Maitland's Peripheral Manipulation

639 Pages·2005·79.41 MB·English

by  Elly Hengeveld

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therap.iT shtesf ourtehd itihoans b eene xtensirveevliys beydt woa uthowrhso worked
closewliyt hG eofMfa itlaanndd w hoh avea ddedi nvaluaabnldeu p-to-diantpeu itn t he
revisiooftn h inse we ditioTnh.ea ccompanyiCnDg- ROMc ontaivnisd eoosfa lrle levant
examinatainodnt reatmetnecth niqu.eA slll inder awinhgasv eb eenr eplacweidt hh igh
qualipthyo tograpwhhsi c,ht ogethweirt ht heC D-ROM andt heb ook'nse wl ayout,
afforadn i n-depatnhd u ser-frieexnpdelryi efnocrer eaders.
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tof ollow
• New chaptoenr C ontemporaPreyr spectiinvP ehsy siothePrraapcyt ice
• Additioanpaple ndi'xS:e lf-manageSmternatt egCioemsp:l ianacned B ehavioural
Change'
• Existcihnagp teerxst endeadn de nhancewdi the vidence-biansfeodr matainodn
currepnrta ctice
Features:
• New user-friteenxdwtli yt hb ullpeoti ntasn ds ummaries
• New desigann dl ayouotfi llustrations
• Chaptesru mmariaetst heb eginnionfge achc hapteirn,c ludgilnogs saorfty e rms
• Clinicaaclcleys sible
• Evidence-based
• Colouhri ghlighbtoexde tso r einfotrhceek eyc oncepatnsd a idr evision
• Clinipcaatlh olowgiyt ht reatmenftorsp athologmiaedse c lear
• Assessmeanntdt reatmeonftp atienctlse arelxyp lained
• Cases tudiiensc luded
Maitland's PerMiapnhiepurlaalt sieornv aessa ni mportarnets ourfcoera lplr acticainndg
trainmeaen ipulattihveer apiasstw se,l als p rovidiinngv aluaebvlied ence-btaesaecdh ing
materiaanld c asset udifeosru ndergradusattued pyr ogrammes.
Thipsr oduicsat p proprfioart:e
• manutahle rapists
• physiotherapists
• undergradaunadlt eecst urers
ELSEVIER • osteopaths
BHUTETEIRNWEOMRATNHN www.elsevierhea•l cthhi.rcoopmr actors 9
MaitlanPde'rsi pheMraanli pulation
ForB utterworth-Heinemann
SeniCoorm missioEndiintgoH re:i dHia rrison
DevelopmEednitt oSri:o bhCaanm pbell
ProjeMcatn ageMro: rveDne an
DesigDni rectGieono:r Agjea yJiu,d iWtrhi ght
MaitlanPde'rsi pheral
Manipulation
FourtEhd ition
Editbeyd
EllHye ngeveMlSdcB PTO MT,vomp
SeniToera chIenr.t ernatiMoaniatll aTneda cheArsss'o ciaOtbieorne,n tfeSlwdietnz,e rland
KeviBna nksBA M MACP MSCPS RPI MTAM ember
ChartePrheysdi otherRaoptihsetr,h UoKm,
Forewobryd
Peter WeBAlF lCsSPD IPTP SRP
ConsultSapnetc iaPlhiyssti otheSrpaopriatsnstd S, p inCalli niFcusl,h aLmo,n doUnK,
ELSEVIER
BlTTTERWORTI-1
HEINEMANN
EDINBURGLHO NDON NEW YORK OXFORDP HILADELIAP HSTL OUISS YDNEYT ORONTO 2005
ELSEVIER
BUTTER\\IORTH
liEINEMANN
C 200E5l.se viLetrd
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v
Contents
Foreworvdi i 9.R ecordi2n3g7
Prefatcote h ef ouretdhi tiioxn
10.P eriphneeruarlo musculosdikseolredt2ea4rl9s
