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Doody's Review ServiceReviewer: Nancy K Shipe, PT, MS, DPT, OCS (Slippery Rock University)
Description: This book addresses physical therapy rehabilitation of musculoskeletal dysfunction within the context of current practice foundations and evidence. It builds upon the earlier version, Techniques in Musculoskeletal Rehabilitation, by Prentice and Voight (McGraw-Hill, 2001), yet has assumed a more narrow focus on therapeutic exercise.
Purpose: The purpose is to provide physical therapists with a comprehensive guide to design, implementation, and progression of rehabilitation programs for patients with musculoskeletal injuries. Consideration of the body systems screening process and implications for referral and treatment are also addressed. In meeting these objectives, the authors have provided a single source reference to guide physical therapists in the musculoskeletal rehabilitation process.
Audience: The intended audience includes physical therapy students of musculoskeletal rehabilitation and practicing clinicians. It may be most appropriate for students and physical therapists in the earlier stages of clinical practice and less useful for physical therapists with a wealth of clinical experience. It is evident from the breadth of content and clinical relevance that the contributing authors bring a wealth of knowledge and experience to the book.
Features: The book organizes the rehabilitation process around five themes: foundations of rehabilitation based on the Guide to Physical Therapist Practice, rev. 2nd edition (American Physical Therapy Association, 2003); identification and treatment of physical impairments; utilization of specific rehabilitation tools; strategies for managing region-specific dysfunction; and rehabilitation of particular patient populations (geriatric, pediatric, amputee, female). Part 1 chapters on the Guide to Physical Therapist Practice are useful particularly for physical therapists not familiar with the Guide format or patient/client management model. The chapter on neuromusculoskeletal scan examination provides a relevant framework for assessment with numerous clinical examples. However, given the authors' expressed intent that this book should cover treatment, this chapter may best be included in a specific reference on clinical examination. The treatment strategies introduced in parts 2 and 3 directed at the management of physical impairments with various treatment techniques are useful additions to the usual rehabilitation programs of ROM and resistance exercises. The chapter on core stabilization is particularly well written, incorporating current theory and best evidence into training guidelines illustrated with clinical application examples. Several chapters, however, are difficult to read because of the placement of figures 6 to 8 pages after the text referencing them. Other chapters would benefit from more frequent use of summary tables or figures to reinforce key concepts. The chapters in part 4 on rehabilitation of specific body regions follow a useful rubric encompassing a brief review of pathomechanics, injury mechanisms, particular rehabilitation concerns, rehabilitation progression guidelines, and criteria for return to normal activity. Most chapters use a nonprescriptive approach with ample diagrammatic and photographic examples of each stage of rehabilitative exercise. Additionally, many include a case-based protocol application at the conclusion of the chapter. Some include sport-specific return to function progressions, but notably absent is any reference to occupation-driven functional progressions. Part 5, consideration of specific patient populations, is a positive addition. The chapters on management of amputees and the physically active female are especially comprehensive in scope and application.
Assessment: This is a useful reference for physical therapy instructors and students, introducing a comprehensive approach to the management of musculoskeletal dysfunction comparable in utility to other standards in the field. It also is a ready reference on the bookshelf of physical therapists new to or practicing in the realm of orthopedic physical therapy.