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Physiotherapy In Orthopaedics Churchill Livingstone, Edinburgh
276
ones. Many of the graphs and diagrams are larger and clearer than before. Most of the case histories have been updated, giving a sense of continuity and showing progression over time. Included in this edition is the welcome change of language from mental retardation to cognitive impairment, as well as a new chapter of developmental muscular torticollis and brachial plexus injury. Throughout, standardised tests are quoted, many of which will be familiar to UK therapists, eg gross motor function measures, and many that are not, such as toddler and infant motor evaluation as they have been standardised on an American population, reflecting the need for objective measures to be used when assessing therapy outcomes. Many of the chapters reflect the priorities of the American
Physiotherapy In Orthopaedics A problem solving approach Churchill Livingstone, Edinburgh 1999 (ISBN 0 443 05074 0). Illus. 294 pages by Karen Atkinson, Fiona Coutts and Anne-Marie Hassenkamp £19.95 The principal theme of this book is to introduce readers to a problem-solving approach in the clinical setting of orthopaedics. The authors' purpose in writing the book was to use the clinical reasoning approach in orthopaedics and to get physiotherapists away from the concept of ‘recipes’ often used with these clients. This purpose was fulfilled well, as the overall theme which is repeated throughout all the chapters in this book, is that we must
New Commissioning Applying integrated care pathways Association of Chartered Certified Accountants, London 2000. 28 pages by Tom Jones, Annie Hardwick and Ian Carruthers Available from the ACCA, 29 Lincoln’s Inn Fields, London WC2A 3EE 1st copy free A successor to the ACCA’s booklet Managing Care Pathways, this publication aims to explain how integrated care pathways (ICPs) can benefit the health service by providing patients with programmes of care which are based on the most recent research, while recognising resource limitations. Current penetration of formal ICPs across the NHS is less than 5%, but many more are currently being developed. Intended for clinicians, accountants, and social services teams, the content of the booklet (like the pathways) is strong on structure, with diagrams and headings that could constitute useful checklists. Physiotherapy May 2000/vol 86/no 5
health system, eg a whole chapter on medico-legal issues, and one on setting up in private practice. Differences in the American system mean an emphasis on surgery for CP with dorsal rhizotomies being given great prominence and on family inclusion in treatment planning. This is a mandatory requirement, and there are ideas around individual family service plans from which we could all learn. There is an extensive section on sports injuries in children and general fitness training, including children with disabilities. While this book is not particularly aimed at individuals I feel it would be a valuable asset to a departmental/library resource and, although it is likely to be expensive, it does represent good value for the breadth of topics it covers. Devala Dookun GradDipPhys
not be prescriptive in our treatment of orthopaedic clients. It really does highlight the importance of individual assessments of clients and teamwork of the healthcare workers. The book is intended for undergraduate physiotherapy students studying for examinations, and it has been appropriately written for them with a logical progression throughout the book from simple to more complex problems. It would also be very appropriate for many junior or senior II physiotherapists to read before going on their first orthopaedic rotation. I would not want to stop the reading audience there. As a senior clinician involved in under- and postgraduate education (who was not taught using the problem-solving approach) I found it very interesting to read, not especially for the content, but more for how to apply and encourage problem solving. The chapters of this book are set out in a logical order covering the musculoskeletal system (development, ageing and physiological changes), moving on to assessment and then into the ‘pathologies’ of orthopaedics, including chapters on fractures, soft tissue injuries, rheumatic conditions, joint replacements of lower limb, paediatrics and bone diseases. I look forward to the next edition including a chapter on joint replacements of the upper limb. It is a very readable, interactive book with the first chapter dedicated to ‘How to use this book’, although some may find the newspaper-style columns annoying to read. The objectives of each chapter are clearly stated, along with any prerequisites to reading it, including suggestions for further reading. Throughout each chapter there are self-assessment questions (simple to complex) to ensure you are understanding what you have read. All information appears to be correct and up to date, with many references, diagrams and pictures used throughout the text. It quotes many different approaches to manual therapy, such as Maitland and Cyriax, without favouring one. Overall I felt it is an excellent orthopaedic book for physiotherapists to use to learn the problem-solving approach, and have no hesitation in suggesting you have a copy available to all staff in a physiotherapy department. Emily Goodlad MCSP
