Marilyn Moffat, Elaine Rosen, Sandra Rusnak-Smith, ,Musculoskeletal Essentials: Applying the...

2
Book reviews 177 Overall, I would recommend this book to any- one as a good balance to the government infor- mation on the changes in the NHS. It is biased, but it makes no attempt to deny this and although in places it lapses into emotive language many of the arguments are articulate and evidenced. How- ever, if you are one of the clinicians experiencing the ‘lowering moral of the workers’ or the ‘cutting clinicians down to size’, it may be better to wait and read this later, in case you give up all hope. Heather Thornton E-mail address: [email protected] doi: 10.1016/j.physio.2006.12.006 SPSS Survival Manual, 2nd ed. Julie Pallant, Open University Press, 2004, 336 pages, £25.99, ISBN 0-335-216640-0 The author sets out to integrate research design and sound statistical analysis and for the most part this is achieved at the undergraduate level. The process is inclusive and comprehen- sive in respect to ensuring that the appropriate test is carried out and this certainly benefits undergraduates and those new to statistics. For the main part the book is well referenced with supportive alternatives where appropriate. The book is aimed primarily at parametric statistical tests with little attention to non-parametric analysis. There are too few additional references in respect to non-parametric tests. The examples in the data files and the associ- ated website are very useful and work well. There are slight technical differences in procedure and data outputs with newer versions of SPSS, but this is not the fault of the author. The comparative analysis and correlation sec- tions are very well presented and the examples do help the reader achieve a sound level of under- standing. A wide range of tables and a reasonable range of figures are used to describe the data, albeit without sufficient detail to lessen the frus- tration of relatively new users of SPSS. More detail is required on how to generate certain SPSS outcomes, especially in terms of generating tables and graphs that can be used in different packages such as Word. There is a lack of depth and limited interpretation of reliability and ANOVA analysis, but the reader is directed to other authors for most points. Follow-up analysis of ANOVA is evident but not sufficient for higher- level researchers. There is no association with advanced research designs such as randomised control trials and appropriate data analysis. The book is useful as an introductory text for undergraduate programmes and to some extent will assist Masters’ programmes and new researchers. ANOVA was a test too far, but other- wise the book is useful as a generic approach to SPSS and statistical analysis. The examples used in the data files are useful generally, albeit lacking direct relevance to physiotherapy. Patrick Doherty E-mail address: [email protected] doi: 10.1016/j.physio.2006.12.007 Living and Loving after Prostate Surgery Grace Dorey, Grace Dorey, 2005, 26 pages, £7.00, ISBN 0-9545393-2-X This booklet is a welcome addition to the information available for patients undergoing prostate surgery. Unlike most previous publi- cations, it covers surgery for both benign and malignant disease. Its primary purpose is to give patients and their partners an understanding of the problems of bladder control and erectile dysfunc- tion and how best to manage them. It achieves this in clear and understandable text interspersed with helpful and comical illustrations. The first sections explain the relevant anatomy of the prostate and investigations that patients may expect prior to surgery. Benign and malignant disease and the respective operations performed are covered in separate chapters. The problems of bladder and erectile dysfunction are then dealt with as being common to all types of surgery. This is handled well and in some detail. The list of complications is comprehensive and up to date information is given regarding treatment options. The anatomy and function of the pelvic floor is clearly described and the importance of exercise before and after surgery explained. Fur- ther sections are full of good advice on how patients can best manage and treat the problems themselves through simple life-style measures, so much of which is missed out of a typical doctor-patient consultation. A novel inclusion is a self-assessment questionnaire designed to assist the patient in deciding whether professional help is needed. For those struggling with technical terms there is a glossary and a ‘Frequently Asked Questions’ section. A good reference section is included. As well as helping patients contemplating prostate surgery, this booklet will also serve as a useful resource to have at home should the patient be unfortunate enough to have problems post-operatively. I have only a minor criticism. Bladder control and erectile difficulties following a prostate resection for benign disease are much less common than following radical surgery for cancer. By grouping all types of prostate surgery together, there is a risk of implying relatively high rates of bladder and erectile dysfunction after more minor endoscopic surgery, which is not the case. A further comment for future publi- cation is that it would be helpful to have included information about non-surgical treatments for cancer, such as external beam radiotherapy and brachytherapy. When counselling patients with cancer, the choice of treatment is influenced by its impact on bladder and erectile function and the inclusion here of the significant effects of radio- therapy options handled in the same balanced way would be most helpful. Stephen Brown E-mail address: [email protected] doi: 10.1016/j.physio.2007.01.003 Biopsychosocial Medicine: An Integrated Approach to Understanding Illness Peter White, Oxford University Press, 2005, 272 pages, £31.00, ISBN 0-19-853034-X This book arose from a 2-day conference examining the relevance of Engel’s biopsychoso- cial approach to chronic medical disease. The conference was organised by the Novartis Foun- dation and One Health, a non-profit company established to promote a system of healthcare based on the biopsychology model of ill-health. Twenty-eight international experts were invited to the conference and this book is a collection of the twelve presentations that were given. Each one is presented with a summary of the discussion that took place at the conference. It is clear that minimal editing of the discussions has taken place and therefore the reader gains a realistic view of the controversial debates that followed each lec- ture. Indeed, the presentations relate to a wide range of controversial and challenging topics sur- rounding the delivery of biopsychosocial health- care, including questioning the importance of the biopsychosocial model and arguing whether patient-centred and biopsychosocial approaches are actually compatible. As the contributors to presentations (both speaker and discussants) were multidisciplinary (e.g. psychiatry, psychology, medicine, physio- therapy, occupational therapy), the book contains a variety of different examples and applications. It is clear that the book was not written for a specific medical profession or a specific level of student (undergraduate or postgraduate) and may therefore be considered appropriate for anyone with a specific interest in learning more about the historical background and controversial debates surrounding biopsychosocial medicine. However, it is important to note that due to the nature of the book (a collection of presentations from a conference) and the inclusion of examples from so many disciplines, some of the terms and theories are presented without clear definitions. Although this may not be a book to recommend to undergraduate students, some of the presen- tations could act as good stimuli for discussion and debate on the delivery of biopsychoso- cial medicine for postgraduate physiotherapy students currently working within the field. Maggie Donovan-Hall E-mail address: [email protected] doi: 10.1016/j.physio.2007.01.004 Musculoskeletal Essentials: Applying the Pre- ferred Physical Therapist Practice Patterns Marilyn Moffat, Elaine Rosen, Sandra Rusnak- Smith, SLACK Incorporated, 2006, 448 pages, £36.50, ISBN-10 1-55642-667-4, ISBN-13 978- 1-55642-667-4 This American text is designed to aid clinical reasoning and decision making for the muscu-

