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Doody's Review ServiceReviewer: Cynthia Potter, PT, DPT, PCS (Healthquest Community Service)
Description: This second edition is an update of the original 1994 edition, with extensive detail regarding foundational knowledge, physical therapy management of common pediatric conditions, special considerations in treating children, and the unique settings in which pediatric physical therapy is provided. Reflecting the changes in practice the editors also incorporate the terminology and framework used in the American Physical Therapy Association's Guide to Physical Therapist Practice.
Purpose: According to the editors, the purpose is to provide a comprehensive reference for the practice of physical therapy for common conditions seen in pediatric practice. While acknowledging that further evidence on which to base clinical practice is needed, the editors describe physical therapy management based on the disablement model and incorporate evidence based decision-making. The book is comprehensive in subject matter and reflects the complexity involved in clinical decision-making. There is an extensive list of well-recognized expert contributors from the U.S. and Canada
Audience: This is an essential reference for physical therapists practicing in pediatrics. Clinical practitioners, researchers, and students seeking in-depth information about a particular topic will find this book indispensable. However the extensive information may be overwhelming for entry level PT students.
Features: As in the first edition, the editors highlight the disablement model. They incorporate the language regarding patient/client management and the practice patterns of the APTA's Guide to Physical Therapist Practice published in 1997. Recent evidence to support clinical management is included. New chapters on brachiai plexus injury and torticollis have been added to this edition. In the chapters where contributors focus on various pediatric conditions, key issues as the child develops from infancy through adulthood are highlighted. The book is divided into five sections. T he seven introductory chapters provide foundational knowledge for the practice of pediatric physical therapy, including normal development, motor control, motor learning, and a framework for clinical decision-making. These essential basics are especially useful for students, less experienced therapists, or those clinicians who do not routinely practice in pediatrics. The next three sections have a description of physical therapy management of pediatric conditions that follow the practice pattern categories of the Guide to Physical Therapist Practice and include musculoskeletal, neuromuscular, and cardiopulmonary conditions. In each chapter, the reader will find a detailed description of pathophysiology, management based on the disablement model and at least one case history of a child. While the amount of detail in the cases presented varies from chapter to chapter, it is all useful to the reader in providing a clinical picture of progressive care of a child with a particular condition. An outstanding case history is provided at the conclusion of the Developmental Coordination Disorders chapter. A child's care is followed across various settings and coordinated with several disciplines. Another well-detailed case history in the chapter "Children with Cognitive Impairment" is presented using the Guide's five elements of patient client management. IDEA Part B language and Guide language are contrasted in this case. In the concluding section the editors deal with unique practice settings and special medical/legal considerations in caring for pediatric patients. Each chapter is extensively referenced, making the book very useful to researchers or others wishing to explore further information.
Assessment: The editors of this book succeed in their purpose of providing an excellent comprehensive pediatric reference for those wanting detailed information on all aspects of pediatric practice. They provide more extensive information on clinical management and the book is more evidence-based than other pediatric physical therapy texts. It is not meant to be and is not a quick reference for pediatric management. Clinical application would be enhanced if there were more pictures or diagrams included in the case histories and if the case histories were presented in a more consistent format.