ones. Many of the graphs and diagrams are larger and clearer than before. Most of the case histories have been updated, giving a sense of continuity and showing progression over time. Included in this edition is the welcome change of language from mental retardation to cognitive impairment, as well as a new chapter of developmental muscular torticollis and brachial plexus injury. Throughout, standardised tests are quoted, many of which will be familiar to UK therapists, eg gross motor function measures, and many that are not, such as toddler and infant motor evaluation as they have been standardised on an American population, reflecting the need for objective measures to be used when assessing therapy outcomes. Many of the chapters reflect the priorities of the American
Physiotherapy In Orthopaedics A problem solving approach Churchill Livingstone, Edinburgh 1999 (ISBN 0 443 05074 0). Illus. 294 pages by Karen Atkinson, Fiona Coutts and Anne-Marie Hassenkamp £19.95 The principal theme of this book is to introduce readers to a problem-solving approach in the clinical setting of orthopaedics. The authors' purpose in writing the book was to use the clinical reasoning approach in orthopaedics and to get physiotherapists away from the concept of ‘recipes’ often used with these clients. This purpose was fulfilled well, as the overall theme which is repeated throughout all the chapters in this book, is that we must
New Commissioning Applying integrated care pathways Association of Chartered Certified Accountants, London 2000. 28 pages by Tom Jones, Annie Hardwick and Ian Carruthers Available from the ACCA, 29 Lincoln’s Inn Fields, London WC2A 3EE 1st copy free A successor to the ACCA’s booklet Managing Care Pathways, this publication aims to explain how integrated care pathways (ICPs) can benefit the health service by providing patients with programmes of care which are based on the most recent research, while recognising resource limitations. Current penetration of formal ICPs across the NHS is less than 5%, but many more are currently being developed. Intended for clinicians, accountants, and social services teams, the content of the booklet (like the pathways) is strong on structure, with diagrams and headings that could constitute useful checklists. Physiotherapy May 2000/vol 86/no 5
health system, eg a whole chapter on medico-legal issues, and one on setting up in private practice. Differences in the American system mean an emphasis on surgery for CP with dorsal rhizotomies being given great prominence and on family inclusion in treatment planning. This is a mandatory requirement, and there are ideas around individual family service plans from which we could all learn. There is an extensive section on sports injuries in children and general fitness training, including children with disabilities. While this book is not particularly aimed at individuals I feel it would be a valuable asset to a departmental/library resource and, although it is likely to be expensive, it does represent good value for the breadth of topics it covers. Devala Dookun GradDipPhys
not be prescriptive in our treatment of orthopaedic clients. It really does highlight the importance of individual assessments of clients and teamwork of the healthcare workers. The book is intended for undergraduate physiotherapy students studying for examinations, and it has been appropriately written for them with a logical progression throughout the book from simple to more complex problems. It would also be very appropriate for many junior or senior II physiotherapists to read before going on their first orthopaedic rotation. I would not want to stop the reading audience there. As a senior clinician involved in under- and postgraduate education (who was not taught using the problem-solving approach) I found it very interesting to read, not especially for the content, but more for how to apply and encourage problem solving. The chapters of this book are set out in a logical order covering the musculoskeletal system (development, ageing and physiological changes), moving on to assessment and then into the ‘pathologies’ of orthopaedics, including chapters on fractures, soft tissue injuries, rheumatic conditions, joint replacements of lower limb, paediatrics and bone diseases. I look forward to the next edition including a chapter on joint replacements of the upper limb. It is a very readable, interactive book with the first chapter dedicated to ‘How to use this book’, although some may find the newspaper-style columns annoying to read. The objectives of each chapter are clearly stated, along with any prerequisites to reading it, including suggestions for further reading. Throughout each chapter there are self-assessment questions (simple to complex) to ensure you are understanding what you have read. All information appears to be correct and up to date, with many references, diagrams and pictures used throughout the text. It quotes many different approaches to manual therapy, such as Maitland and Cyriax, without favouring one. Overall I felt it is an excellent orthopaedic book for physiotherapists to use to learn the problem-solving approach, and have no hesitation in suggesting you have a copy available to all staff in a physiotherapy department. Emily Goodlad MCSP