Rehabilitation of Musculoskeletal Injuries

Peggy A. Houglum, PhD, is a retired associate professor at the Rangos School of Health Sciences at Duquesne University in Pittsburgh. She has over 50 years of experience as a certified athletic trainer and licensed physical therapist, providing patient and athletic care in a variety of settings, including university athletic training facilities, sports medicine clinics, rehabilitation hospitals, acute care hospitals, burn care centers, and extended care facilities. She also served as an athletic trainer with the United States Olympic Festivals, Olympic Games, and World University Games. She has had 25 years of teaching experience in athletic training and physical therapy programs in bachelor's degree and advanced degree programs. She has served on several national committees for the National Athletic Trainers' Association (NATA) in the areas of education and continuing education, and she has served the Board of Certification (BOC) as an examiner, program reviewer, and Role Delineation Task Force member. She was the first woman to serve as an associate editor for Athletic Training, has served on other journal boards, has been invited to speak on the topic of sports medicine rehabilitation at national and international conferences, received the Therapy Times award for the Most Influential Rehabilitation Professional in Physical Therapy, and has been inducted into the NATA Hall of Fame. Kristine L. Boyle-Walker, MPT, OCS, ATC, CHT, is the assistant director of physical therapy at the Orthopaedic Specialty Institute in Orange, California. She also serves as a part-time faculty member at California State University-Fullerton in the department of kinesiology. She has over 30 years of experience as an athletic trainer, physical therapist, and instructor in both subject areas. She has served on several national committees for the National Athletic Trainers' Association (NATA) in the areas of education and continuing education and has served on several committees for the Far West Athletic Trainers' Association (FWATA) in the area of continuing education. She has presented nationally and internationally on topics related to musculoskeletal rehabilitation. She was inducted into the FWATA Hall of Fame in 2019. She was awarded the NATA Continuing Education Excellence Award in 2012 and their Most Distinguished Athletic Trainer Award in 2011. Daniel E. Houglum, MSPT, ATC, PRC, is a licensed physical therapist and certified athletic trainer. He has been practicing since 1999 and teaches continuing education courses-including courses on myokinematic restoration, postural respiration, and impingement and instability-for the Postural Restoration Institute. He opened his own physical therapy business in 2016 and provides care for patients with chronic pain as well as elite-level athletes with sport-related injuries. He was named the Five Star Professional Top Physical Therapist in Chicago for 2014 and 2015, and he was a recipient of the Postural Restoration Institute Director's Dedication Award in 2019.

Part I. Healing and Other Factors Related to Rehabilitation Decisions Chapter 1. Introduction to Rehabilitation Definition of Rehabilitation Personal Issues Objectives Elements of Rehabilitation Components of Rehabilitation Phases of Rehabilitation Clinical Practice Evidence-Based Practice and Outcomes-Based Practice Summary Learning Aids Chapter 2. Concepts of Healing Primary and Secondary Healing Healing Phases Growth Factors Healing of Specific Tissues Tensile Strength During Healing Factors That Affect Healing Summary Learning Aids Chapter 3. Impact of Healing on Rehabilitation The Three Rs of Rehabilitation Timing of Rehabilitation Through the Healing Phases Timing of Treatment Response Summary Learning Aids Chapter 4. Age Considerations in Rehabilitation Plan and Program Design Activity Levels, Stages of Life, and Health Care Pediatric Considerations Geriatric Considerations Summary Learning Aids Part II. Examination and Assessment Chapter 5. Overall Progression of Examination Procedures for Rehabilitation Subjective and Objective Examination: Making a Profile Interpreting Results and Designing a Rehabilitation Program Record Keeping and Documentation Summary Learning