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The Soft Tissues: Trauma and sports injuries
775
Equipped for Change - A study of Disabled Living Centres and the social care market by Richard f a m e / / and Carol Lupton. The Disabled Living Centres Council, 286 Camden Road, London N70BJ. 1994 (ISBN I898108 14 5). /!/us. 728 pages. f5.
‘Equipped for Change’ is a follow up report from ‘Equipped for Life’. It covers the results of a three-year project set up by the Disabled Living Centres Council, and gives clear and accurate information on what the Disabled Living Centres actually do. The book is divided into sections; covering the registration and need for change, actual centres and their services, who uses and visits the Disabled Living Centres, and plans for the future. The book is intended for all community workers, aimed a t all disciplines, relevant to physiotherapists but not essential. The section on the centres and their services is particularly interesting a s it includes comments from t h e users themselves. It is a clearly written rather large paperback with illustrative photographs and tables. In the concluding paragraph the need is recognised to continue monitoring and reporting on the centres, and to adapt to changing needs.
Caroline Gordon MCSP
Down Syndrome through life
- Moving
by Yvonne Burns and Pat Gunn. Chapman and Hall, London, 1993 (ISBN 0 412 46180 3).Illus. 223 pages. f 13.95.
This Australian book looks at the movement patterns of people who have Downs syndrome and their motor milestones. It goes on to suggest activities that will foster the development of effective movement patterns. Each chapter is written by a different author with experience in working with people with Downs syndrome. They cover the subject from a functional perspective, relating physiotherapy to daily physical activities. Organised in chronological order they give a continuous progression from infancy to late adulthood. The book starts with a brief look a t the cause of Downs syndrome and the clinical presentation. It then goes on to explore systems approaches to movement and learning. This section is not detailed enough for a student who is interested in the behavioural theories underlying movement and learning, but gives more detail on these areas than the rest of the book warrants. The following chapter on the development of normal movement and the implications for a baby with Downs syndrome sets the tone for the rest of the book, with a balance of theory and practical suggestions in a n easily readable style. The problems of children with Downs syndrome at different ages are highlighted and addressed in a practical way, with a strong emphasis on
making treatment fun. The range of contributing authors, with backgrounds in physiotherapy, occupational therapy and education, have a positive effect in demonstrating different approaches to similar problems while maintaining a common core. One of the potential attractions of this book is that it recognises that children with Downs syndrome turn into adults. Unfortunately it does not live up to its promise. While there are sections on adolescence and early adulthood, and on older people, t.hey do not have the same depth as the earlier part of the book. Some of the physical activities described for the adolescents are quite complicated and suggest that the author is writing for p,eople with mild rather than moderate or severe learning disabilities. There is also insufficient attention given to the related medical conditions which commonly occur with Downs syndrome and will affect a n individual’s ability to participate in many of the suggested physical activities. When writing about older people the author
The Soft Tissues: Trauma and sports injuries edited by G R McLatchie ‘fhysiotherapy’andC M E Lennox FRCS. Butterworth Heinemann, Oxford, 1993 (ISBN 0 7506 01701).///us. 486 pages. f45.
This book opened with a major surprise: the cover was upside down relative to the inside! Presumably I received a rogue copy, which I hope explains why the text was set so close to the top of each page, with a n unnessarily wide gap a t the bottom. Apart from this, the layout is excellent. The book contains a massive amount of information on a very wide variety of topics, but the text is neatly divided into readable sections, and is amply illustrated with diagrams, charts and photographs. The material is structured within three main sections, ‘General Principles’, ‘Diagnostic methods and problems in practice’, and ‘Sports injuries’. The title does not convey fully what this book is about. Inevitably, mention is made of bone problems such a s stress fractures, mainly in the section on children’s injuries. I was especially fascinated by the inclusion of problems such a s hepatitis B
admits that she is writing ‘about the general population of older persons. . . and where appropriate, about the population described a s “mentally retarded”’. There is emphasis on the physiological chmges in the musculoskeletal system that occur with ageing and very little about the problem of earlyonset dementia that is experienced by many people with Downs syndrome and has a profound effect on their lives. This book provides a useful basic reference book for a unit in which children with Downs syndrome or any other hypotonic children are treated. It does not give enough information about the specific needs of older people who have Downs syndrome, leaving interested physiotherapists reliant on the literature about general elderly medicine. The book is too physically orientated rather than taking a holistic approach, and a t times appears to forget that people with Downs syndrome have learning disabilities.
Simon Plummer MCSP
and viral encephalitis among the dangers faced by orienteers. There are excellent and invaluable chapters on soft tissue anatomy, imaging, physiological testing, gait analysis, and biological effects of ultrasound. The third section provides a well-balanced overview of sports injuries by placing them in the context of specific activities, including dance. The only disappointment in this book is the poor representation of the role of physiotherapy dealing with sports problems. Physiotherapy does not even feature in the index - nor indeed do osteopathy and chiropractic, although podiatry does. In the descriptions of treatment and rehabilitation techniques, no mention is made of the importance of regaining neuromuscular co-ordination, which is the one essential treatment priority for sports injuries. Of thirty contributors, only one ia a chartered physiotherapist, and this well-respected practitioner shares a chapter with an eminent orthopaedic surgeon. That apart, the book contains plenty to interest and enlighten both experienced and novice sports physiotherapists. Vivian Grisogono MA(0xon) MCSP
~
The orie-piece cornplrte pair of goggles protects the qves appropriately, hut the others do not provide adequate protection. An illustratiori frorri ‘Thc Soft Tissues: Traiirtia arid sports injiiries’
Physiotherapy, November 1994, vol80, no 11
Equipped for Change - A study of Disabled Living Centres and the social care market by Richard f a m e / / and Carol Lupton. The Disabled Living Centres Council, 286 Camden Road, London N70BJ. 1994 (ISBN I898108 14 5). /!/us. 728 pages. f5.
