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The Sun and Your Skin
150
The Sun and Your Skin by Ronald Marks MCSP MRCPath. Macdonald
Optima, 3rd Floor; Greater London House,
Hampstead Road, London NW1 7QX, 1988 (ISBN 0 356 14740 1). ///us. 120 pages. f5.99. The message that comes inexorably to sun worshippers from Professor Marks’ informative and readable book is - don’t. It goes much more deeply into the biological mechanisms and physics than a popular magazine. It is addressed to a more thoughtful public. There are illustrated descriptions of the dermis and reasons for the tanning process. Light sensitivity and the effect of the sun on aging are explained. Retinoid drugs in the treatment of persistent exposure are assessed and recommended. After skin cancer and its signs, frequency and treatment are dealt with, the beneficial side of UVR is covered. There is no mention of measures to take after irradiation and before the onset of erythema. The days of optimistically applying warmth are apparently past. As Kitchen and Partridge (Physiotherapy, April 1991) made clear, these beliefs concerning infra-red therapy are not supported. In recent years having seen the sun’s mark on many Caucasian medical students and VSOs in Zambia, I think it would be a n advantage for this book to be available in hospital and reference libraries. Heather Godfrey MCSP DipTP
Therapy for the Burn Patient: Therapy in Practice 27 edited by Annette Leveridge. Chapman and Hall, London, 1991 (ISBN 0 412 35460 6). ///us. 170 pages. f 12.95. This book is aimed a t increasing the reader’s understanding of burns management and the role of therapists in the treatment of patients with burns. It is a readable, simple guide to current clinical practise. It is compiled by six authors from the multidisciplinary team. There are chapters describing the causes, pathology and medical and nutritional management of burns. Also there is discussion of the problems of respiratory involvement and the importance of positioning, splinting and pressure therapy. Psychological problems including postburn coping mechanisms are explained, and illustrated with case histories. Disfigurement is discussed in a practical way and there is some useful information on skin camouflage and cover creams. The chapter on the burned child was, however, disappointing. The section on the role of t h e therapist missed a n opportunity to look a t the specific physical problems encountered by a growing child, and to mention the differences in management from the adult. Nevertheless, there was a good well-illustrated section on working with parents, mentioning some of the problems that they have, that may affect treatment outcome.
Physiotherapy, February 1992, vol78, no 2
At the end of the book are some useful addresses of burns units and of suppliers of splinting materials, pressure garments, pressure therapy, face mask materials, and camouflage make-up. The text has a clear layout, with relevant photographs and charts, and has a full bibliography with suggestions for further reading. It would be a most useful book to have in any occupational or physiotherapy department involved with burns, for the use of both qualified staff and students.
Fiona Raeside MCSP
Physical Therapy of the Hip edited by John L EchfernachEdD PT Churchill Livingstone, Edinburgh, 1990 (ISBN 0 443 06650). lllus. 221 pages. f2Z This book is part of the series Clinics in Physical Therapy which outline specific aspects and areas of physiotherapy. The scope of this publication is wide, providing information in anatomy, biomechanics, pathology and various aspects of management to specific client groups. The initial two chapters summarise the anatomy and examination of the hip in moderate detail and provide an appendix containing the evaluation outline for the hip from the Old Dominion University, USA, and on page 36 a medically-based hip pain algorithm. Unfortunately the third chapter on the biomechanics does not give the same detail. Chapters 4, 10 and 11 provide a n overview of the common pathological problems around the hip, problems in children snd adolescents, and geriatric hip problems. In chapter 8, athletic injuries t o the hip, soft tissue disorders, ie joint sprains and muscle strains, are highlighted, along with tests for nerve entrapment syndromes. It is unfortunate that these common soft tissue problems are not
contained in a chapter headed thus, as these injuries are not localised to the ‘athlete’. The following chapters, on the medical and surgical management of the arthritic hip and the rehabilitation of total hip replacements (THR) and fracture management, appear to be mixed in their content with one chapter encroaching on the other. Thus the examination of the hip reappears under medical management and the history THR appears in the rehabilitation chapter. The section on medical management unfortunately concentrates on physiotherapeutic points but does mention some drug management. The surgical management briefly highlights the main surgical interventions for the hip and then concentrates on total hip replacement, outlining an example of post-operative management. Once the aspects of rehabilitation are started, the author provides useful examples of programmes of treatments for both THR and open reduction internal fixation of hip fractures. Appendices 6-1 and 6-2 demonstraLespecific exercise programmes for THR. Chapters 7 and 9 are the most comprehensive of the book. They give valuable information on the conservative treatment of the hip from passive mobilisations, muscle strengthening, stretching to gait re-education and balance work, and then give a complete account of the role of the hip in posture and gait. These chapters, to me, meet the authors’ aim to provide a text which fills the gap in literature for clinical physical therapy management of the hip. ‘Tb conclude, the authors have covered all aspects of hip problem management and this text should be included as an aide to therapists treating the hip. Although the chapters on physical therapy do not challenge the reader with problem-solving, they do provide summaries and example outlines of treatment programmes. Fiona Coutts MCSP
Iliac crest Iliac tuberosity Greater trochanter
Spinous processes Posterior superior iliac spine
\
/ \
lschial tuberosity The important bony landmarks of the pelvis and hip with the patient in the side-lying position. One of the drawings from ‘Physical Therapy of the Hip: The sacro-iliac joint in this position cannot he palpated directly because of the overlying ilium as well as several ligaments
