George J. Davies, DPT, MEd, PT, SCS, ATC, LAT, CSCS, PES, FAPTA
Professor
Department of Physical Therapy
Armstrong Atlantic State University Savannah, Georgia
Michael Duke, PT, CSCS
North Austin Physical Therapy Austin, Texas
Christopher J. Durall, PT, DPT, MS, SCS, LAT, CSCS
Director of Physical Therapy Unit
Student Health Center
University of Wisconsin, La Crosse La Crosse, Wisconsin
Todd S. Ellenbecker, DPT, MS, SCS, OCS, CSCS
Group/Clinic Director
Physiotherapy Associates Scottsdale Sports Clinic, National Director of Clinical Research
Physiotherapy Associates, Director, Sports Medicine–ATP Tour Scottsdale, Arizona
Brian K. Farr, MA, ATC, LAT, CSCS
Director, Athletic Training Educational Program Department of Kinesiology and Health Education
The University of Texas at Austin Austin, Texas
Larry D. Field, MD
Director, Upper Extremity Service
Mississippi Sports Medicine and Orthopaedic Center, Clinical Associate Professor Department of Orthopaedic Surgery University of Mississippi Medical School Jackson, Mississippi
G. Kelley Fitzgerald, PhD, PT University of Pittsburgh School of Health and Rehabilitation Sciences Pittsburgh, Pennsylvania
Rachel M. Frank, BS
Department of Orthopaedic Surgery
Rush University Medical Center Chicago, Illinois
Tigran Garabekyan, MD
Assistant Professor
Department of Orthopedic Surgery
Marshall University
Joan C. Edwards School of Medicine Huntington, West Virginia
Neil S. Ghodadra, MD
Naval Medical Center, San Diego San Diego, California; Department of Orthopaedic Surgery
Rush University Medical Center Chicago, Illinois
Charles E. Giangarra, MD
Professor, Chief
Division of Sports Medicine
Department of Orthopedic Surgery
Marshall University
Joan C. Edwards School of Medicine
Huntington, West Virginia; Head, Team Physician
Department of Athletics
Marshall University, Assistant Team Physician, Orthopaedic Consultant Kentucky Christian University Grayson, Kentucky
Charles Andrew Gilliland, BS, MD
Clinical Assistant Professor
Department of Orthopedic Surgery
Marshall University
Joan C. Edwards School of Medicine Huntington, West Virginia
John A. Guido, Jr., PT, MHS, SCS, ATC, CSCS
Clinical Director
TMI Sports Therapy Grand Prairie, Texas
J. Allen Hardin, PT, MS, SCS, ATC, LAT, CSCS
Intercollegiate Athletics
The University of Texas at Austin Austin, Texas
Maureen A. Hardy, PT, MS, CHT
Director
Rehabilitation Services St. Dominic Hospital Jackson, Mississippi
Timothy E. Hewett, PhD, FACSM
Professor, Director of Biomechanics
Sports Medicine Research and MST Core, Mayo Clinic
Mayo Clinic Biomechanics Laboratories and Sports Medicine Center
Departments of Orthopedics, Physical Medicine and Rehabilitation and Physiology and Biomedical Engineering
Mayo Clinic
Rochester and Minneapolis, Minnesota
Clayton F. Holmes, PT, EdD, MS, ATC
Professor and Founding Chair
Department of Physical Therapy
University of North Texas Health Science Center at Fort Worth Forth Worth, Texas
Barbara J. Hoogenboom, EdD, PT, SCS, ATC
Associate Professor
Physical Therapy Associate Director
Grand Valley State University
Grand Rapids, Michigan
James J. Irrgang, PhD, PT, ATC
Director of Clinical Research
Department of Physical Therapy
University of Pittsburgh Medical Center Pittsburgh, Pennsylvania
Margaret Jacobs, PT
Momentum Physical Therapy and Sports Rehabilitation San Antonio, Texas
R. Jason Jadgchew, ATC, CSCS
Department of Orthopedic Surgery Naval Medical Center San Diego, California
David A. James, PT, DPT, OCS, CSCS
Associated Faculty Physical Therapy Program University of Colorado Denver, Colorado
John J. Jasko, MD
Associate Professor
Department of Orthopedic Surgery
Marshall University
Joan C. Edwards School of Medicine Huntington, West Virginia
Drew Jenk, PT, DPT
Regional Clinical Director
Sports Physical Therapy of New York Liverpool, New York
W. Ben Kibler, MD
Medical Director
Shoulder Center of Kentucky Lexington, Kentucky
Theresa M. Kidd, BA North Austin Sports Medicine Austin, Texas
Kyle Kiesel, PT, PhD, ATC, CSCS Associate Professor of Physical Therapy University of Evansville Evansville, Indiana
Jonathan Yong Kim, CDR University of San Diego San Diego, California
Scott E. Lawrance, MS, PT, ATC, CSCS
Assistant Professor Department of Athletic Training University of Indianapolis Indianapolis, Indiana
Michael Levinson, PT, CSCS
Clinical Supervisor
Sports Rehabilitation and Performance Center, Rehabilitation Department Hospital for Special Surgery, Physical Therapist
New York Mets, Faculty
Columbia University Physical Therapy School New York, New York
Sameer Lodha, MD Department of Orthopaedic Surgery Rush University Medical Center Chicago, Illinois
Janice K. Loudon, PT, PhD, SCS, ATC, CSCS
Associate Professor Department of Physical Therapy Education Rockhurst University Kansas City, Missouri
International Spine and Pain Institute, Instructor
Neuro Orthopaedic Institute, Associate Instructor Rockhurst University Story City, Iowa
Joseph R. Lynch, MD
Associate Professor Uniformed Services University of the Health Sciences Bethesda, Maryland; The Shoulder Clinic of Idaho Boise, Idaho
Robert C. Manske, PT, DPT, MEd, SCS, ATC, CSCS
Professor and Chair Department of Physical Therapy
Wichita State University Via Christi Sports and Orthopedic Physical Therapy Via Christi Sports Medicine, Teaching Associate Department of Community Medicine Sciences University of Kansas Medical Center Via Christi Family Practice Sports Medicine Residency Program Wichita, Kansas; Teaching Associate Department of Rehabilitation Sciences University of Kansas Medical Center Kansas City, Kansas
Matthew J. Matava, MD
Washington University Department of Orthopedic Surgery St. Louis, Missouri
Sean Mazloom, MS
Medical Student
Chicago Medical School Chicago, Illinois
John McMullen, MS, ATC
Director of Orthopedics-Sports Medicine
Lexington Clinic/Shoulder Center of Kentucky Lexington, Kentucky
Morteza Meftah, MD
Ranawat Orthopaedic Center New York, New York
Erik P. Meira, PT, SCS, CSCS
Clinical Director
Black Diamond Physical Therapy Portland, Oregon
Keith Meister, MD
Director, TMI Sports Medicine
Head Team Physician, Texas Rangers Arlington, Texas
Scott T. Miller, PT, MS, SCS, CSCS
Agility Physical Therapy and Sports Performance, LLC Portage, Michigan
