Traumatic Brain Injury Rehabilitation — Services, treatment and outcomes

Traumatic Brain Injury Rehabilitation — Services, treatment and outcomes

377 ~ Whiplash Injuries: The cervical acceleration/deceleration syndrome by Stephen M Foreman and Arthur C Croft. Williams and Wilkins, Baltimore, US...

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377 ~

Whiplash Injuries: The cervical acceleration/deceleration syndrome by Stephen M Foreman and Arthur C Croft. Williams and Wilkins, Baltimore, USA (2nd edn), 1995 (ISBN 0 683 03315 6). lllus. 500 pages. €90.

This really must be the most comprehensive textbook on whiplash, although with more than 1,250 references, weighing almost 3 lb and costing E90, i t is not for the faint-hearted! This edition Effectiveness of head restraints can be affected by posture and seat back inclination: has twice as many references as the (a) kyphotic posture of elderly; (b) excessive seat back inclination; (c) proper first and includes new chapters on relationship of about 2 inches treatment, temporo-mandibular their field, for the American market. tions and was sadly disappointed. It joint (TMJ) injuries and advanced Refreshingly though, unlike several had great opportunity to reflect the diagnostic imaging. medical papers on the subject, it authors’ chiropractic experience In the preface the authors state manages to address the problem of with whiplash but failed to do more that it is written for the entire litigation and authenticity of than cover familiar techniques at a spectrum of medical personnel symptoms without the cynical basic level and sometimes in a who deal with whiplash, including presumption that most prolonged prescriptive manner. physical therapists. However, whiplash cases are fraudulent. This, together with the depth of the text itself strongly promotes The well-illustrated chapters information in each chapter and chiropractic as the only able and follow a logical sequence with the the cost, preclude its use as a appropriate profession to treat exception of one, and each has a handy physiotherapy department whiplash, with only fleeting and brief summary. The chapters reference book. However, I would derogatory reference t o physical include biomechanics, physical strongly recommend its inclusion therapy. It is also aimed a t examination, X-rays, MRI and CT in hospital medical libraries a s ‘attorneys, claim adjusters and after cervical trauma, fractures and i t would be of interest and use t o accident reconstructionists’, but dislocations, long-and short-term qualified staff of all disciplines although overall the book is quite effects of soft tissue injury, non- studying the cervical spine or readable, I feel that non-medical specific trauma, TMJ injuries and subject of whiplash in more detail. professions would find it hard going. whiplash prognosis. After such a Heather McKibbin Obviously from the therapy bias superb book I reached the final MSc MCSP MMACP and vocabulary it is written by two chapter on management of soft American chiropractors, eminent in tissue injuries with great expecta-

Traumatic Brain Injury Rehabilitation- Services, treatment and outcomes edited by M Anne Chamberlain, Vera Neumann and Alan Tennant. Chapman and Hall, London, 1995 (ISBN 0 412 48970 8). Illus. 273 pages. f 16.99.

This new book arises from a conference on traumatic brain injury held in Leeds in 1991. I t is designed for anybody with a n interest in traumatic brain injury, and is split into three parts: 1. Aspects of service delivery. 2. Recent initiatives in traumatic brain injury rehabilitation. 3. Measurement. There are 20 chapters in the book, each one written by a different author o r team of authors, which tends to mean that subjects are not dealt with in any depth. However a reference list a t the end of each chapter allows readers t o research deeper.

Part 1 could be useful t o service managers who are looking t o provide a service that best suits its population and geographic area. Here several authors describe services that they are part of and how these services have been developed to suit the clients’ needs. Unfortunately, each chapter seems t o include aetiology of traumatic brain injury to the point where one finds this repetition tedious. Part 2 was where I hoped t o find lots of new initiatives for dealing with the physical problems I encounter with my patients; only to be disappointed, There are a couple of pages describing the problems and the more traditional modes of intervention. However, I was enthralled t o read an excellent chapter on the practical ways of implementing a behavioural modification programme that had been written by Ann Goodman-

Smith - a physiotherapist! Outcome measures in part 3 gave the best value in terms of education. The chapters in this section are varied and give sound advice on how to begin to implement a n outcome measure - be i t a standardised one o r one starting from scratch t o suit one’s own rehabilitation needs. Overall, I feel the book would be useful €or departments that deal with traumatic brain-injured people, as all members of the multidisciplinary team would find chapters in this book that interest them. I feel it would be of particular benefit to physiotherapists who are not used to working with other professional groups as it gives more insight into the cognitive and psychological aspects of traumatic brain injury than those of a physical nature.

Janet Lewis GradDipPhys MCSP

Physiotherapy, June 1996, vol 82, no 6