Assessment and Treatment of Muscle ImbalanceThe Janda Approach by Phillip Page, Clare Frank, Robert Lardner

ASSESSMENT AND
TREATMENT OF
MUSCLE IMBALANCE
Phil Page, PT, ATC
Baton Rouge, LA
Clare C. Frank, DPT
Movement Links, Inc. and Kaiser Permanente Movement
Science Fellowship, Los Angeles, CA
Robert Lardner, PT
Chicago, IL
Human Kinetics
The Janda Approach

Library of Congress Cataloging-in-Publication Data
Page, Phillip, 1967-
Assessment and treatment of muscle imbalance : the Janda approach / Phil Page, Clare Frank, Robert
Lardner.
p. cm.
Includes bibliographical references and index.
ISBN-13: 978-0-7360-7400-1 (hardcover)
ISBN-10: 0-7360-7400-7 (hard cover)
1. Janda, Vladimir, Doc. MUDr. 2. Myalgia-Patients-Rehabilitation. 3. Musculoskeletal system-
Diseases-Patients-Rehabilitation. I. Frank, Clare, 1962- II. Lardner, Robert. III. Title.
[DNLM: 1. Musculoskeletal Diseases—diagnosis. 2. Muscles—physiopathology. 3. Musculoskeletal
Diseases—rehabilitation. 4. Neuromuscular Manifestations. WE 141 P142a2010]
RC935.M77P34 2010
616.7'42-dc22 2009026864
ISBN-10: 0-7360-7400-7 (print)
ISBN-13: 978-0-7360-7400-1 (print)
Copyright © 2010 by Benchmark Physical Therapy Inc., Clare C. Frank, and Robert Lardner
All rights reserved. Except for use in a review, the reproduction or utilization of this work in any form or by any electronic,
mechanical, or other means, now known or hereafter invented, including xerography, photocopying, and recording, and in any
information storage and retrieval system, is forbidden without the written permission of the publisher.
Acquisitions Editor: Loam D. Robertson, PhD; Developmental Editor: Maggie Schwarzentraub; Managing Editor: Melissa J.
Zavala; Assistant Editors: Nicole Gleeson, Casey A. Gentis, and Joanna Hatzopoulos Portman; Copyeditor: Jocelyn Engman;
Indexer: Craig Brown; Permission Manager: Dalene Reeder; Graphic Designer: Fred Starbird; Cover Designer: Keith
Blomberg; Photographer (cover): Neil Bernstein; Photographers (interior): Phil Page, Clare C. Frank, and Robert Lardner
unless otherwise noted. Photos on pages 161 (Figure 11.2), 168 (Figure 11.12), 170 (Figure 11.15), 181 -184, 201 -202, 203 (Figures
13.9 & 13.10), 204 (Figures 13.12, 13.13, & 13.14), and 205 © Performance Health/Hygenic Corporation; Photo Asset Manager:
Laura Fitch; Visual Production Assistant: Joyce Brumfield; Photo Production Manager: Jason Allen; Art Manager: Kelly
Hendren; Associate Art Manager: Alan L. Wilborn; Illustrator: Jason M. McAlexander, MFA; Printer: Sheridan Books
Printed in the United States of America 10 987654321
The paper in this book is certified under a sustainable forestry program.
Human Kinetics
Web site: www.HumanKinetics.com
United States: Human Kinetics Australia: Human Kinetics
P.O. Box 5076 57A Price Avenue
Champaign, IL 61825-5076 Lower Mitcham, South Australia 5062
800-747-4457 08 8372 0999
e-mail: [email protected]m e-mail: [email protected]m
Canada: Human Kinetics New Zealand: Human Kinetics
475 Devonshire Road Unit 100 P.O. Box 80
Windsor, ON N8Y 2L5 Torrens Park, South Australia 5062
800-465-7301 (in Canada only) 0800 222 062
e-mail: [email protected]m e-mail: [email protected]m
Europe: Human Kinetics
107 Bradford Road
Stanningley
Leeds LS28 6AT, United Kingdom
[phone]
e-mail: [email protected]m
E4423

W
e dedicate this book to the memory of Vladimir Janda and to all those who have
striven to learn more about his wonderful approach to helping patients. His knowl-
edge and passion helped transform our own clinical practice and gave us the ability
to share his teachings with others. This book is also dedicated to the researchers who have
yet to prove many of Janda's theories.
We also would like to dedicate this book to promoting better understanding and coopera-
tion among different disciplines, hoping to bridge the gaps among physiotherapy, chiropractic,
and medicine.
Most importantly, we dedicate this book to our families, who endured our countless hours
of research, writing, and revisions.
To Angela, Madison, Caitlin, Hannah, and Andrew Page, thank you for your understand-
ing and support. I couldn't have done anything without the best wife in the world, my best
friend Ange.
Phil Page
To Kirsten and Lauren Frank, thank you for your constant loving reminders to persevere.
You are the best daughters any mother can ask for.
Clare Frank
I very humbly dedicate this book to Professor Karel Lewit, who has inspired me ever since
I knew of him and his wonderful work.
Robert Lardner
III