Prefatcote h ef iresdti tixoin
Companitoenx ttsot hiesd itixoini i 11.T hes houldanedrs houldgeirrd cloem ple2x7 5
12.T hee lbocwo mple3x5 7
1.T heM aitlaCnodn ce-patn i ntroduction
13.T hew risatn dh and comp3l9e9x
2.M obilizaatnidmo ann ipula-tdieofni nitions,
desireefdf ecrtosli,en r ehabiliatnadt ion 14.T heh ipr egio4n4 5
evidenbcaes e2 5
15.T hek neceo mple4x8 7
3.C ommunicaatnidot nh et herapeutic
16.T hea nklaen df oot comp5l2e5x
relationship 39
17.T het emporomandjiobiunlltaasrr, y annxd h yoid
4.C ontemporpaerrys pecitnip vheyss iotherapy
(thcer aniomandciobmupllaer5x 7)7
practi7c1e
5.P rinciopfla esss essme8n9t Append1i Mxo vement ditahgeroaarmny d c ompiling
am ovemendti agra5m9 9
6.P rinciopfle exsa mination 125
Append2i Sxe lf-managesmternatt egcioemsp:l iance
7.P rinciapnldme est hoodfm obilization/ andb ehaviocuhraanlg 6e1 7
manipulatteicohnn iqu1e6s5
Inde6x2 5
8.P rinciopfls eesl ectainodpn r ogresosfi on
mobilization/matneicphunliaqtu1ie7os9n
vii
Foreword
Iitsn odti ffitcosu elweth yt hibso ohka sst otohdte e sta ndc linpirceasle ntawtaisio lnlsu,m inaantdii tin sg
oft imaen dc ritaipcparla tiosr aela cilt41st he ditiosnt.i cloln,t rtaotr hyve i ewosfa f ew who esneteimtr oe ly
Likietc so mpanvioolnu mVee,r teMbarnailp ulaitti hoanv,me i sstehdpe o inavt a,l uable idea.
wasi,ni tssl immoerri gvienraslpi uobnl isihne d1a 9 70,S ouncdl inriecaaslo nlionnbgge, f otrheat te rwma s
landmpaurbkl icaOttihoebnro. o kosnt h'ew hya'nsd one veryboldiyp'ss, t hwfeao su ndaotfit ohnep io­
how'osfm anipuleaxtiisobtnue ttdh ewye rwer itbtye n neeringo fwG oerokf fMraeiyt laasnr de,c oridnhe ids
doctoersss,e ntfioadrlo lcyt oPrhsy.s iothewrearpei bsotosk asn da rticTlheisws.a sn oto nlwyh ath e
th'ea lrsaon sN'o.tt raiansep dr imamreyd icdaila g­preacbhuetad l svoe rmyu chs eeinn w hahte p rac­
nosticuinaanbstl,ope r escmreidbiec aotrii onnj oerc t tiseads,t hosper ivilteogw eadt chhi mt reating
caroruytm anipulautnidoeanrns a esthtehteaiync d, patiecnatcns o,n firm.
thesikri wlelrsue s uarlellye gtaoat s eedc on,dt aercyh­ Hiss ayitnhga' tt echniistq hubeer aincohfii nlgde ­
niciansi nt rhoaels es essamnednt tr eatmoefmn uts ­ nuitwya'sd emonstroanto endeo ccaswihoenna n
culo-skceolnedtiatTlih oinassp .p rowaacshi nevitaobblsye rwvaetrc,h hiinmgo na c ourse tarp eaattiienngt ,
centerxecdl usoinvt ehlmeye dicmaold eolfe xaminae­nquiredw awsth hatete chnhieqw uaesu sin"gId. o n't
tiodni,a gnoasnidts r,e atmbeuntit n corpotreacthe­dk nowc"a mteh ree ply "I'dvoen ientb eevfeorr e"! this
niquoefms a nusakli clolm monvliye waesd' frionrg ew'a sn oto,fc ourasf ea,c etrieomuasbr ukat,n e njoinder
'alternSaotmioevf te h'e.ss tee mmferdo oms teohpy.a tto" go tahnoddu o l ikewise".
