BACR Guidelines for Cardiac Rehabilitation

BACR Guidelines for Cardiac Rehabilitation

97 book reviews used, and precludes any functional testing. This h a s to be set against the good anatomical content. by Helen J Hislop and Jacquelin...

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book reviews used, and precludes any functional testing. This h a s to be set against the good anatomical content. by Helen J Hislop and Jacqueline MontThe book is presented in a ringgomery. W B Salrnders Co, Philadelphia (British distributor: Harcourt Brace and Co binder form which makes it easy to Ltd, foots Cray High Street, Sidcup, Kent use, but despite the quality of paper, DA14 5HP), 1995 (6th edn) (ISBN 0 7216 constant use may limit its life. 4305 1). 437pages. f29.50. It will be of value to undergraduate The new authors have substantially updated this book with the inclusion BACR Guidelines for Cardiac of sections on testing children and Rehabilitation some neuropathological conditions. edited by Andrew Coats, Hannah McGee, The book begins with a n introduc- Helen Stokes and David Thompson.Blacktion and description of the grading well, Oxford, 1995 (ISBN 0 632 03934 5). system. Although this description is Illus. 182 pages. f 16.99. full and detailed there is however no This is the first textbook to provide mention of t h e Oxford grading a set of national guidelines towards system, which is t h e most wide- t h e safe and effective practice of spread system used in this country. cardiac rehabilitation in the UK. It is This reflects t h e particular Amer- an excellent text, written and edited ican slant of the book. by a multidisciplinary team of Having reconciled this and experts on behalf of the British adapted t h e grading system, t h e Association for Cardiac Rehabilitabook then offers a series of chapters tion. describing the testing of each body The purpose of the book is to segment. Each movement has good provide research-based guidelines written introductions and very clear for standards of good practice. It and unambiguous line drawings, succeeds very well in combining a n and includes a cross referencing excellent review of cardiac rehabilisection on t h e positional anatomy tation research evidence with sound and innervation of t h e muscle practical advice on service provision. producing t h e contraction. Within It is aimed at a multidisciplinary each chapter is information such as readership and will appeal to both range of motion (that has been 'reli- new and established cardiac rehaably collected') and where necessary bilitation practitioners. The book is helpful hints. easy to read, well structured and The chapter on testing children covers all t h e relevant material is helpful as this is a difficult comprehensively. area to assess. Testing of respiratory Chapters covering structure/ muscles is a welcome inclusion. The testing of upright motor control is t h e weakest spot. Despite t h e The Abuse of Older People at claim t h a t muscle strength testing Home: Information for Workers is inappropriate for neurologically published by Action on Elder Abuse, Astral impaired people, t h e authors de- House, 1268 London Road, London SW16 scribe a system of testing upright 1ER, 1996.24pages. €1. control, t h e benefits of which are Produced to help workers from the questionable. The final chapter includes cross- statutory, independent and volunreferenced skeletal myology, muscle tary sectors to recognise elder motion and myotomes. There is a abuse, this leaflet gives guidance small bibliography (12 books) and 22 on what to do if ill treatment is suspected. references used within the text. It was prepared in collaboration Although t h e tests a r e well described and t h e line drawings with Age Concern England, t h e unambiguous, all tests appear to be Association of Directors of Social performed in t h e same position, Services, the British Association of eliminating the need to think of the Social Workers, the British Gerieffects of gravity. This is possibly a atrics Society, t h e Carers National consequence of the grading system Association, Help the Aged, the

Muscle Testing: Techniques of manual examinations

physiotherapists and those who specialise in t h e evaluation and treatment of patients with musculoskeletal disorders. This book could form part of any department library. Tony Everett MEd BA MCSP DipTP contentlmanagement of cardiac rehabilitation programmes are complemented by detailed advice on medical, exercise prescription, psychological and dietary aspects of rehabilitation. The description of service provision through the various phases of cardiac rehabilitation (I-IV) covering in-patient and out-patient care through to long-term maintenance emphasises the nature of this wideranging medical specialty but also highlights how important it is to establish the right balance of skills, expertise and personnel. The literature referencing throughout is invaluable to practitioners who wish to develop knowledge i n particular aspects of the specialty. It is a book which I highly recommend to physiotherapists and other professionals interested in cardiac rehabilitation. I t is currently t h e definitive UK text on t h e subject and serves a s an invaluable guide and resource for those working in the field.

Fiona Lough MPhil MCSP Police Federation, the Royal College of Nursing and the Royal College of General Practitioners. So it must be authoritative, especially as the director of Action on Elder Abuse, Ginny Jenkins, is a chartered physiotherapist. The sparsely printed pages are each devoted to a topic, such as who does it, why abuse happens, and what action to take. Although it is so succinct, t h e booklet is comprehensive and practical and offers useful guidelines and reassurance to workers who might not be alert to signs of abuse, or who suspect maltreatment but are not sure how best to tackle it.

Physiotherapy,February 1997, vol83, no 2