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Book Reviews
By Steven Eggleston, DC
Title: Physical Energies in Therapy
Author: R.J. Lindquist, DC
Category: student education
Publication: hard cover, 159 pages
Publisher: Premier Printing Corp., (213) 382-1268
When I heard there was a book on therapies by Dr. R.J. Lindquist, I
was definitely interested. I thought about my therapy suite and
the four Lindquist machines I use daily that have served me well
for many years. I thought about the many conversations I have had
with Jerry and Charlie Lindquist at conventions and at their
factory in Los Angeles.
The Lindquists have been innovators in therapies over the years.
They explain how to use their machines in such a loving way that it
sounds like each one is their baby. They want you to use their
machines because you understand exactly what your are doing to the
patient based on the physiological effect you want to produce. It
is great to see this information in print.
The book is divided into the following chapters: Energies of
Temperature Control; Energies of Motion; Energies of Radiation;
Energies of Electrophoresis; Energies of Ultrasound; and
Miscellaneous Therapies. The explanations are much better and
easier to understand than the books I read as a student.
I recently read the biography of Nikola Tesla, the electrical
engineer who developed alternating current (A.C.) and applied his
electrical inventions to medical purposes. The book by Dr.
Lindquist gives the same historical perspective to the development
and use of therapies that I found in the Tesla biography. For
example, here are some excerpts from the section on chronaxy:
"Chronaxy is a term introduced by Louis Lapicque in 1909 to define
the character of a stimulus required to excite various types of
human tissue without doing any damage ... from a medical viewpoint,
Bourgignon has shown that all nerves and muscles in the same
region that have the same chronaxies not only have the same
function but are predisposed to the same pathology ..."
This type of explanation of the physical therapies teaches you how
the machines affect the physiology of tissues. From this
perspective, it is easier to understand which therapies could be
used in various conditions. The section on ultrasound gives this
advice:
- Congested areas may tolerate only relatively low intensities of
ultrasonic energy.
- Chronic indolent conditions may tolerate greater treatment
intensities.
- Irritated tissues require much lower treatment intensities than
nearby healthy tissues.
- A deep lesion requires greater initial intensities.
- Use longer treatment times in treating extensive areas because
not all tissues receive simultaneous treatment.
The bottom line is that I like this book very much and recommend it
to students. The cost is $35. If a practicing doctor is
inclined to understanding how therapies work so they can explain it
to patients, this book would serve that purpose well. I made it
required reading for my therapy CA. She found it very informative,
easy to read, and interesting.
Eggleston Rating: 9
Judy Silvestrone, DC
Title: Advances in Chiropractic, Volume I
Editor: Dana Lawrence, Editor-in-Chief
Category: Practitioner Continuing Education
Publisher: Mosby, 1-800-325-4177
Price: $66.95
This volume is the inaugural edition of "an annual in-depth seminar
on the latest chiropractic practices and techniques." Dr.
Lawrence, along with associate editors Drs. J. David Cassidy,
Marion McGregor, William Meeker, and Howard Vernon, have produced
an extraordinary collection of original articles on wide-ranging
topics. Technique, medicolegal issues, diagnostic procedures, and
case management are considered. All are submitted by respected
authors with emphasis on current research.
The selections covering diagnosis are the most extensive, with
articles examining imaging decisions (Taylor and Resnick); clinical
EMG (Meyer); headache (Nelson); applicability of orthopedic testing
(Souza); on-site evaluation of athletic injuries (Toth); and
ligamentous failure in the lower cervical spine (Foreman and
Stahl). All are thorough, progressive, and readable. The article
on diagnosis of headache has an asset of clear diagnostic
algorithms. The article on orthopedic evaluation provokes
essential questions regarding the gold standard to which most
orthopedic tests have never been applied.
In the area of technique, manipulation under anesthesia (Beckett
and Francis), advances in Gonstead technique (Plaugher), and
studies on the relationship between manipulation and passive
end-range in the cervical spine (Nansel and Szlazak) are reviewed.
Current research efforts are cited throughout, without losing sight
of the applicability of this information to clinical practice and
patient care. Many analytic criteria are reviewed in Plaugher's
article along with the results from current research efforts to
validate these criteria.
Medicolegal issues encompass informed consent (Chapman-Smith and
Paterson), future chiropractic guidelines (Hansen), and
neurovascular risk assessment (Ferezy). Chapman-Smith cites many
specific cases relevant to the discussion of disclosure, consent,
and material risk. Ferezy recounts mechanisms and therapeutic
decisions relative to vertebrobasilar insufficiency.
Specific case management concerns include spinal stenosis (Mierau
and Kirkaldy-Willis), exercises for low back pain (Burns),
chiropractic rehabilitation (Liebenson), and therapeutic ultrasound
(Feinberg). All the articles examine mechanisms, natural history,
recent "changes in our thinking," and conservative management
approaches.
In summary, this is an extensive overview of developments which
should impact chiropractic practice. The desire to distribute
current research results is well balanced without sacrificing
readability. All graphics, x-rays, and tables are well organized
and applicable.
For those who keep abreast of current literature there is much
repetition. Many of the studies cited (such as those by Nansel and
Szlazak, Plaugher, etc.) have been previously released in research
journals such as JMPT. Other topics (VBAI, imaging protocol,
vertebral subluxation complex, etc.) have been discussed in detail
in other texts. However, the variety of topics, depth of material
and quality of this compilation is invaluable. As an annual
edition, it is my opinion that it will become very highly
anticipated and regarded in the field.
Silvestrone Rating: 10
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