Hombro

Therapeutic Exercise
Foundations and Techniques
FOURTH EDITION

Carolyn Kisner, MS, PT
Associate Professor Physical Therapy Program College of Mount St. Joseph Cincinnati, Ohio Assistant Professor Emeritus The Ohio State University School of Allied Medical Professions Physical Therapy Division Columbus, Ohio

Lynn Allen Colby, MS, PT
Assistant Professor Emeritus The Ohio State UniversitySchool of Allied Medical Professions Physical Therapy Division Columbus, Ohio

Illustrations by Jerry L. Kisner, MS

F.A. Davis Company •

Philadelphia

F. A. Davis Company 1915 Arch Street Philadelphia, PA 19103 www.fadavis.com Copyright

© 2002 by F. A. Davis Company

Copyright © 1996, 1990, 1985 by F. A. Davis Company. All rights reserved. This book is protected by copyright. Nopart of it may be reproduced, stored in a retrieval system, or transmitted in any form or by any means, electronic, mechanical, photocopying, recording, or otherwise, without written permission from the publisher. Printed in the United States of America Last digit indicates print number: 10 9 8 7 6 5 4 3 2 1 Publisher: Margaret Biblis Developmental Editor: Peg Waltner Cover Designer: Louis J.Forgione As new scientific information becomes available through basic and clinical research, recommended treatments and drug therapies undergo changes. The author(s) and publisher have done everything possible to make this book accurate, up to date, and in accord with accepted standards at the time of publication. The author(s), editors, and publisher are not responsible for errors or omissions or forconsequences from application of the book, and make no warranty, expressed or implied, in regard to the contents of the book. Any practice described in this book should be applied by the reader in accordance with professional standards of care used in regard to the unique circumstances that may apply in each situation. The reader is advised always to check product information (package inserts) forchanges and new information regarding dose and contraindications before administering any drug. Caution is especially urged when using new or infrequently ordered drugs. Library of Congress Cataloging-in-Publication Data Kisner, Carolyn. Therapeutic exercise: foundations and techniques / Carolyn Kisner, Lynn Allen Colby; illustrations by Jerry L. Kisner.—4th ed. p. cm. Includes bibliographicalreferences and index. ISBN 0-8036-0968-X 1. Exercise therapy—Handbooks, manuals, etc. I. Colby, Lynn Allen. II. Title. RM725.K53 2002 615.8 2—dc21 2002017442 Authorization to photocopy items for internal or personal use, or the internal or personal use of specific clients, is granted by F. A. Davis Company for users registered with the Copyright Clearance Center (CCC) Transactional ReportingService, provided that the fee of $.10 per copy is paid directly to CCC, 222 Rosewood Drive, Danvers, MA 01923. For those organizations that have been granted a photocopy license by CCC, a separate system of payment has been arranged. The fee code for users of the Transactional Reporting Service is: 8036-0968/0 $.10.

To Jerry and our growing family—as always, your love and support has sustained methrough this project —CK To Rick and my extended family—a source of constant support and joy —LC To our parents—who have been supportive throughout our lives To our students—who have taught us so much To our colleagues—who have been helpful and stimulating in our professional growth —LC and CK

Contributors
Terri M. Glenn, PhD, PT Director, Physical Therapy Program College of Mount St. JosephCincinnati, Ohio Barbara Settles Huge, PT Women’s Health Specialist/Consultant Adjunct Faculty, Indiana University Physical Therapy Program Fishers, Indiana Janet A. Mulcare, PhD, FASCM Professor, Physical Therapy Program Andrews University Dayton, Ohio Robert Schrepfer, MS, PT Former Clinical Director, The Center for Aquatic Rehabilitation MBA Candidate 2003 Duke University, The Fuqua School of...