REHABILITATION ARTICLES BY CRAIG LIEBENSON, D.C.
 
   

Rehabilitation Articles by
Craig Liebenson, D.C.

This section was compiled by Frank M. Painter, D.C.
Send all comments or additions to:
  Frankp@chiro.org

Dr. Liebenson is the author of the foremost text on rehab:   Rehabilitation of the Spine: A Practitioner's Manual.   The second edition includes a DVD with assessment and practical techniques.   Enjoy the following articles, as they spell out the paradigm of rehabilitation.   You may also enjoy his personal website:   LA Sports and Spine Center.


Chiro.Org is proud to support the ICPA and Logan College for their continued research
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Select from these categories:

   Journal of Manipulative and Physiological Therapeutics (JMPT) Articles

   Journal of Bodywork & Movement Therapies (JBMT) Articles

   Additional Selected Journal Articles


A —   Introduction

B —   Integrating Manipulation & Rehabilitation

C —   Functional Anatomy

D —   Outcomes Management & Quality Assurance

E —   Spinal Stabilization Training

F —   Chiropractic Rehabilitation Education

G —   The Regional Approach

H —   The Prague School

I —   Patient Education

J —   The Relationship of Pain & Dysfunction

K —   Biopsychosocial Issues

 
   


Journal of Manipulative and Physiological Therapeutics

   Rehabilitation and Chiropractic Practice
         J Manipulative Physiol Ther 1996 (Feb);   19 (2):   134-140


   Palpation-- Problems and Implications
         J Manipulative Physiol Ther 1993 (Nov-Dec);   16 (9):   586-590


   Pathogenesis of Chronic Back Pain
         J Manipulative Physiol Ther 1992 (Jun);   15 (5):   299-308


   Active Muscular Relaxation Techniques ~ Part II: Clinical Application
         J Manipulative Physiol Ther 1990 (Jan);   13 (1):   2-6


   Active Muscular Relaxation Techniques ~ Part I: Basic Principles and Methods
         J Manipulative Physiol Ther 1989 (Dec);   12 (6):   446-454


   Thoracic Outlet Syndrome: Diagnosis and Conservative Management
         J Manipulative Physiol Ther 1988 (Dec);   11 (6):   493-499



   Journal of Bodywork & Movement Therapies Articles   

   Self-management: Patient Section. Training For Speed
         Journal of Bodywork & Movement Therapies 2009 (Oct);   13 (4):   362-3


   McKenzie Self-treatments for Sciatica
         Journal of Bodywork & Movement Therapies 2005;   9:   40-42


   Spinal Stabilization Training
         Journal of Bodywork & Movement Therapies 1997;   1 (2):   87-90 ~ FULL TEXT



Other Selected Journals

   The Active Straight Leg Raise Test and Lumbar Spine Stability
         PM R. 2009 (Jun);  1 (6):  530-535


   Endurance Times for Low Back Stabilization Exercises: Clinical Targets
For Testing and Training From A Normal Database

Arch Phys Med Rehabil. 1999 (Aug);   80 (8):   941-944 ~ FULL TEXT


   Outcomes Assessment in Musculoskeletal Medicine
         Man Ther. 1997 (May);   2 (2):   67-74


   Functional Capacity Evaluation and Chiropractic Case Management
Top Clin Chiro 1996;   3 (3):   15-25 ~ FULL TEXT


   Quantitaive functional Capacity Evaluation:
The Missing Link to Outcomes Assessment

Top Clin Chiro 1996;   3 (1):   32-43 ~ FULL TEXT



   A)   Introduction   

   A Key Link in the Locomotor System: The Upper-Thoracic Spine
         June 17, 2011


   The Role of Reassessment: The Clinical Audit Process
         July 1, 2010


   Building Speed and Agility
         June 3, 2009


   Marketing a Spine Practice
         September 23, 2008


   The Importance of Functional Fitness
         February 26, 2008


   Lateral Hip-Pelvic Instability and Knee Problems
         December 17, 2007


   What Is Evidence-Based Rehabilitation?
         June 4, 2007


   The Clinical Audit Process and Functional Reactivation
         April 9, 2007


   Does Chiropractic Practice Have a Future?
         August 15, 2006


   Can the Chiropractic Profession Find a Road Map to Cultural Authority
From Physical Therapists?

