Dutton: Orthopaedic
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Orthopaedic Examination, Evaluation, and Intervention, 2/e

Mark Dutton

ISBN: 0071474013
Copyright year: 2009

Book Preface

The aim of this book is to fill a void in the present literature and to be of value to the student and experienced clinician alike. As a student and, later, as a practicing clinician, I found myself spending countless hours searching for the information I required and in determining what was evidence based. This search inevitably entailed poring through a multitude of texts, some of which had good illustrations, others of which provided me with materials on examination principles, and still others of which gave me insight into the many intervention approaches and techniques. However, no one book contained everything I needed, and so I began to compile my own notes and illustrations with the aim of having all of this necessary information at my fingertips, in a reader-friendly format. Over the years, this collection of notes and illustrations has grown in scope, culminating in this text. As indicated by the title, this text provides in a single volume what students and practitioners need to know about the examination, evaluation, and intervention of the orthopaedic patient.

An accurate diagnosis forms the cornerstone of any intervention. Obtaining an accurate diagnosis requires a systematic and logical approach. Such an approach should be eclectic, because no single approach works all of the time. Thus, this book attempts to incorporate the biomechanical concepts of the Norwegians and Australians; the mechanical diagnostic and classification approach of McKenzie; the selective tissue tension principles of Cyriax; the neurodynamic mobility tests of Butler; the muscle strength-length assessments of Janda, Jull, and Sahrmann; and the osteopathic approach of Mitchell.

For any intervention to be successful, accurate diagnosis must be followed by a carefully planned and specific rehabilitation program to both the affected area and its related structures. This approach must take into consideration the structure involved and the stage of healing. In this book, great emphasis is placed on the appropriate use of manual techniques and therapeutic exercise based on these considerations. Described in the intervention sections are the manual techniques of Evjenth, Maitland, Stoddard, Mitchell, and Cyriax; the stability therapy exercises of Richardson and Jull; the muscle balancing concepts of Janda and Sahrmann; and the exercise protocols of McKenzie, to name but a few. The appropriate applications of electrotherapeutic and thermal modalities are outlined throughout as adjuncts to the rehabilitative process.

It is hoped that this book will be seen as the best available textbook, guide, review, and reference for students and practitioners involved in the care of the orthopaedic population.

Orthopaedic Examination, Evaluation & Intervention