Whiltshtse k iolfpl ass smiovvee meunste idnt reat­Thep roceosfos n goicnogn,t inrueo-uass sessment
menotfa w idrea ngofed isorsduecrahsst howsiet hina ta lslt agoefts r eatmaenndit tf so llowu-soinnp,gr e ­
orthopaaenddin cesu rolhoagdya ,l waybse eann cisdee,t aiqlueeds tioannidrn egt eshtaisrn egm ained
essenptairoatflt hweo rokf p hysiothearc aopmi­stassa, f undamesnttraeln ogftt hh iasp proaTchhi.s
prehentseixovtfse u ffiscuibesnttaa nncdoe r igi,n alpirtoyceesxse mpltihfeein eosr mocuosn tribmuatdieo n
writbtyea np hysiothfeorprah pyissito thewraasp ibsytG se offMraeiyt liannh di esm phasoint sh iem por­
lackiManigt.l aVnedr'tse Mbarnailp ulcahtainognae ldl tanocfes ubtcloem municaasta if ounn damesnktialll
oft haatn dP eriphMearnailp ula(t1i09o)7fn o llowetdob em asteirnet dh per oceosf"s p rovcilnign ically"
oni nt hsea mvee in. thvea loureo therwoifps aer ticpualsasmirov vee ment
Thed evelopomfea nstp eocft' st hMea itlcaonnd­ strataengdoi tehsae srs ocitaetcehdn iTqhuieisssw . e ll
cepats'i tb ecamken ownw,a sf ascintaotf ionlg.l owdocumenitneC dh apt3e,er s senrteiaadli fnogar l l
Numerous siudcaehsa' sm,o vemdeinatg raamnsdt' h e medicpaelr sononfwe hla tepvreorf ession.
'gradoifne ga'c the chnitqodu eef iintefs o racne d Anothgerres attr enogftt hhae p prodaecshc riinb ed
amplitaunddme o deo fa pplicabteicoanmv,ea luablteh ibso oikst haitti sn on-dogmCaotnisce.q luyea,nn t
teachtionofglo scr o mmunicaantdwi eornae n a ttempetv olvkinnogw lebdagsehe a bse einn corpoorvaetre d,
ata ccurraetceo rdbiontighnt, h cel insiectatlai nndig n thyee arIsit.s n ot' mae thoor'd s'c hionot lhn'ea rrow
thper ocoefts esa chainndlg e arningT.h ec onceptualsieznasI­et.'s o peanp'p roahcahsf aciliat daetveedl op­
tioonfa ni magin(apreyr mea'bblreiw!ca)kl sl e'p aramte­natn de xpansoifto hnwe h ol"ed,e veloapnidn g
ingb,u tn otm utuaelxlcyl udsicnige,n ktniofwilce dgeex tendaisMn agi"t lhainmds peulitf(t C hapIt)We.ir t h
viiiF OREWORD
non ecestsoic thya nigtebs a spirci nciipthl aesbs e en Thee xpansoifto hnte e xttoi ncorproerfaetree nced
possitboal dedt oa ndd eveltohwpeo rkC.o mpatrhee reseaarncdoh t hmeart erciaasslet, u dipehsy,s iothera­
sizaen dc ontoefnt th iesd itwiiotnth h fei rst. pistthso ugahntdsh ypothecsleisnp,ir coafli plheos­,
Thea uthaorrtesob ec ongratounlta hteesidur c cestso graopfht ye chniaqnudme usc he lsaed dgsr eattol y
ind evelotphiceno gn teonftt hsit sh ierddi ttioio nnc ort­he waosra k s tandraerfde raenndca e c ourtseex t,
poraatpep,a resnetalmyl e,ts hsaeld yvanmcaedse i n, asw elals a ricsho urocfec linigcuaild anacned
foerx amptlhepe,a isnc ienicnte hsle,a sfti ftyeeeanr si llumination.
