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Clinical and Sports Medicine, 2nd Edition
Journal of OsteopathicMedicine,2001; 4(2)
© AOMR Inc. 2001
Clinical and Sports Medicine, 2 "dEdition.
Olympic Committee. It also covers issues such as enhancing sports performance with nutrition and psychology and various ethical issues.
Peter Brukner and Karim Khan McGraw Hill Publishers, Australia ISBN: 0-07 470651-9 Pages: XXIX plus 918.
This book takes sports medicine and places it fairly and squarely where it belongs and that is as a subspecialty to serve everyone in the community who wishes to be active. I have no hesitation in recommending this book to any manual therapist
There is no questioning the authority of the authors of this book. Both have an impressive list of credentials and a wealth of experience. At a glance it is clear that this book is for those serious about sports medicine, with many notable athletes appearing as participants. However, you will find that much of the content is just as applicable to those who merely wish to be active.
Darrell Pummeroy, BSc, BSc
Understanding the placebo effect in complimentary medicine: Theory, practice and research. Editor: David Peters Harcourt Brace, under the Churchill Livingstone label. ISBN: 0443060312 Price: $54.04 (GST inclusive) Available from: Harcourt Brace: (02) 9517 8999, or www.harcourt.com.au
The book is organized in a manner that is both sensible and is easy to use. This is mainly because the chapters are arranged according to the anatomical region of the symptom rather than diagnostic categories. This sets this book aside and makes it perfect for that quick differential diagnosis check. The book has 6 sections, further divided into 56 chapters; part A: fundamental principles, part B: regional problems, part C: enhancing sport performance, part D: special groups of participants, part E: management of medical problems, and part F: practical sports medicine.
As editor of this timely, scholarly work, David Peters has drawn together a superb team of internationally recognised authors to tackle the complexities of the placebo effect. Authors come from across the breadth of primary care practices, including osteopathy, naturopathy, homoeopathy, psychology and medicine.
Fundamental principles may be "old ground" for some in the latter years of study and beyond, but for others it may be a good refresher. The rehabilitation section is particularly interesting, and well described and illustrated. The regional problem section is the most interesting from an osteopathic point of view and is ideal for quick reference when deciding how to tackle a problem. It spells out what is required in terms of treatment and rehabilitation with reference to progression. Generally there will be an estimate of how long the patient can expect to be out of action. A feature of this section is the inclusion of rehabilitation prescriptions for the different grades of strains and sprains. Within each anatomical region there is particular emphasis on functional anatomy, a comprehensive history; specific examination routines, and appropriate use of investigations for dealing with each individual problem. In each region the most common conditions are covered in detail, with those lesser likely given an appropriate mention.
In preface Peters argues that 'the placebo effect' is not a single effect, but many, and that placebo is not always 'fake', Furthermore, placebo may produce an undesirable outcome (technically referred to as a nocebo effect) thus it is not possible to classify placebo as 'good' or 'bad.' Blowing away assumptions about placebo, Peters sets the tone for the book, and encourages the reader to regard placebo as the gamut of non-specific effects observed in practice. The text is divided into three main sections, covering theory, practice and research in turn, followed by an epilogue. Section 1 is brief at only four chapters, and although it is a demanding read, is worth the effort, because it places the reader's understanding of placebo in context. Chapter 1 highlights the cultural framework that shapes placebo: what is 'real' in one culture is 'fake' in another. Chapters 3 and 4 cover the magnitude of placebo and the physiological responses of the body to placebo effects.
The remaining sections cover a vast array of subjects, most of which are more pertinent to those involved, or interested in being involved, with sporting clubs. For those practitioners disinterested in sport themselves, these sections may be useful when treating patients who are serious about sport. The enhancing sport performance section looks at nutrition and psychology. The special groups of participants section looks at the special needs of the younger, female, older and disabled athletes. The management of medical problems section looks at emergencies, cardiovascular, respiratory and gastrointestinal problems, epilepsy, diabetes, infection and problems associated with exercising in heat and cold. The final section on practical sports medicine looks the concerns a physician might have when travelling with a team, medication for legitimate conditions, and an up-todate list of medications permitted by the International
Chapter 2, entitled "Towards a scientific understanding of placebo effects," is essential reading for anyone struggling with clinical research design in complimentary medicine. Chapter author, Edzard Ernst, argues that that the best research design for displaying placebo effects is not the double blind, randomised, controlled, clinical trial (RCT), in which a 'real' therapy is compared with a 'fake', but a three way RCT, in which one group of participants receives the therapy, another group receives the placebo, and a third group receives nothing. The "placebo effect" is the difference in outcome between those who received the placebo and those who received no therapy. The placebo effect can then be used as a covariate to determine the size of the therapeutic effect (ie: outcome in treated group minus placebo effect equals therapeutic effect). 74
© AOMR Inc. 2001
Clinical and Sports Medicine, 2 "dEdition.
