Since the third edition of Grieve’s Modern Manual Therapy was published in 2004, the original concepts of manipulative therapy have grown to embrace new research-generated knowledge. Expansions in practice have adopted new evidence which include consideration of psychological or social moderators. The original manual therapy or manipulative therapy approaches have transformed into musculoskeletal physiotherapy and this is recognized by the change in title for the new edition - Grieve’s Modern Musculoskeletal Physiotherapy.

Grieve’s Modern Musculoskeletal Physiotherapy continues to bring together the latest state-of-the-art research, from both clinical practice and the related basic sciences, which is most relevant to practitioners. The topics addressed and the contributing authors reflect the best and most clinically relevant contemporary work within the field of musculoskeletal physiotherapy.

With this as its foundation and a new six-strong editorial team at its helm, the fourth edition now expands its focus from the vertebral column to the entire musculoskeletal system. For the first time both the spine and extremities are covered, capturing the key advances in science and practices relevant to musculoskeletal physiotherapy.

The book is divided into five parts containing multiple sections and chapters. The first part looks at advances in the sciences underpinning musculoskeletal physiotherapy practice. Here there is commentary on topics such as movement, the interaction between pain and motor control as well as neuromuscular adaptations to exercise. Applied anatomical structure is covered in addition to the challenges of lifestyle and ageing. A new section highlights the important area of measurement and presents the scope of current and emerging measurements for investigating central and peripheral aspects relating to pain, function and morphological change. Another section discusses some contemporary research approaches such as quantitative and qualitative methods as well as translational research.

Part III contains sections on the principles of and broader aspects of management which are applicable to musculoskeletal disorders of both the spine and periphery. Topics include models for management prex_x_scription, communication and pain management and contemporary principles of management for the articular, nervous and sensorimotor systems. In recognition of the patient centred and inclusive nature of contemporary musculoskeletal practice, there is also discussion about how physiotherapists may use cognitive behavioural therapies when treating people with chronic musculoskeletal disorders.

The final part of the book focuses on selected contemporary issues in clinical practice for a particular region, condition or the most topical approaches to the diagnosis and management of a region. A critical review of the evidence (or developing evidence) for approaches is given and areas for future work are highlighted.

• The only textbook which covers the breath of musculoskeletal physiotherapy practice, bringing together the work and opinions of leading international experts
• Presents the latest science, research evidence and clinical practices for assessment and management of spinal and extremity disorders
• Uses contemporary knowledge in diagnostics and future directions to demonstrate how to manage both acute and chronic musculoskeletal pain
• Considers important aspects underpinning clinical practice across the biopsychosocial domains

• Now covers the musculoskeletal systems of the upper and lower limbs as well as the spine
• Title, topics, prominent editors and authors - all reflect the evolution in knowledge, models of diagnosis and contemporary practice
• Overviews of the latest advances in:
• • the basic sciences relevant to musculoskeletal physiotherapy
  • clinical science and practice
  • imaging and measurement techniques
• Over 300 illustrations
• Colour plate section

Part 1

1. Introduction to text

Part 2: Advances in theory and practice

Section 2.1: Advances in Basic Science

2. The neurophysiology of pain and pain modulation: Modern pain neuroscience for musculoskeletal therapists

3. Neurophysiology of movement intro

3. Neuro-electrochemistry of movement

4. Postural control and sensorimotor integration

5. Motor control and motor learning

6. Interaction between pain & sensorimotor control

7. Neuromuscular adaptations to exercise

8. The peripheral nervous system

9. Functional Anatomy

(A) The cervical and thoracic spines

(B) The lumbar spine

10. Tendon and Tendinopathy

(A) Tendon and Tendon Pathology

(B) Managing Tendinopathies

11. Lifestyle and musculoskeletal health

12. Ageing and the musculoskeletal system

Section2.2: Advances in measurement methods

13. Movement analysis

14. New developments in ultrasound imaging in physiotherapy practice and research

15. Advances in Magnetic Resonance Imaging (MRI) Measures

16. Musculoskeletal Pain in the Human Brain: Insights From Functional Brain Imaging Techniques

17. Advances in measurement methods EMG

18. Non-invasive brain stimulation in the measurement and treatment of musculoskeletal disorders

19. Musculoskeletal modelling

20. Quantitative Sensory Testing: Implications for clinical practice

21. Outcome measures in musculoskeletal practice

Section 2.3: Research approaches for musculoskeletal physiotherapy

22. Clinical Research to Test Treatment Effects

(A) Classic multiple group parallel design randomized controlled trial (RCT)

