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Pocket Manual of OMT: Osteopathic Manipulative Treatment for Physicians/Editor, Co-Author, David R

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Pocket Manual of OMT: Osteopathic Manipulative Treatment for Physicians/Editor, Co-Author, David R 20062_fm 19/02/10 2:55 PM Page ii 20062_fm 19/02/10 2:55 PM Page i SECOND EDITION THE POCKET MANUAL of OMT OSTEOPATHIC MANIPULATIVE TREATMENT FOR PHYSICIANS 20062_fm 19/02/10 2:55 PM Page ii 20062_fm 19/02/10 2:55 PM Page iii SECOND EDITION THE POCKET MANUAL of OMT OSTEOPATHIC MANIPULATIVE TREATMENT FOR PHYSICIANS Editor, Co-Author David R. Beatty, DO Professor, Osteopathic Principles and Practice West Virginia School of Osteopathic Medicine Lewisburg, West Virginia Co-Author Co-Author To Shan Li, DO John M. Garlitz, DO Assistant Professor, Osteopathic Assistant Professor, Osteopathic Principles and Practice Principles and Practice West Virginia School of Osteopathic West Virginia School of Osteopathic Medicine Medicine Lewisburg, West Virginia Lewisburg, West Virginia Co-Author Co-Author Karen M. Steele, DO, FAAO James W. Kribs, DO Professor, Osteopathic Principles and Assistant Professor and Chairperson, Practice Osteopathic Principles and Practice Associate Dean for Osteopathic West Virginia School of Osteopathic Medical Education Medicine West Virginia School of Osteopathic Lewisburg, West Virginia Medicine Lewisburg, West Virginia Co-Author William W. Lemley, DO, FAAO Co-Author Professor, Osteopathic Principles and Zachary J. Comeaux, DO, FAAO Practice Professor, Osteopathic Principles and West Virginia School of Osteopathic Practice Medicine West Virginia School of Osteopathic Lewisburg, West Virginia Medicine Lewisburg, West Virginia 20062_fm 19/02/10 2:55 PM Page iv Acquisitions Editor: Charles W. Mitchell Product Manager: Jennifer Verbiar Senior Designer: Joan Wendt Cover Designer: Larry Didona Compositor: MPS Limited, A Macmillan Company Second Edition Copyright © 2011 West Virginia School of Osteopathic Medicine Publishing Rights: Lippincott Williams & Wilkins/ Wolters Kluwer Health Wolters Kluwer Health Two Commerce Square 2001 Market Street Philadelphia, PA 19103 Printed in China All rights reserved. This book is protected by copyright. No part of this book may be reproduced or transmitted in any form or by any means, including as photocopies or scanned-in or other elec- tronic copies, or utilized by any information storage and retrieval system without written permis- sion from the copyright owner, except for brief quotations embodied in critical articles and reviews. Materials appearing in this book prepared by individuals as part of their official duties as U.S. government employees are not covered by the above-mentioned copyright. To request permis- sion, please contact Lippincott Williams & Wilkins at 530 Walnut Street, Philadelphia, PA 19106, via email at [email protected], or via website at lww.com (products and services). 9 8 7 6 5 4 3 2 1 Library of Congress Cataloging-in-Publication Data The pocket manual of OMT: osteopathic manipulative treatment for physicians/editor, co-author, David R. Beatty ... [et al.].—2nd ed. p.; cm. Other title: Osteopathic manipulative treatment for physicians Includes bibliographical references and index. ISBN 978-1-60831-657-1 1. Osteopathic medicine—Handbooks, manuals, etc. 2. Osteopathic orthopedics—Handbooks, manuals, etc. 3. Primary care (Medicine)—Handbooks, manuals, etc. I. Essig-Beatty, David R. II. Title: Osteopathic manipulative treatment for physicians. [DNLM: 1. Manipulation, Osteopathic—methods—Handbooks. 2. Primary Health Care— Handbooks. WB 39 P7393 2011] RZ342.P63 2011 615.5'33—dc22 2010002032 DISCLAIMER Care has been taken to confirm the accuracy of the information present and to describe gen- erally accepted practices. However, the authors, editors, and publisher are not responsible for errors or omissions or for any consequences from application of the information in this book and make no warranty, expressed or implied, with respect to the currency, completeness, or ac- curacy of the contents of the publication. Application of this information in a particular situa- tion remains the professional responsibility of the practitioner; the clinical treatments described and recommended may not be considered absolute and universal recommendations. The authors, editors, and publisher have exerted every effort to ensure that drug selection and dosage set forth in this text are in accordance with the current recommendations and prac- tice at the time of publication. However, in view of ongoing research, changes in government regulations, and the constant flow of information relating to drug therapy and drug reactions, the reader is urged to check the package insert for each drug for any change in indications and dosage and for added warnings and precautions. This is particularly important when the recom- mended agent is a new or