Olympic Committee. It also covers issues such as enhancing sports performance with nutrition and psychology and various ethical issues.
Peter Brukner and Karim Khan McGraw Hill Publishers, Australia ISBN: 0-07 470651-9 Pages: XXIX plus 918.
This book takes sports medicine and places it fairly and squarely where it belongs and that is as a subspecialty to serve everyone in the community who wishes to be active. I have no hesitation in recommending this book to any manual therapist
There is no questioning the authority of the authors of this book. Both have an impressive list of credentials and a wealth of experience. At a glance it is clear that this book is for those serious about sports medicine, with many notable athletes appearing as participants. However, you will find that much of the content is just as applicable to those who merely wish to be active.
Darrell Pummeroy, BSc, BSc
Understanding the placebo effect in complimentary medicine: Theory, practice and research. Editor: David Peters Harcourt Brace, under the Churchill Livingstone label. ISBN: 0443060312 Price: $54.04 (GST inclusive) Available from: Harcourt Brace: (02) 9517 8999, or www.harcourt.com.au
The book is organized in a manner that is both sensible and is easy to use. This is mainly because the chapters are arranged according to the anatomical region of the symptom rather than diagnostic categories. This sets this book aside and makes it perfect for that quick differential diagnosis check. The book has 6 sections, further divided into 56 chapters; part A: fundamental principles, part B: regional problems, part C: enhancing sport performance, part D: special groups of participants, part E: management of medical problems, and part F: practical sports medicine.
As editor of this timely, scholarly work, David Peters has drawn together a superb team of internationally recognised authors to tackle the complexities of the placebo effect. Authors come from across the breadth of primary care practices, including osteopathy, naturopathy, homoeopathy, psychology and medicine.
Fundamental principles may be "old ground" for some in the latter years of study and beyond, but for others it may be a good refresher. The rehabilitation section is particularly interesting, and well described and illustrated. The regional problem section is the most interesting from an osteopathic point of view and is ideal for quick reference when deciding how to tackle a problem. It spells out what is required in terms of treatment and rehabilitation with reference to progression. Generally there will be an estimate of how long the patient can expect to be out of action. A feature of this section is the inclusion of rehabilitation prescriptions for the different grades of strains and sprains. Within each anatomical region there is particular emphasis on functional anatomy, a comprehensive history; specific examination routines, and appropriate use of investigations for dealing with each individual problem. In each region the most common conditions are covered in detail, with those lesser likely given an appropriate mention.
In preface Peters argues that 'the placebo effect' is not a single effect, but many, and that placebo is not always 'fake', Furthermore, placebo may produce an undesirable outcome (technically referred to as a nocebo effect) thus it is not possible to classify placebo as 'good' or 'bad.' Blowing away assumptions about placebo, Peters sets the tone for the book, and encourages the reader to regard placebo as the gamut of non-specific effects observed in practice. The text is divided into three main sections, covering theory, practice and research in turn, followed by an epilogue. Section 1 is brief at only four chapters, and although it is a demanding read, is worth the effort, because it places the reader's understanding of placebo in context. Chapter 1 highlights the cultural framework that shapes placebo: what is 'real' in one culture is 'fake' in another. Chapters 3 and 4 cover the magnitude of placebo and the physiological responses of the body to placebo effects.
The remaining sections cover a vast array of subjects, most of which are more pertinent to those involved, or interested in being involved, with sporting clubs. For those practitioners disinterested in sport themselves, these sections may be useful when treating patients who are serious about sport. The enhancing sport performance section looks at nutrition and psychology. The special groups of participants section looks at the special needs of the younger, female, older and disabled athletes. The management of medical problems section looks at emergencies, cardiovascular, respiratory and gastrointestinal problems, epilepsy, diabetes, infection and problems associated with exercising in heat and cold. The final section on practical sports medicine looks the concerns a physician might have when travelling with a team, medication for legitimate conditions, and an up-todate list of medications permitted by the International
Chapter 2, entitled "Towards a scientific understanding of placebo effects," is essential reading for anyone struggling with clinical research design in complimentary medicine. Chapter author, Edzard Ernst, argues that that the best research design for displaying placebo effects is not the double blind, randomised, controlled, clinical trial (RCT), in which a 'real' therapy is compared with a 'fake', but a three way RCT, in which one group of participants receives the therapy, another group receives the placebo, and a third group receives nothing. The "placebo effect" is the difference in outcome between those who received the placebo and those who received no therapy. The placebo effect can then be used as a covariate to determine the size of the therapeutic effect (ie: outcome in treated group minus placebo effect equals therapeutic effect). 74