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Doody's Review ServiceReviewer: Amanda M Blackmon, PT, DPT, OCS (Mercer University College of Pharmacy and Health Sciences)
Description: This book presents 34 case scenarios that focus on the evidence-based examination and intervention procedures for a wide spectrum of orthopedic, sports, and musculoskeletal diagnoses.
Purpose: The purpose is to compile the evidence for a variety of conditions in one place — a need that has gone unaddressed for a many years, as both clinicians and educators find it challenging to remain updated on current best practice and evidence-based practice. The authors and contributors are among the top physical therapy researchers, educators and clinicians in the field and they use their expertise to meet the objectives.
Audience: The book is useful for a broad audience, including physical therapy students, residents, or fellows, novice practitioners, and educators in musculoskeletal physical therapy. As an educator and a clinician, I find it to be an excellent resource, both for evidence-based case examples for my students, and as a reference in treating my patients. The 36 contributors are clinicians, researchers, and/or educators in the field of orthopedic PT.
Features: Each of the 34 case scenarios is presented in a well-organized format using language from the World Health Organization's ICF framework and the Guide to Physical Therapist Practice. Each case begins with a patient scenario and a series of open-ended questions. Key definitions, a short explanation of the pathology, and a summary of the role of the physical therapist in the management of the condition follow. Then a targeted and well-organized summary of examination, evaluation, and diagnostic procedures is presented, including special tests and outcome measures. Reliability and validity information are included when available. The next section outlines interventions and plan of care information for the diagnosis. The next section, on evidence-based clinical recommendations, outlines at least three clinical recommendations for diagnostic tools and/or treatment interventions. The quality of these recommendations is improved by using a strength of recommendation taxonomy (SORT) grade, in which the author of the section gives an A, B or C grade based on the evidence and the author's clinical expertise. (This grade is also reviewed by the editors.) Each case concludes with comprehension questions and answers, along with detailed explanations when appropriate. Some cases focus heavily on exam and diagnostic practices, while others focus more on intervention techniques. For example, there are four different cases addressing lumbar spine herniated disc, each highlighting a different treatment approach. There is an alphabetized listing of diagnoses in the back of the book, increasing its usability for the reader.
Assessment: This is a very useful book that fulfills a very large need in both educational and clinical practice of orthopedic physical therapy. As a clinician, I will use it in making sure that my current practices are evidence based. As an educator, it will greatly assist me in writing practice cases for my students that are comprehensive, evidence-based, and with less personal bias.