considers all aspects of the patient's experience. This contemporary, patient-centered approach to therapeutic interventions closely resembles clinical practice and offers insights on how and why physical agents, manual therapies, and therapeutic exercises should be applied for an optimal plan of care. To provide a comprehensive understanding of treatment options and implications, the book features full-color medical illustrations that show joint mechanoreceptors, neurophysiological processes, and physiological responses to interventions. Students can also refer to 24 related online videos that demonstrate how to apply evidence-based therapeutic interventions for musculoskeletal conditions, including the use of physical agents, manual therapy, and neuromuscular reeducation. Therapeutic Interventions for Musculoskeletal Conditions features a case study that builds upon itself in each part, taking the student from the beginning of a plan of care at the initial evaluation of an injury and through the various steps and progressions of treatment. This unique approach helps the student see how interventions can be implemented, progressed upon, and used in conjunction with each other. Split into five parts, each section of Therapeutic Interventions for Musculoskeletal Conditions walks students through a phase of patient recovery: Part I covers the initial evaluation and creation of a plan of care. Part II discusses the neurophysiology behind pain transmission, signal modulation, tissue injury, inflammation, and pain science. Part III focuses on understanding limitations in range of motion and discusses various therapeutic modalities and manual interventions used to restore motion. Part IV highlights the importance of neuromuscular control in the healing process and ways to facilitate recovery. Part V explores the role of mechanical signaling and exercise in tissue recovery. Students and professionals alike will develop stronger decision-making skills when determining the safest and most effective use of different treatment methods with Therapeutic Interventions for Musculoskeletal Conditions. Note: A code for accessing online videos is included with this ebook.

Table of Contents:
Part I. Clinical Reasoning Chapter 1. Patient Examination and Evaluation Defining the Problem The Diagnostic Process Biopsychosocial Models of Health Patient Self-Report Instruments Psychological Considerations in Musculoskeletal Care Summary Chapter 2. Developing the Plan of Care Clinical Decision Making Steps in Developing the Plan of Care Goal Setting With the SMART Framework Selecting the Appropriate Intervention Documentation when Developing a Plan of Care Summary Part II. Pain Chapter 3. Pain Transmission, Sensation, and Signal Modulation Introduction to Pain The Pain Experience Acute, Persisting, or Chronic Pain Nociception and Signal Transmission Pathways for Transmission of Acute Pain Sensory Integration Pain Signal Modulation Summary Chapter 4. Tissue Injury, Inflammation, Nociception, and Healing Tissue and Injury Immediate Response to Injury Inflammation Macrophage Function Inflammation Triggering Nociceptive Pain and Initiating Repair Tissue Specific Healing Factors Influencing Tissue Healing Summary Chapter 5. Pain Science and Patient Education Nociplasticity and Sensitization Explaining Pain Summary Chapter 6. Clinical Management of Pain Cold Superficial Heating Transcutaneous Electrical Nerve Stimulation Manual Therapies Therapeutic Ultrasound Laser Summary Chapter 7. Pain Management and Exercise Exercise Recommendations and Medical Exercise Therapy Exercise and Pathological Pain Exercise Prescription Considerations Components of Exercise Prescription Summary Part III. Restoring Motion Chapter 8. Impaired Range of Motion Causes of Impaired Motion Hypomobility, Joint Health, and Biomechanics Plan of Care for Motion Restrictions Summary Chapter 9. Manual Therapies Informed Consent, Contraindications, and Precautions Strain-Counterstrain Muscle Energy Massage Myofascial Release Instrument Assisted Soft-Tissue Mobilization Clinical Decisions in Soft-Tissue Techniques Joint Mobilization Clinical Decisions in Mobilization Techniques Exercise Summary Chapter 10. Facilitating Motion With Modalities Superficial Heat Ultrasound Diathermy Summary Part IV. Neuromuscular Control Chapter 11. Muscle Weakness, Atrophy, and Neuromuscular Impairment Origins of Muscle Weakness Origins of Atrophy Origins of Impaired Proprioception and Neuromuscular Control Summary Chapter 12. Modalities to Facilitate the Restoration of Strength and Neuromuscular Function Therapeutic Adjuncts to Exercise Focal Joint Cooling Transcutaneous Electrical Nerve Stimulation Neuromuscular Electrical Stimulation Blood Flow Restriction Biofeedback Vibration Timing Considerations Summary Chapter 13. Exercise Prescription to Improve Strength and Neuromuscular Control Avoiding Common Misconceptions in Therapeutic Exercise Programming Contemporary Therapeutic Considerations Emerging Therapeutic Considerations Integration and Maintenance of the Plan of Care Summary Part V. Repair and Mechanobiology Chapter 14. Mechanical Signaling and Tissue Homeostasis Foundational Principles and Mechanisms of Mechanobiology Mechanobiology in Musculoskeletal Tissues Summary Chapter 15. Exercise and Physical Agents as Stimuli for Tissue Repair Tissue Specific Loading Considerations Physical Agents Summary

