Low Back Disorders: Evidence-based Prevention and Rehabilitation
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Access the latest research and applications to build effective prevention and rehabilitation programs for your patients or clients with Low Back Disorders: Evidence-Based Prevention and Rehabilitation, Second Edition. Internationally recognized low back specialist Stuart McGill presents original research to quantify the forces that specific movements and exercises impose on the low back, dispels myths regarding spine stabilization exercises, and suggests prevention approaches and strategies to offset injuries and restore function.
Low Back Disorders: Evidence-Based Prevention and Rehabilitation, Second Edition, presents a clear exposition of back anatomy and biomechanics and demonstrates how to interpret the latest research on low back involvement for clinical applications. The text also contains detailed information on injuries associated with seated work and sport and ergonomic issues related to manual handling of materials. With Low Back Disorders: Evidence-Based Prevention and Rehabilitation, Second Edition, you will
This fully updated second edition expands knowledge of low back disorders and best practices in several areas. Enhanced algorithms guide progressive therapeutic exercise, and specially designed patient assessment provocation tests aid you in determining the cause of back troubles, guide your choices in the best ways to eliminate problems, and improve the development of appropriate activities for functional gain. Whereas the first edition focused on increasing spine stability, the second edition provides new information on dealing with both regional instability or mobility and regional stiffness present in individuals where most of the motion occurs at a single spinal segment. With an expanded repertoire of pain-free motion exercises and additional information on ways to find and adjust stabilization exercises, Low Back Disorders: Evidence-Based Prevention and Rehabilitation, Second Edition, offers you new tools to help your patients and clients achieve pain-free exertion. The text includes exercises and activities that provide a solid foundation of physical work in preparation for more advanced activities in sports and occupations. Also, the process of transitioning into performance exercise is outlined with an explanation of the critical stages of the performance pyramid, including the design of appropriate corrective exercise, building joint and whole-body stability, enhancing endurance, training true strength, and transitioning to ultimate performance. Low Back Disorders: Evidence-Based Prevention and Rehabilitation, Second Edition, presents foundational information and corresponding clinical applications in a clear, well-sequenced format. Part I builds your knowledge of lumbar function and injury. Part II demonstrates how to use this knowledge to build evidence-based injury-prevention programs by assessing risks, creating ergonomic interventions, and training personnel. Part III focuses on improving rehabilitation techniques, including specific diagnostic and provocative tests, with specific therapeutic exercises proven to enhance performance and reduce pain through a continuum from corrective exercise to stability and mobility, endurance, strength, and power. Additionally, the text offers these practical features to guide your learning and inform your practice:
Cutting-edge research and evidence-based application strategies from the leading spine specialist in North America make Low Back Disorders: Evidence-Based Prevention and Rehabilitation, Second Edition, the authoritative text for study, care, and treatment of the low back. Its unique approach to back care will guide you in developing intervention, rehabilitation, and prevention programs to address the unique needs of each patient or client and develop a strong scientific foundation for your practice. |
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| 11-03-08 | 2 | 0\3 |
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It appears that some of the research in this book is older-not the most recent findings available. I was hoping this would provide a user friendly presentation of back disorders found in the population today and applicable evidence. I am somewhat familiar with anatomy from both Pilates and Yoga training but still didn't get a lot from this book. The studies showed pictures and older equipment, the material may be beneficial for some but a warning to the general population just hoping to learn more about their own body/injury and prevention or rehabilitation exercises-not that promising from my perspective. Obviously I am not a medical professional but I do think this book would be more valuable to someone with anatomy experience.
(Review Data Last Updated: 2008-11-30 02:26:13 EST)
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| 09-29-08 | 5 | 1\1 |
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Phenomenal work. Great for those who work with patients with back issues. I would highly recommend it!
(Review Data Last Updated: 2008-11-04 01:36:53 EST)
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| 09-10-08 | 5 | (NA) |
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Though longer and harder to read than most exercise books written for the general reader, Stuart McGill's, Low Back Disorders, has such ground breaking information it is well worth buying.