Josef H. Moore, PT, PhD
Professor Army-Baylor DPT Program Waco, Texas
Donald Nguyen, PT, MSPT, ATC, LAT
ATEP Clinical Coordinator and Assistant Athletic Trainer for Rowing University of Texas at Austin Austin, Texas
Cullen M. Nigrini, MSPT, MEd, PT, ATC, LAT
Elite Athletic Therapy Austin, Texas
Steven R. Novotny, MD
Associate Professor
Department of Orthopedic Surgery
Marshall University
Joan C. Edwards School of Medicine Huntington, West Virginia
Michael J. O’Brien, MD
Assistant Professor of Clinical Orthopaedics
Division of Sports Medicine Department of Orthopaedics
Tulane University School of Medicine New Orleans, Louisiana
Sinan Emre Ozgur, MD Chief Resident Department of Orthopedic Surgery
Marshall University
Joan C. Edwards School of Medicine Huntington, West Virginia
Mark V. Paterno, PhD, PT, MS, SCS, ATC
Coordinator of Orthopaedic and Sports Physical Therapy
Sports Medicine Biodynamics Center Division of Occupational and Physical Therapy
Cincinnati Children’s Hospital Medical Center, Assistant Professor Division of Sports Medicine Department of Pediatrics
University of Cincinnati Medical Center Cincinnati, Ohio
Ryan T. Pitts, MD
Metropolitan Orthopedics
St. Louis, Missouri
Marisa Pontillo, PT, DPT, SCS
Penn Therapy and Fitness Weightman Hall Philadelphia, Pennsylvania
Andrew S.T. Porter, DO, FAAFP Director
Sports Medicine Fellowship Program
University of Kansas School of Medicine- Wichita at Via Christi, Director
Osteopathic Family Medicine Residency Program
Kansas City University at Via Christi Wichita, Kansas
Christie C.P. Powell, PT, MSPT, STS, USSF “D” Co-Owner and Director
CATZ Sports Performance and Physical Therapy, Director of Physical Therapy
Lonestar Soccer Club, Director of Physical Therapy
Austin Huns Rugby Team Austin, Texas
Daniel Prohaska, MD
Advanced Orthopedic Associates Wichita, Kansas
Matthew T. Provencher, MD, CDR, MC, USN
Associate Professor of Surgery
Uniformed Services University of the Health Sciences, Director of Orthopaedic Shoulder, Knee, and Sports Surgery
Weill Cornell Medical College, Associate Attending Orthopaedic Surgeon
New York-Presbyterian Hospital, Associate Attending Orthopaedic Surgeon
Hospital for Special Surgery
Ranawat Orthopaedic Center
New York, New York
Anil S. Ranawat, MD
Assistant Professor of Orthopaedic Surgery
Weill Cornell Medical College, Assistant Attending Orthopaedic Surgeon New York-Presbyterian Hospital, Assistant Attending Orthopaedic Surgeon Hospital for Special Surgery Ranawat Orthopedic Center New York, New York
James T. Reagan, MD
Senior Resident Department of Orthopedic Surgery
Marshall University
Joan C. Edwards School of Medicine Huntington, West Virginia
Bruce Reider, MD
Professor Emeritus, Surgery Section of Orthopaedic Surgery and Rehabilitation Medicine University of Chicago Chicago, Illinois
Michael P. Reiman, PT, DPT, OCS, SCS, ATC, FAAOMPT, CSCS
Assistant Professor
Department of Orthopedic Surgery Duke University Medical Center Durham, North Carolina
Amy G. Resler, DPT, CMP, CSCS Department of Physical Therapy Naval Medical Center, San Diego San Diego, California
Bryan Riemann, PhD, ATC, FNATA
Associate Professor of Sports Medicine Coordinator Master of Science in Sports Medicine Director, Biodynamics and Human Performance Center Armstrong State University Savannah, Georgia
Toby Rogers, PhD, MPT
Associate Professor of Sports Medicine Coordinator Master of Science in Sports Medicine Director, Biodynamics and Human Performance Center Armstrong State University Savannah, Georgia
Anthony A. Romeo, MD
Associate Professor and Director Section of Shoulder and Elbow Department of Orthopaedic Surgery Rush University Medical Center Chicago, Illinois
Richard Romeyn, MD
Southeast Minnesota Sports Medicine and Orthopaedic Surgery Specialists Winona, Minnesota
Michael D. Rosenthal, PT, DSc, SCS, ECS, ATC, CSCS
Assistant Professor
Doctor of Physical Therapy program
San Diego State University
San Diego, California
Felix H. Savoie III, MD
Lee C. Schlesinger Professor Department of Orthopaedics
Tulane University School of Medicine New Orleans, Louisiana
Suzanne Zadra Schroeder, PT, ATC
Physical Therapist
Barnes Jewish West County Hospital STAR Center St. Louis, Missouri
Aaron Sciascia, MS, ATC, NASM-PES
Coordinator Shoulder Center of Kentucky Lexington, Kentucky
K. Donald Shelbourne, MD
Shelbourne Knee Center at Methodist Hospital Indianapolis, Indiana
Jace R. Smith, MD
Senior Resident Department of Orthopedic Surgery
Marshall University
Joan C. Edwards School of Medicine Huntington, West Virginia
Damien Southard, MPT
Staff Physical Therapist Cabell Huntington Hospital Huntington, West Virginia
Ken Stephenson, MD
Orthopaedic Foot and Ankle Specialist, Attending Surgeon Northstar Surgery Center, Associate Professor
Texas Tech Health Sciences Center
Lubbock, Texas
Faustin R. Stevens, MD
Orthopaedic Surgery
Texas Tech Health Sciences Center
Lubbock, Texas
Mark Stovak, MD, FACSM, FAAFP, CAQSM
Professor
Department of Family and Community Medicine
University of Nevada, Reno School of Medicine Reno, Nevada
Timothy F. Tyler, MS, PT, ATC
Nicholas Institute of Sports Medicine and Athletic Trauma
Lenox Hill Hospital
New York, New York
Geoffrey S. Van Thiel, MD, MBA Division of Sports Medicine Rush University Medical Center Chicago, Illinois
Mark Wagner, MD Orthopaedic Specialists, PC Portland, Oregon
Reg B. Wilcox III, PT, DPT, MS, OCS
Clinical Supervisor
Outpatient Service Department of Rehabilitation Services Brigham and Women’s Hospital, Adjunct Clinical Assistant Professor Department of Physical Therapy School of Health and Rehabilitation Services
MGH Institute of Health Professions Boston, Massachusetts
Daniel Woods, MD Senior Resident Department Orthopaedic Surgery
Marshall University
Joan C. Edwards School of Medicine Huntington, West Virginia
FOREWORD BY GEORGE J. DAVIES
It is indeed an honor and a privilege to be invited to write the forward for the Fourth Edition of Clinical Orthopaedic Rehabilitation. For a book to be revised into a fourth edition is a testimonial to the quality and longevity of the contribution to the literature. Clinical Orthopaedic Rehabilitation is an excellent addition to the literature that provides current state of the art information for rehabilitation.