About the Author :
Craig R. Denegar, PhD, MPT, ATC, is a professor emeritus at the University of Connecticut, a physical therapist and retired athletic trainer, and a fellow of the National Athletic Trainers' Association. He had many roles as a clinician-scholar over more than four decades. He served as a head athletic trainer at the collegiate level before merging clinical practice with teaching, research, and academic leadership. He served as the director for two athletic training education programs and was the director of the doctoral program of physical therapy and head of the kinesiology department at the University of Connecticut. He also served as the subject external examiner for the BSc physiotherapy and MSc physiotherapy preregistration programs at University College Dublin from 2015 to 2019. Denegar completed his PhD in sports medicine at the University of Virginia and a MPT at Slippery Rock University. During his career he taught in the areas of anatomy, clinical examination, therapeutic interventions, research methods, and clinical epidemiology. Denegar is a former editor in chief of the Journal of Athletic Training and served on the editorial boards of the Journal of Sport Rehabilitation and Journal of Strength and Conditioning Research and Open Access Journal of Sports Medicine. He has coauthored six textbooks, including this edition of Therapeutic Interventions for Musculoskeletal Conditions, and he authored or coauthored numerous book chapters and more than 150 peer-reviewed manuscripts. Grant Norte, PhD, ATC, is an associate professor in the kinesiology division of the School of Kinesiology and Rehabilitation Sciences at the University of Central Florida. He codirects the Cognitive, Neuroplasticity, & Sarcopenia (CNS) Laboratory within the Institute of Exercise Physiology and Rehabilitation Science. Norte's research focuses on the neurophysiological aspects of knee joint injuries, aiming to develop innovative treatments for improved patient outcomes. His multidisciplinary approach investigates neural, muscular, movement, and patient-oriented impairments following orthopedic trauma, with an emphasis on ACL injury. Norte has authored or coauthored over 85 manuscripts, with his work supported by the National Athletic Trainers' Association, American College of Sports Medicine, and National Strength and Conditioning Association. A southern California native, he earned his undergraduate degree in exercise science and sports medicine from California Lutheran University. He completed a postprofessional athletic training program at the University of Virginia and later returned there to earn his doctorate in sports medicine. His professional experience includes an athletic training fellowship at The Steadman Clinic in Vail, Colorado, and serving as head athletic trainer at the State University of New York at New Paltz. Norte has taught courses in athletic injury assessment, neurological and pathological foundations of rehabilitation, clinical biomechanics, orthopedic injury, and research methodology. He is an active member of the National Athletic Trainers' Association, American College of Sports Medicine, and Athletic Trainers' Osteoarthritis Consortium, and he serves on the Journal of Athletic Training editorial board. Norte is dedicated to mentoring students and fostering collaborative networks with colleagues, both domestically and internationally. Neal R. Glaviano, PhD, ATC, is an assistant professor in the department of kinesiology at the University of Connecticut (UConn). He serves as a core faculty member of the master's program in athletic training and served as the clinical education coordinator for five years. Glaviano is the codirector of the Sports Optimization and Rehabilitation Laboratory, is a member of the UConn Institute for Sports Medicine, and serves as the director of graduate studies within the department of kinesiology. Glaviano completed his undergraduate degree in athletic training from the University of Connecticut in 2007. He then earned his MEd in athletic training in 2008 and PhD in sports medicine in 2016, both from the University of Virginia. His professional experience includes working clinically in private physical therapy clinics and providing outreach to high schools in Connecticut and Virginia. As a researcher, Glaviano has authored or coauthored numerous publications and two book chapters, and his work has been supported by the U.S. Department of Defense. His research interests encompass patellofemoral pain, muscle inhibition, rehabilitation, and therapeutic exercise. Glaviano's recent studies have included clinical trials evaluating therapeutic interventions on individuals with patellofemoral pain, evaluating muscle activating during therapeutic exercises, and the effects of neuromuscular electrical stimulation on quadriceps strengthening.