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Therapeutic Exercise for Musculoskeletal Injuries 4th Edition with Online Video
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Therapeutic Exercise for Musculoskeletal Injuries, Fourth Edition With Online Video, presents foundational information that instills a thorough understanding of rehabilitative techniques. Updated with the latest in contemporary science and peer-reviewed data, this edition prepares upper-undergraduate and graduate students for everyday practice while serving as a referential cornerstone for experienced rehabilitation clinicians. The text details what is happening in the body, why certain techniques are advantageous, and when certain treatments should be used across rehabilitative time lines. Accompanying online video demonstrates some of the more difficult or unique techniques and can be used in the classroom or in everyday practice. The content featured in Therapeutic Exercise for Musculoskeletal Injuries aligns with the Board of Certification's (BOC) accreditation standards and prepares students for the BOC Athletic Trainers' exam. Author and respected clinician Peggy A. Houglum incorporates more than 40 years of experience in the field to offer evidence-based perspectives, updated theories, and real-world applications. The fourth edition of Therapeutic Exercise for Musculoskeletal Injuries has been streamlined and restructured for a cleaner presentation of content and easier navigation. Additional updates to this edition include the following: - An emphasis on evidence-based practice encourages the use of current scientific research in treating specific injuries. - Full-color content with updated art provides students with a clearer understanding of complex anatomical and physiological concepts. - 40 video clips highlight therapeutic techniques to enhance comprehension of difficult or unique concepts. - Clinical tips illustrate key points in each chapter to reinforce knowledge retention and allow for quick reference. The unparalleled information throughout Therapeutic Exercise for Musculoskeletal Injuries, Fourth Edition, has been thoroughly updated to reflect contemporary science and the latest research. Part I includes basic concepts to help readers identify and understand common health questions in examination, assessment, mechanics, rehabilitation, and healing. Part II explores exercise parameters and techniques, including range of motion and flexibility, proprioception, muscle strength and endurance, plyometrics, and development. Part III outlines general therapeutic exercise applications such as posture, ambulation, manual therapy, therapeutic exercise equipment, and body considerations. Part IV synthesizes the information from the previous segments and describes how to create a rehabilitation program, highlighting special considerations and applications for specific body regions. Featuring more than 830 color photos and more than 330 illustrations, the text clarifies complicated concepts for future and practicing rehabilitation clinicians. Case studies throughout part IV emphasize practical applications and scenarios to give context to challenging concepts. Most chapters also contain Evidence in Rehabilitation sidebars that focus on current peer-reviewed research in the field and include applied uses for evidence-based practice. Additional learning aids have been updated to help readers absorb and apply new content; these include chapter objectives, lab activities, key points, key terms, critical thinking questions, and references. Instructor ancillaries, including a presentation package plus image bank, instructor guide, and test package, will be accessible online. Therapeutic Exercise for Musculoskeletal Injuries, Fourth Edition, equips readers with comprehensive material to prepare for and support real-world applications and clinical practice. Readers will know what to expect when treating clients, how to apply evidence-based knowledge, and how to develop custom individual programs.
