Reichert: Palpation Techniques: Surface Anatomy for Physical Therapists

The clinical practice community has been left wanting for a textbook dedicated to the precise execution of in-vivo anatomical examination, and this excellent text emerges in a timely fashion. Healthcare professionals have witnessed an escalation in the need for relevant clinical examinations and the use of manual therapeutic interventions, both of which rely on a thorough understanding and execution of precision in-vivo surface anatomy skills. Because surgical exposure may not be readily available, the clinician must rely on nonsurgical measures for identifying relevant anatomical structures. Thus, surface anatomy skillsets become indispensible for localizing structures and landmarks. This text can serve as a road map for locating relevant structures with exactitude. The clear means by which this text instructs the clinician in tactile localization will compliment essential knowledge in structural and functional anatomy.

The authors have organized the approach to identifying structures by both layer and region. This process of organization can guide the clinician to visualizing a particular structure's relative depth and relationship to surrounding structures. Moreover, the text is complete, offering a thorough and methodical approach to all major musculoskeletal areas of the human body. This will assist the clinician in developing a musculoskeletal surface anatomy approach to the entire human, allowing for identification of patterns, similarities, and differences between structures in the different regions. Finally, the clinician is cued on how the information can be directly applied to clinical examination, which bridges the gap between knowledge and implementation. When used in accompaniment to a thorough, systematic clinical examination, precise structural localization can help to confirm a suspicion of that structure's involvement in the patient's condition.

Surface anatomy is essentially manual in nature. Thus, this text can serve as a segue for accurate localization of structures involved in a manual therapeutic intervention. Moreover, because a patient's response to manual therapeutic interventions could be influenced by a clinician's confidence in technique execution, the clinician's thorough knowledge of structural architecture that is accompanied by accurate tactile localization could serve to enhance the patient's response to treatment.

The knowledge and skills gained from this text can provide a foundation for increased clinical confidence, as it can reduce the clinician's guesswork when navigating to a particular structure. The authors offer practical guidance for enhancing the clinician's success with an invivo surface anatomy experience. So not only are clinicians instructed on what skills to utilize, they are additionally guided on how to best implement them. This text can join the top ranks of a clinician's library and serve as a bridge between foundational science, clinical knowledge, and practical skills. With these features in mind, the text can support an individual's development and progress as a master manual clinician.

This lavishly illustrated guide to palpation techniques provides readers with a solid understanding of topographic anatomy using clear, step-by-step descriptions that teach how to first identify, then distinguish between, the various body structures.


Full-color photographs feature models with detailed drawings of muscles, bones, and tendons on their skin, indicating exactly where and how to palpate. Complementary color drawings show the functional significance of each anatomic region.

Key Features

• In- pth coverage of the entire body-upper extremities, lower extremities, and the head and trunk-all in one comprehensive volume.
• Over 850 full-color photographs and illustrations enhance the text, making it especially useful for the visual learner.
• Easy-to-reference text boxes contain tips and tricks, including advice on finger placement, pressure application levels, and more.
• Study questions at the end of each chapter aid readers in self-assessment and review of the material.

Contents

1 Basic Principles

• Why Do Clinicians Need In Vivo Anatomy?
• What Is Understood by In Vivo Anatomy in this Book?
• Where Can In Vivo Anatomy Be Used?
• Clinical Relevance
• Characteristics of Palpation
• When Is In Vivo Anatomy Applied?
• Prerequisites
• Palpatory Techniques
• Palpation Aids

2 Shoulder Complex

• Significance and Function of the Shoulder Region
• Common Applications for Treatment in this Region
• Required Basic Anatomical and Biomechanical
• Knowledge
• General Orientation—Posterior
• Local Palpation—Posterior
• Local Palpation—Lateral
• General Orientation—Anterior
• Local Palpation—Anterior
• Local Palpation—Anterolateral
• Study Questions

3 Elbow Complex

• Significance and Function of the Elbow Complex
• Common Application for Treatment in this Region
• Required Basic Anatomical and Biomechanical Knowledge
• General Orientation—Anterior
• Local Palpation—Anterior
• Local Palpation—Medial
• Local Palpation—Lateral
• General Orientation on the Posterior Humerus
• Study Questions

