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Cumulative Trauma Disorders
290 ~
Sexual Function in People with Disability and Chronic Illness A health professional’s guide by Marcia L Sipski and Craig J Alexander. Aspen Publishers, Gaithersburg, Maryland, 1997 (ISBN 0 8342 0886 5). Illus. 657 pages. $61.
This detailed text has been written by a n American husband-and-wife team for, as t h e title indicates, health professionals. It is a n organised book with a wealth of references a t t h e end of each chapter. Due to t h e amount of detail I cannot imagine many staff reading it cover-to-cover, but it would be a n excellent reference for those who find themselves discussing sexual function with patients. The opening chapters cover general sexual function and its assessment, including laboratorybased psychophysiologic tests. The tests are described in great detail and may be of interest to some readers although they are not likely
to be instigated for the majority of patients with whom physiotherapists a r e i n contact. A useful chapter however is t h e one on medications and their effects on both male and female sexual function. Written by patients, the section on living with disability - a male and female perspective - is thought-provoking. Following on from these introductions there is lengthy discussion of specific disabilities and illness, including spinal cord injuries, multiple sclerosis, cancer, arthritis, head injury, neuromuscular diseases, diabetes, amputation, cardiac and pulmonary disease. Each area includes possible difficulties encountered, treatment and advice, including alternative positions for intercourse, which may be helpful for physiotherapists
when advising disabled patients. In surveying patients, t h e authors found t h a t many were not offered information about sexual function. This book would help physiotherapists to give them sound advice. The book then considers the ethics of patients and staff developing relationships either during or after treatment. Infertility and assisted fertility are covered. Attention is given to disability and to lesbians, gay men or bisexuals before closing with a chapter on sexual abuse. I would recommend t h e book to those working i n t h e field of psychosexual counselling. It would be a useful addition to any department library but especially for spinal cord o r neurological rehabilitation units. Ann Pearson MCSP
Cumulative Trauma Disorders by Arminius Cassvan, Lyn Denise Weiss, Jay Mitchell Weiss, Jack L Rook and Steven U Mullens. Butterworth Heinemann, Oxford (ISBN 0 7506 9570 6). Illus. 251 pages. f50.
This book is primarily aimed at individual patient management for clinicians treating cumulative trauma disorders (CTD).Although these a r e generally referred to in t h e UK as upper limb disorders (ULD) this book includes the lower limb problems of dancers and athletes a s well as low back pain due to overuse injuries under t h e umbrella term of CTD. There a r e five authors, all from North America, who contribute chapters on t h e clinical presentation and management of these patients. There a r e three excellent chapters on pain mechanisms including one on neuroanatomy and t h e ascending and descending pain pathways, one on a model of pathophysiology which is used to explain t h e range of symptoms t h a t can present in ULD such as myofascial pain, headaches, a n d TMJ dysfunction, and another chapter on symptom management
Physiotherapy, June 1998, vol84, no 6
detailing pharmacological treatment for chronic pain problems including sleep disturbances, depression, anxiety, etc. A chapter on occupation-related CTD provides a brief ergonomic overview covering workplace risk factors including the psycho-social aspects of work which can contribute to the development of ULD. This chapter also covers in good detail most of the upper limb conditions seen clinically, including the more obscure neuropathies such as anterior interosseus syndrome and radial tunnel syndrome, and t h e clinical tests used for confirming diagnoses. The remaining chapters cover CTD in sports, music, dance, low back pain and reflex sympathetic dystrophy, The emphasis is mainly on the clinical presentation and medical management of these patients although reference is made to physical therapy. The final three chapters detail the anaesthetic management of patients who have chronic nonmalignant pain, covering topics such as opioid analgesia, intrathecal opioid pump implantation
and spinal cord stimulation. As this book is concerned with individual patient management it is most likely to be suitable for therapists involved in chronic pain management or for physiotherapists new to the field of ULD. For physiotherapists working in occupational health or with a n interest in ergonomics there is little information on managing ULD within a company. While most ergonomic areas are touched upon, a more specific text detailing workplace evaluation and t h e methodology and implementation of a n ergonomics programme would need to be found elsewhere. It may be suitable for a departmental library purchase but there is little on the specific role of physiotherapy. The book is beautifully presented in a cloth-covered hardback. I t is easy to read, and the chapters are well written and organised with plenty of sub-headings, tables and good diagrams.
