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Doody's Review ServiceReviewer: Dana J Lawrence, DC, MMedEd, MA (Palmer College of Chiropractic)
Description: Positional release technique (PRT) is a form of manual therapy that grew from the work of an osteopath, Dr. Lawrence Jones. It is designed to reduce musculoskeletal dysfunction and reduce the effects of soft tissue injury by reducing joint hypomobility and improving articular balance. This book provides a historical overview of the technique, gives a rationale for its use, describes its use in the clinical setting, and then describes many of its specific procedures and techniques.
Purpose: The authors state that their purpose is to provide the practitioner with a powerful set of tools to precisely and consistently resolve difficult cases of soft tissue injury and musculoskeletal dysfunction. They do so in an orderly, organized, and logical manner.
Audience: The main audience for this book will be physical therapists, chiropractic physicians, and osteopaths. Students in all three of these disciplines will find this quite useful. There may also be interest in this by medical physiatrists, other practitioners of manual medicine, and by bodywork specialists.
Features: The centerpiece for this book is chapter 6, "Treatment Procedures." Nearly 190 pages in length, this chapter provides a detailed look at the specific techniques and methods that altogether comprise PRT. This chapter is organized by body region. For each region, discussions of the location of tender points are included, and the specific treatment technique is explained. This is amply illustrated by high-quality photographs and line drawings. Other chapters give information on the history of the technique, a rationale for its use, how to make clinical decisions that allow for the appropriate selection of a specific method, and on the clinical principles that make the technique useful. The final chapter looks to the future of the procedure. There is also a nice glossary of specialized terms used in this technique.
Assessment: I was impressed with the thoroughness of the material presented in chapter 6. This is by far the most important section of the book, and it is quite comprehensive in scope. I was less impressed with the thoroughness of information regarding diagnosis, and felt that it could be expanded so that the technique could be placed into a broader context of either chiropractic, osteopathic, or physical therapy assessment. My feeling is that these different groups will contextualize this material in different ways. In addition, the book is slightly hampered by a lack of easily retrievable references; chapter 6, for example, while nearly 190 pages in length, has only 23 references. There is no easy solution here, but there might be other sources for information that were not tapped. Overall, this is a useful book for those who want information on this technique.