Functional Restoration for Spinal Disorders: The Sports Medicine Approach



Table of Contents
Part I The problem of Low Back Pain

1: Introduction and Overview of the Problem ---3

2: A Review of the Basic Anatomy, Physiology and Biomechanics of the Lumbar Spine ---16

3: Structural Sources of Low Back Pain ---36

4: The Process of Pain Perception ---52

5: Pain Versus Function ---66

6: Current Common Evaluation and Treatment Methods ---78

7: What is Functional Restoration ---106


Part II Objective Quantification of Lumbar Function:

The New Technology

8: Quantitative Lumbar Spine Assessment to Address the Deconditioning Syndrome ---115

9: Objective Measurement of Spinal Joint Function ---124

10: Objective Trunk Strength, Endurance and Aerobic Capacity Measurements ---139

11: Objective Measurement of Functional Task Performance ---162

12: Psychosocial Assessment of Chronic Low Back Pain ---183

13: Integration of Physical and Psychosocial Assessment Data to Guide the Treatment Process ---197


Part III Functional Restoration Treatment

14: An Overview of a Functional Restoration Program: The Basic Issues and the Therapeutic Team ---207

15: The Role of the Physical Therapist: Active, Not Passive Modalities ---218

16: The Role of the Occupational Therapist: Back to the Roots ---241

17: The Multimodal Disability Management Program ---266


Part IV Long-Term Psychosocioeconomic Implications

18: Maintaining Treatment Gains and Productivity ---283

19: Socioeconomic Implications: Re-employment and Impairment Evaluation ---294