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Manual Treatment of Back Pain
Manual Treatment of Back Pain, by Vincent C Nwuga MCSP BPT MS PhD. Robert E Krieger Publishing Co, PO Box 9 5 4 2 Melbourne, Florida 32901 USA, 1986 (ISBN 0 89874 753 8).2 0 8 pages. $17.50. This book is a sequel t o Manipulation of the Spine published in 1976, with the inclusion of new chapters. The author begins by giving a review of the history and schools of thought - the first documentation of manipulation being made by Hippocrates. He then includes chapters on the anatomy and mechanics of the spinal column, examination - in which he includes differing types of pain to different pathologies. The following chapters include techniques of spinal therapy, clinical application of spinal manual therapy, case histories, discussion and conclusion. He gives acknowledgment to other contributors for the following chapters: 'Radiological investigations in spinal dysfunction', 'Function and dysfunction and manual treatment of the sacroiliac joints 'Positional and exercise methods'. While the various philosophies of manual therapy are discussed, the book attempts to present a comprehensive, coherent, nonsectarian view of the subject. He achieves what he states in his conclusion - a modest attempt at examining the subject of manipulation of the spine concisely. It is clearly illustrated and easy to read and would be a good addition to libraries in physiotherapy schools and departments where there is an interest in the manual treatment of back pain. JENNIFER A HODDER MCSP
Steps t o Independence: Practical guidance on teaching people w i t h mental and sensory handicaps, by A B Best. BlMH Publications, Foley Industrial Park, Stobrport Road, Kidderminster, Worces DY11 7QG (ISNB 0 9 0 6 0 5 4 61 3). Illus. 104 pages. €8.75. Some 15% of people w i t h mental handicaps have associated visual handicaps. To date, there has been a dearth of material for carers w h o work w i t h these clients, and which offers practical advice and suggestions for training. The British Institute for Mental Handicap recognised this fact and, following a six-year study, sponsored by the DHSS and RNIB, this excellent book was published. The author, Tony Best, has extensive experience in working w i t h people w i t h mental and visual handicaps, is currently a lecturer in special education at Birmingham University, and is a trained educational psychologist. The foreword t o the book, written by Professor Simon, states that the overall object is to 'enable carers t o move on to developing their own ideas to meet the needs of the people in their care and t o make the most use of the opportunities available in a
144
particular setting'. This objective is admirably fulfilled in the various sections of text. Section 1 gives a general introduction, defining blindness and all of its residual problems. Section 2 provides general principles of training, in language that can be understood by both professional carer and parents. Section 3 examines possibilities for improving two-way communication, while section 4 offers very practical advice and suggestions on using and adopting the environment of the client. Perhaps for the physiotherapist, the most useful section is 5, dealing w i t h teaching approaches. Task analysis is the technique used throughout the text, w i t h suggestions on h o w t o record data in order to monitor progress. There is a brief mention of physiotherapy on page 49, where our skills, in assessment and movement are obviously recognised. However, I cannot fail t o notice that one of the exercises that the physiotherapist will provide is quite ambiguous 'Provide movement on rollers'. However, the emphasis is correct w i t h the carer applying advice after appropriate teaching by the physiotherapist. Section 6 offers practical ideas on activities such as art and craft, mobility, housecraft etc, and has useful tables demonstrating how task analysis can be used t o break down tasks into small, achievable steps. It is refreshing t o see a publication where the tasks all relate t o age-appropriate adult daily activities, and do not rely on the use of childish materials. The book finishes w i t h a good reference section including aids and appliances, equipment and further reading. A comprehensive index of key words completes the text. Overall, this is an excellent book which I would not hesitate t o recommend t o any physiotherapist, parent or carer, w h o may work w i t h such clients. Not only is it a must for the departmental library, but also for schools of physiotherapy where students gain experience in this field. STEVEN R BELL GradDipPhys MCSP
