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William James Brooks - A Treatise on the Functional Pathology of the Musculoskeletal System: Volume 1: Introduction

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William James Brooks A Treatise on the Functional Pathology of the Musculoskeletal System: Volume 1: Introduction
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A Treatise on the Functional Pathology of the Musculoskeletal System: Volume 1: Introduction: summary, description and annotation

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In this Treatise on the Functional Pathology of the Musculoskeletal System (FPMSS), Dr Brooks presents a new paradigm for understanding the musculoskeletal system and a scientifically valid-reliable, semiquantifiable, and consistently interpretable-method for examining dysfunction thereof. This first volume presents the fundamentals of the paradigm and is designed for use by a primary care audience. While the paradigm is applicable to the wide variety of clinical conditions potentially amenable to manual medicine and related rehabilitative techniques, this first volume takes chronic, nonspecific musculoskeletal pain syndromes as its focus for application.

The FPMSS paradigm complements orthopedic, rheumatologic, and neurologic understandings of the musculoskeletal system and contrasts with current models of manual medicine in several important respects:

  • Understands the musculoskeletal system (MSS) as an integrated organ system
  • Discriminates questions about physiology from questions about anatomy
  • Discriminates questions about pathology from questions about physiology
  • Differentiates functional pathology from structural pathology
  • Appreciates principles of scientifically valid nomenclature for function and dysfunction of musculoskeletal structures as components of an integrated system
  • Recognizes dysfunction of the musculoskeletal system as inefficient function
  • Shifts the emphasis of examination for dysfunction from malalignment of structure/posture to disturbance of systemic movement
  • Discriminates control of posture and movement from imbalance of available motion
  • Grades available motion deficits using the criterion of proportionality-not merely symmetry-thus revealing otherwise unappreciated dysfunction and allowing for prioritization and profiling
  • Prioritizes mobilization interventions according to specified, ranked criteria
  • Profiles an individuals motion phenotype based upon patterns of available motion deficits, thus providing precision biomechanical medicine

Use of the FPMSS paradigm examination will reduce the incidence of false negative and false positive findings for MSS dysfunction-thus improving the effectiveness, safety, and efficiency of caring for those suffering from chronic musculoskeletal pain.

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To my wife Barbara and our son James The views and opinions expressed in - photo 1

To my wife Barbara and our son James The views and opinions expressed in - photo 2

To my wife, Barbara, and our son, James.

The views and opinions expressed in this book are solely those of the author - photo 3

The views and opinions expressed in this book are solely those of the author and do not reflect the views or opinions of Gatekeeper Press. Gatekeeper Press is not to be held responsible for and expressly disclaims responsibility of the content herein.

A Treatise on the Functional Pathology of the Musculoskeletal System: Volume OneIntroduction

Published by Gatekeeper Press

2167 Stringtown Rd, Suite 109

Columbus, OH 43123-2989

www.GatekeeperPress.com

Copyright 2022 by William James Brooks, DO

All rights reserved. Neither this book, nor any parts within it may be sold or reproduced in any form or by any electronic or mechanical means, including information storage and retrieval systems without permission in writing from the author. The only exception is by a reviewer, who may quote short excerpts in a review.

The cover design and editorial work for this book are entirely the product of the author. Gatekeeper Press did not participate in and is not responsible for any aspect of these elements.

Library of Congress Control Number: 2020947915

ISBN (hardcover): 9781662903946

eISBN: 9781662903953

The data, information, images, photos, opinions, and ideas presented in this Treatise are presented by William Brooks, DO, and William James Brooks, DO, PC, solely for educational purposes and do not constitute specific medical advice to guide the care of any specific patient or person. Any consequences accruing from use of or failure to use the data, information, images, photos, opinions, and ideas in this Treatise are the sole responsibility of the reader. William Brooks, DO, and William James Brooks, DO, PC, accept no liability and disclaim any implied warranties whatsoever for any consequences to any party including but not limited to any loss, damage, or disruption caused by errors or omissionswhether such errors or omissions result from negligence, accident, or any other causeaccruing from use of or failure to use the data, information, images, photos, opinions, and ideas in this Treatise rendered in the course of providing professional or nonprofessional health care to any patient or person.

