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Doody's Review ServiceReviewer: Dana J Lawrence, DC, MMedEd, MA (Palmer College of Chiropractic)
Description: This venerable book by Dr. Lewit, which actually represents an update of one that had seven previous German editions and three previous English versions, has undergone significant revision and change. It provides historical background on Lewit's work, discusses etiology and pathogenesis of musculoskeletal problems, looks at functional anatomy and radiology, and then delves into diagnosis and treatment focusing on the locomotor system. Prevention is discussed as well, and updated information is provided on manipulative therapy.
Purpose: The primary purpose is to discuss and describe the treatment and diagnosis of dysfunction of the locomotor system. Secondarily, the focus is on the use of manipulative interventions. The idea is to look at facilitation and inhibition of muscles through manual methods. This is a standard in the field, and because of the changes evident in this version, it continues to be a standard bearer.
Audience: This book will find use among students and practitioners of manual medicine, as well as those who treat musculoskeletal disorders, including MDs, DOs, DCs, ND, and PTs among others. Dr. Lewit is a worldwide leader in this field.
Features: The basic approach is to provide background information on how Lewit, working alongside others such as Vladimir Janda, developed the concepts and methods presented here. Then, the book shifts its focus to the etiology and pathogenesis of muscular dysfunction affecting the locomotor system, providing a sound foundation in assessing and diagnosing this system. The emphasis is on the theoretical basis for the therapeutic interventions which are used, and these techniques are described in great detail. The book leads readers through the methods, providing a series of short case reviews along the way which help illustrate the concepts. It is amply illustrated with clean figures and crisp photographs, and augmented by a rather extensive list of suggested readings. This version rearranges information from past editions, and adds support for the use of manipulative interventions.
Assessment: This is a solid and worthwhile update, and well worth obtaining. I have little to add, except that this is a great revision of a standard in the field, still the benchmark for information about manual therapy for locomotor system dysfunction and very much in the European model of manual care. It continues to build upon the pioneering work of people such as Lewit himself, Janda, Vojta, and others, and should be required reading for those who use manipulative interventions.