Neuromusculoskeletal Examination and Assessment E-Book: A Handbook for Therapistsby Nicola J. Petty
Now in its fourth edition, this core textbook continues to provide a comprehensive, systematic guide to the examination and assessment of patients with neuromusculoskeletal dysfunction. The new edition continues with Nicola Petty at the helm but she is now joined by a reputable team of specialized clinicians and academics who have contributed to individual/i>
Now in its fourth edition, this core textbook continues to provide a comprehensive, systematic guide to the examination and assessment of patients with neuromusculoskeletal dysfunction. The new edition continues with Nicola Petty at the helm but she is now joined by a reputable team of specialized clinicians and academics who have contributed to individual chapters.
Neuromusculoskeletal Examination and Assessment focuses on the development of technical and clinical reasoning skills involved in differential diagnosis of joint, nerve and muscle tissues. It is designed for physiotherapy/manual therapy students and their teachers but is also ideal for those in the first years of their practice as an educational support for patient care.
- Provides a logical approach to patient examination to enhance clinical reasoning
- Presents key concepts of leading therapists and researchers in the field of manual therapy
- Emphasizes a patient-centred approach
- Templated step-by-step sequence of illustrations and text creates an accessible tool for use in teaching and practice
- New 2-colour drawings and photographs visually demonstrate techniques
The book has many strengths: it is written in an organised, logical user-friendly format with excellent accompanying graphics, giving detailed and precise descriptions in clear language. At the end of each chapter is an extensive reference list should the reader wish to explore particular topics in more detail. Written by a highly experienced manipulative therapist, this book would be a valuable guide to students and clinicians of various disciplines (including physiotherapists, manual therapists, chiropractors and osteopaths) involved in the management of neuromusculoskeletal dysfunction. I cannot recommend this text highly enough: I personally found its earlier edition invaluable as a student during practical exams and clinical placements. For those seeking more extensive information on treatment options Petty's earlier text, Principles of Neuromusculoskeletal Treatment and Management- A guide for Therapists, serves as an excellent companion.
Physical Therapy Reviews, December 2006
Description: This text focuses on clinical examination techniques. The authors have developed this handbook as an outgrowth of their teaching materials and have attempted to summarize various methods of examination from leading clinicians in manual physiotherapy.
Purpose: The primary purpose is to present clinical examination procedures and theories proposed by leading manual therapists such as James Cyriax, Fred Kaltenborn, Geoffrey Maitland, and Brian Mulligan, among others. The publications of these authors are frequently referenced in each chapter. The authors attempt to integrate each examination philosophy. The reader should gain an appreciation of the diverse, broad knowledge base needed to conduct a thorough examination. Overall, the authors have met the proposed objectives of exposing the reader to various clinical exam methods. However, there are some instances where the information appears fragmented or superficially covered.
Audience: This book could serve as primary text in a manual therapy clinical course for physical therapy students. I can also see the benefit of possibly using this as a supplemental text in a graduate manual therapy course. Practicing therapists with a limited background in manual therapy may also find this text helpful. Overall, the content seems to primarily address physical therapists.
Features: The first three chapters focus on data gathering techniques and then progress to evaluation principles, which lead to a systematic exam of the neuromusculoskeletal system. These first three chapters are very well done. Subsequent chapters cover regional aspects of the body. A brief outline accompanies each chapter but no formal objectives are stated. References appear at the end of each chapter with many being repeated in each chapter. There are over 400 drawings and photographs, which are helpful in understanding hand placement and palpation procedures. Tables and recording charts are plentiful throughout the text. A chapter on gait analysis would have been an appropriate inclusion in an examination text. Chapters discussions of the spine are comprehensive. Differential diagnosis in relation to identifying disease is briefly mentioned.
Assessment: This book has some unique features and serves as a suitable text for academia or for self-learning. Other texts such as Magee's Orthopedic Physical Assessment, 3rd Edition (WB Saunders, 1997) may cover functional anatomy and special tests in more detail. However, this text may prove valuable to therapists who desire to improve their manual examination techniques and who would like to gain exposure to the philosophies of some of the leading manual therapists.
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Principal Lecturer, School of Health Professions, University of Brighton, Eastbourne, UK
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