Low Back and Pelvis: Clinical Applications

Low Back and Pelvis: Clinical Applications

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This book is designed to present the clinical chiropractic procedures and concepts of the late Dr. A. L. Logan as they relate to the low back and pelvis. It is the third in a series of texts that cover the teachings of Dr. Logan; the first two covered the knee, foot, and ankle. It is predominantly a teaching manual, and therefore covers the anatomy of the region, examination, imaging for the low back, muscle testing, adjustive techniques, conditions affecting the low back, exercise and physical therapy, and organic problems that may affect the low back. The purpose is to provide a model for assessing the low back and pelvis as it was originally developed and advocated by Dr. A. L. Logan. It therefore discusses diagnostic and clinical skills that the student chiropractor ought to learn and that will allow for effective management of low back and pelvic conditions. Primarily for chiropractic students, it would also be of interest to practicing chiropractors, osteopaths, and physical therapists. There are a large number of radiographs published throughout the text, and these are of good quality. In some cases, though, identifying information has been left on the films, and this should be deleted in future editions. There are also a large number of line drawings that illustrate the therapeutic techniques, and these are generally of fairly poor quality and pedagogic value. There are insufficient references in this text, except in the chapter on imaging the low back. This seems to have its best value as a teaching manual to be used within the chiropractic laboratory. It is generally rather basic in its presentation, although it has an excellent chapter on imaging the low back. It alsowill be best be used in those chiropractic colleges where the concepts of Dr. Logan are part of the curriculum, so not every college will end up requiring this text. Overall, it does an average job of presenting its concepts, and although not an essential purchase, it may be a good supplemental text for students and doctors.
- Dana J. Lawrence

Table of Contents

Ch. 1 Anatomy 1
 Boney Structures 1
 Muscles 10
 Vascular Anatomy 16
 Neuroanatomy 17
 Visceral Anatomy 19
 Functional Anatomy 19

Ch. 2 Examination 35
 Observation 35
 History 35
 Examination 36

Ch. 3 Imaging the Low Back 63
 Imaging Methods 63
 Spinography 66
 Anomalies and Normal Variants 70
 Fractures and Dislocations 75
 Spondylolysis and Spondylolisthesis 80
 Degenerative Spinal Disease 82
 Inflammatory Spinal Disease 88
 Deposition Diseases Involving the Spinal Column 92
 Diseases Causing Osteopenia in the Lower Spinal Column 95
 Tumors and Tumor-Like Conditions of Bone 97
 Significant Incidental Findings 117

Ch. 4 Muscle Testing 123
 Muscle Examination 124

Ch. 5 Adjustive Techniques 135
 Diversified Technique 136
 Principles of Effective Adjustment 137

Ch. 6 Conditions and Treatment 149
 Inflammation and Connective Tissue 149
 Strain/Sprain Injuries 151
 Lordotic Lumbar Syndrome 152
 Leg Length Inequality (LLI) 157
 The Unstable Pelvis 159
 Sciatica 161
 Quadratus Lumborum 162
 Arthritic Lumbosacral Spine 163
 Hip Conditions 163

Ch. 7 Exercises 167
 Abdominals 167
 Gluteus Maximus 168
 Gluteus Medius 169
 Lateral Hip Rotators 169
 Quadratus Lumborum 170
 Transversus Perinci 170
 Lower Q-L and Coccygeal Fibers of the Gluteus Maximus 171
 Fifth Segment of the Psoas 171
 Hip and Waist Exercises 172
 Lordotic Lumbar Exercise 172
Appendix A Organic Problems and the Low Back 175
Appendix B Physical Therapeutics 181

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Low Back and Pelvis: Clinical Applications

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