4 Hand

• Significance and Function of the Hand
• Common Applications for Treatment in this Region
• Required Basic Anatomical and Biomechanical Knowledge
• General Orientation—Dorsal
• Local Palpation of the Dorsal Soft Tissues
• Local Palpation of the Dorsal Aspect of the Carpal Bones
• General Orientation—Palmar
• Local Palpation of the Palmar Soft Tissues
• Local Palpation of the Palmar Aspect of the Carpal Bones
• Study Questions

5 Hip Region

• Significance and Function of the Hip Region
• Common Applications for Treatment in this Region
• Required Basic Anatomical and Biomechanical Knowledge
• Local Palpation—Posterior
• Local Palpation—Anterior
• Study Questions

6 Knee Joint

• Significance and Function of the Knee Joint
• Common Applications for Treatment in this Region
• Required Basic Anatomical and Biomechanical Knowledge
• Palpating Edema and Increase in Temperature
• Local Palpation—Anterior
• Local Palpation—Medial
• Local Palpation—Laterl
• Local Palpation—Posterior
• Study Questions

7 Foot

• Significance and Function of the Foot
• Common Symptoms in the Foot
• Required Basic Anatomical and Biomechanical Knowledge
• Palpating the Medial Border of the Foot
• Palpating the Lateral Border of the Foot
• Palpating the Dorsum of the Foot
• Palpation of the Posterior Foot
• Study Questions

8 Soft Tissues

• Significance and Function of Soft Tissues
• Common Applications for Treatment
• Required Basic Anatomical and Biomechanical Knowledge
• Summary of the Palpatory Process
• Starting Position
• Difficult and Alternative Starting Positions
• Palpation Techniques
• Palpating the Quality of the Skin (Turgor)
• Tips for Assessment and Treatment
• Examples of Treatment
• Study Questions

9 Posterior Pelvis

• Significance and Function of the Pelvic Region
• Common Applications for Treatment in this Region
• Required Basic Anatomical and Biomechanical Knowledge
• Summary of the Palpatory Process
• Palpatory Techniques for Quick Orientation on the Bones
• Palpatory Procedure for Quick Orientation on the Muscles
• Local Palpation Techniques
• Orienting Projections
• Local Palpation of the Pelvic-Trochanter Region
• Tips for Assessment and Treatment
• Study Questions

10 Lumbar Spine

• Significance and Function of the Lumbar Spine
• Common Applications for Treatment in this Region
• Required Basic Anatomical and Biomechanical Knowledge
• Summary of the Palpatory Process
• Starting Position
• Difficult and Alternative Starting Positions
• Palpation Techniques
• Tips for Assessment and Treatment
• Study Questions

11 Thoracic Spine and Thoracic Cage

• Significance and Function of the Thoracic Region
• Common Applications for Treatment in this Region
• Required Basic Anatomical and Biomechanical Knowledge
• Summary of the Palpatory Process
• Starting Position
• Difficult and Alternative Starting Positions
• Posterior Palpation Techniques
• Anterior Palpation Techniques
• Study Questions

12 Cervical Spine

• Significance and Function of the Cervical Spine
• Common Applications for Treatment in this Region
• Required Basic Anatomical and Biomechanical Knowledge
• Summary of the Palpatory Process
• Starting Position
• Difficult and Alternative Starting Positions
• Posterior Palpation Techniques
• Lateral Palpation Techniques
• Anterior Palpation Techniques
• Study Questions

13 Head and Jaw

• Introduction
• Significance and Function of the Temporomandibular Joint
• Common Applications for Treatment in this Region
• Required Basic Anatomical and Biomechanical Knowledge
• Anatomy of the Bony Skull
• Palpation of the Bony Skull
• The Jaw—Temporomandibular Joints
• Palpatory Examination of the Jaw Muscles
• Study Questions

Bibliography

Index

About the Author

Bernhard Reichert was born in 1959 in Dusseldorf, Germany. After completing secondary school, he gained his first professional qualifications, became self-employed, and later relocated to Schwieberdingen in the German district of Ludwigsburg with his family.

