- Email: [email protected]
Exercise Danger
A Colour Atlas of Muscle Disorders in Childhood, by Victor Dubowitz MD PhD FRCP. Wolfe Medical Publications, London, 1989 (ISBN 0 7234 0811 4). Illus. 182 pages. €40. This wonderful colour atlas was compiled by Victor Dubowitz during his 3 0 years' work with muscle disorders and diseases. The cover of the book sets the scene with a stylish arrangement of photographs depicting Gower's sign; thus making it irresistible to anyone interested in muscle disorders. Inside, all 182 pages with 8 4 0 photographs, most of which are in colour, are accompanied by photomicrographics taken by the author himself during routine review biopsies. A summary of each disease with a systematic tabulated synopsis together with comments on classification make it a clear, no-nonsense reference book which will undoubtedly be a must for all professionals working w i t h muscle disorders. The book is of specific interest to paediatricians, neurologists, paediatric neurologists, orthopaedic surgeons, physicians and, of course, physiotherapists. Geneticists, pathologists and biologists working on molecular genetics and other aspects of muscle disease may also find the atlas both useful aiid interesting. Students, whether undergraduate or postgraduate, will also see the values of the book. The diagnosis, treatment, prognosis and case histories illustrated and described will certainly be of great interest to physiotherapists - especially those who are actively involved with children. I n summary, Muscle Disorders in Childhood will be a welcome addition to any department or library. VlVlENNE S WILLIAMS MCSP Outcomes of Artificial Lower Limb Fitting in Scotland, by Peter Knight and James Urquhart. Information Statistic Division of the Scottish Health Service, Commons Services Agency, Trinity Park House, South Trinity Road, Edinburgh, 1989. Illus. 111 pages. €3.95. This book is a report of the findings of a study into the Limb Fitting Service in Scotland. It has three main aims which are: (a) To determine the use new patients made of their artificial limbs; (b) to describe the factors influencing the use made of artificial limbs; and (c) to describe the outcome of limb fitting at seven- and 19-monthly intervals. Patients under 16 years of age were excluded from the study as were patients with a Symes level of amputation and below. The timing of publication of this book is good as it has been published during the existence of the Disablement Services Authority and the reorganisation of the Limb Fitting Service in England. This report should be of interest t o therapists and all professionals involved in the reorganisation of the service and treatment of amputees. The study appears to have been carefully and sensitively carried out especially in the interviewing of patients, bearing in mind their reaction to losing a limb and their general medical condition. From these interviews many aspects of the functional use of artificial limbs are examined, for example - their pattern of limb wearing, ie all day, half-day etc, and walking; mobility
Physiotherapy, January 1990, vol76, no 1
indoors and outdoors; personal care activities; and the problem of transport to the limb centres. The patients' own views of the service are also discussed as well as a section on smoking behaviour. In all, this report covers a wide raoge of aspects about the amputees themselves and their use of artificial limbs. The conclusion discusses its statistical findings. It is encouraging to see that belowknee amputation was the most favoured level with above-knee amputation coming a close second. Hopefully, surgeons throughout the UK are now aware that the correct selection of level of amputation and design of stump for the individual patient has to be a multidisciplinary team decision, essential to give the patient the most functional possible prosthetic life. The interval between the date of amputation and initial attendance of new patients differs widely from centre to centre in Scotland from 12 days at the Dundee centre to 42 days at other centres. This corresponds to the situation i n England where Roehampton's management of amputees has a similar time interval to Dundee. The format and style of the report make i t easy to read w i t h the statistical information laid out in a clear manner. I would certainly recommend it to colleagues in all professions involved i n the rehabilitation of lower-limb amputees, even though the statistical information will have changed since the publication of this book. P BUTTENSHAW MCSP Exercise Danger, by Grant Donovan BPE(Hons) UWA, Jane McNamara BPE DipEd(UWA) and Peter Gianoli UWA DipED (NCAE). Fitness Leader Network, 5 Chapelside, Titchfield, Hampshire PO14 4AQ. reprinted 1989 (ISBN 1 875139 0 3 6). Illus. 28 pages. f2.95. This is an excellent book alerting anyone who exercises to the dangers encountered by amateurs and professionals alike on the road to health and fitness. It has been written in response t o the hundreds of questions asked every year by coaches, teachers, fitness leaders, doctors, physiotherapists, athletes and aerobic participants, regarding the relative dangers of specific exercises. The three Australian authors are all graduates in physical education from the University of Western Australia. Grant Donovan is an accredited examiner for the Aerobic Institute of Western Australian, Jane McNamara is the director of Australian fitness education programmes and Peter A pdddcdr~h11~~
W h e n selecting an exercise shoe consideration needs to be given to foot type, nature of the activity and the work surface. One of the excellent illustrations from 'Exercise Danger'
Gianoli is a specialist in anatomy and physiology, and is general manager of a multidisciplinary sports medicine and health promotion company. The book contains a concise section on safety principles which need considering before exercising, the philosophy of exercising, medical risk factors and contraindications and spinal care. The main section of the book deals with dangerous exercises to avoid, giving the reasons why and showing alternative safer exercises. The final two pages deal with special considerations (pregnancy, osteoporosis and exercising children). The information, is well presented with each dangerous exercise, and safe alternative, demonstrated with a photograph, making the book easy to understand. The accompanying text explains clearly why the particular exercise is dangerous, which particular muscle groupb) and joints are being worked and then, very importantly, explains not just one alternative but a selection of alternative safe exercises. This book would be valuable for anyone engaged in any exercise or training programme, whether a doctor, physiotherapist, patient, teacher, coach, athlete or aerobiddance participant. It is very interesting to read, with a few eye-openers to make us realise that some of the 'old faithful' exercises are doing more harm than good. A plea made by my teenage daughter on reading the book was could it please be made available to all PE departments in schools and amateur athletic clubs, as every one of the dangerous exercises are still being used daily in her experiences.at school and club level. PATRICIA LEE MCSP OipRG&RT Implementing Problem-based Medical Education: Lessons f r o m successful innovations, edited by Arthur Kaufman MD. Springer Publishing Co, New York; available from Blackwell, Oxford, 1985 (ISBN 0 8261 4660 01. Illus. 