I have personally had the opportunity to work with and had the opportunity to learn from both of the editors: Charles “Chuck” Giangarra, MD, and Robert Manske, DPT. I had the privilege to work with Dr. Chuck and publish some other works with him. Dr. Chuck did his fellowship at the Kerlan-Jobe Clinic and had the opportunity to work directly with Dr. Frank Jobe as well as publish some research papers with Dr. Jobe. Dr. Chuck is an experienced surgeon with 30 years of experience and is a tremendous physician. I had the opportunity to work with Dr. Chuck for approximately 5 years before he moved on to become the head team physician at Marshall University. Dr. Chuck always had the patients’ interest foremost and understood the importance of the team approach when patients had injuries or surgeries. He was always a strong proponent of the physicians and rehabilitation specialists working closely together to provide the optimum quality care for their patients. Consequently, this book reinforces many examples of the team approach to treating patients and the importance of rehabilitation to return the patients to their optimum level of performance safely.
I had the privilege to meet and work with Rob when he was selected as the second resident at Gundersen Lutheran Sports Medicine (GLSM) (GLSM was the first APTA credential public Sports Physical Therapy Residency program in the USA). Rob was a hard worker and an accomplished clinician and earned his SCS, ATC, and CSCS credentials during that year and the subsequent years. Rob has worked his way through academia from an assistant professor to a full professor and chair at Wichita State University. Since his residency program, Rob and I have collaborated on many articles, research projects, and presentations at numerous meetings during the last 20 years. Rob has excelled
as a clinician, teacher, professional, and administrator and has edited or written seven textbooks that have made significant contributions to the literature. Clinical Orthopaedic Rehabilitation is another example of Rob’s continued pursuit of excellence in contributing to the literature and educating clinicians as to the optimum evidence-based rehabilitation for orthopedic conditions.
The quality of any book is predicated on the quality and conscientiousness of its editors. So, by combining the multiple talents of these editors, the Fourth Edition of the book has maintained its past format and updated approximately eight to ten new chapters to reflect the most current evidence and research. The focus of the book is on examination, surgeries, and rehabilitation of numerous orthopedic conditions to provide state of the art treatment protocols. This new edition also includes links to videos to reinforce the content within the book. This fourth edition is an outstanding contribution to the literature and is a must read for those who are interested in utilizing the best current evidence in rehabilitation for their patients.
This book is highly recommended for physical therapists, physical therapy assistants, athletic trainers, and physicians involved in treatment of orthopedic conditions where rehabilitation is a critical component of getting the patient safely and effectively for performance enhancement back to activity.
Respectfully, George J. Davies, DPT, MEd, PT, SCS, ATC, LAT, CSCS, PES, FAPTA Professor-Armstrong State University, 2004–present, Professor Emeritus, University of Wisconsin-LaCrosse, 2003, Founder and Co-Editor, 1979 Journal of Orthopaedic and Sports Physical Therapy, Founder and Associate Editor, 2009 Sports Health: A Multidisciplinary Approach, Sports Physical Therapist: Coastal Therapy, Savannah, GA, 2004–present, Gundersen Health System, LaCrosse, WI, 1991–present
FOREWORD BY EDWARD G. MCFARLAND
It is an honor to be asked to write a foreword to this incredible book put together by two of the stars of the orthopedic community—Dr. Manske, a physical therapist, and Dr. Giangarra, an orthopedic surgeon. I have to admit that I was unfamiliar with this text until this invitation, and it was my loss. This is an incredible book that has several attributes that make it a valuable addition to the practice of physical therapists, hand therapists, and orthopedic practioners of any level: student, resident, or surgeon in practice. One important quality of this book is that for each area of the body it has a concise and informative summary of the most common conditions and injuries that affect that area. This assures that everyone in the team treating the patient has as much knowledge as possible about the injury and the rationale for the treatment and rehabilitation. I am unaware of any other text that makes the important link between the condition and the subsequent rehabilitation. Each chapter provides rehabilitation protocols for the injuries discussed in the chapter so that the rationale of the protocol is provided and readily available. These rehabilitation protocols are excellent and I wish I’d had access to them many years ago. Another strength of this book is the ability to access videos of the rehabilitation techniques. It is one thing to read
about rehabilitation techniques and another to have videos that help a practitioner to get it right. Lastly, one of the best features for me as a practitioner is that I can use their rehabilitation protocols in my orthopedic practice; they are a quick reference to how the experts approach the rehabilitation of these important orthopedic conditions. I plan to use these protocols in my practice.