What Next? Focus on health. Health Education Authority/Centre for Health and Retirement Studies, Department of Extra-mural Studies, University of London, 2 6 Russell Square, London WC1 B 5DQ. Minimum order 1 0 copies, €3.20; 25 copies, €7.95; 5 0 copies, €14.50; 1 0 0 copies, €27. Money should not be sent wirh order. This booklet invites readers t o take a fresh look at what they understand by 'health' and 'retirement'. It aims to be used t o promote positive attitudes t o health, t o generate interest in health issues in those facing retirement, or as a basis for group discussion. Questions such as 'What is health?', 'How healthy are you n o w ? ' and 'What does work mean t o you?' are asked, with indications as
t o changes which may take place after retirement. The booklet is designed to complement another HEA/CHRE publication, Health and Retirement: An ideas and resources pack for healrh educators ( € 2 7 from above address). Recent Advances in Nursing: Perspectives on Pain, edited by Laurel Archer Copp. Churchill Livingstone, Edinburgh, 1985 (ISBN 0 4 4 3 0 2 5 0 0 2). 166 pages. €12.50. This book is part of a series covering aspects of nursing where research is being carried out and developments are being made. This book on pain is intended t o give nurses an opportunity t o consider the psychological, physiological and ethical aspects of pain. There are eight papers by international contributors, covering topics such as 'Pain coping', 'The role of the nurse in children's pain', 'The use of music and exercise to reduce the pain of pregnancy and childbirth', and the 'Impact of hospital architecture on the patient in pain'. This book may be of interest to physiotherapists involved in the management of patients in pain, or t o researchers. Human Movement: A n introductory text for physiotherapy students, by P M Galley BPhty MEd St and A L Forster HonBPhty FCSP. Churchill Livingstone, Edinburgh, 2nd edn, 1 9 8 7 (ISBN 0 4 4 3 0 3 3 9 0 0).2 6 2 pages. € 1 2.95. In the short space of five years the first edition of 'Galley and Forster' had established itself as one of the cornerstone texts for use in the pre-registration syllabus for physiotherapy students. The second edition has managed t o improve on the first in a number of ways. First t h e existing chapters have been expanded by updating and adding n e w material, and t h e already extensive bibliographies have been increased in size. Secondly, n e w chapters have been added t o cover topics such as the patient and disability, the rehabilitation team and the role of the physiotherapist. Last, t w o appendices have been added, t h e f i r s t o n t e s t i n g and measurement and the second on guide lines for analysis and planning of a functional activity. Thechaptersareinthemainshort, andare tabulated in a way appreciated by students, but not at the expense of detail. The bibliography at the end of each guides towards areas where further research can be conducted into the topicsdescribed. The line diagrams, fugures, flow chartsand tablesare all well presented and easy t o understand. Those w h o already know and use the first edition of this book will be pleased with the quality of the second edition. I would suggest that those who are unfamiliar with this book and teach human movement would find it a worth-whileaddition tothereading listof preregistration courses.
N P PALASTANGA BA MCSP DipTP Physiotherapy, March 1988, vol 74, no 3
Steps t o Independence: Practical guidance on teaching people w i t h mental and sensory handicaps, by A B Best. BlMH Publications, Foley Industrial Park, Stobrport Road, Kidderminster, Worces DY11 7QG (ISNB 0 9 0 6 0 5 4 61 3). Illus. 104 pages. €8.75. Some 15% of people w i t h mental handicaps have associated visual handicaps. To date, there has been a dearth of material for carers w h o work w i t h these clients, and which offers practical advice and suggestions for training. The British Institute for Mental Handicap recognised this fact and, following a six-year study, sponsored by the DHSS and RNIB, this excellent book was published. The author, Tony Best, has extensive experience in working w i t h people w i t h mental and visual handicaps, is currently a lecturer in special education at Birmingham University, and is a trained educational psychologist. The foreword t o the book, written by Professor Simon, states that the overall object is to 'enable carers t o move on to developing their own ideas to meet the needs of the people in their care and t o make the most use of the opportunities available in a
144
