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Assessment and Treatment of Muscle Imbalance


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Table of Contents

Part I. The Scientific Basis of Muscle ImbalanceChapter 1. Structural and Functional Approaches to Muscle ImbalanceIntrinsic Versus Extrinsic FuctionMuscle Balance in Function and PathologyMuscle Imbalance ParadigmsSummaryChapter 2. The Sensorimotor SystemSensorimotor Hardware and SoftwareNeuromuscular Aspects of Postural Stability and Joint StabilizationPathology in ProprioceptionSummaryChapter 3. Chain ReactionsArticular ChainsMuscular ChainsNeurological ChainsSummaryChapter 4. Pathomechanics of Musculoskeletal Pain and Muscle ImbalancePathology of Musculoskeletal PainPathomechanics of Muscular ImbalanceCauses of Muscle Tightness and WeaknessJanda's Classification of Muscle Imbalance PatternsSummaryPart II. Functional Evaluation of Muscle ImbalanceChapter 5. Posture, Balance, and Gait AnalysisMuscle Analysis of Standing PostureEvaluation of BalanceEvaluation of GaitSummaryChapter 6. Evaluation of Movement PatternsJanda's Basic Movement Patterns Additional Movement Tests Complementary to Janda's TestsSelected Manual Muscle TestsSummaryChapter 7. Muscle Length TestingMuscle Length Assessment TechniqueLower-Quarter MusclesUpper-Quarter MusclesHypermobilitySummaryChapter 8. Soft-Tissue AssessmentCharacteristics of Trigger PointsAssessment of Trigger Point or Tender Point ChainsScarsMyofasciaSummaryPart III. Treatment of Muscle Imbalance SyndromesChapter 9. Normalization of Peripheral Structures Central Indirect techniquesLocal Direct techniquesSummaryChapter 10. Restoration of Muscle BalanceFactors Contributing to Muscle WeaknessAdditional Treatment Techniques for Muscle WeaknessFactors Contributing to Muscle TightnessAdditional Treatment Techniques for Muscle TightnessSummaryChapter 11. Sensorimotor TrainingRole of Sensorimotor Training in Janda's TreatmentSensorimotor Training ComponentsSensorimotor Training ProgressionSummaryPart IV. Clinical SyndromesChapter 12. Cervical Pain SyndromesRegional Considerations Common PathologiesCase StudySummaryChapter 13. Upper-Extremity Pain SyndromesRegional ConsiderationsAssessmentCommon PathologiesCase StudySummaryChapter 14. Lumbar Pain SyndromesRegional ConsiderationsCommon PathologiesSacroiliac DysfunctionAssessmentManagement of Low Back Pain SyndromesCase StudyConclusionSummaryChapter 15. Lower-Extremity Pain SyndromesRegional ConsiderationsAssessmentCommon PathologiesCase StudySummary

About the Author

Phil Page, MS, PT, ATC, CSCS, trained under the guidance of Dr. Vladimir Janda and has taught the Janda approach at national and international workshops. A certified kinesiotaping practitioner, Page is currently working toward his doctorate in kinesiology at Louisiana State University in Baton Rouge, where his research focuses on EMG and muscle imbalance. He is also director of clinical education and research for Thera-Band products. Page and his wife, Angela, live in Baton Rouge with their four children. In his free time, he enjoys spending time with his family, fishing, and cooking. Clare C. Frank, DPT, is an orthopedic clinical specialist in private practice in Los Angeles. She serves on the clinical faculty for Kaiser Permanente Movement Science Fellowship in Los Angeles. She also serves as a guest lecturer at the local universities and teaches throughout the United States and internationally. Frank studied under and taught with Dr. Vladimir Janda. She is a certified instructor of the Janda approach to musculoskeletal pain syndromes, a certified kinesiotaping practitioner, and a certified instructor of Kolar's approach to dynamic neuromuscular stabilization. Frank is board certified in orthopedic physical therapy and a fellow of the American Academy of Orthopedic Manual Physical Therapy. Robert Lardner, PT, was born in Nigeria in 1961. His first career was as a professional ballet and modern dancer after studying at the Rambert Academy outside London, England. He graduated from the department of physical therapy, Lund's University, Sweden in 1991. He studied with Professors Janda, Lewit and Kolar from the Czech Republic, who are pioneers of functional rehabilitation and manual medicine. Lardner worked in several inpatient and outpatient rehabilitation facilities in Sweden prior to moving to the United States in 1992. He was a staff physical therapist at McNeal Hospital, Clearing Industrial Clinic, and a physical therapy supervisor at Mercy Hospital. He also was in charge of physical therapy services at a number of private outpatient and sports clinics. Lardner is currently in private practice in Chicago and teaches various rehabilitation seminars throughout the United States and Europe.


"A practical text for clinicians treating patients with musculoskeletal complaints."SciTech Book News (March 2010) "An excellent book and a fitting tribute to Janda - well done! I attended several of Janda's courses in the UK over a period of many years and his influence on my professional life was significant." Christopher Norris, PhD, MSc, MCSP, MBAcC -- Director of Norris Associates "This would make a useful addition to every clinician's library-especially physical therapists, chiropractors, osteopaths, and all those using hands-on therapies." Journal of Bodywork and Movement Therapies "...a thorough, well-organized, and well-written summary of the Janda approach to muscle imbalance." Journal of Orthopedic and Sports Physical Therapy"With its modest price tag and practical insights of both assessment and treatment of muscle imbalance, I would recommend this book to any practitioner or student planning to treat MSK disorders." Manual TherapyThis book "provides a lot of useful information that is different from the typical treatment approaches taught in most physical therapy schools and it can only help give clinicians insights that may help them treat their patients." Orthopedic Physical Therapy Practice

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