Physical Therapy of the Shoulder, 4e
The first edition of Physical Therapy of the Shoulder was published in 1987, and now we are writing the fourth edition 15 years later. I would like to thank my readers for their support throughout the years that has made this book successful. The fourth edition has kept up with the tradition of Physical Therapy Specialization. The shoulder joint is a complicated structure consisting of three synovial joints, the scapula thoracic articulation, and 17 muscles. The shoulder complex hangs off the rib cage and is connected to the cervical and thoracic spine. The complexity of the shoulder makes many rehabilitation students and clinicians uncertain in assessing shoulder pathomechanics and in establishing treatment approaches for different shoulder pathologies.
In keeping up to date with new and innovative treatment techniques, surgical procedures, and evaluation methods for the shoulder, this fourth edition of Physical Therapy of the Shoulder has been updated appropriately. There are a dozen new authors and seven new chapters. The fourth edition is divided into five sections; Mechanics of Movement and Evaluation, Neurologic Considerations, Special Considerations, Treatment Approaches, and Surgical Considerations. In keeping with the new Guide to Physical Therapist Practice, Scot Irwin has given us an overview of the Guide, and all the case studies have been rewritten in the Guide format. Chapter 2 was updated with new anatomic and biomechanical information on how the shoulder moves. Seven fresh cadaver slides have been added to the color plates in the center of the textbook. Chapter 3 was rewritten by Jeff Cooper with all the new information on the throwing injuries to the shoulder. Jeff has included new research data that he has collected over the past several years on professional baseball pitchers. His approach to evaluation and treatment is state of the art. Chapter 4 finishes the first section with updates on all the new-evidenced-based special tests for the shoulder. The special tests on the shoulder greatly assist the clinician in the development of a differential soft tissue diagnosis. The research-based tests are very reliable and accurate in determining different pathologies of the glenohumeral articulation. Section 2, Neurologic Considerations, has been updated with new information and references. John C. Gray, Ola Grimsby, Peter I. Edgelow, and Susan Ryerson completely revised their chapters.
Section 3, Special Considerations, was highlighted by a new chapter on the Frozen Shoulder (Chapter 11) written by Mollie Beyers and Peter Bonutti. This chapter features five tables that provide an excellent summary of the evidence-based research on treatment of frozen shoulder pathology. In addition, a new shoulder device for treatment of adhesive capsulitis, through static progressive stretch and stress relaxation, is also featured in this chapter. John C. Gray’s chapter on Visceral Referred Pain to the Shoulder (Chapter 13), was rewritten, along with important updates from Todd S. Ellenbecker, Lori Thein Brody, and Bruce H. Greenfield. In the Treatment Approaches Section, a new chapter was added by Richard A. Ekstrom and Roy W. Osborn on Muscle Length Testing and Electromyographic Data for Manual Strength Testing and Exercises for the Shoulder (Chapter 15). Chapter 14, entitled Manual Therapy Techniques, was updated with additional illustrations of new manual procedures for the shoulder, with a section on evidence-based manual therapy treatment approaches.
The Surgical Considerations Section was honored with addition of the chapter by Xavier A. Duralde, a prominent orthopedic surgeon who specializes in shoulder pathology and has developed his own components for shoulder replacements. In addition, I was also honored by the addition of a new chapter on Shoulder Instability (Chapter 17). The lead authors—Michael S. Zazzali and Vijay B. Vad—are affiliated with the Hospital of Special Surgery in New York, NY. The chapter includes state-of-the-art concepts in evaluation and treatment of the Bankart lesion, S.L.A.P lesions, rotator cuff interval concepts, and thermal assisted capsular shifts. Finally, Jacob P. Irwin updated Chapter 19 on Shoulder Girdle Fractures.
We are pleased to include a CD-ROM with the fourth edition of Physical Therapy of the Shoulder. The CD-ROM compliments the text and enhances the clinical application with excerpts of an evaluation of a patient using manual therapy treatment techniques of the shoulder. Fresh cadaver slides and also a link to an electronic image collection that features most of the illustrations contained in the book are included on the CD-ROM. This provides instructors with a useful teaching tool because the images can be downloaded into PowerPoint for presentation in class. The CD-ROM also features animated movement of the musculoskeletal system for the glenohumeral joint and scapula.
Any rehabilitation professional entrusted with the care and treatment of mechanical and pathologic shoulder dysfunction will benefit from this book. We trust that the fourth edition will meet the reader’s expectation of comprehensive, clinically relevant presentations that are well documented, contemporary, and personally challenging to the student and the experienced specialist alike.
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