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Table of Contents

Part I. Basic Concepts Chapter 1. Concepts of Rehabilitation The Rehabilitation Team Athletic Trainer as Rehabilitation Clinician Qualities of Professionalism Components of a Rehabilitation Program Evidence-Based Practice and Outcomes-Based Practice Basic Components of Therapeutic Exercise Return-to-Competition Criteria Psychological Considerations Summary Learning Aids Chapter 2. Concepts of Healing Primary and Secondary Healing Healing Phases Growth Factors Healing of Specific Tissues Tensile Strength During Healing Factors That Affect Healing Role of Therapeutic Exercise in Healing Summary Learning Aids Chapter 3. Concepts of Physics in Therapeutic Exercise Force Newton's Laws of Motion Center of Gravity Stability and Fixation Body Levers Levers and Force Physiological Muscle Advantages Other Concepts related to Muscle Function Summary Learning Aids Chapter 4. Examination and Assessment for Rehabilitation Subjective and Objective Examination: Making a Profile Interpreting Results and Designing a Rehabilitation Program Keeping Rehabilitation Records Summary Learning Aids Part II. Therapeutic Exercise Parameters and Techniques Chapter 5. Range of Motion and Flexibility Defining Flexibility and Range of Motion Connective-Tissue Composition Effects of Immobilization on Connective Tissue Effects of Remobilization on Connective Tissue Mechanical Properties and Tissue Behavior in Range of Motion Neuromuscular Influences on Range of Motion Determining Normal Range of Motion Measuring Range of Motion Terminology in Goniometry Stretching Techniques Exercise Progression Special Considerations Summary Learning Aids Chapter 6. The ABCs of Proprioception Neurophysiology of Proprioception Central Nervous System Proprioceptor Sites Balance Coordination Agility Therapeutic Exercise for Proprioception Summary Learning Aids Chapter 7. Muscle Strength and Endurance Neuromuscular Physiology Muscle Structure and Function Whole-Muscle Function Fast- and Slow-Twitch Fibers Muscle Strength, Power, Endurance, and Recovery Force Production Types of Muscle Activity Open and Closed Kinetic Chain Activity Evaluating Muscle Strength Gradations of Muscle Activity Strengthening Principles Programs of Goal Progressions Summary Learning Aids Chapter 8. Plyometrics Neuromuscular Principles Plyometric Production Plyometric Exercise Phases Pre-Plyometric Considerations Plyometric Program Design Plyometric Program Considerations Precautions and Contraindications Equipment Lower-Extremity Plyometrics Upper-Extremity and Trunk Plyometrics Summary Learning Aids Chapter 9. Functional and Performance-Specific Development Definitions, Foundations, and Goals Contributions to Therapeutic Exercise Basic Functional Activities Performance-Specific Exercises Progression from Functional Exercises to Performance-Specific Development Precautions Final Evaluation Lower-Extremity Functional and Performance-Specific Progression Upper-Extremity Functional and Performance-Specific Progression Returning the Patient to Full Participation Summary Learning Aids Part III. General Therapeutic Exercise Applications Chapter 10. Posture and Body Mechanics Posture Muscle Imbalances Body Mechanics Body-Awareness Programs Summary Learning Aids Chapter 11. Ambulation and Ambulation Aids Normal Gait Clinical Gait Analysis Pathological Gait Normal Running Gait Mechanics of Ambulation With Assistive Devices Summary Learning Aids Chapter 12. Aquatic Therapeutic Exercise Physical Properties and Principles of Water Indications, Advantages, Precautions, and Contraindications Aquatic Therapeutic Exercise Principles and Guidelines Deep-Water Exercise Aquatic Therapeutic Exercises Summary Learning Aids Chapter 13. Manual Therapy Critical Analysis Massage Myofascial Release Myofascial Trigger Points Muscle Energy Proprioceptive Neuromuscular Facilitation Other Manual Therapies Joint Mobilization Summary Learning Aids Chapter 14. Therapeutic Exercise Equipment Range-of-Motion Equipment Resistive Equipment Swiss Balls Foam Rollers Aquatic Equipment Manual Therapy Equipment Plyometric Equipment Summary Learning Aids Chapter 15. Total Body Considerations Activity Levels, Stages of Life, and Health Care Pediatric Considerations Geriatric Considerations Joint Replacement Tendinopathy Summary Learning Aids Part IV Specific Applications Chapter 16. Creating the Rehabilitation Program Program Contents Phases of Rehabilitation and Therapeutic Exercise Individualization of Therapeutic Exercise Summary