Reviewer: Greg DeNunzio, B.S.M.E., D.C.(Northwestern Health Sciences University)
Description: The book describes the anatomy, biomechanics, assessment, motor learning, and movement training of the thorax. It includes consideration of an integrative aspect of function and health, which is very good, but the title may be a bit misleading, as when I think of integrative, I think of providers of different disciplines addressing an issue or condition. The QR codes for an accompanying website may be efficient, but did not work for me.
Purpose: The purpose is to show that the thorax should not be addressed in isolation in the healthcare setting, as there are many interconnections with organs, the nervous system, and other areas of the musculoskeletal system. The objectives are worthy, but it was not apparent that they were clearly addressed.
Audience: The book is intended for physiotherapists and those studying to become physiotherapists.
Features: The book covers different aspects of treating and assessing the thorax by discussing its effects on other systems and how other systems may affect the thorax. This is a more holistic approach and the mental aspect of what the patient is dealing with is one key to efficient and effective recovery. Chapter 4 is very good and touches on elements not typically discussed in treating neuromusculoskeletal conditions. The case studies in Chapter 5 are very good examples, and there are very useful tables throughout the book. However, the motor learning and movement chapter does not appear to have the latest information/studies that show a greater effectiveness in some of the movements versus what is shown. Biomechanically, some of the movements may put the patient in a compromising position in regard to the vertebral discs and facet joints. There are better ways to activate the musculature (specifically the core) versus what is shown. The book appears to be a reiteration of old information. Also, the assessment portion of the book does not take into account structural asymmetries that may be developmental, i.e. bony structures such as the vertebra, ribs, etc., and not a true malposition of the joint or area.
Assessment: The book is very good overall, but there are weaknesses in some of the assessments, and the motor learning and movement training could be updated with more relevant material.