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Book Reviews
By Keith Innes, DC
Title: Orthopaedic Physical Therapy, 2nd edition
Category: Doctor/student education
Author: Edited by Drs. Robert Donatelli, Michael Wooden
Publication: Hardcover, 778 pages
Publisher: Churchill Livingstone Inc. (212) 206-5000
The Editors
Robert A. Donatelli, PhD, PT, OCS, and Michael J. Wooden, MS, PT,
OCS, are faculty members and instructors in the department of
rehabilitation medicine at the Emory University School of Medicine.
Both are orthopaedic clinical specialists. Dr. Donatelli is
national director of Sports Rehabilitation for the Physiotherapy
Associates in Atlanta, Georgia, and Dr. Wooden is its research
coordinator.
Dr. Donatelli is a well-published and respected lecturer
throughout the world. He is an innovator and a perfectionist of his
art. It is always refreshing to read his writings: they are
open-minded, nondogmatic, and well-referenced. He is truly a leader
in the field of orthopaedic physical therapy.
In 1989, Drs. Donatelli and Wooden collaborated on the first
edition of the extremely valuable text, Orthopaedic Physical
Therapy.
The Text
The second edition of Orthopaedic Physical Therapy has been
increased from 599 pages to 778 pages; the addition of three new
chapters; a completely rewritten and revised chapter on the hand
and wrist; and the addition of five new contributing authors who
are experts in their own fields.
The first edition of this text was a landmark text and one that
every doctor or student who deals with the neuromusculoskeletal
system should have purchased and read from cover to cover. The
second edition improves upon this position significantly from the
overall point of view.
The rewritten chapters, Chapter 10-12, are superb in all respects for
anyone treating the upper extremity. The illustrations are concise and
clear with text that adequately explains each maneuver.
Chapter 18, "Use of Lumbar Rotations in the Treatment of Low Back
Pain," is a notably interesting chapter, providing the reader with
some very old concepts and laws (Freyette's laws published by
Freyette in 1954), and some state of the art research (Bogduk and
Twomey, Clinical Anatomy of the Lumbar Spine, Churchill Livingstone
Publisher). The rationales and treatments are well written and
illustrated. However, the list of references is somewhat lacking,
with no reference to the huge study by Kuo (517 patients), or
Matthew's research on rotational manipulation and disc prolapse,
nor is the recent article by Quon mentioned. All of the above
articles were written prior to the writing of this revised edition.
Chapter 26, "Orthopaedic Problems in the Neurologic Patient," is a
wonderful addition to this text. The list of 180-plus references
is current and consistent with what is written in the chapter.
Perhaps the chapter's only shortcoming is that it's much too short
and should be expanded significantly in a future edition.
Chapter 27, "Soft Tissue Mobilization," is a much needed addition.
I was particularly pleased to see the inclusion of Dr. Vladimir
Janda's and the work of numerous others in this large chapter. The
chapter is well illustrated so that the reader, even if if
unfamiliar with soft tissue work, will glean the concepts and be
able to put them to use almost immediately.
The text is organized into four major components: fundamental
principles; the upper quarter; the lower quarter; and special
considerations. The underlying theme of this text is that the
patient's initial complaint may not be the causative factor of the
lament, nor is it going to be the only area treated. In other
words, the authors are advocating examining the entire individual
and treating the cause not just the presenting signs and symptoms.
Does this sound familiar?
Orthopaedic Physical Therapy, second edition, is a significant
improvement over and above the excellent previous edition. I bought
the first edition and read it cover to cover a number of years ago
and enjoyed it immensely. Now that I have finished the second
edition, I can convincingly recommend it to every doctor or student
interested in quality health care that takes into consideration the
body as a whole. If you only want to purchase one text this year
and get the most for your money, then look no further: this is the
one.
Innes Rating: 10
Stephen Savoie, DC
Title: The Chiropractic Theories, Principles & Clinical
Applications, Third Edition
Category: Doctor and student education
Author: Robert A. Leach, AA, DC, FICC
Publication: Hard cover, 401 pages, $49.00
Publisher: William & Wilkins
In this third edition, Dr. Leach continues to improve upon the
first two editions. If you have not been one of those fortunate
enough to have read either the previous editions, you have deprived
yourself long enough. Dr. Leach has summarized in this one book
what chiropractic truly is all about.
In his preface, Dr. Leach states, "This book is about a hope, a
fear, and a future." If the knowledge accumulated in this third
edition would be assimilated by the majority of our profession, it
would be a bright future indeed. This work takes chiropractic
theory out of the realm of dogma and brings it into the light of a
scientifically grounded health care profession. In reading the
various chapters, all extremely well referenced, you begin to
appreciate how much work has already been completed to demonstrate
the efficacy of what chiropractors do for the benefit of patients.
The many theories are discussed with both pros and cons presented
without bias or emotional overlay.
The third edition has several new chapters which reflect the
changes in research terminology: Segmental Dysfunction Hypothesis;
Soft Outcome Measures of Dysfunction; Hard Outcome Measures of
Dysfunction; Facilitation Hypothesis and Developing Chiropractic
Scientist/Practitioners. The chapters on outcome measures, both
hard and soft, is very informative regarding procedures we use, or
should use, on a daily basis and their validity. Several of the
outcome questionnaires available are also discussed and referenced.
There is also good clinical correlation regarding the theories and
the type of clinical problems seen in a chiropractic office. Dr.
Leach has provided a number of algorithms for both evaluation and
treatment. These provide a ready visual reference for the
practicing chiropractic to use in the office.
This is a textbook that everyone interested in the advancement of
the chiropractic profession should read and reread. The material
Dr. Leach presents should be required reading in all of our
chiropractic colleges. As Dr. Leach notes in the book, this
shouldn't be viewed as an end but as a beginning. His work, it is
hoped, will inspire increased development of
"practitioner/scientists" in chiropractic. Without reservation, I
rate this book a 10.
Savoie Rating: 10
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