The Sun and Your Skin by Ronald Marks MCSP MRCPath. Macdonald
Optima, 3rd Floor; Greater London House,
Hampstead Road, London NW1 7QX, 1988 (ISBN 0 356 14740 1). ///us. 120 pages. f5.99. The message that comes inexorably to sun worshippers from Professor Marks’ informative and readable book is - don’t. It goes much more deeply into the biological mechanisms and physics than a popular magazine. It is addressed to a more thoughtful public. There are illustrated descriptions of the dermis and reasons for the tanning process. Light sensitivity and the effect of the sun on aging are explained. Retinoid drugs in the treatment of persistent exposure are assessed and recommended. After skin cancer and its signs, frequency and treatment are dealt with, the beneficial side of UVR is covered. There is no mention of measures to take after irradiation and before the onset of erythema. The days of optimistically applying warmth are apparently past. As Kitchen and Partridge (Physiotherapy, April 1991) made clear, these beliefs concerning infra-red therapy are not supported. In recent years having seen the sun’s mark on many Caucasian medical students and VSOs in Zambia, I think it would be a n advantage for this book to be available in hospital and reference libraries. Heather Godfrey MCSP DipTP
Therapy for the Burn Patient: Therapy in Practice 27 edited by Annette Leveridge. Chapman and Hall, London, 1991 (ISBN 0 412 35460 6). ///us. 170 pages. f 12.95. This book is aimed a t increasing the reader’s understanding of burns management and the role of therapists in the treatment of patients with burns. It is a readable, simple guide to current clinical practise. It is compiled by six authors from the multidisciplinary team. There are chapters describing the causes, pathology and medical and nutritional management of burns. Also there is discussion of the problems of respiratory involvement and the importance of positioning, splinting and pressure therapy. Psychological problems including postburn coping mechanisms are explained, and illustrated with case histories. Disfigurement is discussed in a practical way and there is some useful information on skin camouflage and cover creams. The chapter on the burned child was, however, disappointing. The section on the role of t h e therapist missed a n opportunity to look a t the specific physical problems encountered by a growing child, and to mention the differences in management from the adult. Nevertheless, there was a good well-illustrated section on working with parents, mentioning some of the problems that they have, that may affect treatment outcome.
Physiotherapy, February 1992, vol78, no 2
At the end of the book are some useful addresses of burns units and of suppliers of splinting materials, pressure garments, pressure therapy, face mask materials, and camouflage make-up. The text has a clear layout, with relevant photographs and charts, and has a full bibliography with suggestions for further reading. It would be a most useful book to have in any occupational or physiotherapy department involved with burns, for the use of both qualified staff and students.
Fiona Raeside MCSP
Physical Therapy of the Hip edited by John L EchfernachEdD PT Churchill Livingstone, Edinburgh, 1990 (ISBN 0 443 06650). lllus. 221 pages. f2Z This book is part of the series Clinics in Physical Therapy which outline specific aspects and areas of physiotherapy. The scope of this publication is wide, providing information in anatomy, biomechanics, pathology and various aspects of management to specific client groups. The initial two chapters summarise the anatomy and examination of the hip in moderate detail and provide an appendix containing the evaluation outline for the hip from the Old Dominion University, USA, and on page 36 a medically-based hip pain algorithm. Unfortunately the third chapter on the biomechanics does not give the same detail. Chapters 4, 10 and 11 provide a n overview of the common pathological problems around the hip, problems in children snd adolescents, and geriatric hip problems. In chapter 8, athletic injuries t o the hip, soft tissue disorders, ie joint sprains and muscle strains, are highlighted, along with tests for nerve entrapment syndromes. It is unfortunate that these common soft tissue problems are not
contained in a chapter headed thus, as these injuries are not localised to the ‘athlete’. The following chapters, on the medical and surgical management of the arthritic hip and the rehabilitation of total hip replacements (THR) and fracture management, appear to be mixed in their content with one chapter encroaching on the other. Thus the examination of the hip reappears under medical management and the history THR appears in the rehabilitation chapter. The section on medical management unfortunately concentrates on physiotherapeutic points but does mention some drug management. The surgical management briefly highlights the main surgical interventions for the hip and then concentrates on total hip replacement, outlining an example of post-operative management. Once the aspects of rehabilitation are started, the author provides useful examples of programmes of treatments for both THR and open reduction internal fixation of hip fractures. Appendices 6-1 and 6-2 demonstraLespecific exercise programmes for THR. Chapters 7 and 9 are the most comprehensive of the book. They give valuable information on the conservative treatment of the hip from passive mobilisations, muscle strengthening, stretching to gait re-education and balance work, and then give a complete account of the role of the hip in posture and gait. These chapters, to me, meet the authors’ aim to provide a text which fills the gap in literature for clinical physical therapy management of the hip. ‘Tb conclude, the authors have covered all aspects of hip problem management and this text should be included as an aide to therapists treating the hip. Although the chapters on physical therapy do not challenge the reader with problem-solving, they do provide summaries and example outlines of treatment programmes. Fiona Coutts MCSP
Iliac crest Iliac tuberosity Greater trochanter
Spinous processes Posterior superior iliac spine
\
/ \
lschial tuberosity The important bony landmarks of the pelvis and hip with the patient in the side-lying position. One of the drawings from ‘Physical Therapy of the Hip: The sacro-iliac joint in this position cannot he palpated directly because of the overlying ilium as well as several ligaments