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Manipulation of the Spine, Thorax & Pelvis: An Osteopathic Perspective [Paperback]

Peter Gibbons MB BS DO DM-Smed MHSc Dr. , Philip Tehan DO DipPhysio MHSc
4.3 out of 5 stars  See all reviews (3 customer reviews)
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Book Description

6 Sep 2000 0443062625 978-0443062629 Bk&CD-Rom
This well-written, highly illustrated book provides a step-by-step guide to spinal manipulation techniques within the context of osteopathic medicine. The text is divided into four main parts. Part A describes the principles and theory of spinal manipulation and its use in clinical practice. Parts B and C give detailed instructions for 35 different manipulation techniques, covering all levels of the spine, thorax and pelvis, while Part D is a troubleshooting guide.

Free CD-ROM!
The book also comes with a free CD-ROM (Mac and PC compatible), helping the reader to take their learning to another level. It contains video clips of the different techniques, showing how to put them into practice.

A complete resource for those wanting to expand their knowledge of this subject.


Product details

  • Paperback: 320 pages
  • Publisher: Churchill Livingstone; Bk&CD-Rom edition (6 Sep 2000)
  • Language: English
  • ISBN-10: 0443062625
  • ISBN-13: 978-0443062629
  • Product Dimensions: 1.9 x 19 x 24.1 cm
  • Average Customer Review: 4.3 out of 5 stars  See all reviews (3 customer reviews)
  • Amazon Bestsellers Rank: 2,161,935 in Books (See Top 100 in Books)
  • See Complete Table of Contents

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Review

The conservative management of spinal pain syndromes requires the development of many skills including the necessary psychomotor skills to perform joint manipulation. Skill acquisition is not automatic and requires progressive steps of motor learning and frequent refreshment of learning. This novel text and accompanying CD-ROM aims to support practitioners' learning and acquisition of manual skill to perform high velocity, low amplitude spinal manipulations and is likely to provide a valuable resource for both teachers and students of manipulative therapy.

Gwendolen Jull Mphy GradDipManipTher FACP

Associate Professor and Head of Department of Physiotherapy, The University of Queensland, Australia

Peter Gibbons and Philip Tehan have taken the extremely difficult subject of the actual skill teaching in HVLA technique and produced what should prove to be a real milestone. Having been teaching this subject since 1964, I fully understand the problems that they have faced, and their frustration in trying to help students climb the learning curve at a faster rate than is usually possible. The inclusion of a companion DVD with video is clearly the way forward and the no-nonsense approach to making this work available across boundaries of like-minded disciplines is to be applauded. I highly commend this work to all those working in the manipulative fields. I believe that it will help raise the standards of knowledge of manipulative practitioners world-wide as well as confirming the logical thinking and educational process of osteopathic practitioners.

Laurie S. Hartman DO MRO

Osteopath, teacher and author

--This text refers to the Hardcover edition.

About the Author

Professor Peter Gibbons Adjunct Associate Professor Department of Rehabilitation Sciences College of Allied Health Sciences Oklahoma University Health Science Center USA

Professor Philip Tehan Adjunct Associate Professor School of Biomedical and Health Sciences Victoria University Australia Adjunct Associate Professor Department of Rehabilitation Sciences College of Allied Health Sciences Oklahoma University Health Science Center USA

Inside This Book (Learn More)
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Front Cover | Copyright | Table of Contents | Excerpt | Index
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Customer Reviews