Drs. Manske and Giangarra not only bring their vast experience to this book, they also have recruited some of the leaders in each orthopedic topic discussed. This book has been written by the best and most visible leaders in the fields of orthopedic surgery and rehabilitation. The information has been updated and provides the latest and most up-to-date approach to clinical orthopedic rehabilitation. I would recommend this textbook to all orthopedic practitioners.
Edward G. McFarland, MD
Wayne H. Lewis Professor of Orthopaedic and Shoulder Surgery
Professor, Department of Orthopaedic Surgery Johns Hopkins University Baltimore, Maryland
Our goal in preparing the 4th edition of Clinical Orthopaedic Rehabilitation: A Team Approach was to continue to widen the breadth of the content and orthopedic and sports information to mimic that of the everyday practicing surgeon, physician, physical therapist, and athletic trainer who work in orthopedics. In increasing the breadth of content we have made this text more useful to clinicians and student clinicians. Several areas of content that are rarely seen in orthopedics except very rare special cases have been removed and other more pertinent pathologies have been included. For example, several chapters have been included in the expanded shoulder, elbow, knee, and hip sections. Dr. Charles Giangarra, a well-published author, already has brought a wealth of knowledge to many sections of the 4th edition. We have done our best to use a team approach so often seen and needed between physicians and rehabilitation specialists. The chapter authors are an exceptional group of clinicians who have presented the best available evidence regarding contemporary rehabilitation of orthopedic conditions. This dedicated multidisciplinary team of authors has added an incredible value to the foundation of this already strong book.
In the third edition Dr. Brotzman and I took tremendous steps forward to improve the overall quality and content of the
information provided within the pages of this comprehensive text. Dr. Giangarra and I have continued this forward momentum with the 4th edition. Updated and new evidence-based literature covering sound examination techniques, classification systems, differential diagnosis, treatment options, and updated criteria-based rehabilitation protocols have been included. Videos of some of the most commonly used exercises are included within the text. New all-color images have been included to update the over 800 images to help the visual learner better see and appreciate injuries and exercises used to treat those injuries. The treatment of orthopedic conditions is not static. The process of treating conditions of the muscles, bones, and nerves is and has always been dynamic. Textbooks about examination, evaluation, prognosis, and treatment of these conditions must be just as dynamic and ever changing. We hope that the readers of this text continue to feel that Clinical Orthopaedic Rehabilitation is the definitive reference for achieving success with the management of orthopedic conditions.
Robert C. Manske, PT, DPT, MEd, SCS, ATC, CSCS
Charles E. Giangarra,
MD
ACKNOWLEDGMENTS
To my fabulous wife, Jean, and my three wonderful children, Nick, Jenna, and Cristen, who I am so very proud of and who put up with me and made the best of my multiple moves across the country until I found the right opportunity. I could not have made it this far without their love and support and for that I am eternally grateful.
To my mentor, chairman, and friend, Dr. Oliashirazi, who believed in me and has encouraged me to excel more times than I can count.
To the orthopedic residents of Marshall University who have revitalized not only my career but my enthusiasm for learning.
I would also like to thank Ashley Belmaggio MA, Meagan Bevins ATC, Tom Garton MPT, and Michael Bonar PTA for their help with this project especially in preparing many of the new photographs for publication. I could not have done it without them.
Charles E. Giangarra, MD
To Dr. Brent Brotzman and Dr. Charles E. Giangarra. Dr. Brotzman, I want to personally thank you for taking the chance by allowing me to work with you on COR3. It was an incredible experience and I am forever indebted to you for your partnership. It is such a great resource for all health care professionals in rehabilitation and will go down as one of the best orthopedic textbooks of the last several decades.
Dr. Chuck, I appreciate your willingness to jump on this fastmoving train we call COR4 and take over for Dr. Brotzman. Your insight, mentorship, guidance, and willingness to always lend a hand have been an invaluable gift to me throughout the last 20 years. I would have never thought that when we first met back in LaCrosse in 1998 that either of us would end up with such a great project that will impact so many great rehabilitation professionals in a positive way.
Lastly a special thanks to B.J. Lehecka for reviewing and editing the spinal chapter section of this text. His insight was extremely valuable in this addition.
20 General Principles of Shoulder Rehabilitation 94
ROBERT C. MANSKE, PT, DPT, MEd, SCS, ATC, CSCS Shoulder Rehabilitation 98
MARISA PONTILLO, PT, DPT, SCS
21 Importance of the History in the Diagnosis of Shoulder Pathology 100
RICHARD ROMEYN, MD | ROBERT C. MANSKE, PT, DPT, MEd, SCS, ATC, CSCS
22 Rotator Cuff Tendinitis in the Overhead Athlete 110
MICHAEL J. O’BRIEN, MD | FELIX H. SAVOIE III, MD
23 Rotator Cuff Repair 117
ROBERT C. MANSKE, PT, DPT, MEd, SCS, ATC, CSCS
