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Low Back Disorders

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Title: Low Back Disorders
by Stuart, Ph.D. McGill
ISBN: 0-7360-4241-5
Publisher: Human Kinetics Pub
Pub. Date: 15 August, 2002
Format: Hardcover
Volumes: 1
List Price(USD): $45.00
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Average Customer Rating: 4.57 (7 reviews)

Customer Reviews

Rating: 5
Summary: Help for Sufferers of Low Back Pain
Comment: This is a superb book that is useful for both clinicians and patients alike. Using methods based on electromyographic measurements published by McGill and his colleagues in many scientific journals, he ascertains which muscles are activated in a variety of exercises. This becomes important for patients who have low back problems and must avoid heavy spine loads both in the fitness center and at work. He lists a variety of commonly prescribed exercises that should be avoided by persons with low back problems: sit ups, pelvic tilts, leg raises, low back extension exercises on machines and hip flexion exercises using the Roman chair. He then recommends a series of exercises that are designed to strengthen back muscles and stabilize the spine while at the same time minimizing spinal compression that could exacerbate back problems: the curl-up, side bridges and "bird dog" leg extensions.

This book should be recommended reading for all physical therapists and strength trainers with clients having low back problems and is a must for those suffering from low back pains.

Rating: 5
Summary: Everyone who treats Low Back Pain needs to read this book
Comment: I have been using this text in my office for over a year, and rarely a day goes by that I don't reference information from Dr. McGill's wonderful book. It is a scientifically detailed and rich text which translates it's trenendous quantification of the tolerances, characteristics and capacities of the human spine into practicle clinical application that is well understood by the clinician and patient alike. All physical medicine specialists should be required to read this book.

An appreciative reference to psychosocial issues is made, yet, the currently vogue practice of looking purely to psychosocial considerations and de-emphasising the biological/biomechanical components of back injury is challenged. The current approach is a Biopsychosocial one, and Proff. McGill fills this book with concrete reasons not to ignore the physical characteristics of the spine. He makes the point, that is dramatically clear in day to day clinical practice, that with effective care based on sound principles many of the pschosocial issues become much more manageable.

In this text common beliefs and practices are rigorously scrutinized experimentally so as to better understand the clinical rationalle. When strategies for injury prevention are found to be unsound, alternatives commiserate with biomechanical and practicle sefety considerations are offered with sound data based reasoning given.

One of the most unique and valuable features of this text is that throughout the Scientific Foundations chapters, which describ the laboratory based biomechanical data in grand detail, are relatively short "Clinical Relavence" sections. These prominent and easy to read sections take the data just described and provide remarkably practicle applications of this knowledge. This feature has been tremendously helpful in my practice as it has allowed me to make strong recommendations to my patients with the ability to educate them as to why. Their understanding has increased compliance and empowered them by adding to their ability to help themselves.

Thank you Dr.McGill for such an in depth scientific analysis of a complex problem that is so remarkably practicle as a resource.

Rating: 5
Summary: Outdstanding infromation
Comment: McGill's book is a remarkable source of infromation based on solid research and a clear source of prudent advice for preventing back injury and for managing chronic low back problems. Having suffered from an old low back injury for many years I find it the first book that presents data on why and how to manage back problems. Clearly written and extensively documented it should benefit both those who help manage back problems as well as sufferers themselves. As a physician, I highly recommend it to other physicians, phyical therapists and those who want information and cogent advice about one of the bugaboos of life.

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