Transcript of Marilyn Moffat, Elaine Rosen, Sandra Rusnak-Smith, ,Musculoskeletal Essentials: Applying the...

Page 1: Marilyn Moffat, Elaine Rosen, Sandra Rusnak-Smith, ,Musculoskeletal Essentials: Applying the Preferred Physical Therapist Practice Patterns (2006) SLACK Incorporated 448 pages, £36.50,

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Stephen Brown

Overall, I would recommend this book to any-ne as a good balance to the government infor-ation on the changes in the NHS. It is biased,

ut it makes no attempt to deny this and althoughn places it lapses into emotive language many ofhe arguments are articulate and evidenced. How-ver, if you are one of the clinicians experiencinghe ‘lowering moral of the workers’ or the ‘cuttinglinicians down to size’, it may be better to waitnd read this later, in case you give up all hope.

Heather ThorntonE-mail address: [email protected]

oi: 10.1016/j.physio.2006.12.006

PSS Survival Manual, 2nd ed.ulie Pallant, Open University Press, 2004, 336ages, £25.99, ISBN 0-335-216640-0

The author sets out to integrate researchesign and sound statistical analysis and for theost part this is achieved at the undergraduate

evel. The process is inclusive and comprehen-ive in respect to ensuring that the appropriateest is carried out and this certainly benefitsndergraduates and those new to statistics. Forhe main part the book is well referenced withupportive alternatives where appropriate. Theook is aimed primarily at parametric statisticalests with little attention to non-parametricnalysis. There are too few additional referencesn respect to non-parametric tests.