24 Shoulder Instability Treatment and Rehabilitation 130
SAMEER LODHA, MD | SEAN MAZLOOM, MS | AMY G. RESLER, DPT, CMP, CSCS | RACHEL M. FRANK, BS | NEIL S. GHODADRA, MD | ANTHONY A. ROMEO, MD | JONATHAN YONG KIM, CDR | R. JASON JADGCHEW, ATC, CSCS | MATTHEW T. PROVENCHER, MD, CDR, MC, USN
25 Adhesive Capsulitis (Frozen Shoulder) 158
26 Rehabilitation for Biceps Tendon Disorders and SLAP Lesions 164
GEOFFREY S. VAN THIEL, MD, MBA | SANJEEV BHATIA, MD |
NEIL S. GHODADRA, MD | JONATHAN YONG KIM, CDR | MATTHEW T. PROVENCHER, MD, CDR, MC, USN
27 Scapular Dyskinesis 174
W. BEN KIBLER, MD | AARON SCIASCIA, MS, ATC, NASM-PES | JOHN MCMULLEN, MS, ATC
28 Rehabilitation Following Total Shoulder and Reverse Total Shoulder Arthroplasty 181
TODD S. ELLENBECKER, DPT, MS, SCS, OCS, CSCS | REG B. WILCOX III, PT, DPT, MS, OCS
30 Shoulder Exercises for Injury Prevention in the Throwing Athlete 196
JOHN A. GUIDO, JR., PT, MHS, SCS, ATC, CSCS | KEITH MEISTER, MD
31 Glenohumeral Internal Rotation Deficiency: Evaluation and Treatment 203
TODD S. ELLENBECKER, DPT, MS, SCS, OCS, CSCS | W. BEN KIBLER, MD | GEORGE J. DAVIES, DPT, MEd, PT, SCS, ATC, LAT, CSCS, PES, FAPTA
32 Postural Consideration for the Female Athlete’s Shoulder 207
JANICE K. LOUDON, PT, PhD, SCS, ATC, CSCS
33 Impingement Syndrome 210
MICHAEL D. ROSENTHAL, PT, DSc, SCS, ECS, ATC, CSCS | JOSEF H. MOORE, PT, PhD | JOSEPH R. LYNCH, MD
34 Pectoralis Major Rupture Repair 221
ROBERT C. MANSKE, PT, DPT, MEd, SCS, ATC, CSCS | DANIEL PROHASKA, MD
35 Thoracic Outlet Syndrome in the Overhead Athlete 226
ROBERT C. MANSKE, PT, DPT, MEd, SCS, ATC, CSCS
36 Proximal Humeral and Humeral Shaft Fractures 233
CHARLES E. GIANGARRA, MD | JACE R. SMITH, MD
37 The Use of a Functional Testing Algorithm (FTA) to Make Qualitative and Quantitative Decisions to Return Athletes Back to Sports Following Shoulder Injuries 237
GEORGE J. DAVIES, DPT, MEd, PT, SCS, ATC, LAT, CSCS, PES, FAPTA | BRYAN RIEMANN, PhD, ATC, FNATA
SECTION
Foot and Ankle Injuries
38 Foot and Ankle Fractures 246
JAMES T. REAGAN, MD | CHARLES E. GIANGARRA, MD | JOHN J. JASKO, MD
39 Ankle Sprains 255
BRIAN K. FARR, MA, ATC, LAT, CSCS | DONALD NGUYEN, PT, MSPT, ATC, LAT | KEN STEPHENSON, MD | TOBY ROGERS, PhD, MPT | FAUSTIN R. STEVENS, MD | JOHN J. JASKO, MD
40 Ankle-Specific Perturbation Training 273
MICHAEL DUKE, PT, CSCS | S. BRENT BROTZMAN, MD
41 Chronic Ankle Instability 275
S. BRENT BROTZMAN, MD | JOHN J. JASKO, MD
42 Syndesmotic Injuries 278
S. BRENT BROTZMAN, MD | JOHN J. JASKO, MD
43 Inferior Heel Pain (Plantar Fasciitis) 281
S. BRENT BROTZMAN, MD | JOHN J. JASKO, MD
44 Achilles Tendinopathy 290
S. BRENT BROTZMAN, MD
45 Achilles Tendon Rupture 299
JOHN J. JASKO, MD | S. BRENT BROTZMAN, MD | CHARLES E. GIANGARRA, MD
46 First Metatarsophalangeal Joint Sprain (Turf Toe) 303
MARK M. CASILLAS, MD | MARGARET JACOBS, PT
SECTION Knee Injuries
5
47 Anterior Cruciate Ligament Injuries 308
S. BRENT BROTZMAN, MD
48 Perturbation Training for Postoperative ACL Reconstruction and Patients Who Were Nonoperatively Treated and ACL Deficient 322
MICHAEL DUKE, PT, CSCS | S. BRENT BROTZMAN, MD
49 Gender Issues in ACL Injury 326
LORI A. BOLGLA, PT, PhD, MAcc, ATC
50 Functional Testing, Functional Training, and Criteria for Return to Play After ACL Reconstruction 334
MARK V. PATERNO, PhD, PT, MS, SCS, ATC | TIMOTHY E. HEWETT, PhD, FACSM
51 Functional Performance Measures and Sports-Specific Rehabilitation for Lower Extremity Injuries: A Guide for a Safe Return to Sports 341
CHRISTIE C.P. POWELL, PT, MSPT, STS, USSF “D”
52 Treatment and Rehabilitation of Arthrofibrosis of the Knee 353
SCOTT E. LAWRANCE, MS, PT, ATC, CSCS | K. DONALD SHELBOURNE, MD
53 Posterior Cruciate Ligament Injuries 359
MICHAEL D’AMATO, MD | S. BRENT BROTZMAN, MD
54 Medial Collateral Ligament Injuries 367
MICHAEL ANGELINE, MD | BRUCE REIDER, MD
55 Meniscal Injuries 372
MICHAEL D’AMATO, MD | S. BRENT BROTZMAN, MD | THERESA M. KIDD, BA
58 Hip Strength and Kinematics in Patellofemoral Syndrome 393
LORI A. BOLGLA, PT, PhD, ATC
59 Overuse Syndromes of the Knee 397
S. BRENT BROTZMAN, MD
60 Patellar Tendon Ruptures 400
MATTHEW J. MATAVA, MD | RYAN T. PITTS, MD | SUZANNE ZADRA SCHROEDER, PT, ATC
61 Articular Cartilage Procedures of the Knee 405
G. KELLEY FITZGERALD, PhD, PT | JAMES J. IRRGANG, PhD, PT, ATC
62 The Arthritic Knee 411
DAVID A. JAMES, PT, DPT, OCS, CSCS | CULLEN M. NIGRINI, MSPT, MEd, PT, ATC, LAT | ROBERT C. MANSKE, PT, DPT, MEd, SCS, ATC, CSCS | ALEXANDER T. CAUGHRAN, MD
63 Total Knee Replacement Protocol 417
DAVID A. JAMES, PT, DPT, OCS, CSCS | CULLEN M. NIGRINI, MSPT, MEd, PT, ATC, LAT
SECTION Hip Injuries
64 Hip Injuries 422
ERIK P. MEIRA, PT, SCS, CSCS | MARK WAGNER, MD | JASON BRUMITT, PT, PhD, ATC, CSCS
65 The Arthritic Hip 432
ALEXANDER T. CAUGHRAN, MD | CHARLES E. GIANGARRA, MD
66 Total Hip Replacement Rehabilitation: Progression and Restrictions 436
MORTEZA MEFTAH, MD | AMAR S. RANAWAT, MD | ANIL S. RANAWAT, MD | ALEXANDER T. CAUGHRAN, MD
67 Groin Pain 443
MICHAEL P. REIMAN, PT, DPT, OCS, SCS, ATC, FAAOMPT, CSCS | S. BRENT BROTZMAN, MD
68 Hamstring Muscle Injuries in Athletes 447
J. ALLEN HARDIN, PT, MS, SCS, ATC, LAT, CSCS | CLAYTON F. HOLMES, PT, EdD, MS, ATC
69 Athletic Pubalgia 462
CHARLES ANDREW GILLILAND, BS, MD
70 Femoro-acetabular Impingement: Labral Repair and Reconstruction 466
83 Running Injuries: Shoes, Orthotics, and Returnto-Running Program 588
SCOTT T. MILLER, PT, MS, SCS, CSCS | JANICE K. LOUDON, PT, PhD, SCS, ATC, CSCS
84 Tendinopathy 601
ROBERT
C.