McGill sets out cutting edge research to show, among other things: 1. Why endurance is more protective than strength; 2. Why stability is vastly more important than flexibility; 3. Why usually "preserving the normal low back curve" during exercise causes less stress on the spine than doing a pelvic tilt or flattening the back against the exercise mat; 4. Why back exercises should not be done during the first hour or 2 after arising; and, 5. Why adding repetitions to an exercise is safer and more productive than prolonging the hold during each repetition. Holds should be no longer than 7-8 seconds. Following these and other specific recommendations makes doing McGill's exercises and those in other books safer and more effective. McGill says no one exercise plan can fit the needs of every patient so he leaves it up to the therapist to determine the number of sets and repetitions needed to generate endurance. This is fine for therapists but gives inadequate guidance for the non-therapist reader and fails to take into account the needs of all those whose back problems are not so unique as to require a therapist. By paying attention to the table of contents and the section headings, the reader can probably avoid getting bogged down in the details of the research findings. Or one can simply read the injury prevention primer (pp. 154-156), chapter 10 for the background to the exercises, and chapter 12 for the exercises. McGill devises several new exercises that build the muscles of the back and torso while placing less stress on the spine. He also revises the way some of the old standard exercises are done. However, he does not provide enough alternate exercises when his exercises prove too difficult or painful to do. Because no one book can meet everyone's needs, I also encourage buying: 1. The Back Pain Book by Mike Hage; and, 2. The Multifidus Back Pain Solution by Jim Johnson. Both books are very easy to read. Hage's book is a comprehensive, well illustrated treasure. Johnson's book highlights the need for and shows 4 ways to do one key exercise, an exercise that both McGill and Hage (I have the 1992 edition of Hage's book) include but show only one way to do, a way that is painful for me. In summary, all 3 books provide uniquely valuable information and each one of them has helped me. (Review Data Last Updated: 2008-09-30 01:20:57 EST)
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| 09-10-08 | 5 | (NA) |
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Though longer and harder to read than most exercise books written for the general reader, Stuart McGill's, Low Back Disorders, has such ground breaking information it is well worth buying.
McGill sets out cutting edge research to show, among other things: 1. Why endurance is more protective than strength; 2. Why stability is vastly more important than flexibility; 3. Why usually "preserving the normal low back curve" during exercise causes less stress on the spine than doing a pelvic tilt or flattening the back against the exercise mat; 4. Why back exercises should not be done during the first hour or 2 after arising; and, 5. Why adding repetitions to an exercise is safer and more productive than prolonging the hold during each repetition. Holds should be no longer than 7-8 seconds. Following these and other specific recommendations makes doing exercises found in other exercise books safer and more effective. McGill says no one exercise plan can fit the needs of every patient so he leaves it up to the therapist to determine the number of sets and repetitions needed to generate endurance. This is fine for therapists but gives inadequate guidance for the non-therapist reader and fails to take into account the needs of all those whose back problems are not so unique as to require a therapist. By paying attention to the informative table of contents and the section headings, the reader can avoid getting bogged down in the details of the research findings. Or one can simply read the background to the exercises on pages 177-188 and then skip over to the exercises in chapter 12. McGill devises several new exercises that build the muscles of the back and torso while placing less stress on the spine. He also revises the way some of the old standard exercises are done. However, he does not provide enough alternate exercises when his exercises prove too difficult or painful to do. Because no one book can meet everyone's needs, I also encourage buying: 1. The Back Pain Book by Mike Hage; and, 2. The Multifidus Back Pain Solution by Jim Johnson. Both books are very easy to read. Hage's book is a comprehensive, well illustrated treasure. Johnson's book highlights the need for and shows 4 ways to do one key exercise, an exercise that both McGill and Hage (I have the 1992 edition of Hage's book) include but show only one way to do, a way that is painful for me. In summary, all 3 books provide uniquely valuable information and each one of them has helped me. (Review Data Last Updated: 2008-09-15 09:40:47 EST)
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| 09-10-08 | 5 | (NA) |
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Though longer and harder to read than most exercise books written for the general reader, Stuart McGill's, Low Back Disorders, has such ground breaking information it is well worth buying.