ors oA.n o steo-arktnheiresin toli ocn gveire waesd Itm usts urehlayv bee eann i nspirtaott ihoen
simpalp ya infsutlij,fo fib nutat,p roblheamv ilnigk,e a uthotrhsaa t g rowianmgo unotfr eseaarccrhoa s s
lowb acpka ianb ,i o-psychcoosnosctiaranuldct th,ii ss widsep ectorfue mx peritnip shey siothaenrdta hpey
right. Penroicpihceerppatelir viep,hn eeruarlo genfiice,ol fmd a nipulhaatssit oenm mferdo tmh e teaching
centarnadsl y mpathemtaiicnatlalpiyan ieandr e ex am­summariiznte hdib so oakn di tpsr evieoduist ions.
plehsi ghligvhatriinagt wiiotnhsni enr vosuyss tem Thef oundatoifot nh eI nternatMiaointalla nd
paipnh ysiowlhoigcymh u shte lgpu idaen dm odifyT eacheArs'sso cia(tIiMoTinAn )S witzerwlaasdn ude
ouurs oef m anipultahteirvaep y. tot hef oresaingdhd te terminoafat rieomna rkable
Howevetrhb er illainadno crei ginoafsl oim tayn y physiotheGriaspeiRlsoatl ,Tf h.i osr ganizhaatsi on
ofG eoffMraeiyt laindde'hasas v neo tb eelno sFto.r oversteheen troafit neiancghw ehroas t tetmops ta tisfy
examptlhece,o nceopf't i rritaasbd iilsittifynr'co tm thed emanidnE uroapned e lsewhfeorrree gulated,
'severwihtiyli'sth,t a sb eecnr itifcriosamen da rrowh igsht andpaorsdt,- graduaitnet hficisoe uTlrhdse.eys
acadevmiiecw point,a v raelmuaaiibnnlsse i hgehltp ­wilwli,t hoduotu bbtee, n courbaygt ehdni esw e dition.
intgh cel inimcaikacenr ucdieacli saiboonutsth f eo r­ Thep ioneerwionrgko f GeoffrMeayi tland,
mulatoifto hne irt odd aayty r eatments. refleicntt heedps aeg ehsa so,v etrh yee argse,n erated
Likewtihsepe e rcepstuibvdei viosf'i oovne russeo'm,he e aitnd iscusbsuitmo,on s itm porlt,yag nrteat
'misu'saeb'u,s' en'eu,ws ea'n d' disutsoie l'l uminaltieg Thhti.ps r eseendti twiiolnil l lumifnuartteih tesr
clinsitcaatlie sas su sefausel v eirng ainifnugr thesru bject.
insiignhttto h nea tuorfte h ger eaartr oafym usculo­Mositm portaintpt rleys eunswt ist ahn a bsorbing
skelpertoabll eEmvset.ne rmssu cahs' unstianbsltea a­ndc omprehetnesxihtve el pitnodg e fian cer ucial
biliatnyd'' s taibnlset abwihliichthay v'te h roswonm e parotft hweo rokf p hysiotherapists.
moderapteeo pilnet ao r agaer,e s upporbtyea dn
underlwyiisndgo m cowuiptlahwe eda lotfhc linical PetWeerl ls,
experience. Londo2n0 05
ix
Prefatcoet hef ourtehdi tion
Thep reftaotc hefe i resdti toifto hnib soo wka sw ritteonfp hysiothperraacptGyiu cied.e lfionares ss essment,
35y eaargsoa ndi sa sr elevtaotn otd apyh'yss iotheexra­minaatnidto rne atmheanvtbe e eunp datweidt h
apyp rofesassii twoa nsi n1 97T0h.ea dvanceomfe nrte levant fervoitmdh ecenu crrele intte riantculrued,i ng:
orthopameeddiicci amla gianngdd iagnoastnidtc hse, c ontempodreavreyl opmienpn htyss iotherapy practice
adveonfet x tensdceodpp hey siothperraacpthyia cvee (Chap4t)ec;rl inriecaaslo nsicnige ntchebe;i opsycho­
distratchtpeer do fesfsriootmnh dee taoifjl o ipnati n socipaalr adiignmc,l udpisnygc hosaoscsieasls ment
andt haeb iltiodt eya wli tiht faatcv ea luTeh.em es­ (Chap4ta enrd5s ) a ndf uees seonfcs ee lf-management
sagient hper eftaoct hefe i resdti ttihoenr,e cfoourled,s tratewgiitaeh fs o cuosnc ompliaennchea ncement
bea ppltioec do ntemporary phpyrsaicotitinhc eear nadbp eyh aviocuhraanl(g Aep pen2d)iA.xp pend1ii xs
200R5e.a idat n ds ee. precebdyea dr evioeftw o piicsaslui ents h dee finition
'ThMea itlCaonndc eapsti h'ta, cs o mteo kbneo wn,o fR ]t,h ed efiniotfgi roand oefsm obilizaantdi on
appeatrobs e c ontradeixchtiobriy,bt oittnhhg qe u alim­anipulaatnidto hrnee, l iaobfid leitteyca tnidrn egp re­
tioefss tabialnidft lye xi.Tb hielc iltiynbiacsaailns dt he sentitnhgep arameteenrcso untdeurreidpn ags sive
Concepftu'nsd ameenlteamle hnatvsre e maintehde movemetnets ting.