MANSKE,
PT, DPT, MEd, SCS, ATC, CSCS Index 605
VIDEO CONTENTS
Chapter 18
Video 18-1 Rowing Motions Low Middle High 640
Video 18-2 Wall Push Up Plus 640
Video 18-3 Side-lying Er 640
Video 18-4 External Rotation Tubing With Retraction 640
Video 18-5 Wrist Isotonic Extension 640
Video 18-6 Wrist Isotonic Flexion 640
Video 18-7 Wrist Flips Flexors And Extensors 640
Chapter 22
Video 22-1 Posterior Glide 45 640
Video 22-2 Posterior Glide 90 640
Video 22-3 Single Theraband External Rotation 640
Video 22-4 Single Theraband Internal Rotation 640
Video 22-5 2 Handed Chop 640
Video 22-6 2 Handed Overhead 640
Chapter 26
Video 26-1 Rotator Cuff Isometrics Rhythmic Stabilization 640
Chapter30
Video 30-1 Cross Arm Stretch Seated Patient 640
Video 30-2 Cross Arm Stretch Supine Patient 640
Video 30-3 Cross Arm Stretch Supine Therapist Assist 640
Video 30-4 Cross Arm Stretch Supine Therapist Stabilized 640
Video 30-5 Scapuular Plane Elevation 640
Video 30-6 Seated Press Up Plus 640
Chapter 34
Video 34-1 Side-lying Scapular Isometrics 640
Chapter 39
Video 39-1 Hold Patterns Injured Limb On Tilt Board 640
Video 39-2 Hold Patterns Uninjured Limb On Tilt Board 640
Chapter 40
Video 40-1 Bosu Squats 640
Video 40-2 Seated With Perturbations 640
Chapter 47
Video 47-1 Bridging With Side 640
Video 47-2 Level Ground Squats Bilateral 640
Video 47-3 Lunge Anterior 640
Video 47-4 Single Leg Balance Foam Pad 640
Video 47-5 Single Leg Balance Level Ground 640
Video 47-6 Single Leg Balance Perturbations 640
Chapter 49
Video 49-1 Side-lying Clam 640
Chapter 50
Video 50-1 Swiss Ball Progression Is Ys Ts 640
Chapter 51
Video 51-1 Single Leg Squat 640
Chapter 56
Video 56-1 Squatting 640
Video 56-2 Squatting With Therapist Tapping 640
Chapter 64
Video 64-1 Hip Abduction Side-lying 640
Video 64-2 Hip Extension 640
Video 64-3 Isometric Hip Abduction Wall 640
Video 64-4 Single Leg Balance Hip Rotation 640
Video 64-5 Standing Hip Abduction 640
Chapter 68
Video 68-1 Prone Eccentric Hamstrings Manual Resistance 640
Video 68-2 Supine Hamstring Curl 640
Another random document with no related content on Scribd:
“But you thought I had meant immediateinspiration.” So I do, or I mean nothing at all. Not indeed such inspiration as is sinemediis. But all inspiration, tho’ by means, is immediate. Suppose, for instance, you are employed in private prayer, and God pours his love into your heart. God then acts immediately on your soul: and the love of him which you then experience, is as immediately breathed into you by the Holy Ghost, as if you had lived 1700 years ago. Change the term. Say, “God then assistsyou to love him?” Well, and is not this immediateassistance? Say, “His Spirit concurswith yours.” You gain no ground. It is immediateconcurrenceor none at all. God, a Spirit acts upon your Spirit. Make it out any otherwise if you can.
*I cannot conceive, how that harmless word immediate, came to be such a bugbear in the world: “Why, I thought you meant such inspirationas the apostles had; and sucha receivingthe Holy Ghost as that was at the day of Pentecost.” I do, in part: indeed I do not mean, that Christians now receive the Holy Ghost, in order to work miracles: but they do doubtless now receive, yea, are filledwiththe HolyGhost, in order to be filled with the fruits of that blessed Spirit. And he inspires into all true believers now, a degree of the same peace and joy and love, which the apostles felt in themselves on that day, when they were first filledwiththeHolyGhost.
29. I have now considered the most material objections I know, which have been lately made against the great doctrines I teach. I have produced, so far as in me lay, the strength of those objections, and then answered them, I hope, in the Spirit of meekness. And now I trust it appears, that these doctrines are no other than the doctrines of Jesus Christ: that they are all evidently contained in the word of God, by which alone I desire to stand or fall; and that they are fundamentally the same with the doctrines of the church of England, of which I do, and ever did profess myself a member.
But there remains one objection, which though relating to the head of doctrine, yet is independent on all that went before. And that is, “You cannot agree in your doctrines among yourselves. One holds one thing, and one another. Mr. Whitefield anathematizes Mr. Wesley; and Mr. Wesleyanathematizes Mr. Whitefield. And yet each pretends to be led by the Holy Ghost, by the infallible Spirit of God! Every reasonable man must conclude from hence, that neither one nor the other is led by that Spirit.”
I need not say, how continually this has been urged, both in common conversation and from the press: (I am grieved to add, and from the pulpit too: for, if the argument were good, it would overturn the bible.) Nor, how great stress has been continually laid upon it: whoever proposes it, proposes it as demonstration, and generally claps his wings, as being quite assured, it will admit of no answer.