Education

• Massage and balneotherapy certification
• Physical therapy certification and Bachelor of Science in Physiotherapy
• Business administration in educational management
• Currently studying for his Master of Science in Physiotherapy

Continuing Education (Selection)

• Manual therapy
• Orthopedic medicine (Cyriax)
• PNF
• Sports physical therapy, medical rehabilitation
• Mobilization of neural structures
• Anatomy on specimens

Professional Experience

• Self-employed in his own massage, balneotherapy, and electrotherapy practice from 1984-95
• Self-employed as consultant and owner of the firm "Physio Train consult" since 1996
• Teacher of physical therapy and head of the massage course at the VPT Academy Fellbach, Germany
• Course instructor for anatomy and manual therapy
• Lecturer at congresses and symposiums; author of several articles, book reviews, and reference books
• Certified manual therapy instructor
• Lecturer at the International Academy of Orthopedic Medicine (IAOM Europe)
• Freelance lecturer in scientific methodology, Dresden International University, Germany

Product Details

• Hardcover: 416 pages
• Publisher: Thieme; 1 edition (2011)
• Language: English
• ISBN-10: 3131463414
• ISBN-13: 978-3131463418
• Product Dimensions: 10.9 x 8 x 0.9 inches

List Price: $109.95 
 

Joint Structure and Function: A Comprehensive Analysis 5th Edition with DVD

The perfect balance of clarity and comprehensiveness,—now more reader friendly and visually appealing than ever.

This popular text offers the clear, logical discussions of the basic theory of joint structure and muscle action and provides the foundation you need to understand both normal and pathologic function.

The 5th Edition features a dynamic new full color design, videos, and a streamlined biomechanics chapter. Thoroughly revised and updated, it incorporates the latest research findings and techniques, reflecting the text’s emphasis on evidence-based practice.

Key Features

• Prepares you to evaluate and treat human movement disorders with lucid discussions of biomechanics, joint structure, connective tissue behavior, and muscle physiology.
• Features an evidence-based approach that applies current research to illustrate and prepares you for the complexity that evidence-based content brings to practice.
• Focuseson the continuum of normal structure and function to show how deviations from normal may create or underlie disordered movement or dysfunction.
• Enhances your comprehension of content with end-of-chapter questions.
• Illustrates real-world application using Patient Cases and Case Application that show you WHY they need to understand the principles presented and the close link between normal and abnormal musculoskeletal function.
• Highlights key points with Concept Cornerstone boxes and periodic summaries.
• Promotes critical thinking on controversial topics through Continuing Exploration boxes.

  

New to this edition 

• Full-color design bring kinesiology alive with over 830 images that simply and elegantly portray basic and complex biomechanical and kinesiology concepts.
• Streamlined biomechanics chapter provides a strong foundation for understanding the requirements for normal function and clinical approaches to patient care.
• Kinesiology Videos on DVD present more than 50 high-quality teaching videos for biomechanics, functional anatomy/kinesiology, posture, and gait.
• Demonstrates typical and impaired gait at both normal and slowed speeds to enhance understanding of the requirements for gait and the effects of limitations.
• Illustrates normal concepts and movements that are often difficult to understand, such as active and passive insufficiency.
• Shows the effects of restrictions of normal movements on tasks of everyday living, such as combing hair, stepping up on a stool, or getting up from a chair.
• FREE DVD bound into every book.

Table of Contents

Joint Structure and Function: Foundational Concepts

• Biomechanical Applications to Joint Structure and Function
• Joint Structure and Function
• Muscle Structure and Function

Axial Skeletal Joint Complexes

• The Vertebral Column
• The Thorax and Chest Wall
• The Temporomandibular Joint

Upper Extremity Joint Complexes

• The Shoulder Complex
• Elbow Complex
• Wrist and Hand Complex

Hip Joint

• The Hip Complex
• The Knee
• The Ankle and Foot Complex

Integrated Function

• Posture
• Gait

About the Author

• Pamela K. Levangie, DSc, PT, FAPTA, Professor and Associate Chairperson, Department of Physical Therapy, MGH Institute of Health Professions, Boston, MA. 
• Cynthia C. Norkin, EdD, PT, formerly of Ohio University, Athens, Ohio. 