April 10, 2006


   The Neurodevelopmental Basis for Spine Stability
         February 13, 2006


   Chiropractic Rehabilitation in the Treatment of Dizziness
         December 18, 1995


   How to Develop and Progress a Patient Self-Management Program
         August 14, 2005


   Are You Turned Off by Evidence-Based Care?
         February 12, 2005


   Why Some Patients Don't Get Better With Traditional Chiropractic Care, and How Rehabilitation Can Help
November 3, 2003


   Functional Reactivation: "Patient-Centered Care"
         February 25, 2002


   Hinges of Practice: How to Shift Paradigms
         March 26, 2001


   How Can Rehabilitation Help You Get New Patients and Keep Them?
         October 18, 1999


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   B)   Integrating Manipulation & Rehabilitation   

   Clinical Challenges in Functional Reactivation
         July 14, 2003


   The Purpose of Spinal Rehabilitation:
Integration of Active and Passive Care

April 5, 1999
This article mentions the appropriate CPT codes and their prices for rehab services.   This is a very useful document!


   The Rehabilitation Model Embraces a Revolution
         May 3, 1999


   The Back Pain Revolution, Part One:
The Biopsychosocial and Biomechanical Models

December 14, 1998

   Part II:   Evaluation
January 12, 1999

   Part III:   Treatment
February 8, 1999

   Part IV:   A Practical Approach
March 8, 1999


   What Is Chiropractic Rehabilitation?
         July 29, 1996


   Rehabilitation: the New Paradigm
         March 27, 1995


   A Changing Paradigm: The Biopsychosocial Model
         August 25, 1997


   The Continuum of Care from Passive to Active Care
         June 3, 1996


   The Role of Manipulation in Rehabilitation
         July 28, 1997


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   C)   Functional Anatomy   

   The Neurodevelopmental Basis for Spine Stability
         February 13, 2006


   Mid-Thoracic Dysfunction:
A Key Perpetuating Factor of Pain in the Locomotor System

September 12, 2001


   What Is the Mechanism of Injury for the Low Back? How Is Low Back Injury Produced?
April 17, 2000


   Functional Anatomy:
Rehabilitation Implications

February 9, 1998


   Functional Anatomy and Respiration
         March 9, 1998


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   D)   Outcomes Management & Quality Assurance   

   Documentation of Physical Capacity:
It's Purpose in Rehabilitation

April 3, 2000


   Outcomes Assessment:
How to Satisfy the Insurance Industry with Time-Efficient Documentation

January 12, 2000


   Recent Questions on Stabilization Training and Evidence-Based Care
         September 20, 1999


   How Do I Justify the Medical Necessity of My Care?
Part I: Overview

May 17, 1999

            Part II:   The Roland-Morris Questionnaire
               June 14, 1999



   Where Are Back Pain Dollars Headed:
Do You Want to Know?

October 5, 1998


   Yellow Flags:
Early Identification of Risk Factors of Chronicity in Acute Patients

June 29, 1998


   Yellow Flags Questionnaire for Early Identification of Risk Factors of Chronicity
         July 27, 1998


   Do You Want to Know How to Defend Appropriate Charges?
         January 14, 1997


   Can I Defend My Care in Testimony, Deposition, or Insurance Appeal?
         August 11, 1997


   Is Managed Care Our Enemy?
         May 31, 1997


   Benchmarking -- Chiropractic Care and Quality Assurance in the 21st Century
September 12, 1995


   The Chiropractic Rehabilitation Specialist and Quality Care
         August 15, 1995


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   E)   Spinal Stabilization Training   

   What's All the Buzz About Spinal Stability?
Part One: Biomechanics and Neurophysiology

June 3, 2004
The concepts of stability and instability are integral to modern musculoskeletal care. According to Panjabi, three subsystems work together to maintain spine stability: 1 the central nervous subsystem (control), an osteoligamentous subsystem (passive), and a muscle subsystem (active). He says: "The neural subsystem receives information from the transducers, determines specific requirements for spinal stability, and causes the active subsystem to achieve the stability goal."