And indeed I am in doubt, whether it does admit (I am sure, it does not require) any other answer, than that course one of the countryman to the Romish champion, “Bellarmine, Thou liest.” For every proposition contained herein, is grossly, shamelessly false. 1. “You cannot agree in your doctrines among yourselves.”—Who told you so? All our fundamental doctrines, I have recited above. And in every one of these we do and have agreed for several years. In these we hold one and the same thing. In smaller points, each of us thinks, and lets think. 2. “Mr. Whitefield anathematizes Mr. Wesley.” Another shameless untruth. Let any one read what Mr. Whitefield wrote, even in the heat of controversy, and he will be convinced of the contrary. 3. “And Mr. Wesley anathematizes Mr. Whitefield.” This is equally false and scandalous. I reverence Mr. Whitefield, both as a child of God, and a true minister of Jesus Christ. 4. “And yet each pretends to be led by the Holy Ghost, by the infallible Spirit of God.” Not in our private opinions: nor does either of us pretend to be any farther led by the Spirit of God, than every Christian must pretend to be, unless he will deny the bible. For only as many as are led by the Spirit of God, are the sons of God. Therefore, if you do not pretend to be led by him too, yea, if it be not so in fact, youarenoneofhis.
And now, what is become of your demonstration? Leave it to the car-men and porters, its just proprietors: to the zealous applewomen that cry after me in the street, “This is he that rails at the WholeDutyfulof Man.” But let every one that pretends to learning or reason, be ashamed to mention it any more.
30. The first inference, easily deduced from what has been said, is, “That we are not falseprophets.” In one sense of the word, we are no prophets at all; for we do not foretel things to come. But in another (wherein every minister is a prophet) we are. For we do speak in the name of God. Now a false prophet (in this sense of the word) is one, who declares as the will of God, what is not so. But we declare (as has been shewn at large) nothing else as the will of God, but what is evidently contained in his written word, as explained by our own church. Therefore, unless you can prove the bible to be a falsebook, you cannot possibly prove us to be falseprophets.
The text which is generally cited on this occasion, is Matthewvii. verse 15. But how unhappily chosen! In the preceeding chapters, our Lord had been describing, that righteousnesswhich exceedsthe righteousness of the Scribes and Pharisees, and without which we cannot enterintothekingdomofheaven: Even the life of God in the soul; holiness of heart, producing all holiness of conversation. In this, he closes that rule which sums up the whole, with those solemn words, Enteryeinatthestraitgate: (such indeed is that of universal holiness) For wideisthegate,andbroadistheway thatleadethto destruction.Thegateofhell iswideas the whole earth; theway of unholiness isbroadas the great deep. Andmany there bewhichgo inthereat; yea, and excuse themselves in so doing, Becausestraitis thegateandnarrowisthewaythatleadethuntolife,andfewthere be that find it. It follows, Beware of false prophets; of those who speak as from God, what God hath not spoken; those who shew you any other way to life, than that which I have now shewn. So that the false prophets, here spoken of, are those who point out any other way to heaven than this; who teach men to find a wider gate, a broader way, than that described in the foregoing chapters. But it has been abundantly shewn, that we do not. Therefore (whatever we are beside) we are not falseprophets.
Neither are we (as has been frequently and vehemently affirmed) deceivers ofthepeople. If we teach thetruthas itisinJesus, if we speakastheoraclesofGod, it follows, that we do not deceivethose that hear, though they should believe whatever we speak. Let God be true and every man a liar: every man that contradicts his truth. But he will bejustifiedinhissaying,andclearwhenheisjudged.
One thing more I infer, “That we are not enthusiasts.” This accusation has been considered at large; and the main arguments hitherto brought to support it, have been weighed in the balance and found wanting: Particularly this, “That none but enthusiasts suppose either that promiseof the Comforter¹ or thewitnessofthe Spirit² , or that unutterable prayer³ , or the unction from the Holy One⁴ , to belong, in common, to all Christians.” O my Lord, how deeply have you condemned the generation of God’s children! Whom you have represented as rank, dreaming enthusiasts? As either deludedor designingmen? Not only bishop Pearson, a man hitherto accounted both sound in heart, and of good understanding: but likewise archbishop Cranmer, bishop Ridley, bishop Latimer, bishop Hooper! and all the venerable compilers of our liturgy and homilies: All the members of both the houses of convocation, by whom they were revised and approved: Yea, king Edward, and all his lords and commons together, by whose authority they were established! And, with these modernenthusiasts, Origen, Chrysostom, and Athanasius are comprehended in the same censure!
¹ John xiv. 16, 26. xvi. 13. ² Romans viii. 15, 16.
³ Romans viii. 26, 27. ⁴ 1John ii. 20, 27.
I grant a deist might rank both us and them, in the number of religiousmadmen: Nay, ought so to do, on hissupposition, that the gospel is but a cunningly-devisedfable. And on this ground, some of them have done so in fact. One of them was asking me, some years since, “What! are you one of the knight-errants? How, I pray, got this quixotism into your head? You want nothing: you have a good provision for life; and are in a fair way of preferment. And must you leave all, to fight windmills; to convert savages in America?” I could only reply, “Sir, if the bible is a lie, I am as very a madman as you can conceive. But if it be true, I am in my senses. I am neither a madman nor enthusiast. Forthereisnomanwhohathleftfather , or mother , orwife,orhouse,orland,forthegospel’ssake;butheshall receive an hundredfold,inthisworld,withpersecutions,andinthe worldtocome,eternallife.”
Nominal, outside Christians too, men of form, may pass the same judgment. For we give up all our pretensions to what they account happiness, for what they (with the deists) believe to be a mere dream. We expect, therefore, to pass for enthusiasts, with these also. Butwisdomisjustifiedofallherchildren.
32. I cannot conclude this head without one obvious remark. Suppose we really were enthusiasts; suppose our doctrines were false and unsupported either by reason, scripture, or authority: Then why hath not some one, who is a wise man, and endued with knowledge among you, attempted at least, to shew us our fault in love and meekness of wisdom? Brethren, if ye have bitter zeal in your hearts, your wisdom descendeth not from above. The wisdom thatisfrom above, ispure,peaceable,gentle,easy tobeintreated, fullofmercy orpity. Does this spirit appear in one single tract of all those which have been published against us? Is there one writer that has reproved us in love? Bring it to a single point. Love hopeth allthings.If you had loved us in any degree, you would have hoped, that God would some time give us the knowledge of his truth. But where shall we find even this slender instance of love? Has not every one who has wrote at all (I do not remember so much as one exception) treated us as incorrigible? Brethren, how is this? Why do ye labour to teach us an evil lesson against yourselves? O may God never suffer others to deal with you, as ye have dealt with us!