The examples in the data files and the associ-ted website are very useful and work well. Therere slight technical differences in procedure andata outputs with newer versions of SPSS, but thiss not the fault of the author.

The comparative analysis and correlation sec-ions are very well presented and the exampleso help the reader achieve a sound level of under-tanding. A wide range of tables and a reasonableange of figures are used to describe the data,lbeit without sufficient detail to lessen the frus-ration of relatively new users of SPSS.

More detail is required on how to generateertain SPSS outcomes, especially in terms ofenerating tables and graphs that can be used inifferent packages such as Word. There is a lackf depth and limited interpretation of reliabilitynd ANOVA analysis, but the reader is directed tother authors for most points. Follow-up analysisf ANOVA is evident but not sufficient for higher-evel researchers. There is no association withdvanced research designs such as randomisedontrol trials and appropriate data analysis.

The book is useful as an introductory textor undergraduate programmes and to somextent will assist Masters’ programmes and newesearchers. ANOVA was a test too far, but other-ise the book is useful as a generic approach toPSS and statistical analysis. The examples used

n the data files are useful generally, albeit lacking

irect relevance to physiotherapy.

Patrick DohertyE-mail address: [email protected]

oi: 10.1016/j.physio.2006.12.007

Book reviews

Living and Loving after Prostate SurgeryGrace Dorey, Grace Dorey, 2005, 26 pages, £7.00,ISBN 0-9545393-2-X

This booklet is a welcome addition to theinformation available for patients undergoingprostate surgery. Unlike most previous publi-cations, it covers surgery for both benign andmalignant disease. Its primary purpose is to givepatients and their partners an understanding of theproblems of bladder control and erectile dysfunc-tion and how best to manage them. It achieves thisin clear and understandable text interspersed withhelpful and comical illustrations.

The first sections explain the relevantanatomy of the prostate and investigations thatpatients may expect prior to surgery. Benign andmalignant disease and the respective operationsperformed are covered in separate chapters. Theproblems of bladder and erectile dysfunction arethen dealt with as being common to all types ofsurgery. This is handled well and in some detail.The list of complications is comprehensive and upto date information is given regarding treatmentoptions. The anatomy and function of the pelvicfloor is clearly described and the importance ofexercise before and after surgery explained. Fur-ther sections are full of good advice on howpatients can best manage and treat the problemsthemselves through simple life-style measures,so much of which is missed out of a typicaldoctor-patient consultation. A novel inclusion isa self-assessment questionnaire designed to assistthe patient in deciding whether professional helpis needed. For those struggling with technicalterms there is a glossary and a ‘Frequently AskedQuestions’ section. A good reference section isincluded.

As well as helping patients contemplatingprostate surgery, this booklet will also serve asa useful resource to have at home should thepatient be unfortunate enough to have problemspost-operatively. I have only a minor criticism.Bladder control and erectile difficulties followinga prostate resection for benign disease are muchless common than following radical surgery forcancer. By grouping all types of prostate surgerytogether, there is a risk of implying relativelyhigh rates of bladder and erectile dysfunctionafter more minor endoscopic surgery, which isnot the case. A further comment for future publi-cation is that it would be helpful to have includedinformation about non-surgical treatments forcancer, such as external beam radiotherapy andbrachytherapy. When counselling patients withcancer, the choice of treatment is influenced byits impact on bladder and erectile function and theinclusion here of the significant effects of radio-therapy options handled in the same balanced waywould be most helpful.