infrequently employed drug. Some drugs and medical devices presented in this publication have Food and Drug Admin- istration (FDA) clearance for limited use in restricted research settings. It is the responsibility of the health care provider to ascertain the FDA status of each drug or device planned for use in their clinical practice. To purchase additional copies of this book, call our customer service department at (800) 638- 3030 or fax orders to (301) 223-2320. International customers should call (301) 223-2300. Visit Lippincott Williams & Wilkins on the Internet: http://www.lww.com. Lippincott Williams & Wilkins customer service representatives are available from 8:30 am to 6:00 pm, EST. 20062_fm 19/02/10 2:55 PM Page v CONTENTS Acknowledgments vi Reviewers vii Preface viii 1. Introduction to Osteopathic Diagnosis and Treatment 1 2. Postural Diagnosis and Treatment 9 3. Lower Extremity Diagnosis and Treatment 23 4. Pelvis Diagnosis and Treatment 63 5. Sacrum Diagnosis and Treatment 89 6. Lumbar Diagnosis and Treatment 112 7. Thoracic Diagnosis and Treatment 136 8. Rib Diagnosis and Treatment 167 9. Cervical Diagnosis and Treatment 195 10. Head Diagnosis and Treatment 227 11. Upper Extremity Diagnosis and Treatment 252 12. Visceral Diagnosis and Treatment 292 13. OMT in Primary Care 315 Index 321 v 20062_fm 19/02/10 2:55 PM Page vi ACKNOWLEDGMENTS Thanks are extended to WVSOM graduate teaching assistants Derek Stone for ed- iting and Karl Speers for adaptation of sacral graphics with permission of Kenneth E. Graham, DO. WVSOM students Mark Cabrera, Aaron Kelley, Donald N. Pyle II, Dana Quarles, and Linda Wilson contributed to photography and editing. Karen Ayers of the WVSOM Department of Media Services assisted with photography. William A. Kuchera, DO, FAAO provided his unique drawings of biomechanics through a contract with Dr Beatty for the book Manipulation at Home: Exercises Based on Osteopathic Structural Exam (WVSOM, Lewisburg, 2003). Gratitude is extended to Karen Snider, DO who contributed to the development of this book while a graduate teaching assistant at WVSOM through her initial concept and ed- iting of the Mini-Manual of Muscle Energy and HVLA Techniques (WVSOM, Lewisburg, 2000) from which this book has evolved. vi 20062_fm 19/02/10 2:55 PM Page vii REVIEWERS Jane E. Carreiro, DO Associate Professor University of New England College of Osteopathic Medicine Department of Osteopathic Manipulative Medicine Biddeford, Maine John C. Glover, DO, FAAO Chairman, Osteopathic Manipulative Medicine Touro University, California College of Osteopathic Medicine Vallejo, California Kenneth E. Graham, DO Clinical Associate Professor Director of Hospital Care for Center for Structural Medicine Oklahoma State University College of Osteopathic Medicine Tulsa, Oklahoma William A. Kuchera, DO, FAAO Professor Emeritus Kirksville College of Osteopathic Medicine Kirksville, Missouri Kenneth E. Nelson, DO, FAAO Chicago College of Osteopathic Medicine Midwestern University Downers Grove, Illinois vii 20062_fm 19/02/10 2:55 PM Page viii PREFACE We are pleased to be invited by Lippincott Williams & Wilkins to publish a second edition of The Pocket Manual of OMT. The book remains a concise clinical reference for physicians and osteopathic medical students but has many new features based on their feedback. Forty-three new techniques have been added since the first edition as a result of faculty innovation and new recommendations from the Educational Coun- cil on Osteopathic Principles of the American Association of Colleges of Osteopathic Medicine. Spiral binding allows the manual to remain open on the treatment table while learning new techniques or treating patients. Updated and expanded descrip- tions of osteopathic principles and definitions are complemented by additional illus- trations and new clinical correlations. Each chapter is supplemented by online case-study questions as well as technique videos at http://thePoint.lww.com. Exercise techniques have been moved from the end of each chapter to immediately following their analogous treatments to facilitate logical prescribing. Lastly, two new tech- niques, seated facet release and inherent motion diagnosis and treatment, join facili- tated oscillatory release1,2 and percussion vibrator as techniques first published in The Pocket Manual of OMT. Seated facet release technique is an approach to treatment of the vertebral col- umn and ribs in which all diagnosis and treatment occurs with the patient seated and the practitioner standing or seated behind the patient. Each facet joint capsule is palpated during gentle compression and spontaneous recoil. A facet found to be closed or open is treated by positioning the patient so that the facet is at its greatest point of tension, then inducing a gentle compressive or distraction force into that joint. For the cervical, upper thoracic, and rib
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