Learning Aids Chapter 17. Sacroilium and Pelvic Stabilization General Rehabilitation Considerations Rehabilitation Techniques Pathological Sacroilial Alignment Special Rehabilitation Applications Summary Learning Aids Chapter 18. Spine General Rehabilitation Considerations Rehabilitation Techniques Special Rehabilitation Applications Summary Learning Aids Chapter 19. Shoulder and Arm General Rehabilitation Considerations Rehabilitation Techniques Flexibility Exercises Strengthening Exercises Stabilization and Proprioception Exercises Plyometric Exercises Functional and Performance-Specific Exercises Special Applications for Rehabilitation Summary Learning Aids Chapter 20. Elbow and Forearm General Rehabilitation Considerations Rehabilitation Techniques Joint Mobilization Flexibility Exercises Strengthening Exercises Functional and Performance-Specific Activities Special Rehabilitation Applications Summary Learning Aids Chapter 21. Wrist and Hand General Rehabilitation Considerations Soft-Tissue Mobilization Joint Mobilization Flexibility Exercises Strengthening Exercises Plyometric Exercises Functional and Performance-Specific Exercises Special Rehabilitation Applications Summary Learning Aids Chapter 22. Foot, Ankle, and Leg General Rehabilitation Considerations Common Structural Deformities Orthotic Treatment for Foot Deformities Determining Proper Footwear for Patients Soft-Tissue Mobilization Deep-Tissue Massage Joint Mobilization Flexibility Exercises Strengthening Exercises Proprioception Exercises Functional and Performance-Specific Exercises Special Rehabilitation Applications Summary Learning Aids Chapter 23. Knee and Thigh General Rehabilitation Considerations Soft-Tissue Mobilization Joint Mobilization Flexibility Exercises Strengthening Exercises Proprioception Exercises Functional and Performance-Specific Exercises Special Rehabilitation Applications Summary Learning Aids Chapter 24. Hip General Rehabilitation Considerations Soft-Tissue Mobilization Joint Mobilization Flexibility Exercises Strengthening Exercises Proprioception Exercises Functional and Performance-Specific Exercises Special Rehabilitation Applications Summary Learning Aids

About the Author

Peggy A. Houglum, PhD, is a retired associate professor at the Rangos School of Health Sciences at Duquesne University in Pittsburgh. She has more than 40 years of experience as a certified athletic trainer and licensed physical therapist, providing patient and athlete care in a variety of settings, including university athletic training facilities, sports medicine clinics, rehabilitation hospitals, acute care hospitals, burn care, workers' compensation clinics, and extended care facilities. She has also served as an athletic trainer with the United States Olympic Sports Festivals, Olympic Games, and World University Games. Houglum's extensive background as a certified athletic trainer, physical therapist, clinical and classroom educator, and program director provides her with a unique perspective on the appropriate use of therapeutic exercise techniques in rehabilitation programs for treatment of athletic injury. In 1991, Houglum created the National Athletic Trainers' Association's (NATA) first formal continuing education program. Since that time, Houglum has served as chair of the NATA Continuing Education Committee and as a member of the organization's Education Council and the Council on Employment. In 2002, she was named to the NATA Hall of Fame, the association's highest honor, and received NATA's Most Distinguished Athletic Trainer Award in 1996. In 2009, Houglum was named Most Influential Rehabilitation Professional in Physical Therapy by Therapy Times. Houglum is a member of the American Physical Therapy Association and its Sports Medicine Section. She is also a member of NATA and served on the NATA's CEPAT committee and the BOC's Role Delineation #6 and #7 Committees. Houglum continues to serve as associate editor for Sports Rehabilitation. Houglum was keynote speaker at the 2011 Hong Kong Society for Surgery of the Hand Conference, where she made two additional presentations. She has contributed to the advancement of sport rehabilitation through several international, national, and regional presentations. Over the years she has coauthored textbooks, written journal articles, and contributed chapters to sports medicine texts. Houglum enjoys spending time with family and friends, reading, painting, biking, and snowshoeing. She resides in Cedar Grove, Wisconsin.

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