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Doody's Review ServiceReviewer: John Willis, MD (Ochsner Clinic Foundation)
Description: This second edition reviews and evaluates most currently available treatments for cerebral palsy. The first edition was published in 1984.
Purpose: This book intends to introduce and "provide perspective on current thinking in the treatment of cerebral palsy." In a world where many therapies are proselytized/marketed but almost none have supporting data, this honest, coherent review is welcome and well done.
Audience: Students and practitioners of the various therapies addressing cerebral palsy and the medical specialists who treat these patients are the target audience. Physical, occupational, and speech therapists; pediatricians, neurologists, orthopedic and neurologic surgeons, and rehabilitation specialists will all find this a useful review.
Features: The book surveys and critiques a variety of physiotherapies and their theoretical bases. It also discusses medical (e.g., hyperbaric oxygen and botulinum toxin) and surgical techniques used to treat cerebral palsy, including their applications in adult life. These topics are well covered, and the absence of supporting data for almost all these techniques is honestly addressed.
Assessment: This is an excellent review of traditional and recent treatments for cerebral palsy that does not avoid the central problem. Almost none of these techniques has proven efficacy. I was surprised by the lack of discussion on forced use, or constraint-induced movement therapy, about which there is recent positive data. This field has changed in 20 years, and this second edition is welcomed.