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Normal Movements in the First Year of Life
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and there appears t o be no real logic for its inclusion here. The video goes on to list the effects of the total R(est), I(ce), C(ompression),E(levation), S(tabi1isation) programme, linking the effects back t o the chain reaction of injury. The stabilisation element of this programme can be equated with the protection element of the PRICE regime with which we are more familiar in this country. The video moves on to provide guidelines on the application of the RICES regimen. 1. Apply ice within ten minutes of injury - crushed/cubed ice in a plastic bag is shown applied directly to the injured part. 2. Apply a six-inch bandage over the entire region. 3 . Elevate the injured part six to ten inches above the heart. 4. Remove ice after 30 minutes. 5 . Apply a brace or sling or use crutches to avoid weight-bearing. The athlete is then advised t o apply ice for 30 minutes every two hours for the next 24 hours, and t o keep the limb elevated and wrapped in an elastic bandage. This is generally an informative, useful video, clearly presented. There are a few criticisms: 1.There is no indication as to what happens after 24 hours.
2. It is probably advisable to place a damp towel between the ice-pack and the skin. 3. There is no information regarding the differing degrees of severity of injury. 4. The section on rehabilitation is superfluous as there is a companion
Cryotherapy for Rehabilitation Like its companion video ‘Cryotherapy for First Aid’, this video is based on Cryotherapy in Sport Injury Management by Ken Knight and is aimed at sports medicine professionals and athletes. It lasts 15 minutes. The first part is a repetition of the introduction to ‘Cryotherapy for First Aid’, and indeed the first four to five minutes of the video either repeat sections of the first aid video, or duplicate elements of the same video. The most useful p a r t of t h e video comes in the l a s t ten minutes, when the concepts of exercise and cryotherapy (cryokinetics) and stretching and cryotherapy (cryostretch) a r e introduced. Claims are made that both approaches return athletes to competition fitness more quickly t h a n other more traditional methods. This video does refer to t h e different degrees of severity of
Normal Movements in the First Year of Life presented by Helen Stevens MCSP of the Royal Hampshire County Hospital, Winchester. Produced by the video unit of Teaching Support and Media Services at the University of Southampton. 7997. VHS. 38 minutes. Available from TSMS, Mail Point 800, Southampton General Hospital, Tremona Road, Southampton SO 76 6YD, €35 including postage, payable to ’University of Southampton’. This video gives a n excellent overview of the development which occurs during the first year of a child’s life. It illustrates the major changes which occur each month and its commentary draws viewers’ attention to some interesting points which could otherwise be overlooked. Each month it looks a t the child’s progress in the same basic positions
Physiotherapy, June 1998, vol 84, no 6
video dealing with cryotherapy in rehabilitation (see below). 5 . The contra-indications to the use of ice are brushed over. Particularly, there is no mention of the dangers of application of ice over superficia1 nerves.
of supine, prone, sitting and the upright posture. It emphasises how each new skill is built upon those previously acquired and i t is the only video I have seen which draws attention t o the significance of weight shift. It illustrates well how the baby goes from asymmetrical patterns of movement t o ones of symmetry, gains head and trunk control and
injury, but only with respect to the time-scale of the introduction of cryokinetics or cryostretching. Reasonably clear descriptions a r e given of both techniques perhaps more detailed for t h e cryokinetics t h a n t h e cryostretching, although t h e actual stretch/PNF technique is well explained. Although the subject of contraindications is mentioned in both videos, neither of the programmes expands on this to suggest specific conditions or situations. I n summary, these two vidoes are useful a n d informative, perhaps more so to athletes than to well qualified sports medicine professionals. However, in view of the amount of repetitiodoverlap, it seems to me that the two videos should be combined.
Kate Kerr PhD BA MCSP CertEd PostGradDipHE
finally independent walking. It looks not only a t gross motor development but also a t the acquisition of fine motor skills, play development and social interaction. The commentary would help people starting out in paediatrics to observe the significant changes, while for the more experienced, the video could be used to highlight other, more subtle changes. Importantly, too, it reminds us of the speed at which normal children develop and how much they achieve in their first year of life. This is an excellent video which would certainly be an asset to any paediatric therapist and is an ideal teaching tool.
