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.
Conditions That Respond Alternative Medicine Approaches to Disease
Select from these categories:
Journal of Manipulative and Physiological Therapeutics (JMPT) 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
J Manipulative Physiol Ther 1996 (Feb); 19 (2): 134-140
J Manipulative Physiol Ther 1993 (Nov-Dec); 16 (9): 586-590
J Manipulative Physiol Ther 1992 (Jun); 15 (5): 299-308
J Manipulative Physiol Ther 1990 (Jan); 13 (1): 2-6
J Manipulative Physiol Ther 1989 (Dec); 12 (6): 446-454
J Manipulative Physiol Ther 1988 (Dec); 11 (6): 493-499
Journal of Bodywork & Movement Therapies Articles
Journal of Bodywork & Movement Therapies 2009 (Oct); 13 (4): 362-3
Journal of Bodywork & Movement Therapies 2005; 9: 40-42
Journal of Bodywork & Movement Therapies 1997; 1 (2): 87-90 ~ FULL TEXT
Other Selected Journals
PM R. 2009 (Jun); 1 (6): 530-535
For Testing and Training From A Normal Database
Arch Phys Med Rehabil. 1999 (Aug); 80 (8): 941-944 ~ FULL TEXT
Man Ther. 1997 (May); 2 (2): 67-74
Top Clin Chiro 1996; 3 (3): 15-25 ~ FULL TEXT
The Missing Link to Outcomes Assessment
Top Clin Chiro 1996; 3 (1): 32-43 ~ FULL TEXT
A) Introduction
June 17, 2011
July 1, 2010
June 3, 2009
September 23, 2008
February 26, 2008
December 17, 2007
June 4, 2007
April 9, 2007
August 15, 2006
From Physical Therapists?
April 10, 2006
February 13, 2006
December 18, 1995
August 14, 2005
February 12, 2005
and How Rehabilitation Can Help
November 3, 2003
February 25, 2002
March 26, 2001
October 18, 1999
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B) Integrating Manipulation & Rehabilitation
July 14, 2003
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!
May 3, 1999
The Biopsychosocial and Biomechanical Models
December 14, 1998
January 12, 1999
February 8, 1999
March 8, 1999
July 29, 1996
March 27, 1995
August 25, 1997
June 3, 1996
July 28, 1997
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C) Functional Anatomy
February 13, 2006
A Key Perpetuating Factor of Pain in the Locomotor System
September 12, 2001
April 17, 2000
Rehabilitation Implications
February 9, 1998
March 9, 1998
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D) Outcomes Management & Quality Assurance
April 3, 2000
How to Satisfy the Insurance Industry with Time-Efficient Documentation
January 12, 2000
September 20, 1999
May 17, 1999
June 14, 1999
October 5, 1998
June 29, 1998
July 27, 1998
January 14, 1997
August 11, 1997
May 31, 1997
September 12, 1995
August 15, 1995
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E) Spinal Stabilization Training
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."
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.
November 4, 2002
August 16, 2002
April 23, 2001
June 18, 2001
November 15, 1999
September 21, 1998
November 16, 1998
April 7, 1997
May 4, 1998
Dec 15, 1997
April 24, 1995
October 21, 1996
July 17, 1995
Back to the Top
F) Chiropractic Rehabilitation Education
April 20, 1998
November 17, 1997
September 1, 1996
Back to the Top
G) The Regional Approach
August 13, 2007
August 24, 1998
May 31, 1998
January 1, 1997
March 10, 1997
May 22, 1995
February 12, 1996
Back to the Top
H) The Prague School
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.
August 23, 1999
July 26, 1999
November 18, 1996
November 20, 1995
August 15, 1996
February 10, 1997
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I) Patient Education
June 28, 1999
Oct 20, 1997: 22
September 23, 1996
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J) The Relationship of Pain & Dysfunction
How Rehabilitation Can Help
January 15, 1996
January 12, 1998
There Are Both Peripheral and Central Reactions to Pain
May 5, 1997
Back to the Top
K) The Biopsychosocial Issues
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 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.
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).
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.
October 2, 2000
You may also want to down load the Psychosocial Yellow Flags Screening Questionnaire.
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.
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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