McGill sets out cutting edge research to show, among other things: 1. Why endurance is more protective than strength; 2. Why stability is vastly more important than flexibility; 3. Why usually "preserving the normal low back curve" during exercise causes less stress on the spine than doing a pelvic tilt or flattening the back against the exercise mat; 4. Why back exercises should not be done during the first hour or 2 after arising; and, 5. Why adding repetitions to an exercise is safer and more productive than prolonging the hold during each repetition. Holds should be no longer than 7-8 seconds. Because, as McGill says, no one exercise plan can fit the needs of every patient, he leaves it up to the therapist to determine the number of sets and repetitions needed to generate endurance. This is fine for therapists but gives inadequate guidance for the non-therapist reader and fails to take into account the needs of all those whose back problems are not so unique as to require a therapist. By paying attention to the informative table of contents and the section headings, the reader can avoid getting bogged down in the details of the research findings. Or one can simply read the background to the exercises on pages 177-188 and then skip over to the exercises in chapter 12. McGill devises several new exercises that build the muscles of the back and torso while placing less stress on the spine. He also revises the way some of the old standard exercises are done. However, he does not provide enough alternate exercises when his exercises prove too difficult or painful to do. Because no one book can meet everyone's needs, I also encourage buying: 1. The Back Pain Book by Mike Hage; and, 2. The Multifidus Back Pain Solution by Jim Johnson. Both books are very easy to read. Hage's book is a comprehensive, well illustrated treasure. Johnson's book highlights the need for and shows 4 ways to do one key exercise, an exercise that both McGill and Hage (I have the 1992 edition of Hage's book) include but show only one way to do, a way that is painful for me. In summary, all 3 books provide uniquely valuable information and each one of them has helped me. (Review Data Last Updated: 2008-09-13 02:45:24 EST)
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| 08-18-08 | 5 | 1\1 |
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This book is a great reference text for anyone who treats low back injuries and works to create lumbar core stabilization. Following the work of Janda and others, McGill has taken core stabilization to the next level. His research based approach is 100% applicable and easy to follow. He presents the science of how the body works and this is great. McGill, also being a Ph.D., does not have a medical, chiropractic, or other bias...he presents things as he finds them through studies. This is a great book and well worth every penny...
For those in the fitness field, I recommend the Ultimate Back Fitness book...very applicable and easier to follow... (Review Data Last Updated: 2008-09-11 01:17:05 EST)
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| 07-25-08 | 5 | (NA) |
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Some other reviewers have (directly or indirectly) made it clear that this book is primarily for researchers, doctors, and other health-care professionals, but I would like to re-state this as clearly and emphatically as possible, as some buyers may be seriously misled by claims (not made by the author!) that it is "a book that can be read by almost everyone" or one that "every patient suffering from low back pain should read". Only Part 3 (about specific exercises to do and not do) fits that description. Parts 1 and 2 are highly technical and addressed almost entirely to physicians and academic researchers. For someone without a good working knowledge of anatomy (that's me, in case you think I'm being condescending to the ignorant masses), these parts of the book are impossible to follow. My advice to the sufferer from low-back pain (again, that's me) would be to get the book from a library and concentrate entirely on part 3.
(Review Data Last Updated: 2008-08-18 01:26:36 EST)
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| 04-14-08 | 5 | 2\2 |
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Clinicians who wish to competently evaluate, manage, and rehabilitate low back disorders will find this book indispensable due to its unique content. While other texts cover topics related to examination, differential diagnosis, or specific therapeutics, this text focuses on a thorough, component-by-component research-based review of each part of the human lumbopelvic region for the purpose of providing a comprehensive understanding of how the low back truly functions, how to credibly evaluate its function, and how to properly restore as much normal function as possible. Sufficiently detailed for scholars, yet understandable by virtually anyone, Dr. McGill uses a practical, evidence-based dialogue with the reader to address issues which I have rarely seen adequately addressed by anyone. Just what is the true function of the iliopsoas muscle in relation to the low back? And is there really such a thing as an iliopsoas muscle? And how would one properly rehabilitate a weakened rectus abdomonis muscle, without potentially aggravating a low back disorder? And why is this necessary? And is it possible that many of the exercises currently prescribed for chronic low back pain are actually detrimental to the spine, and why? These are but a few of the many important and practical topics that are covered within this book. Frankly, I don't believe anyone can competently care for low back conditions of any kind without this valuable information. I consider this book a valued and essential part of my professional library.
(Review Data Last Updated: 2008-07-25 01:22:40 EST)
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| 04-14-08 | 5 | (NA) |
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Clinicians who specialize in spinal injuries, pathology, and pain syndromes will find this book provides exceptional and necessary information on low back function and integrity not covered or inaccurately conveyed in other such texts. While some books may properly cover in-depth anatomy, examination, pathology, differential diagnosis, or specific therapeutics, Dr. McGill emphasizes normal vs abnormal low back function, discussing in detail each separate component of the low back--bony elements, joints, discs, ligaments, fascia, and muscles--and their integration. His contribution to our understanding of low back disorders and their rational rehabilitation is unrivaled.
