Spinal Stabilization - The New Science of Back Pain, 2nd Edition is the most comprehensive and scientifically accurate resource for the general public on the subject of low back pain. Updated and expanded to include the most current research on low back pain and its treatment, this easy-to-read guide provides readers with 'need to know' information about the spine, effectively taking the mystery out of back pain and its treatment. Based upon sound and current research, 'Spinal Stabilization' describes how the spine and its muscles are intended to work, and how this changes once back pain sets in. New to the second edition is a clear discussion of the critical differences between stabilization exercises used by people with back pain and those who want a more “high-performance”, athletic spine. This is a key area author Rick Jemmett felt compelled to address. "There is still a significant amount of confusion in the rehabilitation, fitness and sports conditioning professions as to what truly constitiutes therapeutic stabilization exercises. The better quality research is actually quite clear on this yet many people remain stuck on the idea that exercising on a ball will correct low back pain. Some low back pain patients might feel better temporarily with such programs, but we now have the ability to do so much more than this. Instead of simply reducing the symptoms for a short while, we have the ability to achieve a true correction of the problem." Spinal Stabilization, 2nd Edition is divided into two sections. The first describes in detail the scientifically proven Australian approach of therapeutic segmental stabilization exercise. Clear descriptions along with illustrations and photos give readers the tools they need to correctly perform these important exercises. The second section discusses the use of 'Integrated Training' in sport-specific conditioning programs. This involves the simultaneous training of the body's stability, balance and strength systems for maximum athletic performance.
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My colleagues in the rehabilitation professions will recognize the concepts utilized in Spinal Stabilization - The New Science of Back Pain as having their origins in the clinical model developed by Carolyn Richardson, Paul Hodges, Julie Hides and Gwen Jull which of course was based on the basic sciences work of Panjabi, Vleeming, Gertzbein, McGill, Solomonow and others. As we are all too well aware, evidence-based treatment models are few and far between thus it has been a pleasure to develop this book for our patients with spinal pathology.
The book expands somewhat on the Australian model by incorporating axial proprioception training as an integral component. I feel this is warranted in that motor control cannot possibly be improved without accurate proprioceptive feedback, and what we are really doing of course with these patients is motor re-training in light of the inhibition of multifidus which has been so well demonstrated in the literature.
I feel confident that the book does an excellent job of presenting the segmental stabilization approach in a clear, understandable and accurate manner. I hope you find this to be a useful patient education tool - I welcome and look forward to your comments and suggestions for future editions.
Rick Jemmett, B.Sc., (PT), a graduate of the University of Toronto’s Physical Therapy program, has lived and practiced in Halifax, Nova Scotia since 1994. My clinical work as a physical therapist at Maritime Physiotherapy involves the diagnosis and treatment of people with various forms of neuromusculoskeletal pathology. Our facility treats a wide range of patients including people with sport and work related conditions. I have also lectured and taught courses for physiotherapists, physicians, kinesiologists and physiotherapy assistants across Canada and the United States through the Atlantic Manual Therapy Institute. My primary area of clinical interest centres on the rehabilitation and prevention of spinal and shoulder instability. Throughout my career I have maintained a keen interest in the basic sciences of anatomy and motor control. My research interests involve the neuromuscular aspects of spinal stability in both healthy and back-injured people. I have also had the good fortune to work with various athletes, both recreational and competitive, developing their sport specific conditioning programs. My own participation in sports currently includes playing golf, running and skiing along with an ongoing attempt to maintain a regular training regime, including spinal stabilization exercises. My personal sports injury history includes two dislocated shoulders, a dislocated IP joint (thanks to colleague Mike Ritchie for getting that back in place) an unstable lumbar spinal joint (again, thanks to Mike Ritchie for his expert assistance on this one), sacroiliac joint dysfunction, ITB friction syndrome, a golf-related stress fracture of a rib, a broken toe and occasional plantarfasciitis. This is mentioned only to reassure readers that physical therapists bang themselves up as frequently as you do, and that we do know what it is like to be injured and unable to participate in all life’s activities. The information presented in this book may have been developed in the scientific world, but it has been proven in the real world - I have witnessed the positive results both as a clinician and as a patient.
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