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Most Helpful Customer Reviews
10 of 10 people found the following review helpful
5.0 out of 5 stars The best on the market at the moment! 9 Sep 2004
Format:Paperback
This book is by far the best on the market of its kind at present!
What is most refreshing about this book is that the authors have not hidden away in the world of anecdote and hearsay, all to often seen in competing texts, and have embraced an approach informed by research evidence (where available) to the teaching of a subject that has been used for many years by a wide range of health professionals. Whilst the authors make it clear that they are osteopaths and their clinical background has informed their approach, their use of scientifically sound and generic terminology and concepts allows their work to be accessible and understood by readers from any discipline.
A masterstroke by the authors is their categorisation of manipulative techniques by the target joint in which synovial fluid cavitation is desired. Never mind the opinions of authors of less informed books about the relevance of joint cavitation. The scientific literature clearly shows that cavitation is what distinguishes high velocity-low amplitude thrust (HVLAT) manipulation from other interventions grouped under the generic 'spinal manipulative therapy' banner. These authors have taken a brave step in categorising techniques in this manner, adding clarity to a subject that is all too often obfuscated by wishy-washy opinion and an avoidance of robust empirical data.
By the same token, it is nice to see that the authors have emphasised the importance of spinal segmental kinematics in relation to the various phases of HVLAT manipulation. These important concepts are then used to aid explanation of each technique throughout the text in a consistent and logical manner.
The techniques included cover all regions of the spine, and represent an ample repertoire for any manipulative practitioner.
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19 of 20 people found the following review helpful
4.0 out of 5 stars A good book if you like the "click" 8 Nov 2003
Format:Paperback
There are several books on osteopathic technique, so when I looked at this one, my first question was “does it add anything new?” It is definitely an osteopathic perspective, in that it focuses entirely on high velocity low amplitude thrust techniques. This is something of a change from other recent titles, which tend to cover a wider range of methods.
The book is nicely laid out, with plenty of sub titling to make information easy to locate. This gives the information a “bite-sized-chunk” feel, resulting in easy reading.
The introduction is followed by several short chapters over viewing
Osteopathic philosophy and technique
Kinematics and coupled motion of the spine
Spinal positioning and locking
Safety and HVLA techniques
Rational for the use of HVLA techniques
Validation of clinical practice by research
In these chapters it appears the authors are trying not to make any definite statement, unless that statements can be validated by research. This results in chapters which call much into question, but provide little in the way of answers.
There are some interesting choices of statement that they do make though, particularly “The aim of HVLA techniques is to achieve joint cavitation that is accompanied by a popping or cracking sound.” This is not a minor statement pulled out of context either, techniques are described by the spinal level and side at which cavitation is to be produced, e.g. “. . . to produce cavitation at C4-5 on the right.”
This emphasis on the sound effects is in direct contrast to the thoughts of other authors such as Hartman1, Greenman2, Kappler3 and Bourdillon4.
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2 of 2 people found the following review helpful
4.0 out of 5 stars Delivering Osteopathy-A Great Overview 26 Feb 2012
Format:Hardcover
This text is one of the most impressive and intelligent books on osteopathic practice written in the last twenty years. As such it will probably become one of the most widely studied texts at undergraduate level in the UK. Reading the various sections of the text and its editorial slant, shows the authors have attempted to bring the art of manual medicine up to date. They show that osteopathy, which has a quite distinctive interpretation of healthcare delivery to that of the biomedical model, has matured and come of age.

PART A: HVLA thrust techniques - an osteopathic perspective

1 Introduction
2 Osteopathic philosophy, practice and technique
3 Kinematics and coupled motion of the spine
4 Spinal positioning and locking
5 Safety and high-velocity low-amplitude (HVLA) thrust techniques
6 Rationale for the use of high-velocity low-amplitude (HVLA) thrust techniques
7 Validation of clinical practice by research

PART B: HVLA thrust techniques

8 Cervical and cervico-thoracic spine
9 Thoracic spine and ribcage
10 Lumbar and thoraco-lumbar spine
11 Pelvis

PART C: Technique failure and analysis

The text provides a step-by-step guide of instructions for many different manipulation techniques, covering all levels of the neck, spine, and pelvis. There is an outline of osteopathic principles and theory of spinal manipulation. I found the description of techniques clear and thorough, and with the accompanying DVD's video clips to demonstrate the techniques further, the text forms a useful tool for those getting to grips with palpation and other manual skills.

This new edition is highly illustrated, giving over 40 widely used manipulation techniques.
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Most Helpful Customer Reviews on Amazon.com (beta)
Amazon.com: 4.8 out of 5 stars  5 reviews
24 of 25 people found the following review helpful
5.0 out of 5 stars Simply the best on the market of its kind! 19 Aug 2004
By Amazon Customer - Published on Amazon.com
Format:Paperback
This book is as good as the current scientific literature allows it to be, and is by far the best on the market of its kind at present!