276 pages. €28.60. This book describes the origins, design, implementation and effects of the primary care curriculum, a problem-based studentcentred learning programme developed at the University of New Mexico School of Medicine. The contributors to the book have all been involved with the New Mexico programme. The topics addressed include curriculum, tutorial groups, library, clinical skills, evaluation, student selection and cost. Each chapter sets out specific goals related to a problem-based curriculum, presents the methods used to achieve these goals with an analysis of success and failure, and provides an overview of the experiences of other medical schools. A comprehensive reference list is included at the end of each chapter. The text is clear and the information is presented in an interesting manner with the inclusion of practical examples. Although primarily written for those involved in curriculum innovation in medical education, the book contains useful insights and information for physiotherapy educators interested in developing problem-based learning formats in either entire courses or course segments. PATRICIA DRUMMOND MCSP DipTP
53
Physiotherapy, January 1990, vol76, no 1
indoors and outdoors; personal care activities; and the problem of transport to the limb centres. The patients' own views of the service are also discussed as well as a section on smoking behaviour. In all, this report covers a wide raoge of aspects about the amputees themselves and their use of artificial limbs. The conclusion discusses its statistical findings. It is encouraging to see that belowknee amputation was the most favoured level with above-knee amputation coming a close second. Hopefully, surgeons throughout the UK are now aware that the correct selection of level of amputation and design of stump for the individual patient has to be a multidisciplinary team decision, essential to give the patient the most functional possible prosthetic life. The interval between the date of amputation and initial attendance of new patients differs widely from centre to centre in Scotland from 12 days at the Dundee centre to 42 days at other centres. This corresponds to the situation i n England where Roehampton's management of amputees has a similar time interval to Dundee. The format and style of the report make i t easy to read w i t h the statistical information laid out in a clear manner. I would certainly recommend it to colleagues in all professions involved i n the rehabilitation of lower-limb amputees, even though the statistical information will have changed since the publication of this book. P BUTTENSHAW MCSP Exercise Danger, by Grant Donovan BPE(Hons) UWA, Jane McNamara BPE DipEd(UWA) and Peter Gianoli UWA DipED (NCAE). Fitness Leader Network, 5 Chapelside, Titchfield, Hampshire PO14 4AQ. reprinted 1989 (ISBN 1 875139 0 3 6). Illus. 28 pages. f2.95. This is an excellent book alerting anyone who exercises to the dangers encountered by amateurs and professionals alike on the road to health and fitness. It has been written in response t o the hundreds of questions asked every year by coaches, teachers, fitness leaders, doctors, physiotherapists, athletes and aerobic participants, regarding the relative dangers of specific exercises. The three Australian authors are all graduates in physical education from the University of Western Australia. Grant Donovan is an accredited examiner for the Aerobic Institute of Western Australian, Jane McNamara is the director of Australian fitness education programmes and Peter A pdddcdr~h11~~
W h e n selecting an exercise shoe consideration needs to be given to foot type, nature of the activity and the work surface. One of the excellent illustrations from 'Exercise Danger'
Gianoli is a specialist in anatomy and physiology, and is general manager of a multidisciplinary sports medicine and health promotion company. The book contains a concise section on safety principles which need considering before exercising, the philosophy of exercising, medical risk factors and contraindications and spinal care. The main section of the book deals with dangerous exercises to avoid, giving the reasons why and showing alternative safer exercises. The final two pages deal with special considerations (pregnancy, osteoporosis and exercising children). The information, is well presented with each dangerous exercise, and safe alternative, demonstrated with a photograph, making the book easy to understand. The accompanying text explains clearly why the particular exercise is dangerous, which particular muscle groupb) and joints are being worked and then, very importantly, explains not just one alternative but a selection of alternative safe exercises. This book would be valuable for anyone engaged in any exercise or training programme, whether a doctor, physiotherapist, patient, teacher, coach, athlete or aerobiddance participant. It is very interesting to read, with a few eye-openers to make us realise that some of the 'old faithful' exercises are doing more harm than good. A plea made by my teenage daughter on reading the book was could it please be made available to all PE departments in schools and amateur athletic clubs, as every one of the dangerous exercises are still being used daily in her experiences.at school and club level. PATRICIA LEE MCSP OipRG&RT Implementing Problem-based Medical Education: Lessons f r o m successful innovations, edited by Arthur Kaufman MD. Springer Publishing Co, New York; available from Blackwell, Oxford, 1985 (ISBN 0 8261 4660 01. Illus. 276 pages. €28.60. This book describes the origins, design, implementation and effects of the primary care curriculum, a problem-based studentcentred learning programme developed at the University of New Mexico School of Medicine. The contributors to the book have all been involved with the New Mexico programme. The topics addressed include curriculum, tutorial groups, library, clinical skills, evaluation, student selection and cost. Each chapter sets out specific goals related to a problem-based curriculum, presents the methods used to achieve these goals with an analysis of success and failure, and provides an overview of the experiences of other medical schools. A comprehensive reference list is included at the end of each chapter. The text is clear and the information is presented in an interesting manner with the inclusion of practical examples. Although primarily written for those involved in curriculum innovation in medical education, the book contains useful insights and information for physiotherapy educators interested in developing problem-based learning formats in either entire courses or course segments. PATRICIA DRUMMOND MCSP DipTP
53