E-mail address:[email protected]

doi: 10.1016/j.physio.2007.01.003

177

Biopsychosocial Medicine: An IntegratedApproach to Understanding IllnessPeter White, Oxford University Press, 2005, 272pages, £31.00, ISBN 0-19-853034-X

This book arose from a 2-day conferenceexamining the relevance of Engel’s biopsychoso-cial approach to chronic medical disease. Theconference was organised by the Novartis Foun-dation and One Health, a non-profit companyestablished to promote a system of healthcarebased on the biopsychology model of ill-health.Twenty-eight international experts were invitedto the conference and this book is a collectionof the twelve presentations that were given. Eachone is presented with a summary of the discussionthat took place at the conference. It is clear thatminimal editing of the discussions has taken placeand therefore the reader gains a realistic view ofthe controversial debates that followed each lec-ture. Indeed, the presentations relate to a widerange of controversial and challenging topics sur-rounding the delivery of biopsychosocial health-care, including questioning the importance ofthe biopsychosocial model and arguing whetherpatient-centred and biopsychosocial approachesare actually compatible.

As the contributors to presentations (bothspeaker and discussants) were multidisciplinary(e.g. psychiatry, psychology, medicine, physio-therapy, occupational therapy), the book containsa variety of different examples and applications.It is clear that the book was not written for aspecific medical profession or a specific level ofstudent (undergraduate or postgraduate) and maytherefore be considered appropriate for anyonewith a specific interest in learning more aboutthe historical background and controversialdebates surrounding biopsychosocial medicine.However, it is important to note that due to thenature of the book (a collection of presentationsfrom a conference) and the inclusion of examplesfrom so many disciplines, some of the terms andtheories are presented without clear definitions.Although this may not be a book to recommendto undergraduate students, some of the presen-tations could act as good stimuli for discussionand debate on the delivery of biopsychoso-cial medicine for postgraduate physiotherapystudents currently working within the field.

Maggie Donovan-HallE-mail address: [email protected]

doi: 10.1016/j.physio.2007.01.004

Musculoskeletal Essentials: Applying the Pre-ferred Physical Therapist Practice PatternsMarilyn Moffat, Elaine Rosen, Sandra Rusnak-Smith, SLACK Incorporated, 2006, 448 pages,

£36.50, ISBN-10 1-55642-667-4, ISBN-13 978-1-55642-667-4

This American text is designed to aid clinicalreasoning and decision making for the muscu-

Page 2: Marilyn Moffat, Elaine Rosen, Sandra Rusnak-Smith, ,Musculoskeletal Essentials: Applying the Preferred Physical Therapist Practice Patterns (2006) SLACK Incorporated 448 pages, £36.50,

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oskeletal physical therapist and is one of a series.he series includes Cardiopulmonary Essentials,euromuscular Essentials, and Integumentaryssentials. The full title of the text is a littleisconcerting, suggesting only one preferred clin-cal approach. As the text relies on case stud-es rather than clinical trials this does not seemppropriate.

Marilyn Moffat, Elaine Rosen and Sandrausnak-Smith act as editors of the book although

he 10 chapters are written by 16 clinicians or aca-emics; the background of some of the authorss not fully described. Before presenting numer-us detailed case studies, each chapter providesackground anatomical, biomechanical or patho-ogical information related to the specified clin-cal presentation. This background is useful buthould not be used as a primary literature source.he 10 chapters describe impaired joint mobility,otor function, muscle performance and range

f motion for the following scenarios: skele-al demineralisation, impaired posture, impaired

uscle performance, connective tissue dysfunc-ion, localised inflammation, spinal disorders,racture, joint arthroplasty, bony or soft tissueurgery, and amputation. Each case study offersntroductory information on the patient, followedy detailed findings from physical examina-ion, evaluation, diagnosis and prognosis with

care plan, interventions, re-examination andischarge details, psychological considerationsnd results from the Patient/Client Satisfactionuestionnaire.

Despite their length, the standardised formatf the case studies makes them relatively easy toollow. As this is an American text, the languagend numerous abbreviations do not follow com-on UK clinical terminology and the reader relies

pon the glossary of terms. The detail on clinicalssessment and management is generally thor-ugh and noteworthy; the editorial team shoulde commended. However, many supporting ref-rences appear to be based upon case studies orohort trials, the limitations of which are not dis-ussed. There appear too few randomised controlrials or higher hierarchies of evidence to supporthe claims.