What is most refreshing about this book is that the authors have not hidden away in the world of anecdote and hearsay, all to often seen in competing texts, and have embraced an approach informed by research evidence (where available) to the teaching of a subject that has been used for many years by a wide range of health professionals. Whilst the authors make it clear that they are osteopaths and their clinical background has informed their approach, their use of scientifically sound and generic terminology and concepts allows their work to be accessible and understood by readers from any discipline.

A masterstroke by the authors is their categorisation of manipulative techniques by the target joint in which synovial fluid cavitation is desired. Never mind the opinions of authors of less informed books about the relevance of joint cavitation. The scientific literature clearly shows that cavitation is what distinguishes high velocity-low amplitude thrust (HVLAT) manipulation from other interventions grouped under the generic 'spinal manipulative therapy' banner. These authors have taken a brave step in categorising techniques in this manner, adding clarity to a subject that is all too often obfuscated by wishy-washy opinion and an avoidance of robust empirical data.

By the same token, it is nice to see that the authors have emphasised the importance of spinal segmental kinematics in relation to the various phases of HVLAT manipulation. These important concepts are then used to aid explanation of each technique throughout the text in a consistent and logical manner.

The techniques included cover all regions of the spine, and represent an ample repertoire for any manipulative practitioner. The techniques are logically organised by anatomical region, are clearly illustrated, and a clear description of each phase of the technique is given in the text. The text is then complemented by videos of each technique on the accompanying CD-ROM, which is an extremely useful learning (and teaching) aid. It is worth bearing in mind that videos of manual therapy techniques have traditionally been very expensive, but this addition really makes this book good value when compared with the alternatives on the market.

What more can you ask for?
9 of 9 people found the following review helpful
5.0 out of 5 stars Outstanding value! 23 Nov 2009
By Philo - Published on Amazon.com
Format:Hardcover|Verified Purchase
This text is truly one of the best deals around, with excellent video clips on the CD of the techniques that are explained in the text. Part A covers osteopathic philosophy, coupled motions, spinal locking, safety considerations, and the indications for high velocity low-amplitude techniques. However, Gibbons and Tehan transcend osteopathic tradition in citing research that contradicts positional diagnosis and coupled motions, and take a very up-to-date approach to pre-manipulative assessment and informed consent. Part B includes the manipulation techniques, including two for the OA and AA joints, midcervical manipulations in supine using various holds, as well as in sitting. Cervicothoracic techniques are shown in prone, sitting and sidelying. Thoracic and lumbar techniques are pretty standard fare. Part C covers the sacroiliac joint, but leaves the reader wishing it were longer. Again, traditional osteopathic terminology, such as sacral flexions and torsions, ilial inflares and upslips, are not even mentioned.

Considering the cost of continuing education (few of which cover more than a handful of HVLA techniques) or a residency, this book is a tremendous value, and a great addition to any manipulation practitioner's library. The technique explanations are in-depth, a nice change from many manipulation texts where the nuances of the setup are often spartan. The CD is a terrific addition, and I, for one, hope it sets a standard for manipulation texts in the future.
3 of 3 people found the following review helpful
5.0 out of 5 stars Excellent and elegent 3 July 2010
By Gregory Kahn - Published on Amazon.com
Format:Hardcover|Verified Purchase
I recommend this book to all my fellow DCs and manipulative practioners. The techniques are elegently presented and the dvd is most helpful. The rationale presented for applying the manipulations is very good.The video fluroscopy clarfies what to consider in the setup and manipulation. I would like the authors to also have included how the make a diagnosis leading to which segment they would like to treat and which technique can be used but perhaps diagnostic skills are already asumed or that is another book and there is also Greenman's Principles of Manual Medicine which covers dx.[the 4th edition is excellent]
3 of 3 people found the following review helpful
5.0 out of 5 stars PT student 21 Nov 2008
By PT student - Published on Amazon.com
Format:Hardcover
I found this to be one of the best high-velocity textbooks. The CD and step by step directions make this a great deal!
4.0 out of 5 stars Decent buy 17 July 2014
By Ryan Winslow - Published on Amazon.com
Format:Hardcover|Verified Purchase
good resource, but the cavitation sounds in the video seem to be edited in... kind of sketchy
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