(B) The Cross-over Design, Diamond Design, Factorial Design and Fractional Factorial Design

(C) Randomized Withdrawal and Expertise-based Designs

(D) N-of-1 Trial Designs

23. Research methods in musculoskeletal Physiotherapy

(A) Quantitative research

(B) Qualitative Research

(C) Approaches to research

24. Standardised data collection, audit and clinical profiling

25. Implementation research

Part 3: Advances in clinical science and practice

Section 3.1: Principles of management

26. Clinical reasoning and models for clinical management

27. Communicating with patients

(A) Patient focused practice and communication: Use of communication in the clinical setting

(B) Patient Education - a collaborative approach

(C) Communicating risk

28. Pain management

(A) The patient’s pain experience

(B) Physical interventions of pain management and potential processes

(C) Educational approaches to pain management

29. Spinal Manipulation

30. Neurodynamic management of the peripheral nervous system

31. Therapeutic exercise: Clinical Prex_x_scription

(A) Management of the sensorimotor system: The cervical region

(B) Sensorimotor control of lumbar spine alignment

(C) Management of the sensorimotor system: The lower limb

33. Consideration of cognitive and behavioural influences on physiotherapy practice

34. Adjunct modalities for pain

(A) Electro physical agents

(B) Acupuncture/dry needling

(C) The use of tape in managing spinal pain

35. Cautions in Musculoskeletal Practice

(A) Masqueraders

(B) Haemodynamics and clinical practice

(C) Pre-Manipulative Screening For CranioCervical Ligament Integrity

Section 3.2: The broader scope of management

36. Supported self-management and overview of self-help

37. Role of physiotherapy in lifestyle and health promotion in musculoskeletal conditions

38. Musculoskeletal health in the workplace

39. Screening

(A) Screening for musculoskeletal disorders

(B)What Is Our Baseline for Movement? The Clinical Need for Movement Screening, Testing and Assessment

40. Advanced Roles in Musculoskeletal Physiotherapy

Part 4: Overview of contemporary issues in practice

Section 4.1: Introduction to section

41. Cervical spine: idiopathic neck pain

42. Whiplash Associated Disorders

43. Temporomandibular Disorders. Neuromusculoskeletal Assessment and Management

44. Thoracic spine: Models of assessment and management

(A) Clinical Examination And Targeted Management Of Thoracic Musculoskeletal Pain

(B) Model B

(C) Management of the thoracic spine in patients with COPD

45. Lumbar spine

(A) The McKenzie method of Mechanical Diagnosis and Therapy - an overview

(B) Multi-dimensional classification system for Low Back Pain

(C) Treatment based classification system

(D) Movement System Impairment Syndromes of the Low Back

(E) The role of motor control training

46. SI joint (Pelvic pain): Models of assessment and management

(A) A person centred biopsychosocial approach to assessment and management of pelvic girdle pain

(B) The Pelvic Girdle - a Look at how Time, Experience and Evidence Change Paradigms

(C) A critical viewpoint on models, testing and treatment of patients with lumbopelvic pain

47. Hip-related pain

48. The Knee:

(A) Acute knee injuries

(B) Patellofemoral pain

(C) Knee Osteoarthritis

49. Foot and ankle

50. The shoulder

(A) Shoulder Assessment

(B) Rotator Cuff Tendinopathy & Subacromial Pain Syndrome

(C) The Unstable Shoulder

(D) Posterior Shoulder Tightness

(E) Frozen Shoulder Contraction Syndrome

51. Elbow

52. Wrist/hand

Part 5: Future directions

53. Future directions in research and practice

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