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Doody's Review ServiceReviewer: Laura K. Vogtle, PhD, OTR/L, ATP (University of Alabama at Birmingham)
Description: This is a five-book series on rheumatologic rehabilitation.
Purpose: The book is aimed at developing competence in the management of rheumatic conditions of childhood for physical and occupational therapy practitioners.
Audience: The editors indicate that the text is written to represent a multidisciplinary approach for physicians, PTs, and OTs, with 19 contributors from Canada and the U.S. The scope and depth of the text meets with the indicated audience, although it could easily be used as a reference in educational settings as well.
Features: The chapters are arranged so that medical conditions are listed first, followed by chapters on developmental concerns, adherence to therapy regimes, school system issues, pain, therapy concerns and interventions, outcomes assessment, and surgical intervention, which are very positive aspects of this book. The various charts used in the first four chapters to compare such details as conditions across gender, age, and so forth are particularly helpful. The chapter on the developmental perspectives has older references and some developmental theory cited is not supported by research. The influence of the family and peers is given minimal attention. It is helpful to have the chapter on adherence to support the suggested therapeutic plans in later chapters. The PT and OT chapters are similar in treatment approaches because of the biomechanical focus in the OT chapter (with limited discussion of patient-centered and activities outside of ADL). The inclusion of a chapter on outcomes is advantageous, although more detail on patient satisfaction and cost issues would be useful. The tables and photographs throughout are excellent and informative, supporting the extensive detail.
Assessment: This is a worthwhile, carefully thought out text with more information than other references such as Behrman's Nelson Essentials of Pediatrics, 3rd Edition, (WB Saunders, 1998) and the standard treatment reference used in OT, Trombly's Occupational Therapy for Physical Dysfunction, 5th Edition (Lippincott Wiliams & Wilkins, 1995).