(Review Data Last Updated: 2008-04-15 09:33:46 EST)
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| 03-23-08 | 5 | 0\1 |
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This book not only tells you what to do to heal your back, it tells you why with exceptionally thorough evidence using test results, photos, measurements, and statistics. It's pretty intense for the lay reader. Hopefully Dr. McGill will come out with a book for the lay reader and dispel a lot of myths about back health and unhealthy ab exercises that are advertised every day on TV.
(Review Data Last Updated: 2008-04-15 01:19:24 EST)
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| 01-03-07 | 5 | 6\6 |
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This book is fantastic. I wish I could thank Dr. McGill personally for this well-researched, well-founded book on rehabilitating the lower back. This book should be required reading for low back pain patients and their care givers. After reading the book, I was able to relieve a tremendous amount of back pain through very careful application of the ideas. It also helped me understand why my symptoms seemed to be aggravated by physical therapy. If you suffer from lower back pain, this is a great way to take better control of your therapy. The "evidence-based" nature of the book makes it invaluable.
(Review Data Last Updated: 2008-03-24 01:20:27 EST)
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| 01-28-06 | 5 | 27\28 |
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Everyone who deals with backs, either in sports (athletes, coaches, trainers), physicians, therapists, and back pain patients themselves, should read this book. I am a physician who specializes in back disorders and back pain. I have followed Dr. McGill's reseach for many years and it has revolutionized my practice like nothing else. One of my top priorities with back pain patients is to review what exercises they have been given in the past. I invariably stop them from doing several excercises that Dr. McGill's research has proven to be quite harmful for the back. I Substitute the 'big three' excercises that are described in this book, and many of the patients need no further intervention. There is a great deal of misinformation regarding back excercise, and many of the excercise routines used in sports, schools, military, and fitness centers are harmful. That is why this book is so important; not because it gives another fitness guru's opinion, but because it gives good, scientifically based facts on one of the tougher clinical issues from a world renown expert. Thank you Dr. McGill - keep the research coming!
Also check out Dr. McGill's other book "Ultimate back fitness and performance" for a less technically dense description of many of the same issues. (Review Data Last Updated: 2007-12-15 01:21:41 EST)
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| 09-08-05 | 5 | 4\5 |
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I refer to this book many times over over the years and has helped clear up that tricky patient that is not getting better as fast as they and you the doctor would like. Great source of information for any doctor regardless of how many years in practice. Also highly recommend a book I found to be execellent source for rehabing my patients is called The Backsmart Fitness Plan by Dr.Adam Weiss. A DC who has written a very good and detail source of exercises that patients suffering from back or neck pain can do and make progress. These books add many useful tips to my practice.
(Review Data Last Updated: 2007-12-15 01:21:41 EST)
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| 07-02-05 | 5 | 6\6 |
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This book is full of information that every doctor who sees patients should have in their office. A must have , detail of structure issues and resvoling layout and protocol.Highly recommended. Also recommend The Backsmart Fitness Plan By Dr. Adam Weiss, a book written for pateint care in laymen's term for a complete full body workout.
(Review Data Last Updated: 2007-12-15 01:21:41 EST)
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| 06-29-05 | 5 | 13\14 |
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I have had chronic lower back pain for over 25 years. I have been to back specialists, the Back Institute, Acupunturists, Massage Therapists, and many Chiropractors. In addition, I read many books on my problem. I have a classic case of acute lower back pain - degenerative discs and some arthritis. I followed the Back Institute's regimen of exercises for 20 years and my family doctors for 5 years. I now realize I was given the wrong exercises and aggrivated the situation.
Two acquiantences recommended Dr. Mcgill's exersises in his book "Lower Back Disorders". I started doing the "Curl Ups", the "Side Bridge" and the "Birddog" exercises. For over one and a half years I have been virtually pain free. I can't believe it. In the past, every year the pain would become so severe I would miss work and be flat on my back. This past year I have been doing extensive renovations around my home and cottage. I have been lifting 70lb. bundles of shingles up ladders, digging trenches, and moving yards of top soil. My back seems very flexible. Generally I feel great. Some days after the extreme physical activity I feel discomfort. This is caused by sore muscles and arthritis in my pelvic region. I have not had any immobility like in the past. Finding Dr Mcgill's book was a miracle for me. I feel like I was "cured". I have highly recommended it to many of my friends. (Review Data Last Updated: 2007-12-15 01:21:41 EST)
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| 01-09-04 | 5 | 10\12 |
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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 tremendous 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 psychosocial 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 safety 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 describes 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. (Review Data Last Updated: 2007-12-15 01:21:41 EST)
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