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Exercise therapy: spine 

Exercise therapy: spine
Chapter:
Exercise therapy: spine
Author(s):

Mark Comerford

DOI:
10.1093/med/9780199674107.003.0063
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date: 03 April 2020

For many years, clinicians have been convinced that movement control impairments play a vital role in the development and recurrence of painful neuromusculoskeletal conditions. There is an evolving understanding of the importance of movement control, dynamic and static joint stability, and the co-ordination of muscle synergies in the management of neuromusculoskeletal impairments. Recent research has demonstrated the need to consider how movement is co-ordinated and controlled in the treatment of low back pain (LBP), cervical pain, and headaches. The correction of movement control impairments or uncontrolled movement (UCM) should be based on a sound clinical assessment and clinical reasoning. The approach in the clinic should utilize the best skills from current therapies, the best information from science, and the best therapeutic relationship with a patient. This chapter highlights an approach to managing symptoms, impairments, and disability or activity limitations through assessing movement control impairments/UCM in the spine.

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