Neuromuscular Diseases: A Practical Approach to Diagnosis and Management

Neuromuscular Diseases: A Practical Approach to Diagnosis and Management

Benson, H A E, McElnay, J C, Whiteman, J and Harland, R (1985). McElnay, J C, Matthews, M P, Harland, R and McCafferty, D F (1985). 'Lack of effect of...

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Benson, H A E, McElnay, J C, Whiteman, J and Harland, R (1985). McElnay, J C, Matthews, M P, Harland, R and McCafferty, D F (1985). 'Lack of effect of ultrasound on the percutaneous absorption of 'The effect of ultrasound on the percutaneous absorption of benzydamine', Journal of Pharmacy and Pharmacology, 38 (suppl), lignocaine', British Journal of Clinical Pharmacology, 20,

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Benson, H A E, McElnay, J C and Harland, R (1988). 'Phonophoresis of lignocaine and prilocaine from EMLA@ cream', lnternational Journal of Pharmaceutics, 44, 65-69. Benson, H A E, McElnay, J C, McCallion, 0, Harland, R, Murphy, T M and Hagraft, J (1988).'Influence of ultrasound on the percutaneous absorption of a range of nicotine esters', presented at the British Pharmaceutical Conference, September 1988. Docker, M F, Foulkes, D J and Patrick, M F (1982). 'Ultrasound couplants for physiotherapy', Physiotherapy, 68, 4, 124-125. Griffin, J E, Echternach, J L, Price, R E and Touchstone, J C (1967). 'Patients treated with ultrasonic driven hydrocortisone and with ultrasound alone', Physical Therapy, 47, 594-601. Kleinkort, J A and Wood, F (1975). 'Phonophoresis with 1% versus 10% hydrocortisone', Physical Therapy, 55. 1320-24.

Practical Research Methods for Physlotherapists, by Carolyn M Hicks BA MA PhD CertEd ABPsS. Churchill Livingstone, Edinburgh, 1988 (ISBN 0 443 03757 4). 294 pages. €11.95. In the words of the author, a lecturer in psychology, 'the purpose of this book is to provide any physiotherapist who is thinking of doing some research with the necessary tools to complete the task'. The introduction begins by justifying the need for research in physiotherapy. Ten of the remaining 12 chapters are devoted to a comprehensive account of measurement in statistics, hypothesis testing and statistical procedures. While these are described in detail the unnecessary and complicated derivation of the statistical formulae is omitted. The text is full of examples all of which are relevant to physiotherapists, and practical exercises referred to as 'activities' are included at the end of each section. A short appendix reminds the reader of some

Research: The Validation of Clinical Practice, by Otto D Payton PhD. F A Davis, Philadelphia. Available from QuestMeridien, 145a Croydon Road, Beckenham, Kent BR3 3RB, 2nd edn, 1988 (ISBN 0 8036 6799 XI. 311 pages. $19.95. The author, an American professor of physical therapy, writes that the purpose of the book is to 'provide a basic text that examines and explains the process by which we can test and improve what we do as health professionals to and for our clients or patients'. It is intended for physiotherapy students but I feel it achieves its aims and is a textbook that would be useful to all therapy staff interested in evaluating their practice. The contents cover basic concepts in research, research design, measurement, reliability and validity, descriptive and correlational research, the role of theory in research and the library as a research tool.

421-424.

McElnay, J C, Kennedy, T A and Harland, R (1987). 'The influence of ultrasound on the percutaneous absorption of fluocinolone acetonide', lnternational Journal of Pharmaceutics, 40, 105 -1 10. Novak, E J (1964). 'Experimental transmission of lidocaine through intact skin by ultrasound', Archives of Physical Medicine and Rehabilitation, 45, 231 -232. Skauen, D M and Zentner, G M (1984). 'Phonophoresis', International Journal of Pharmaceutics, 20, 235- 245. Warren, C G,Koblanski, J N and Sigelmann, R A (1976). 'Ultrasound coupling media: Their relative transmissivity', Archives of Physical Medicine and Rehabilitation, 57, 218- 220.

basic mathematical principles. One chapter is concerned with matching the research design to the statistical test. The last t w o chapters provide practical guide lines for setting up a research project including how to construct a research proposal and hints on writing for publication. The text is clear, concise and well presented. The use of pertinent examples is refreshing and makes what is otherwise a difficult subject eminently readable. The only criticism is the choice of the title, a glance at which might give one the impression the book is not a comprehensive statistical guide. Although those new to research might find the text somewhat daunting, the book will be a much-needed companion to both qualified and student physiotherapists emDarking on research and will be of help to other therapists and medical personnel. SUSAN C JENKINS MCSP

Neuromuscular Diseases: A Practical Approach to Diagnosis and Management, by Michael Swash and Martin S Shwartz. Springer-Verlag, London, 2nd edn, 1988 (ISBN 3 540 19505 X and 0 387 19505 X). 456 pages. €99. This book aims to describe and correlate the clinical, pathological and biochemical features of neuromuscular diseases. This second edition describes the developments over the last seven years in the pathology, neurophysiology and investigation techniques.

It is beautifully presented and laid out and is divided into five sections: Section 1 - Clinical assessment and investigations - is extremely detailed and very well described.

Section 2 - Classification of neurogenic and myopathic disorders - acts as a concise index for sections 3, 4 and 5. Section 3 clearly illustrates the neurogenic disorders with excellent chapters on anterior horn cell diseases (including motor neurone disease), neuropathies (including Guillain Bard, compression syndromes, brachial and lumbar nerve root and plexus lesions.

There are appendices giving an outline for writing a research protocol, reconstructed protocols, and six reprints of articles used Sections 4 and 5 set out well the in the text. New to this edition are chapters myopathies and muscular dystrophies which on single-case and group experi- include a very good section on cardiomental designs and an appendix on statis- myopathies in neuromuscular diseases. tics and writing references. Although the Each section describes the clinical research articles used to illustrate the text investigations, pathology, are fewer than in the first edition, they features, cover wider aspects of therapeutic treatment and outcome of each disorder in great detail. Despite the depth of pathology treatment. and physiology each section is extremely The book is clear and easy to read. Objectives are given at the beginning of interesting and easy to read. It is an excellent reference book for each chapter, examples given throughout and review questions, additional reading physiotherapists working in a neurological and references at the end of each chapter. unit and would be a good addition to a The text and examples are clearly American hospital reference library. The subject of neuromuscular diseases is continually but I did not find this to be a problem. Research therapists tend to work in being researched and updated; therefore I isolation, therefore any book that is feel this book would be too specialised accurate, comprehensive and readable, as I and expensive for a physiotherapy department library. feel this is, will be welcomed by them.

R HAM MCSP

LOUISE GOODLASS MCSP I

physiotherapy, November 1988,vol74, no 1 1

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