VI. 1. Before I enter upon the consideration of those objections, which have been made to the manner of our preaching, I believe it may be satisfactory to some readers, if I relate how I began to preach in this manner.
I was ordained deacon in 1725, and priest in the year following. But it was many years after this, before I was convinced of the great truths above recited. During all that time I was utterly ignorant of the nature and condition of justification. Sometimes I confounded it with sanctification (particularly when I was in Georgia.) At other times I had some confused notion about the forgiveness of sins: but then I took it for granted, the time of this must be, either the hour of death, or the day of judgment.
I was equally ignorant of the nature of saving faith; apprehending it to mean no more, than a “firm assent to all the propositions contained in the old and new Testament.”
2. As soon as, by the great blessing of God, I had a clearer view of these things, I began to declare them to others also. I believed, and therefore I spake. Wherever I was now desired to preach, salvation by faith was my only theme. My constant subjects were, Believe intheLordJesusChrist,andthoushalt besaved.Himhath God exalted to be a Prince and a Saviour , to give repentance and remissionofsins.These I explained and inforced with all my might, both in every church where I was asked to preach, and occasionally in the religious societies of London and Westminster; to some or other of which I was continually pressed to go, by the stewards or other members of them.
Things were in this posture, when I was told, “I must preach no more in this, and this, and another church:” The reason was usually added without reserve, “Because you preach such doctrines.” So much the more those who could not hear me there, flocked together when I was at any of the societies; where I spoke more or less, though with much inconvenience, to as many as the room I was in would contain.
3. But after a time, finding those rooms could not contain a tenth part of the people that were earnest to hear, I determined to do the same thing in England, which I had often done in a warmer climate: namely, when the house would not contain the congregation, to preach in the open air. This I accordingly did, first at Bristol, where the society rooms were exceeding small, and at Kingswood, where we had no room at all; afterwards in or near London.
And I cannot say, I have ever seen a more awful sight, than when on Rose-green, or the top of Hanham-mount, some thousands of people were calmly joined together in solemn waiting upon God, while
“They stood and under open air adored
The God who made both air, earth, heaven and sky.”
And whether they were listning to his word, with attention still as night; or were lifting up their voice in praise, as the sound of many waters; many a time have I been constrained to say in my heart, How dreadful is thisplace! This also is no other than the house of God!Thisisthegateofheaven!
*Be pleased to observe. 1. That I was forbidden, as by a general consent, to preach in any church (though not by any judicial sentence) “for preaching such doctrine.” This was the open, avowed cause: there was at that time no other, either real or pretended; (except that the people crouded so:) 2. That I had no desire or design to preach in the open air, till after this prohibition; 3. That when I did, as it was no matter of choice, so neither of premeditation. There was no scheme at all previously formed, which was to be supported thereby; nor had I any other end in view than this, to save as many souls as I could. 4. Field-preaching was therefore a sudden expedient, a thing submitted to, rather than chosen, and therefore submitted to because I thought preaching even thus, better than not preaching at all: First, in regard to my own soul, because a dispensationofthegospelbeingcommittedto me, I did not dare, Nottopreachthegospel; Secondly, in regard to the souls of others, whom I every where saw, seekingdeath in the erroroftheirlife.
4. But the author of the observations and of the case of the Methodists briefly stated, more particularly in the point of fieldpreaching, thinks field-preaching worse than not preaching at all, “because it is illegal.”
Your argument, in form, runs thus:
“That preaching which is contrary to the laws of the land, is worse than not preaching at all:
“But field preachingiscontraryto the laws of the land:
“Therefore, it is worse than not preaching at all.”
*The first proposition is not self-evident, nor indeed universally true. For the preaching of all the primitive Christians was contrary to the whole tenor of the Roman law; the worship of the devil-gods being established by the strongest laws then in being. Nor is it ever true, but on supposition, that the preaching in question is an indifferent thing.
But ♦ waving this, I deny the second proposition; I deny that field-preachingis contrary to the laws of our land.
♦ “waveing” replaced with “waving” for consistency
To prove which, you begin thus, “It does not appear, that any of the preachers among the Methodists, have qualified themselves and the places of their assembling, according to the act of toleration.”
*I answer, 1. That act grants toleration to those who dissent from the established church. But we do not dissent from it. Therefore we cannot make use of that act. 2. That act exempts dissenters from penalties consequent on their breach of preceding laws. But we are not conscious of breakingany law atall. Therefore we neednotmake use of it.
In the next section you say, “They have broken through all these provisions, inopen defianceof government: and have met, not only in houses, but in the fields, notwithstanding the statute (22CharlesII.chapter 1.) which forbids this by name.”
*I answer, 1. We do nothing in defiance of government. We reverence magistrates, as the ministers of God. 2. Although we have met in the fields, yet we do not conceive that statute at all affects us: not only because that act points wholly at dissenters; whereas we are members of the established church; but also because (they are your own words) it was evidently intended to suppress and prevent sedition: whereas no sedition, nor any the least approach thereto, can with any colour be laid to our charge.
In your third section you affirm, “That the act of toleration itself cannot secure us in field-preaching, from the penalties of former laws.” We have no desire it should; as not apprehending ourselves to be condemned by any former law whatever. Nor does what you add, “That the act of toleration forbids any assembly of persons dissenting from the church of England, to meet with the doors locked,” affect us at all; because we do not dissentfrom it.
5. In the case of the Methodists briefly stated, your first observation is, “The act of toleration leaves them liable to the penalties of several statutes made against unlawful assemblies.”
I suppose then these several statutes specify what those unlawfulassembliesare; and whether unlawful, as being condemned by previous laws, or made unlawful by those statutes.
And it still remains to be proved, that our assemblies are unlawful, in one or other of these senses.
You next observe, that, “the dissenters of all denominations, qualify themselves according to the act of toleration: otherwise, they are liable to the penalties of all the laws recited in this act.”
I answer, as before, all this strikes wide. It relates wholly to “persons dissenting from the church.” But we are not the men. We do not dissent from the church. Whoever affirms it, we put him to the proof.
