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each of the contributors there is an over-riding consensus of opinion concerning pain syndromes. First there is significant overlap between edited by Andrew Chalmers MD, Geoffrey Owen Littlejohn MD, Irving E Salit MD, and fibromyalgia, myofascial pain, Frederick Wolfe MD. Haworth Medical chronic fatigue syndrome, RSI Press, 10 Alice Street, Binghamton, New and certain depressive disorders. York 13904-1580 USA, 1995 (ISBN 1 Common symptoms include sleep 56024 744 4). 182 pages. $45. disorders, extreme fatigue, myThis book contains the proceedings algias, mood disturbances, and of a conference on chronic fatigue psychiatric problems. Secondly, syndrome (CFS), fibromyalgia (FS), chronic pain syndromes are not due and related disorders such as repet- t o persistent tissue damage o r itive strain injury (RSI) as it is injury, although there may have referred t o here. An international been a n initial trigger, but t o panel of contributors from the changes in the central nociceptive United States, Canada, England, system. Various hypotheses for Australia, Sweden and Finland these changes are proposed are drawn together from a diverse including central sensitisation, range of backgrounds including altered psychological state, metageneral medicine, rheumatology, bolic or neurotransmitter abnorminfectious diseases, neurology and alities, and possible biomechanical psychiatry, with even a paper from causes such as glucocorticoid a chiropractor and the medical deficiencies. The obvious question director of an insurance company. for a physiotherapist reading this There are 23 chapters which are the book is where do we fit in? summaries of the papers presented According to the research presented and the book covers a wide range of there is very little evidence t h a t topics including diagnosis and any treatment in particular is effecmanagement on four main pain tive be it focal treatment, NSAIDs, syndromes. o r cognitive behaviour therapy Despite the different focus of and, due t o the range of presenting
symptoms, a multidisciplinary approach is recommended. This book is useful for anyone who treats chronic pain disorders, especially those working from outside a multi-disciplinary setting and therefore less aware of the direction in which recent research outside physiotherapy is leading. The book provides an overview of the present understanding of these disorders and therefore the appropriate emphasis in a treatment strategy. It is of interest also t o physiotherapists in occupational health dealing with upper limb disorders to understand the multifactorial causes which are not always the result of poor ergonomics in the workplace, and perhaps for managers who need t o make decisions on serivices and resources, as evidence suggests these patients seek out high levels of physical therapy. While it is of interest, this book is not specifically written for physiotherapists and is therefore not an essential reference book for individual departments.
American sports such as baseball, American football and ice hockey. However, the principles are developed in such a way t h a t they can easily be adapted t o the equivalent sports more commonly played in the UK. The first chapter covering components of a programme discusses the physical and psychological benefits of early sports specific functional work, how t o incorporate such work into a formal rehabilitation programme, and evaluation of progress.
The second chapter briefly covers the principles of motor control and learning, classification of mechanoreceptors, and functional implications of proprioception. The chapter on functional testing explains the importance of testing and the difference between this and functional training. It also shows how to progress testing as the goals change with recovery. The chapter on collision and combat sports has clear tables describing the common mechanisms of injury, rehabilitation concerns and a progression checklist. This would be very useful for students or clinicians unfamiliar with this type of sport looking for a brief overview of typical injuries and problems. The section on running injuries has a similar format. The functional drills in each sport specific chapter appear varied and appropriate with sound physiological and mechanical principles. The soft cover format keeps the price affordable for individuals to buy and it would certainly be a useful adjunct to departmental libraries.
Fibromyalgia, Chronic Fatigue Syndrome, and Repetitive Strain Injury
Functional Progressions for Sport Rehabilitation by Steven R Tippett and Michael L Voight. Human Kinetics, Champaign,Illinois, USA, 1995. (ISBN 0 87322 660 7). Illus. 120 pages. $19.50.
This book aims t o provide an insight into the scientific principles and practical applications of sports specific functional rehabilitation. It has been written by two American sports physical therapists. It is divided into two main sections. The first covers basic components of functional progression, physiological principles and functional testing. The second section covers sports specific functional progression in contact and combat sports and jumping, running and throwing activities. The emphasis in the second section is on the level of function required for specific activities rather than ‘recipes’ for rehabilitation of different injuries. It gives some good ideas for adapting drills and specific exercises for various sports but also covers the more common injuries associated with easy activity. The only drawback is the natural bias towards
Physiotherapy, October 1996, vol 82, no 10
C L Albert MCSP
Nicola Phillips MCSP