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550
book reviews Joint Structure and Function A comprehensive analysis
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by Cynthia C Norkin EdD PT and Pamela K Levangie MS PT F A Davis, PhiladeIphia, available through Williams and Wilkins, London (2nd edn), 1992(ISBN 0 8036 6577 6). lllus. 512 pages. f2Z
This excellent text is an updated version of a first edition that has been a recommended work for undergraduate physiotherapists for some years. It is aimed a t all levels of training and is a n excellent reference source for a physiotherapy department. It cover&the structure and function of muscle and joints and the principles of human biomechanics precisely and briefly. Functional anatomy of all the joints of the body including the chest wall, and the temporomandibular, vertebral and peripheral joints are extremely well described. It covers the kinesiology and related mechanics and forces acting on the joints and body segments. The text is well researched and current developments and theories on joint function are included. An example of this is a hypothesis that hip joint arthrosis may be a result of inadequate compression in weight-bearing, as the cartilage in this stage has decreased nutrition. This challenges some practices of rest and reduced weight-bearing for these patients. This book is well set out and very easy to read. It has revision questions at the end of each chapter and a n extensive bibliography. This book is a n excellent study text. My recommendation is to go and buy this very comprehensive and informative book. It is almost a prerequisite for anyone interested in orthopaedic and out-patient physiotherapy and contains a wealth of information. Peter Terry BAppSc PGDipManipTherapy
Total Quality Management in Health Care by Dr Hugh Koch. Longman Group UK Ltd, Harlow Essex, 1992 (ISBN 0 582 07695 1). ///us (diagrams). 119 pages. f60.
While reviewing this book I kept asking myself - Who is this person? - as there are no biographical details of his experience in the quality field. The book begins with a rather confusing attempt to explain the background to the introduction of total quality management (TQM) i n t o t h e Health Service. fieparation for the introduction of TQM is discussed in some depth as is the organisation and management of TQM projects. Although the book contains some very
Physiotherapy, July 1992, vol78, no 7
relevant information there are too many diagrams and examples which are unclearly linked. Audit is introduced in the second chapter but not explained in depth until much later in the book. The most interesting chapter is on communications, giving a good example of a communications audit. A comprehensive selection of various training methods is itemised. The final chapter, which does not particularly link to any of the other chapters, discusses the evaluation of the contract for quality. The book then ends somewhat abruptly. Although this publication might be useful for someone with no background knowledge in quality assurance, I would not recommend it as an essential addition to a physiotherapy library. Ann Hunter MA FCSP
OccupationalTherapy Approaches t o Traumatic Brain Injury edited by Jerry Johnson, guest editor Laura H Krefting. The Haworth Press, New York, 1990 (ISBN I 56024 064 4) 137 pages. 522.95.
As the title suggests this book is primarily aimed at occupational therapists; however, there is much that a physiotherapist working within the realms of brain injury rehabilitation could glean from it. The book consists of a collection of eight well-written articles, plus a short book review and information pertaining to a literature search service. The themes of the papers are wide-ranging and include such subjects as the development of an activities of daily living profile; cognitive rehabilitation, and stroke clients’ perceptions of disability and treatment. Obviously some will be of more interest and pertinent to physiotherapists than others. A particular article of potential use outlines a process called ‘goal attainment scaling’, possibly indicating it as a tool to provide a structure for objective documentation of patient progress and a means of treatment evaluation. Some of the papers are nicely illustrated by case studies, serving to clarify some of the terms and procedures less known to therapists more a t ease with movement dysfunction! Throughout the book certain areas are emphasised, highlighting not only the need for interdisciplinary teamwork and the long-term effects of brain injury necessitating continuation of treatment/ monitoring in the community, but also the importance of the family or carer. Two articles are directly related to the family which illuminate the wide-reaching effectsof brain injury from the acute stage after insult to years later.
Despite the book being American in its style of writing it offers physiotherapists another dimension of the effects of brain injury, namely those of cognition that can so often interfere with physical reha. bilitation, that it is worth reading. However, I would not recommend it as a general textbook for a department (unless you happen to be a n occupational therapist) but it would be a good adjunct for a department or unit with a specialisation in brain injury. Cherry Kilbride GradDipPhys MCSP
Patient Education in Physical Therapy by E M S l u ~ s .The Netherlands Institute of Primary Health Care (NIVEL), PO Box 1568,3500 BN Utrecht, 1991 (ISBN 90 6905 159 I). 221 pages. Of1 39.
The patientiphysiotherapist relationship lies a t the heart of our work. This well-printed and well-translated &-back analyses this relationship in great detail. Based on an exhaustive survey carried out using audio-tapes and questionnaires over three years in Holland, the results have been collated by the author to show how important are the initial sessions of treatment and how, unless bolstered try continued enthusiasm and care, the patient may lose interest and so fail to respond satisfactorily. Neatly organised into sections following a clear introduction and finishing with a summary (printed in Dutch and English), the book with its copious references and detailed tables would be useful both to educators and working physiotherapists and should find a place on every department’s bookshelf. I would, however, warn that the author tends to use two words where only one is necessary and shows no sign of the humour that, surely, must oil the wheels of any patient-physiotherapist relationship.
Erica
M Nix MCSP
The complete Degree Course Offers 1992: For entry to British Universities, Polytechnics and Colleges by Brian Heap DA ATD. Trotman and Co L t d 12-14 Hill Rise, Richmond, Surrey TWIO 6UA 1991 (ISBN 0 85660 205 I). 414 pages. f11.95.
Described as ‘the complete guide On admission to all higher education c o u r ~ ~ ? S : this book, contains much practical advice to help students of any discipline, including physiotherapy, to obtain a suitable place in higher education.