Reading this Treatise does not establish a doctor-patient relationship between Dr Brooks and the reader. This Treatise is not meant to be nor should it be used for self-diagnosis or self-care. The reader is strongly encouraged to obtain the advice of an appropriate, competent health care professional to address any health care needs that the reader may have. Any consequences accruing from use of or failure to use the data, information, images, photos, opinions, and ideas in this Treatise for the readers health care purposes are the sole responsibility of the reader and the readers personal health care provider. William Brooks, DO, and William James Brooks, DO, PC, accept no liability and disclaim any implied warranties whatsoever for any consequences to any party including but not limited to any loss, damage, or disruption caused by errors or omissionswhether such errors or omissions result from negligence, accident, or any other causeaccruing from use of or failure to use the data, information, images, photos, opinions, and ideas in this Treatise for the readers health care needs.

Although every effort has been made for Volume Oneand will be made for the subsequent volumes of this Treatiseby William Brooks, DO, and William James Brooks, DO, PC, to ensure correct presentation of the data, information, images, photos, opinions, and ideas published of others, it is the responsibility of each reader to confirm or deny the correctness of those representations. References are provided for informational purposes only and do not constitute endorsement of any publication or other forms of communication.

As medical and scientific data, information, images, photos, opinions, and ideas are always subject to change and may do so rapidly, William Brooks, DO, and William James Brooks, DO, PC, do not warrant nor assume any responsibility for the correctness of the data, information, images, photos, opinions, and ideas at the time of reading.

All the case reports in Volume One areand will be in subsequent volumes of this Treatiseprovided with the express written permission of each patient unless the patient could no longer be contacted, in which case William Brooks, DO, and William James Brooks, DO, PC, has made every good faith effort to correctly represent the case history and to sufficiently deidentify the patient to ensure the patients privacy.

No warranties are expressed or implied by William Brooks, DO, and William James Brooks, DO, PC, in his choice to include or exclude any content in this Treatise. To the fullest extent permitted by law, William Brooks, DO, and William James Brooks, DO, PC, expressly exclude: all conditions, warranties, and other terms which might otherwise be implied in this Treatise; any obligation of effectiveness or correctness of the content of this Treatise; any liability for any direct, indirect, or consequential loss or damage incurred by the reader in connection with reading this Treatise.

Abbreviations

Axes

A/P, anterior/posterior

C/P, cephalic/pedal

L/R, left/right (for unpaired structures)

M/L, medial/lateral (for paired structures)

Barriers

AB, anatomic barrier

APB, active physiologic barrier

EB, elastic barrier

PB, physiologic barrier

PPB, passive physiologic barrier

RB, restrictive barrier

Bones

CAL, calcaneus

CLAV, clavicle

CUB, cuboid

CUNE, cuneiform

FIB, fibula

GT, great toe

INNOM, innominate

MC, metacarpal

MT, metatarsal

NAV, navicular

PHAL, phalanx

SAC, sacrum

TAL, talus

TIB, tibia

VERT, vertebra(e) or vertebral

Directions

ANT, anterior

CEN, central

CEPH, cephalic/cephalad

CL, contralateral

IL, ipsilateral

L, left

LAT, lateral

MED, medial

PED, pedal/pedad

POST, posterior

R, right

Grading

GE, grading excursion

GP, grading position

NP, neutral position

PE, profiled excursion

PP, profiled position

RE, reference excursion

RP, reference position

SE, starting excursion

SP, starting position

Joints

AC, acromioclavicular

FA, femoroacetabular

GH, glenohumeral

HU, humeroulnar

HR, humeroradial

MCP, metacarpophalangeal

MTP, metatarsophalangeal

OA, occipitoatlantal

SC, sternoclavicular

SI, sacroiliac

Judgments

ML, modest loss

SL, severe loss

Locations

ACIS, anterior cephalic iliac spine (historically ASIS anterior superior iliac spine)

APPEN, appendage

CRAN, cranium

CS, cervical spine

LS, lumbar spine

PCIS, posterior cephalic iliac spine (historically PSIS posterior superior iliac spine)

PEL, pelvis

PLA, pedal lateral angle (historically inferior lateral angle)

QTR, quarter/quadrant

RC, ribcage

TLS, thoracolumbar spine

TS, thoracic spine

Motions

ABD, abduction

ADD, adduction

AM, available motion

APR, active physiologic range

APROM, active physiologic range of motion

AROM, active range of motion

B, bent, bend, or bending

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