Kinetic Control Revised Edition: The Management of Uncontrolled Movement

Description:

The ability to assess for uncontrolled movement (UCM) and to retrain the control of movement is an essential skill for all clinicians involved in the management of musculoskeletal pain, rehabilitation, injury prevention, and those working in health promotion, sport and occupational environments.

Written by renowned clinicians, Mark Comerford and Sarah Mottram, and underpinned by current evidence, Kinetic Control will assist the clinician to:

develop clinical skills in the assessment and retraining of the control movement

use cognitive movement control tests to identify UCM

identify UCM to guide an individualised clinical management approach

access a large range of movement retraining strategies

develop an assessment framework, based on four key factors, to evaluate the ‘site, direction and threshold®’ of UCM and pain-sensitive tissues, and to consider the influence of pain mechanisms and contextual factors

use a clinical reasoning framework to prioritise clinical decision-making.

Based on 30 years’ experience, Kinetic Control is a valuable resource for any clinician wishing to expand and enhance their treatment options for musculoskeletal disorders.

introduces the theoretical complexities of movement control impairment including Kinetic Control’s® unique classification and assessment tool and provides invaluable step-by-step instruction on the management of lumbar spine, cervical spine, thoracic spine, shoulder and hip disorders.

an digital version is included in all print purchases

Table of Contents:

Section 1

Chapter 1 Uncontrolled movement

Understanding movement and function

Identification and classification of UCM

A model for the assessment and retraining of movement faults

The assessment and management of UCM

The clinical reasoning process

Clinical reasoning in a diagnostic framework

The disablement assessment model

References

Chapter 2 Muscle function and physiology

introduction: movement control

Analysis of muscle function

Muscle function: primary role

Motor recruitment

Low versus high threshold recruitment

Muscle stiffness

Pain and recruitment

Recruitment dysfunction: inhibition and dysfacilitation

Altered strategies in a dysfunctional situation

Sensation of effort, afferent input and recruitment

The dysfunction loop

Muscle recruitment training

Clinical guideline for recruitment training

References

Chapter 3 Assessment and classification of uncontrolled movement

Classification of subgroups in neuromusculoskeletal pain

Principles of assessment of UCM

Clinical assessment of UCM

References

Chapter 4 Retraining strategies for uncontrolled movement

Rehabilitation management and retraining

Therapeutic exercise

The site and direction of UCM

Key principles in the retraining of motor control patterns

Challenges in retraining neuromusculoskeletal dysfunction

Integration into functional tasks and activities

Conclusion

References

Section 2

Chapter 5 The lumbopelvic region

Lumbar flexion control

Tests of lumbar flexion control

Tests of lumbar extension control

Extension load testing prerequisites

Tests of lumbar extension control

Tests of lumbopelvic rotation control

Tests of open chain rotation control

Tests of closed chain rotation control

References

Chapter 6 The cervical spine

Cervical flexion control

Tests of low cervical flexion control

Test of upper cervical flexion control

Cervical extension control

Tests of upper cervical extension control

Tests of mid-cervical extension (translation) control

Control of unilateral movements – rotation (± side-bend)

Control of unilateral movements – side-bend

Tests of rotation/side-bend control

References

Chapter 7 The thoracic spine

Thoracic flexion control

Tests of thoracic flexion control

Thoracic extension control

Tests of thoracic extension control

Thoracic rotation control

Tests of thoracic rotation control

Thoracic and rib respiratory control

Tests of thoracic and ribcage respiratory control

References

Chapter 8 The shoulder girdle

Test of shoulder medial rotation control

Shoulder lateral rotation control

Test of shoulder lateral rotation control

Shoulder flexion control

Test of shoulder flexion control

Shoulder abduction control

Test of shoulder abduction control

Shoulder extension control

Test of shoulder extension control

References

Chapter 9 The hip

Hip and lower quadrant sagittal alignment evaluation

Hip flexion control tests

Hip extension control

Hip extension control tests

Hip rotation control

Assessment of rotation dysfunction at the hip

Hip medial rotation control tests

Hip lateral rotation/abduction control tests

Hip adduction control

Hip adduction control tests

Femoral forwards glide (femoral head anterior translation) control

Hip forwards glide control tests

References

Index