‘Equipped for Change’ is a follow up report from ‘Equipped for Life’. It covers the results of a three-year project set up by the Disabled Living Centres Council, and gives clear and accurate information on what the Disabled Living Centres actually do. The book is divided into sections; covering the registration and need for change, actual centres and their services, who uses and visits the Disabled Living Centres, and plans for the future. The book is intended for all community workers, aimed a t all disciplines, relevant to physiotherapists but not essential. The section on the centres and their services is particularly interesting a s it includes comments from t h e users themselves. It is a clearly written rather large paperback with illustrative photographs and tables. In the concluding paragraph the need is recognised to continue monitoring and reporting on the centres, and to adapt to changing needs.
Caroline Gordon MCSP
Down Syndrome through life
- Moving
by Yvonne Burns and Pat Gunn. Chapman and Hall, London, 1993 (ISBN 0 412 46180 3).Illus. 223 pages. f 13.95.
This Australian book looks at the movement patterns of people who have Downs syndrome and their motor milestones. It goes on to suggest activities that will foster the development of effective movement patterns. Each chapter is written by a different author with experience in working with people with Downs syndrome. They cover the subject from a functional perspective, relating physiotherapy to daily physical activities. Organised in chronological order they give a continuous progression from infancy to late adulthood. The book starts with a brief look a t the cause of Downs syndrome and the clinical presentation. It then goes on to explore systems approaches to movement and learning. This section is not detailed enough for a student who is interested in the behavioural theories underlying movement and learning, but gives more detail on these areas than the rest of the book warrants. The following chapter on the development of normal movement and the implications for a baby with Downs syndrome sets the tone for the rest of the book, with a balance of theory and practical suggestions in a n easily readable style. The problems of children with Downs syndrome at different ages are highlighted and addressed in a practical way, with a strong emphasis on
making treatment fun. The range of contributing authors, with backgrounds in physiotherapy, occupational therapy and education, have a positive effect in demonstrating different approaches to similar problems while maintaining a common core. One of the potential attractions of this book is that it recognises that children with Downs syndrome turn into adults. Unfortunately it does not live up to its promise. While there are sections on adolescence and early adulthood, and on older people, t.hey do not have the same depth as the earlier part of the book. Some of the physical activities described for the adolescents are quite complicated and suggest that the author is writing for p,eople with mild rather than moderate or severe learning disabilities. There is also insufficient attention given to the related medical conditions which commonly occur with Downs syndrome and will affect a n individual’s ability to participate in many of the suggested physical activities. When writing about older people the author
The Soft Tissues: Trauma and sports injuries edited by G R McLatchie ‘fhysiotherapy’andC M E Lennox FRCS. Butterworth Heinemann, Oxford, 1993 (ISBN 0 7506 01701).///us. 486 pages. f45.
This book opened with a major surprise: the cover was upside down relative to the inside! Presumably I received a rogue copy, which I hope explains why the text was set so close to the top of each page, with a n unnessarily wide gap a t the bottom. Apart from this, the layout is excellent. The book contains a massive amount of information on a very wide variety of topics, but the text is neatly divided into readable sections, and is amply illustrated with diagrams, charts and photographs. The material is structured within three main sections, ‘General Principles’, ‘Diagnostic methods and problems in practice’, and ‘Sports injuries’. The title does not convey fully what this book is about. Inevitably, mention is made of bone problems such a s stress fractures, mainly in the section on children’s injuries. I was especially fascinated by the inclusion of problems such a s hepatitis B
admits that she is writing ‘about the general population of older persons. . . and where appropriate, about the population described a s “mentally retarded”’. There is emphasis on the physiological chmges in the musculoskeletal system that occur with ageing and very little about the problem of earlyonset dementia that is experienced by many people with Downs syndrome and has a profound effect on their lives. This book provides a useful basic reference book for a unit in which children with Downs syndrome or any other hypotonic children are treated. It does not give enough information about the specific needs of older people who have Downs syndrome, leaving interested physiotherapists reliant on the literature about general elderly medicine. The book is too physically orientated rather than taking a holistic approach, and a t times appears to forget that people with Downs syndrome have learning disabilities.
Simon Plummer MCSP
and viral encephalitis among the dangers faced by orienteers. There are excellent and invaluable chapters on soft tissue anatomy, imaging, physiological testing, gait analysis, and biological effects of ultrasound. The third section provides a well-balanced overview of sports injuries by placing them in the context of specific activities, including dance. The only disappointment in this book is the poor representation of the role of physiotherapy dealing with sports problems. Physiotherapy does not even feature in the index - nor indeed do osteopathy and chiropractic, although podiatry does. In the descriptions of treatment and rehabilitation techniques, no mention is made of the importance of regaining neuromuscular co-ordination, which is the one essential treatment priority for sports injuries. Of thirty contributors, only one ia a chartered physiotherapist, and this well-respected practitioner shares a chapter with an eminent orthopaedic surgeon. That apart, the book contains plenty to interest and enlighten both experienced and novice sports physiotherapists. Vivian Grisogono MA(0xon) MCSP
~
The orie-piece cornplrte pair of goggles protects the qves appropriately, hut the others do not provide adequate protection. An illustratiori frorri ‘Thc Soft Tissues: Traiirtia arid sports injiiries’
Physiotherapy, November 1994, vol80, no 11