particular setting'. This objective is admirably fulfilled in the various sections of text. Section 1 gives a general introduction, defining blindness and all of its residual problems. Section 2 provides general principles of training, in language that can be understood by both professional carer and parents. Section 3 examines possibilities for improving two-way communication, while section 4 offers very practical advice and suggestions on using and adopting the environment of the client. Perhaps for the physiotherapist, the most useful section is 5, dealing w i t h teaching approaches. Task analysis is the technique used throughout the text, w i t h suggestions on h o w t o record data in order to monitor progress. There is a brief mention of physiotherapy on page 49, where our skills, in assessment and movement are obviously recognised. However, I cannot fail t o notice that one of the exercises that the physiotherapist will provide is quite ambiguous 'Provide movement on rollers'. However, the emphasis is correct w i t h the carer applying advice after appropriate teaching by the physiotherapist. Section 6 offers practical ideas on activities such as art and craft, mobility, housecraft etc, and has useful tables demonstrating how task analysis can be used t o break down tasks into small, achievable steps. It is refreshing t o see a publication where the tasks all relate t o age-appropriate adult daily activities, and do not rely on the use of childish materials. The book finishes w i t h a good reference section including aids and appliances, equipment and further reading. A comprehensive index of key words completes the text. Overall, this is an excellent book which I would not hesitate t o recommend t o any physiotherapist, parent or carer, w h o may work w i t h such clients. Not only is it a must for the departmental library, but also for schools of physiotherapy where students gain experience in this field. STEVEN R BELL GradDipPhys MCSP
What Next? Focus on health. Health Education Authority/Centre for Health and Retirement Studies, Department of Extra-mural Studies, University of London, 2 6 Russell Square, London WC1 B 5DQ. Minimum order 1 0 copies, €3.20; 25 copies, €7.95; 5 0 copies, €14.50; 1 0 0 copies, €27. Money should not be sent wirh order. This booklet invites readers t o take a fresh look at what they understand by 'health' and 'retirement'. It aims to be used t o promote positive attitudes t o health, t o generate interest in health issues in those facing retirement, or as a basis for group discussion. Questions such as 'What is health?', 'How healthy are you n o w ? ' and 'What does work mean t o you?' are asked, with indications as
t o changes which may take place after retirement. The booklet is designed to complement another HEA/CHRE publication, Health and Retirement: An ideas and resources pack for healrh educators ( € 2 7 from above address). Recent Advances in Nursing: Perspectives on Pain, edited by Laurel Archer Copp. Churchill Livingstone, Edinburgh, 1985 (ISBN 0 4 4 3 0 2 5 0 0 2). 166 pages. €12.50. This book is part of a series covering aspects of nursing where research is being carried out and developments are being made. This book on pain is intended t o give nurses an opportunity t o consider the psychological, physiological and ethical aspects of pain. There are eight papers by international contributors, covering topics such as 'Pain coping', 'The role of the nurse in children's pain', 'The use of music and exercise to reduce the pain of pregnancy and childbirth', and the 'Impact of hospital architecture on the patient in pain'. This book may be of interest to physiotherapists involved in the management of patients in pain, or t o researchers. Human Movement: A n introductory text for physiotherapy students, by P M Galley BPhty MEd St and A L Forster HonBPhty FCSP. Churchill Livingstone, Edinburgh, 2nd edn, 1 9 8 7 (ISBN 0 4 4 3 0 3 3 9 0 0).2 6 2 pages. € 1 2.95. In the short space of five years the first edition of 'Galley and Forster' had established itself as one of the cornerstone texts for use in the pre-registration syllabus for physiotherapy students. The second edition has managed t o improve on the first in a number of ways. First t h e existing chapters have been expanded by updating and adding n e w material, and t h e already extensive bibliographies have been increased in size. Secondly, n e w chapters have been added t o cover topics such as the patient and disability, the rehabilitation team and the role of the physiotherapist. Last, t w o appendices have been added, t h e f i r s t o n t e s t i n g and measurement and the second on guide lines for analysis and planning of a functional activity. Thechaptersareinthemainshort, andare tabulated in a way appreciated by students, but not at the expense of detail. The bibliography at the end of each guides towards areas where further research can be conducted into the topicsdescribed. The line diagrams, fugures, flow chartsand tablesare all well presented and easy t o understand. Those w h o already know and use the first edition of this book will be pleased with the quality of the second edition. I would suggest that those who are unfamiliar with this book and teach human movement would find it a worth-whileaddition tothereading listof preregistration courses.
N P PALASTANGA BA MCSP DipTP Physiotherapy, March 1988, vol 74, no 3