   What's All the Buzz About Spinal Stability?
Part Two: Assessment and Training

August 16, 2004
Reactivating spine pain patients is a key to early recovery from acute and subacute episodes, 9, 13 prevention of recurrences, 8 and treatment of chronic pain. 10 Part one of this series reviewed the biomechanics of spinal instability and simple preventive measures patients can take to spare their tissues from repetitive strain. 11 This article will present the basic stages of a spine stability "core" exercise program.


   Determining What Exercise to Prescribe
         November 4, 2002


   Are We Restoring Function?
         August 16, 2002


   Sensory-Motor Training, Part I
         April 23, 2001

            Part II
               June 18, 2001


   Recovery from Low Back Injury: The Key Role of Rehabilitation
         November 15, 1999


   Safe Back Workouts, Part One: How to Progress Patients with Exercises
September 21, 1998

            Part II: Troubleshooting
               November 16, 1998



   Simple and Inexpensive Active Care in Your Office: The Spinal Stabilization System
         April 7, 1997


   Clinical Trial of Spinal Stabilization Training
         May 4, 1998


   Spinal Instability and Pain: Is There a Connection?
         Dec 15, 1997


   Spinal Stabilization Exercises: The Low Cost Solution to Exercising Your Patients
         April 24, 1995


   Indications for Motor Control/Stabilization Exercises
         October 21, 1996


   Propriosensory Methods for Pelvic Stabilization
         July 17, 1995


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   F)   Chiropractic Rehabilitation Education   

   The Challenge of Teaching Rehabilitation to Chiropractors
         April 20, 1998


   Chiropractic Rehabilitation Around the World
         November 17, 1997


   The Delphi Process and Chiropractic Rehabilitation
         September 1, 1996


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   G)   The Regional Approach   

   Core Training: The Importance of the Diaphragm
         August 13, 2007


   Sacroiliac Dysfunction and Lumbopelvic Instability
         August 24, 1998


   Temporomandibular and Orofacial Disorders: A Functional Perspective
         May 31, 1998


   Rehabilitation of Lower Extremity Disorders
         January 1, 1997


   Faulty Respiration: An Often Overlooked Cause of Pain
         March 10, 1997


[Red Diagonal Ball]   Headache in the Whiplash Patient
         May 22, 1995


   The C2/C3 Joint and Neck Pain
         February 12, 1996



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   H)   The Prague School   

   A Moment of Silence for Vladimir Janda, Dr.Sc., MD
          January 14, 2003
          Professor Vladimir Janda passed away November 25, 2002. His contributions to musculoskeletal health care are immeasurable. He changed our thinking - how to see beyond a muscle's strength or weakness - and to identify how the body compensates in often subtle ways to maintain stability. His teaching was a labor of love for which he sacrificed everything. Even as a devastating postpolio syndrome took its hold on him, he refused to slow down. His stature and the resonance of his message remains clearer than ever.


   Identification and Treatment of Muscular Chains
         August 23, 1999


   Muscular Imbalance: An Update
         July 26, 1999


   The Czech School of Manual Medicine: Studying with Lewit and Janda
         November 18, 1996


   Assessment and Treatment of Functional Pathology of the Motor System
         November 20, 1995


   An Update on the Functional Pathology of the Motor System
         August 15, 1996


   Faulty Movement Patterns as a Cause of Articular Dysfunction
         February 10, 1997