The strength of this text is that each case studyrovides a detailed insight into the problems andubsequent holistic management of the individ-al patient. It is pleasing to see a text based upon

linical presentation rather than medical diagno-is per se. It is unlikely that the text will be readrom cover-to-cover, but it may be useful as aeference text for the general practitioner withinhe clinical setting and/or the educator to aid

A

Book reviews

clinical differentiation and management of singlecases.

James MilliganE-mail address: [email protected]

doi: 10.1016/j.physio.2007.01.002

Music Therapy Methods in Neurorehabilita-tion: A Clinician’s ManualFelicity Baker, Jeanette Tamplin, with a con-tribution by Jeanette Kennelly, Jessica Kings-ley Publishers, 2006, 256 pages, £29.99, ISBN1843104121

This book is written for music therapistsworking in the field of neurorehabilitation, withthe aim of bringing together information onthe types of conditions and their effects, andthe appropriate music therapy interventions.The authors recognized a need for a book toaddress the role of the music therapist withinthe multidisciplinary rehabilitation team and toexplain the purpose and outcome of these pro-grammes. The text is clear, interesting and infor-mative and, whilst it is aimed at students andnewly qualified clinicians, the experienced phys-iotherapist who is involved with music therapymay also benefit from reading this book. Thechapters are laid out logically, describing thetype of brain injury, likely presentations andconsequences for the client, followed by themusic therapy methods which could be used toaddress the symptoms and behaviour encoun-tered. There are helpful photographs illustratingthe therapeutic use of various musical instru-ments, and simple line drawings of the differ-ent sites of damage in the brain. As well asbeing a helpful guide for music therapists, thisbook would be useful to any rehabilitation teamto enhance multidisciplinary understanding andthe development of co-operative treatment pro-grammes.

Maxine Shearer

E-mail address: [email protected]

doi: 10.1016/j.physio.2007.01.005

vailable online at www.sciencedirect.com

Oxford Handbook of Medical SciencesRobert Wilkins, Simon Cross, Ian Megson,David Meredith, Oxford University Press, 2006,952 pages, £22.95, ISBN 0198528299

The editors of this book have succeeded inproducing a conveniently sized handbook thatprovides a clear, concise reference guide. Keyfacts are presented without compromising funda-mental principles. It is well illustrated with cleardiagrams throughout though a number of colourimages are placed together in the middle of thebook rather than in the relevant sections. Cross-referencing with the Oxford Handbook of Clin-ical Medicine highlights the clinical relevanceof specific issues. The book is aimed primarilyat medical students and is written accordinglyin sections that the editors claim reflect mod-ern medical teaching strategies. It begins withbasic cell physiology and biochemistry beforemoving on to integrate anatomy, physiology, bio-chemistry, pathology and pharmacology into thecontext of the major systems of the body. As suchit does not necessarily reflect the requirements ofa physiotherapy text and readers might find someaspects of it difficult to navigate. For example,the anatomy of the trunk is covered in the sectionon the digestive system rather than the muscu-loskeletal section and motor control is covered inthe section on the head and neck.

The more traditional medical model is alsoapparent in the explanation of motor control,where pyramidal and extrapyramidal descendingsystems are described rather than the medial andlateral descending systems more familiar to phys-iotherapists in explicit neuroscience texts.

There are some sections that would providea useful revision guide to undergraduate physio-therapy students but it is likely that these are alsoprovided in a more user friendly way in othersources. In addition, the information in placesis in much greater detail than is required forundergraduate physiotherapy study and is moresuited to postgraduate physiotherapy students orclinicians.

Undoubtedly this book would offer goodvalue for money as a revision text for medicalstudents. However, it has limited relevance tophysiotherapy. It is therefore recommended moreas a reference source for a healthcare library thanas an individual purchase for a physiotherapy stu-

dent or clinician.

Sue RichardsonE-mail address: [email protected]

doi: 10.1016/j.physio.2007.01.006