Product Details

• Hardcover: 588 pages
• Publisher: F.A. Davis Company; 5 edition (March 9, 2011)
• Language: English
• ISBN-10: 0803623623
• ISBN-13: 978-0803623620
• Product Dimensions: 11 x 8.6 x 1.2 inches

List Price: $81.95 
 

Dommerholt: Myofascial Trigger Points: Pathophysiology and Evidence-Informed Diagnosis and Management (Contemporary Issues in Physical Therapy and Rehabilitation Medicine)

Myofacial Trigger Points: Pathophysiology and Evidence-Informed Diagnosis and Management is written by respected myofacial pain research and practice experts and addresses the etiology of trigger points, the epidemiology of myofascial pain, clinical managemnet of patients, specific treatment issues, and the role of trigger points in various pain syndromes. 

This text is an accessible introduction to myofascial trigger points for students and practicing clinicians, such as physicians, physical therapists, occupational therapists, chiropractors, a acupuncturists, and massage therapists.

Book features

• Provides a systemetic analysis of noninvasive treatments and invasive therapies, with spesific attention to trigger point dry needling.
• Discusses the clinical diagnosis and interrater reliability of trigger point palpation.
• Examines the proposed role of myofascial trigger points in peripheral and central sensitization.
• Explores the role of myofascial trigger points in the etiology of headaches, including a detailed case history emphasizing the integration of trigger point therapy into a conservative management approach.

Contents
Part 1 Pathophysiology

• Chapter 1- Myofascial Trigger Points: Translating Molecular Theory into Manual Therapy
• Chapter 2- Myofascial Trigger Points: An Evidence-Informed Review
• Chapter 3- Nutritional and Metabolic Perpetuating Factors in Myofascial Pain

Part 2 Diagnosis

• Chapter 4- Reliability of Myofascial Trigger Pont Palpation: A Systematic Review
• Chapter 5- Interrater Reliability of Palpation of Myofascial Trigger Points in Three Shoulder Muscles
• Chapter 6- Contributions of Myofascial Trigger Points to Chronic Tension-Type Headache

Part 3 Management

• Chapter 7- Effectiveness of Noninvasice Treatments for Active Myofascial Trigger Point Pain: A Systematic Review
• Chapter 8- Trigger Point Dry Needling
• Chapter 9- Physical Therapy Diagnosis and Management of a Patient with Chronic Daily Headache: A Case Report

Part 4 Future Research Directions

• Chapter 10- Myofascial Pain Syndrome: Unresolved Issues and Furture Directions

Index

About the Author(s)

• Jan Dommerholt, PT, DPT, MPS, DAAPM-President, Bethesda Physiocare Inc., President, Myopain Seminars.
• Peter Huijbregts, PT, MSc, MHSc, DPT, OCS, FAAOMPT-Assistant Professor, University of St. Augustine for Health Science.

Product Details 

• Paperback: 225 pages 
• Publisher: Jones & Bartlett Publishers; 1 edition (2011) 
• Language: English 
• ISBN-10: 0763779741 
• ISBN-13: 978-0763779740 
• Product Dimensions: 8.9 x 7 x 0.8 inches 

List Price: $58.95 

Macdonald: Pocketbook of Taping Techniques (Physiotherapy Series)

Taping is now recognized as a skill which is essential for all those involved in the treatment and rehabilitation of injuries. It is widely used not only for sports injuries, but also for many other conditions such as muscle imbalance, unstable joints and impaired neural control. During treatment and rehabilitation, taping aids the healing process by supporting and protecting the injured structures from further injury or stress, thus reducing the need for prolonged treatment and time off work.

New techniques are constantly being developed for injury prevention which may also be used in general practice and in the hospital environment for the non-sporting population. Once the basic techniques are mastered, then it is up to the practitioners to modify, change and develop new techniques themselves, always adhering to taping principles. 

To aid in the development of new techniques, this pocketbook has many new ideas which may be used as indicated or modified to suit the situation. Many of the ‘old favourites’ are included, as basic techniques are fundamental to the practice of good taping. Chapters on techniques to alter muscle activity and proprioception, with scientific evidence, are also included for those not familiar with this type of taping.

