Clinical Reasoning for Manual Therapists

Introduction

Section 1: Principles of clinical reasoning in manual therapy

1. Introduction to clinical reasoning

Section 2: Clinical reasoning in action: case studies from expert manual therapists

2. Back and bilateral leg pain in a 63 year old woman 3. Ongoing low back, leg and thorax troubles, with tennis elbow and headache 4. Chronic low back pain over 13 years 5. Unnecessary fear avoidance and physical incapacity in a 55 year old housewife 6. A chronic case of mechanic's elbow 7. Chronic low back and coccygeal pain 8. Ankle sprain in a 14 year old girl 9. Headache in a mature athlete 10. Thoracic pain limiting a patient's secretarial work and sport 11. Bilateral shoulder pain in a 16 year old long-distance swimmer 12. Medial collateral ligament repair in a professional ice hockey player 13. Patellofemoral pain in a professional tennis player 14. Self-management guided by directional preference and centralization in a patient with low back and leg pain 15. Craniovertebral dysfunction following a motor vehicle accident 16.A judge's fractured radius with metal fixation following an accident 17. A university student with chronic facial pain 18. Adolescent hip pain 19. A software programmer and sportsman with low back pain and sciatica 20.An elderly woman 'trapped within her own home' by groin pain 21. Chronic peripartum pelvic pain 22. Acute on chronic low back pain 23. A non-musculoskeletal disorder masquerading as a musculoskeletal disorder 24. Forearm pain preventing leisure activities

Section 3: Theroy and development

25. Educational theory and principles related to learning clinical reasoning 26. Improving clinical reasoning in manual therapy

Appendix 1: Reflective diary

Appendix 2: Self-reflection worksheet

Index

Chiropractic Journal of Australia, December 2004 "The book is extremely useful for clinicians of all manual disciplines. Improved clinical documentation, which is a core component of evidence based practice."

"The authors have written an exceptionally well produced text for physiotherapists, osteopaths and other manual therapists on the art of clinical reasoning and following a diagnostic plan through to a conclusion...This text can be heartily recommended to all therapists wishing to explore all the options using a case by case analysis of real patients and their complaints." Osteopath Scotland, July 2010