1. Applied anatomy - regional
Upper CervicalCervicalTemporomandibular jointCervicotheracicThoracic spine and ribsLumbarPelvic joitnsSurface anatomy
2. Applied anatomy - general
Articular cartilageSynovial joint lubricationFibrous connective tissuesMuscleVertebral movementThe lumbar mechanism Intervertebral foramenBiomechanics of spinal cord and meningesVenous drainageAutonomic nervous systemPatterns of somatic nerve root supply
3. Aetiology in general terms
4. Incidence
GeneralSegmental
5. Pathological changes - general
Synovial joitnsVertebral body jointsNerve root involvement Soft tissuesNeoplasms
6. Pathological changes - combined regional
Upper cervicalCervicalCervicothoracicThoracicLumbarSphincter disturbancePelvisSerious pathology simulating musculoskeletal pain
7. Clinical features
Neurological changesPain and tendernessAutonomic nervous system in vertebral pain syndromesReferred painAbnormalities of feeling Changes in muscle and soft tissueDeformityFunctional disablementPsychological aspects
8. Common patterns of clinical presentation
Arthrosis and spondylosisUpper cervicalTemporomandibular jointCervicalCervicothoracicClavicular jointsThoracic and rib jointsLumbar spine and pelvisPelvic arthropathyDrug-induced joint and muscle painsNeoplasms
9. Examination
IntroductionHistoryObservationPhysical testsSpecial testsPalpationRegional examination procedures Temporomandibular jointNeck and forequarterShoulderShoulder girdleThoracic regionBack and hindquarterSacroiliac jointHip jointPassive physiological-movement testsStructural and neural interdependence
10. Investigation procedures
11. Principles of treatment
AimsManipulation in general terms Passive movement - definitionsTechniques1. Massage2. Maintenance movements3. Mobilisation - regional, localised, limb girdles4. Manipulation - regional, localised5. Correction of listing6. Stretching7. Traction - manual and mechanical8. Recording passive movement treatment: clinical methodManually assisted or manually resisted movements1. Self-correction of listing2.Post-isometric relaxation3. Proprioceptive neuromuscular facilitationActive Movements1.Exercises for strength and mobility2. Autrotraction3. Soft-tissue stretching
12. Indications
13. Contraindications
14. Supports and appliances and adjunct physical treatments
15. Medication and alternative methods of pain relief
16. Prophylaxis
17. Invasive procedures
MinorMajor
Index