Aids Chapter 6. Posture Posture Muscle Imbalances Summary Learning Aids Chapter 7. Gait Cycle and Ambulation Aids Normal Gait Clinical Gait Analysis Pathological Gait Normal Running Gait Mechanics of Ambulation With Assistive Devices Summary Learning Aids Chapter 8. Functional Adaptations in Rehabilitation Specific ADL Considerations Specific ADL Modifications Summary Learning Aids Part III. Rehabilitation Tools Chapter 9. Modalities Modality Decisions in Rehabilitation Modality Categories in Rehabilitation Summary Learning Aids Chapter 10. Aquatic Rehabilitation Exercise Physical Properties and Principles of Water Indications, Advantages, Precautions, and Contraindications Aquatic Rehabilitation Principles and Guidelines Deep-Water Exercise Aquatic Rehabilitation Exercises Summary Learning Aids Lab Activities Chapter 11. Manual Therapy Critical Analysis Massage Myofascial Release Myofascial Trigger Points Muscle Energy Proprioceptive Neuromuscular Facilitation Other Manual Therapies Joint Mobilization and Manipulation Summary Learning Aids Chapter 12. Range of Motion and Flexibility Rehabilitation Defining Flexibility and Range of Motion Connective-Tissue Composition Effects of Immobilization on Connective Tissue Effects of Remobilization on Connective Tissue Connective Tissue Mechanical Properties and Behavior in Range of Motion Neuromuscular Influences on Range of Motion Determining Normal Range of Motion Range-of-Motion Activities Stretching Techniques Exercise Progression Special Considerations With Stretching Summary Learning Aids Chapter 13. Muscle Strength and Endurance Neurological Structure and Function Muscle Structure and Function Muscles of the Body Types of Muscle Fibers and Muscles Muscle Strength and Power, Endurance and Recovery Related to Rehabilitation Muscle Recruitment Types of Muscle Activity Open and Closed Kinetic Chain Activity Strength Program Design Programs of Goal Progressions Summary Learning Aids Chapter 14. Neuromotor Control and Proprioception Neurophysiology of Proprioception Central Nervous System Proprioceptor Sites Balance Coordination Agility Rehabilitation Exercises for Proprioception Summary Learning Aids Chapter 15. Functional and Performance-Specific Development Definitions, Goals, and Foundations Plyometric Exercises Plyometric Program Considerations Plyometric Precautions and Contraindications Equipment for Plyometric Activities Lower-Extremity Plyometrics Upper-Extremity and Trunk Plyometrics Rehabilitation Progression From Plyometrics to Functional to Activity-Specific Exercises Functional-Level Exercise Basics Functional and Performance-Specific Exercises Examples of Functional Performance-Specific Progression Final Step Before Full Return to Participation Summary Learning Aids Chapter 16. Creating the Rehabilitation Program Rehabilitation Program Contents Phases of Rehabilitation Individualization of a Rehabilitation Program Summary Learning Aids Part IV. Rehabilitation of Body Segments Chapter 17. Spine and SI Joint Special Rehabilitation Considerations Special Sacral, Ilial, and Pelvic Considerations Body Mechanics Examination of the Spine and Sacroilium Rehabilitation Interventions Special Rehabilitation Applications Summary Learning Aids Chapter 18. Hip Special Rehabilitation Considerations Rehabilitation Interventions Special Rehabilitation Applications Summary Learning Aids Chapter 19. Knee and Thigh Special Rehabilitation Considerations Rehabilitation Interventions Special Rehabilitation Applications Summary Learning Aids Chapter 20. Foot, Ankle, and Leg Special Rehabilitation Considerations Common Structural Deformities Orthotic Intervention for Foot Deformities Determining Proper Footwear for Patients Rehabilitation Interventions Special Rehabilitation Applications Summary Learning Aids Chapter 21. Shoulder and Arm Specific Rehabilitation Considerations Rehabilitation Interventions Specific Rehabilitation Applications Summary Learning Aids Chapter 22. Elbow and Forearm Special Rehabilitation Considerations Rehabilitation Interventions Special Rehabilitation Applications Summary Learning Aids Chapter 23. Wrist and Hand Special Rehabilitation Considerations Rehabilitation Interventions Special Rehabilitation Applications Summary Learning Aids