Sports medicine leans towards early mobilization through functional therapy, and total immobilization in plaster casts is becoming less common. Removable cast bracing is used instead, to enable therapy to continue throughout the recovery phase. Taping a limb or body part is like applying a ‘flexible cast’ which aids in the prevention of further injury and rests the affected part. Flexible tape casts limit the range of motion and may be used in many sports where rigid supports are not allowed.

On some occasions a bandage is more appropriate than tape. Therefore, at the end of this pocketbook, as an aide memoire, there are two short sections on spica (figure-of-eight) bandaging and the construction of arm slings using a triangular bandage.

New contributors from South Africa, Ireland and the UK share their expertise, bringing an abundant array of new evidence-based techniques and updated literature to the pocketbook. 

Key Features

• Structured by body region with highly-illustrated descriptions of relevant taping techniques.
• Covers all aspects of functional taping.
• New techniques to alter muscle activity and proprioception based on scientific evidence.
• Handy, portable size for easy reference in the field.

Contents 

PART 1

• 1. Introduction
• 2. Taping literature update
• 3. Taping for pain relief
• 4. Recent taping techniques to alter muscle activity and proprioception

PART 2

5. Foot

• Turf toe strap
• Hallux valgus
• Antipronation taping
• Plantar fasciitis
• Low Dye Taping
• Plantar fasciitis support
• Medial arch support
• Cuboid subluxation in dancers
• Heel pain
• Heel contusion

6. Ankle and leg

• Acute ankle sprain - field wrap
• Acute ankle sprain - open basket weave
• Acute ankle sprain
• Inferior tibiofibular joint
• Achilles tendinopathy
• Ankle dorsiflexion and rear foot motion control
• Achilles tendinopathy
• Achilles tendon support - two methods
• Preventive taping for injuries to the lateral aspect of the ankle joint
• Closed basket weave taping for the ankle
• Heel locks for closed basket weave
• Calcaneal Motion control
• Superior tibiofibular joint
• Shin - MTSS offload 

7. Knee

• Patellar tendinosis
• Unload the fat pad
• Knee support - Crystal Palace wrap
• Sprain of the lateral collateral ligament
• Anterior cruciate taping
• Continuous figure-of-eight wrap for the knee
• Vastus lateralis inhibition

8. Lumbar spine

• Lumbar spine taping
• Frontal plane pelvic stability
• Sacroiliac joint
• Chronic low-back and leg pain

9. Thoracic spine

• Thoracic spine taping
• Thoracic spine unload
• Winging scapulae
• Scapular control - Watson's strap
• Scapular retraction
• Serratus Anterior taping

10. Shoulder girdle

• Shoulder taping techniques
• Shoulder girdle elevation
• Acromio clavicular joint congruency
• Subluxation of acromioclavicular joint
• Acromioclavicular joint strap
• Acromioclavicular joint taping
• Acromioclavicular taping for sport using stretch tape
• Scapula upward rotation
• Relocation of the humeral head
• Multidirectional instability
• Upper trapezius inhibition
• Scapula external rotation
• Scapula posterior tilt

11. Elbow, wrist and hand

• Tennis elbow (lateral epicondylosis)
• Simple epicondylitis technique
• Elbow hyperextension sprain
• Prophylactic wrist taping
• Wrist taping
• Inferior radioulnar joint taping
• Contusion to the hand
• Palm protective taping (the Russell web)
• Protection of the metacarpophalangeal joints for boxers

12. Fingers and thumb

• Sprained fingers - buddy system
• Single-finger taping
• Finger joint support
• Climber's finger injury
• Prophylactic thumb taping
• Simple thumb check-rein figure-of-eight method
• Thumb spica taping

13. Spicas and triangular bandages

Glossary 

About the Author

• Rose Macdonald, BA, FCSP, Consultant in Sports Physiotherapy, Former Director, Sports Injury Centre, Crystal Palace National Sports Centre, London, UK.

Product Details

• Paperback: 235 pages
• Publisher: Churchill Livingstone; 1 edition (August 27, 2009)
• Language: English
• ISBN-10: 0702030279
• ISBN-13: 978-0702030277
• Product Dimensions: 7.3 x 5 x 0.5 inches

List Price: $49.95