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Doody's Review ServiceReviewer: Amanda M Blackmon, PT, DPT, OCS (Mercer University College of Pharmacy and Health Sciences)
Description: This is a comprehensive book on the examination, evaluation, and treatment of orthopedic physical therapy patients. This update, coming four years after the previous edition, shows improvement in organization, updated information, and better quality images and photos.
Purpose: The author sets out to "provide the reader with a systematic and logical approach to the examination and intervention of the orthopedic patient." This book is comprehensive in nature and can supplement other books in the physical therapy student's or clinician's library. The book is successful in that it incorporates multiple approaches to both examination and intervention, while aiming for evidence-based information.
Audience: It is intended for physical therapy students, yet its breadth and depth make it useful to even the most experienced orthopedic clinicians.
Features: The first of the book's six sections covers basic anatomy and foundational science of injury and tissue. The chapter on the nervous system is especially comprehensive and clinically useful. Section 2 addresses the examination and evaluation tools to be used for the whole patient, and covers system review, history taking, gait, posture, and imaging. Section 3 addresses a wide variety of intervention strategies, ranging from pharmacology and manual therapy to neurodynamics and goal-specific therapeutic exercises. Section 4 addresses the extremities, and each chapter thoroughly covers the region, including anatomy, biomechanics, test and measures, comprehensive exam techniques, key findings for determining diagnosis and prognosis, a summary of causes for dysfunction, comprehensive intervention strategies (including therapeutic exercise), and a review of treatment progressions for joint-specific practice patterns. A similar pattern is followed in section 5 for the spine and TMJ. The final section considers special populations, including pediatric, geriatric, and pregnant/postpartum patients. The DVD that comes with the book is not comprehensive with regard to manual therapy techniques or therapeutic exercises and, thus, not very practical. The physical size of the book is daunting. A 2-volume version with online supplemental material may have been more practical.
Assessment: This can be an important addition to a physical therapy curriculum, and will augment other books, including those on musculoskeletal assessment, therapeutic exercise interventions, and special tests. It will be useful for physical therapy students and experienced clinicians. The third edition is an improvement on the previous two, providing more evidence-based practice information, clinical pearls, and a more user-friendly organization.