Contributors

xi

Preface

xv

Foreword

xvii

Acknowledgments

xix

PART I

FOUNDATIONS

SECTION 1

OVERVIEW OF THE OSTEOPATHIC MEDICAL PROFESSION   Section Editor: Michael A. Seffinger, DO, FAAFP

3

1

Osteopathic Philosophy   Seffinger, King, Ward, Jones, Rogers, Patterson

3

2

Major Events in Osteopathic History   Peterson

23

3

Osteopathic Education and Regulation   Bates

36

4

International Osteopathic Medicine and Osteopathy   Carreiro, Fossum

46

SECTION 2

BASIC SCIENCES   Section Editors: Frank H. Willard, PhD, and John A. Jerome, PhD, BCFE

53

5

Introduction: The Body in Osteopathic Medicine—The Five Models of Osteopathic Treatment   Willard, Jerome

53

6

The Concepts of Anatomy   Towns, Jacobs, Falls

56

7

The Fascial Systems of the Body   Willard, Fossum, Standley

74

8

Biomechanics   Wells

93

9

Somatic Dysfunction, Spinal Facilitation, and Viscerosomatic Integration   Patterson, Wurster

118

10

Autonomic Nervous System   Willard

134

11

Physiological Rhythms/Oscillations   Glonek, Sergueef, Nelson

162

12

Anatomy  and Physiology of the Lymphatic System   Ettlinger, Willard

191

13

Mechanics of Respiration   Willard

206

14

Touch   Willard, Jerome, Elkiss

221

15

Nociception and Pain: The Essence of Pain Lies Mainly in the Brain   Willard, Jerome, Elkiss

228

16

Chronic Pain Management   Elkiss, Jerome

253

17

Psychoneuroimmunology—Basic Mechanisms   Baron, Julius, Willard

276

18

Psychoneuroimmunology—Stress Management   Jerome, Osborn

284

19

Life Stages—Basic Mechanisms   Magen, Ley, Wagenaar, Scheinthal

298

PART II

THE PATIENT ENCOUNTER   Section Editor: Felix J. Rogers, DO, FACOI

20

The Initial Encounter   Rogers

315

21

Public Health Aspects   Aguwa

318

22

Musculoskeletal Component   Gilliar

323

23

Environmental Issues   Nevins

331

24

Osteopathic Medicine within the Spectrum of Allopathic Medicine and Alternative Therapies   McPartland

335

25

Clinical Decision Making   Cain

338

26

Professionalism   Hortos, Wilson

352

27

Mind-Body Medicine   Schubiner

359

28

Spirituality and Health Care   Rogers

365

29

Patient-Centered Model   Butler

371

30

Health Promotion and Maintenance   Osborn, Jerome

377

31

End of Life Care   Nichols

387

32

Evidence-Based Medicine   Cardarelli, Sanderlin

394

PART III

APPROACH TO THE SOMATIC COMPONENT   Section Editors: Ann L. Habenicht, DO, FAAO, Dennis J. Dowling, DO, FAAO, Russell G. Gamber, DO; MPH, and John C. Glover, DO, FAAO

SECTION 1

BASIC EVALUATION

401

33

Palpatory Examination   Ehrenfeuchter, Kappler

401

34

Screening Osteopathic Structural Examination   Ehrenfeuchter

410

35

Segmental Motion Testing   Ehrenfeuchter

431

36

Postural Considerations in Osteopathic Diagnosis and Treatment   Kuchera

437

SECTION 2

OSTEOPATHIC CONSIDERATIONS OF REGIONS

484

37

Head and Suboccipital Region   Heinking, Kappler, Ramey

484

38

Cervical Region   Heinking, Kappler

513

39

Thoracic Region and Rib Cage   Hruby

528

40

Lumbar Region   Heinking

542

41

Pelvis and Sacrum   Heinking, Kappler

575

42

Lower Extremities   Kuchera

602

43

Upper Extremities   Heinking

640

44

Abdominal Region   Hruby

660

SECTION 3

OSTEOPATHIC MANIPULATIVE TREATMENT

669

Traditional Approaches

669

45

Thrust (High Velocity/Low Amplitude) Approach; “The Pop”   Hohner, Cymet

669

46

Muscle Energy Approach   Ehrenfeuchter

682

47

Myofascial Release Approach   O’Connell

698

48

Osteopathy in the Cranial Field   King

728

49

Strain and Counterstrain Approach   Glover, Rennie

749

50

Soft Tissue/Articulatory Approach   Ehrenfeuchter

763

51

Lymphatics Approach   Kuchera

786

Contemporary Approaches

52

Representative Models   Dowling

809

A

Balanced Ligamentous Tension and Ligamentous Articular Strain   Crow

809

B

Facilitated Positional Release   Dowling

813

C

Progressive Inhibition of Neuromuscular Structures   Dowling

820

D

Functional Technique   Johnston

831

E

Visceral Manipulation   Lossing

845

F

Still Technique   Van Buskirk

849

G

Chapman’s Approach   Fossum, Kuchera, Devine, Wilson

853

H

Fulford Percussion   Yadava

866

PART IV

APPROACH TO OSTEOPATHIC PATIENT MANAGEMENT   Section Editors: Jane E. Carreiro, DO, Anthony G. Chila, DO, FAAO dist, FCA., and John C. Glover, DO, FAAO

53

Elderly Patient with Dementia   Bates, Gugliucci

873

54

Uncontrolled Asthma   Morelli, Sanchez

883

55

Adult with Chronic Cardiovascular Disease   Kaufman

889

56

Adult with Chronic Pain and Depression   Kuchera, Jerome

903

57

Dizziness   Shaw, Shaw

910

58

Child with Ear Pain   Steele, Mills

918

59

Difficulty Breathing   Foley, Ettlinger, D’Alonzo, Carreiro

931

60

Cervicogenic Headache   Hruby, Fraix, Giusti

939

61

Large Joint Injury in an Athlete   Heinking, Brolinson, Goodwin

946

62

Multiple Small Joint Diseases in an Elderly Patient   Heinking, Lipton, Valashinas

952

63

Lower Extremity Swelling in Pregnancy   Tettambel

961

64

Low Back Pain in Pregnancy   Tettambel

967

65

Adult with Myalgias   Wieting, Foley

974

66

Acute Neck Pain   Seffinger, Sanchez, Fraix

979

67

Rhinosinusitis   Shaw, Shaw

990

68

Abdominal Pain   Adler-Michaelson, Seffinger

999

69

Acute Low Back Pain   Fraix, Seffinger

1006

PART V

APPROACHES TO OSTEOPATHIC MEDICAL RESEARCH   Section Editor: Michael M. Patterson, PhD

70

Foundations of Osteopathic Medical Research   Patterson

1021

71

Research Priorities in Osteopathic Medicine   Degenhardt, Stoll

1039

72

Development and Support of Osteopathic Medical Research   King

1053

73

Biobehavioral Research   Jerome, Foresman, D’Alonzo

1064

74

The Future of Osteopathic Medical Research   Patterson

1075

Glossary of Osteopathic Terminology

1087

Subject Index

1111