Catherine L Albert BAppSC MErgS MCSP
Sexual Function in People with Disability and Chronic Illness A health professional’s guide by Marcia L Sipski and Craig J Alexander. Aspen Publishers, Gaithersburg, Maryland, 1997 (ISBN 0 8342 0886 5). Illus. 657 pages. $61.
This detailed text has been written by a n American husband-and-wife team for, as t h e title indicates, health professionals. It is a n organised book with a wealth of references a t t h e end of each chapter. Due to t h e amount of detail I cannot imagine many staff reading it cover-to-cover, but it would be a n excellent reference for those who find themselves discussing sexual function with patients. The opening chapters cover general sexual function and its assessment, including laboratorybased psychophysiologic tests. The tests are described in great detail and may be of interest to some readers although they are not likely
to be instigated for the majority of patients with whom physiotherapists a r e i n contact. A useful chapter however is t h e one on medications and their effects on both male and female sexual function. Written by patients, the section on living with disability - a male and female perspective - is thought-provoking. Following on from these introductions there is lengthy discussion of specific disabilities and illness, including spinal cord injuries, multiple sclerosis, cancer, arthritis, head injury, neuromuscular diseases, diabetes, amputation, cardiac and pulmonary disease. Each area includes possible difficulties encountered, treatment and advice, including alternative positions for intercourse, which may be helpful for physiotherapists
when advising disabled patients. In surveying patients, t h e authors found t h a t many were not offered information about sexual function. This book would help physiotherapists to give them sound advice. The book then considers the ethics of patients and staff developing relationships either during or after treatment. Infertility and assisted fertility are covered. Attention is given to disability and to lesbians, gay men or bisexuals before closing with a chapter on sexual abuse. I would recommend t h e book to those working i n t h e field of psychosexual counselling. It would be a useful addition to any department library but especially for spinal cord o r neurological rehabilitation units. Ann Pearson MCSP
Cumulative Trauma Disorders by Arminius Cassvan, Lyn Denise Weiss, Jay Mitchell Weiss, Jack L Rook and Steven U Mullens. Butterworth Heinemann, Oxford (ISBN 0 7506 9570 6). Illus. 251 pages. f50.
This book is primarily aimed at individual patient management for clinicians treating cumulative trauma disorders (CTD).Although these a r e generally referred to in t h e UK as upper limb disorders (ULD) this book includes the lower limb problems of dancers and athletes a s well as low back pain due to overuse injuries under t h e umbrella term of CTD. There a r e five authors, all from North America, who contribute chapters on t h e clinical presentation and management of these patients. There a r e three excellent chapters on pain mechanisms including one on neuroanatomy and t h e ascending and descending pain pathways, one on a model of pathophysiology which is used to explain t h e range of symptoms t h a t can present in ULD such as myofascial pain, headaches, a n d TMJ dysfunction, and another chapter on symptom management
Physiotherapy, June 1998, vol84, no 6
detailing pharmacological treatment for chronic pain problems including sleep disturbances, depression, anxiety, etc. A chapter on occupation-related CTD provides a brief ergonomic overview covering workplace risk factors including the psycho-social aspects of work which can contribute to the development of ULD. This chapter also covers in good detail most of the upper limb conditions seen clinically, including the more obscure neuropathies such as anterior interosseus syndrome and radial tunnel syndrome, and t h e clinical tests used for confirming diagnoses. The remaining chapters cover CTD in sports, music, dance, low back pain and reflex sympathetic dystrophy, The emphasis is mainly on the clinical presentation and medical management of these patients although reference is made to physical therapy. The final three chapters detail the anaesthetic management of patients who have chronic nonmalignant pain, covering topics such as opioid analgesia, intrathecal opioid pump implantation
and spinal cord stimulation. As this book is concerned with individual patient management it is most likely to be suitable for therapists involved in chronic pain management or for physiotherapists new to the field of ULD. For physiotherapists working in occupational health or with a n interest in ergonomics there is little information on managing ULD within a company. While most ergonomic areas are touched upon, a more specific text detailing workplace evaluation and t h e methodology and implementation of a n ergonomics programme would need to be found elsewhere. It may be suitable for a departmental library purchase but there is little on the specific role of physiotherapy. The book is beautifully presented in a cloth-covered hardback. I t is easy to read, and the chapters are well written and organised with plenty of sub-headings, tables and good diagrams.
Catherine L Albert BAppSC MErgS MCSP