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   I)   Patient Education   

   The Report of Findings from a Biopsychosocial Context
         June 28, 1999


   Brugger's "Sterno-Symphyseal" Syndrome
         Oct 20, 1997: 22


   Creating a Healthy Work Environment:
Ergonomic Advice for Our Patients

September 23, 1996



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   J)   The Relationship of Pain & Dysfunction   

   Pain, Activity Limitation, and Dysfunction:
How Rehabilitation Can Help

January 15, 1996


   Rehabilitation: Is it for Acute Pain?
         January 12, 1998


   Principles of Rehabilitation:
There Are Both Peripheral and Central Reactions to Pain

May 5, 1997


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   K)   The Biopsychosocial Issues   

   What to Do about "Yellow Flags"
          November 30, 2002
          On May 1-3, 2003, the World Federation of Chiropractic's 7th Biennial Congress will host a preeminent European leader in musculoskeletal medicine, Professor Stephen Linton. He is an expert in psychosocial aspects of back and neck pain patients, and has pioneered the identification of risk factors of chronicity and preemptive reactivation treatments with a cognitive-behavioral emphasis. This article will summarize the impact of psychosocial factors on prediction of patient prognosis, and how patients with such factors can be appropriately managed.


   The Modern Report of Findings:
The Role of Reactivation

December 1, 2001
Musculoskeletal pain patients in general, and LBP patients in particular, require an approach that addresses the physical (biological) and psychosocial dimensions of their problems. This modern approach is called "biopsychosocial" (BPS), in that the total patient is our subject. Rather than focusing on structural causes and cures, this new paradigm emphasizes the goal of maintaining or restoring function. Such an approach is of value, regardless of the pathoanatomic diagnosis.


   How to Shift LBP Paradigms:
The "Hinges" of Practice

March 26, 2001
Specialists in the management of spinal disorders have seen tremendous changes in the last decade. While the low back pain (LBP) problem has been acknowledged as an epidemic, a consensus has gradually emerged as to why this has happened and what can be done about it . An overemphasis on the simplistic biomedical approach of identifying and treating the structural cause of pain has led to excesses in diagnostic testing, bed rest, narcotic analgesics, and surgery (Waddell). Meanwhile, an underemphasis on illness behavior has led to an under-utilization of functional (re-activation advice, manipulation and exercise) and cognitive-behavorial approaches (Feuerstein).


   The State of the Art: "Evidence-Based Care" From Guidelines to Practice: What Is the New Benchmark?
August 6, 2000
"Acute low back pain" is the number one patient complaint that leads to chiropractic visits. Our treatment should have as its goal the maintenance or resumption of normal functional activities. Chiropractic appropriately emphasizes the role of manipulation in reducing activity intolerances. Other "tools of the trade" include improved psychosocial attitudes or coping skills, and stabilization training through activity modification advice or exercise.

            Part II ~ The Biopsychosocial Approach
               October 2, 2000
              You may also want to down load the Psychosocial Yellow Flags Screening Questionnaire.

            Part III
               November 30, 2000
               Diagnosis of structural pathology does not adequately guide treatment decision-making. Disc bulges are present in 52% of asymptomatics.1 Surprisingly, the larger the disc herniation the more likely nerve root compression is to spontaneously resolve.2 If diagnosis of structural pathology does not consistently correlate with symptoms, what evaluation can guide our treatment decisions? Evaluation of dysfunction is essential for figuring out what is causing pain in the locomotor system. This is called the "sports medicine approach." Its main emphasis is in identifying and treating the deconditioning syndrome (see Table 1). Athletes know that functional restoration is the key to return to competition, and that diagnosis of tissue injury or pathology is only a starting point.

            Part IV
               January 1, 2001
              Active care is a proven part of the conservative care armamentarium for neuromusculoskeletal disorders. The first three parts of this series have described the importance of evidence-based care, the psychosocial aspects of care, and the biomechanical aspects of care. This fourth and final part summarizes the basic "tools of the trade" for anyone wishing to incorporate active care into their practice. These are the tools that drive the integration of active care into chiropractic.


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