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Doody's Review ServiceReviewer: Monique Serpas, PT, DPT, OCS (Touro Infirmary)
Description: This reference guide for rehabilitation clinicians describes medications in the context of specific conditions encountered in rehabilitation and their effects on treatment.
Purpose: The authors' goal is to integrate pharmacology into clinical practice in an easy-to-use format that assists rehabilitation professionals in designing effective treatment plans that keeps the patient's condition, comorbidities, and current medication therapies in mind. By organizing the book according to medical condition, including case studies, noting rehabilitation implications of specific medications, and indexing by medication as well as important terms, the authors have met their objectives. The authors include a pharmacist, a speech-language pathologist, and a physical therapist/athletic trainer. Including an author who commonly prescribes medication might have further advanced the goal of presenting an interdisciplinary approach to this topic.
Audience: The intended audience includes students as well as practicing clinicians. Although this is a practical reference for practicing clinicians, the book does not go into enough detail on pharmacokinetics for students. There are no illustrations, which may make learning concepts of pharmacology for the first time difficult. The tables in each chapter that list the medication, side effects affecting rehabilitation, and other side effects or considerations make this book an easy reference for busy practicing clinicians.
Features: Part one of the book's six parts has chapters on foundations in pharmacology including how medications are monitored, their effects on the nervous system and muscle function, and the impact of medication on nutrition in rehabilitation. Parts two through six are organized by disorders and diseases encountered in rehabilitation that therapy has a direct effect on, from neurological diseases including Parkinson's to the treatment of musculoskeletal diseases such as osteoarthritis. There is also discussion of disorders and diseases for which therapy does not have a direct effect on treatment, such as inflammatory bowel disease and schizophrenia. The book includes brief descriptions of pathophysiology followed by commonly used medications and their side effects and considerations in rehabilitation. The tables in each chapter that list medications and side effects have a corresponding web resource that is more in depth. There is a good section in the appendix on iontophoresis and phonophoresis that lists medications commonly used in these interventions as well as treatment parameters. The chapter on pain is superficial in its description of the pathophysiology of pain and makes understanding the mechanism of a medication's effect on pain more difficult.
Assessment: This book's descriptions of pharmacokinetics and pharmacodynamics are not as in depth as those in Pharmacology in Rehabilitation, 4th edition, Ciccone (F. A. Davis, 2007). However, it is a useful resource for busy practicing clinicians looking to gain more of an understanding of how their patients' medications can impact therapy and it may assist clinicians in educating patients about these effects.