Hardback Book

312 pages

 


Assessment and Treatment of Muscle Imbalance - The Janda Approach

By Phillip Page, Clare Frank, Robert Lardner

Assessment and Treatment of Muscle Imbalance: The Janda Approach blends postural techniques, neurology, and functional capabilities in order to alleviate chronic musculoskeletal pain and promote greater functionality. Developed by Vladimir Janda, respected neurologist and physiotherapist, the Janda approach presents a unique perspective to rehabilitation. In contrast to a more traditional structural view, the Janda approach is functional—emphasizing the importance of the sensorimotor system in controlling movement and chronic musculoskeletal pain syndromes from sports and general activities. Assessment and Treatment of Muscle Imbalance: The Janda Approach is the only text to offer practical, evidence-based application of Janda’s theories.

Filled with illustrations, photos, and step-by-step instructions, Assessment and Treatment of Muscle Imbalance uses a systematic approach in presenting information that can be used in tandem with other clinical techniques. This resource for practitioners features the following tools:

A rationale for rehabilitation of the musculoskeletal sytem based on the relationship between the central nervous system and the motor system A systematic method for the functional examination of the muscular system Treatment processes focusing on the triad of normalization of peripheral structures, restoration of muscle balance, and facilitation of afferent systems and sensorimotor training The role of muscle imbalance and functional pathology of sensorimotor systems for specific pain complaints, including cervical pain syndrome, upper- and lower-extremity pain syndromes, and low back pain syndromes

$99

 

Read a sample from the book by clicking here

Assessment and Treatment of Muscle Imbalance provides an evidence-based explanation of muscle imbalance. The step-by-step Janda system of evaluation is explained—including analysis of posture, balance, and gait; evaluation of movement patterns; testing of muscle length; and assessment of the soft tissue. The text explores treatment options for muscle imbalance through facilitation and inhibition techniques and sensorimotor training to restore neuromuscular function. It also includes four case studies examining musculoskeletal conditions and showing how the Janda approach compares with other treatments. This text combines theory, evidence, and applications to assist clinicians in implementing the Janda approach into their practice.

Assessment and Treatment of Muscle Imbalance: The Janda Approach focuses on the neurological aspects of muscle imbalance that are common causes of pain and dysfunction in sports and occupational activities. By distilling the scientific works of Vladimir Janda into a practical, systematic approach, this unique resource will assist health care providers in treating patients with musculoskeletal complaints as well as exercise professionals in developing appropriate exercise prescription and training programs.

Contents

Part I. The Scientific Basis of Muscle Imbalance

Chapter 1. Structural and Functional Approaches to Muscle Imbalance Intrinsic Versus Extrinsic Fuction Muscle Balance in Function and Pathology Muscle Imbalance Paradigms Summary

Chapter 2. The Sensorimotor System Sensorimotor Hardware and Software Neuromuscular Aspects of Postural Stability and Joint Stabilization Pathology in Proprioception Summary

Chapter 3. Chain Reactions Articular Chains Muscular Chains Neurological Chains Summary

Chapter 4. Pathomechanics of Musculoskeletal Pain and Muscle Imbalance Pathology of Musculoskeletal Pain Pathomechanics of Muscular Imbalance Causes of Muscle Tightness and Weakness Janda’s Classification of Muscle Imbalance Patterns Summary

Part II. Functional Evaluation of Muscle Imbalance

Chapter 5. Posture, Balance, and Gait Analysis Muscle Analysis of Standing Posture Evaluation of Balance Evaluation of Gait Summary

Chapter 6. Evaluation of Movement Patterns Janda’s Basic Movement Patterns Additional Movement Tests Complementary to Janda’s Tests Selected Manual Muscle Tests Summary

Chapter 7. Muscle Length Testing Muscle Length Assessment Technique Lower-Quarter Muscles Upper-Quarter Muscles Hypermobility Summary

Chapter 8. Soft-Tissue Assessment Characteristics of Trigger Points Assessment of Trigger Point or Tender Point Chains Scars Myofascia Summary

Part III. Treatment of Muscle Imbalance Syndromes

Chapter 9. Normalization of Peripheral Structures Central Indirect techniques Local Direct techniques Summary

Chapter 10. Restoration of Muscle Balance Factors Contributing to Muscle Weakness Additional Treatment Techniques for Muscle Weakness Factors Contributing to Muscle Tightness Additional Treatment Techniques for Muscle Tightness Summary

Chapter 11. Sensorimotor Training Role of Sensorimotor Training in Janda’s Treatment Sensorimotor Training Components Sensorimotor Training Progression Summary

Part IV. Clinical Syndromes

Chapter 12. Cervical Pain Syndromes Regional Considerations Common Pathologies Case Study Summary

Chapter 13. Upper-Extremity Pain Syndromes Regional Considerations Assessment Common Pathologies Case Study Summary

Chapter 14. Lumbar Pain Syndromes Regional Considerations Common Pathologies Sacroiliac Dysfunction Assessment Management of Low Back Pain Syndromes Case Study Conclusion Summary

Chapter 15. Lower-Extremity Pain Syndromes Regional Considerations Assessment Common Pathologies Case Study Summary

 


Reviews/Endorsements:

“The Janda Approach provides more than an introduction of his material for practitioners and students. ..The Janda Approach describes a full spectrum of muscle imbalance – from relatively common problems associated with aches and pains, including chronic low back syndrome, to the more serious mechanical distortions in brain and spinal cord injured patients...

Despite this reviewer’s many years of study of Janda’s work, this book provided much new information and ideas, largely because the authors present the material so well.” Dr. Phil Maffetone - Journal of Bodywork & Movement Therapies

 

 

About the Authors

Phil Page, MS, PT, ATC, CSCS, trained under the guidance of Dr. Vladimir Janda and has taught the Janda approach at national and international workshops. A certified kinesiotaping practitioner, Page is currently working toward his doctorate in kinesiology at Louisiana State University in Baton Rouge, where his research focuses on EMG and muscle imbalance. He is also director of clinical education and research for Thera-Band products.

Clare C. Frank, DPT, is an orthopedic clinical specialist in private practice in Los Angeles. She serves on the clinical faculty for Kaiser Permanente Movement Science Fellowship in Los Angeles. She also serves as a guest lecturer at the local universities and teaches throughout the United States and internationally.

Frank studied under and taught with Dr. Vladimir Janda. She is a certified instructor of the Janda approach to musculoskeletal pain syndromes, a certified kinesiotaping practitioner, and a certified instructor of Kolar’s approach to dynamic neuromuscular stabilization. Frank is board certified in orthopedic physical therapy and a fellow of the American Academy of Orthopedic Manual Physical Therapy.

Robert Lardner, PT, was born in Nigeria in 1961. His first career was as a professional ballet and modern dancer after studying at the Rambert Academy outside London, England. He graduated from the department of physical therapy, Lund’s University, Sweden in 1991. He studied with Professors Janda, Lewit and Kolář from the Czech Republic, who are pioneers of functional rehabilitation and manual medicine.

Lardner worked in several inpatient and outpatient rehabilitation facilities in Sweden prior to moving to the United States in 1992. He was a staff physical therapist at McNeal Hospital, Clearing Industrial Clinic, and a physical therapy supervisor at Mercy Hospital. He also was in charge of physical therapy services at a number of private outpatient and sports clinics. Lardner is currently in private practice in Chicago and teaches various rehabilitation seminars throughout the United States and Europe.

 

See Also