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Book review Biomechanical
Basis of Orthotic Management
P Bowker, D N Condie, D L Bader and D .I Pratt
Butterworth-Heinemann ISBN 0 7506 1380 7
Ltd, 1993, 290 pp
This is a clearly written academic text which will appeal to a multidisciplinary health-care team. It is particularly pleasing to note that the text has been written in such a way as to be appropriate for clinicians and bioengineers, and all interested in the managementof locomotor pathology by the use of orthoses. The introductory chapter clearly identifies the reference terminology used throughout the book which provides the reader with essential background information. The chapter considering basic biomechanics is well written and introduces essential mechanical principles which, as a clinician, I found interesting to read and easy to follow. The clinical examples given fully illustrate the mechanical principles used in the design of orthoses and serve to introduce the biomechanics of orthoses. The text considers the description and assessmentof gait and the patient-orthosis interface which links mechanics with soft-tissue viability. The chapter on foot orthoses is well written although it does not emphasize the need to consider
foot tissue viability in the neuropathic or ischaemic foot. As a result of this some foot orthoses are not considered. Consideration of ankle-foot orthoses and knee orthoses is well written and introduces many new research developments in these areas. Many of the chapters clearly identify the need for additional research and development in the areas of orthotic design and manufacture. Many of the orthoses available today appear to have changed little over the years and surely illustrates the need for research investment in this area. Consideration of upper limb, head and neck, and spinal orthoses provides an overview of these areas and then introduces a chapter on seating. All the chapters are very well referenced and will provide a valuable reference source for both clinicians and bioengineers. I commend the text to any practitioner involved in the prescription, design, and manufacture of orthoses. Steve West