samteh rougihtoesuv to lutAitto hnse.a mtei mieht a s Ab ulletm-eptohioonfdpt r esentthitene xghta b se en
changweidt thh et imeasn da ccepctoendt emporuasreyfd o crl araintdty oi mprotvheue s er-frieonfd liness
manipulative phmyestihootdThshe.erC aopnyc eptt hbeo okT.h el inder awisnoge sx perptrloyd ucbeyd
hams aintaainnu enda ssumnionng-,j udgeamnedn tAanln Mea itlhaanvdbe e esnu persbeydp ehdo tographs.
open-mianpdperdo awchhi,cp he rpetuaa ptaetsi enTth­em airne asfoontr lU iss t oc omplemtehnCetD -ROM
centmroedde olfc linpircaaclt Tihciiessi. t bsa ckbonweh icahc compatnhiiefsso urefdui tainodnh elptso
andt hset rensgttal1b,ia lnidft lye xiobfi lstiyhtmeyb olibcr ingl imtfooes otft htee chnioqfeu xeasm inaatnido n
permea'bblrewi aclkal n'a glyo. treatdmeesnctr iinbt ehbdeo ok.
Thef ouretdhi toifMo ani tlaPnedr'isp hMearnaiLp ula­ KeviBna nkesx prehsistseh sa ntkosJ: u kkKaa ngas
tiopnr eseannit nst egrcaotnetde,m paonrdae rvyi dencaen­dD onnAar drfoontr h eciorn struccotmimveeno tns
basemdo deolf m anipulpahtyisvieo atphySe.ur cah ther evisteedxR to;b iBnl akfeo srh arihnigks n owl­
modeilsp lacweidt htihnce o ntoefx' tb epsrta ctfiocre e'd gaen de xperotviesmrea nyy earasn,dN ancayn d
movement-related neurdoimsuosrcdoufel rosts hkkeie dlfseott rha eli r patuinednecres taanindnsd eienign g
thuep pearn dl owelri mEba.c chh apotfet rh is textth iphsra osj tehcrto ugh.
beerne visaendde xpandteodr eflaedcvta nciens EllHye ngevweilsdh teots h anekv erybwohdohy a s
knowleadngde them raonliepu olpfah tyisvieo thergaipvyec no nstructive tsotu hgtege exsittnspi ,ao rntsi cu­
withcionn tempocrlairnypi rcaaclt Tihcieis.n cludelsaR:re nedeeR uyter-BoaunwdHm uang oS tamG;is ela
three ferteont cheIen ternatCiloansasli ficoafFt uinocn­ Rolafs,a teachientr h e1 980fso,hr e rd edication,
tioning, DiasnadHb eiaLlit(thir eCsWF H,O 2001p)a;i n thoroughannedds est ermintaogt iivoeenv erything
mechanibsimosp;s ychopsaroacdiiatglhm rese ;h abilfio­hre rv isioFnrsa;na znidU elCia,t herCihnrei,s tin
tatiporno caensdcs u rrdeenfti niatniddo enssc riptainondRs o lanRde,n eaen dH enk-t hanfkosbr e insgu ch