Lyn Campbell BSc MCSP
and there appears t o be no real logic for its inclusion here. The video goes on to list the effects of the total R(est), I(ce), C(ompression),E(levation), S(tabi1isation) programme, linking the effects back t o the chain reaction of injury. The stabilisation element of this programme can be equated with the protection element of the PRICE regime with which we are more familiar in this country. The video moves on to provide guidelines on the application of the RICES regimen. 1. Apply ice within ten minutes of injury - crushed/cubed ice in a plastic bag is shown applied directly to the injured part. 2. Apply a six-inch bandage over the entire region. 3 . Elevate the injured part six to ten inches above the heart. 4. Remove ice after 30 minutes. 5 . Apply a brace or sling or use crutches to avoid weight-bearing. The athlete is then advised t o apply ice for 30 minutes every two hours for the next 24 hours, and t o keep the limb elevated and wrapped in an elastic bandage. This is generally an informative, useful video, clearly presented. There are a few criticisms: 1.There is no indication as to what happens after 24 hours.
2. It is probably advisable to place a damp towel between the ice-pack and the skin. 3. There is no information regarding the differing degrees of severity of injury. 4. The section on rehabilitation is superfluous as there is a companion
Cryotherapy for Rehabilitation Like its companion video ‘Cryotherapy for First Aid’, this video is based on Cryotherapy in Sport Injury Management by Ken Knight and is aimed at sports medicine professionals and athletes. It lasts 15 minutes. The first part is a repetition of the introduction to ‘Cryotherapy for First Aid’, and indeed the first four to five minutes of the video either repeat sections of the first aid video, or duplicate elements of the same video. The most useful p a r t of t h e video comes in the l a s t ten minutes, when the concepts of exercise and cryotherapy (cryokinetics) and stretching and cryotherapy (cryostretch) a r e introduced. Claims are made that both approaches return athletes to competition fitness more quickly t h a n other more traditional methods. This video does refer to t h e different degrees of severity of
Normal Movements in the First Year of Life presented by Helen Stevens MCSP of the Royal Hampshire County Hospital, Winchester. Produced by the video unit of Teaching Support and Media Services at the University of Southampton. 7997. VHS. 38 minutes. Available from TSMS, Mail Point 800, Southampton General Hospital, Tremona Road, Southampton SO 76 6YD, €35 including postage, payable to ’University of Southampton’. This video gives a n excellent overview of the development which occurs during the first year of a child’s life. It illustrates the major changes which occur each month and its commentary draws viewers’ attention to some interesting points which could otherwise be overlooked. Each month it looks a t the child’s progress in the same basic positions
Physiotherapy, June 1998, vol 84, no 6
video dealing with cryotherapy in rehabilitation (see below). 5 . The contra-indications to the use of ice are brushed over. Particularly, there is no mention of the dangers of application of ice over superficia1 nerves.
of supine, prone, sitting and the upright posture. It emphasises how each new skill is built upon those previously acquired and i t is the only video I have seen which draws attention t o the significance of weight shift. It illustrates well how the baby goes from asymmetrical patterns of movement t o ones of symmetry, gains head and trunk control and
injury, but only with respect to the time-scale of the introduction of cryokinetics or cryostretching. Reasonably clear descriptions a r e given of both techniques perhaps more detailed for t h e cryokinetics t h a n t h e cryostretching, although t h e actual stretch/PNF technique is well explained. Although the subject of contraindications is mentioned in both videos, neither of the programmes expands on this to suggest specific conditions or situations. I n summary, these two vidoes are useful a n d informative, perhaps more so to athletes than to well qualified sports medicine professionals. However, in view of the amount of repetitiodoverlap, it seems to me that the two videos should be combined.
Kate Kerr PhD BA MCSP CertEd PostGradDipHE
finally independent walking. It looks not only a t gross motor development but also a t the acquisition of fine motor skills, play development and social interaction. The commentary would help people starting out in paediatrics to observe the significant changes, while for the more experienced, the video could be used to highlight other, more subtle changes. Importantly, too, it reminds us of the speed at which normal children develop and how much they achieve in their first year of life. This is an excellent video which would certainly be an asset to any paediatric therapist and is an ideal teaching tool.
Lyn Campbell BSc MCSP