Introduction to Splinting: A Clinical Reasoning and Problem Solving Approach.
Article Type: Book review
Subject: Books (Book reviews)
Author: Grimshaw, Meirion
Pub Date: 06/01/2010
Publication: Name: British Journal of Occupational Therapy Publisher: College of Occupational Therapists Ltd. Audience: Academic Format: Magazine/Journal Subject: Health Copyright: COPYRIGHT 2010 College of Occupational Therapists Ltd. ISSN: 0308-0226
Issue: Date: June, 2010 Source Volume: 73 Source Issue: 6
Topic: NamedWork: Introduction to Splinting: A Clinical Reasoning and Problem Solving Approach, 3d ed. (Nonfiction work)
Persons: Reviewee: Coppard,Brenda M.; Lohman, Helene
Accession Number: 229717779
Full Text: INTRODUCTION TO SPLINTING: A CLINICAL REASONING AND PROBLEM SOLVING APPROACH. Brenda M Coppard and Helene Lohman. 3rd ed. Mosby, 2008. 40.45 [pounds sterling]. 544 pp. ISBN 978-0-323-03384-8

This large book was originally published in 1996 and is now in its third edition, with accompanying CD-ROM. Aimed largely at those with an interest in hands, something useful will nonetheless be found by those working in neurology, general orthopaedics, care of older people or paediatrics.

Chapters cover the basic splinting process, biomechanics, anatomy and clinical examination. Up-to-date references are given at the end of each chapter and there is a useful glossary of terms.

Further chapters focus on each segment of the upper limb, including dynamic and serial splinting. I found the separate chapters based specifically on splinting for older adults and children particularly interesting.

A welcome addition to this type of book was a chapter on lower extremity orthotics and upper extremity prosthetics. Many occupational therapists, particularly those working in orthopaedics, will encounter these devices and most splinting books aimed at our profession tend to be entirely hand-based. Another novel addition is the inclusion of a CD-ROM, which delivers informative tutorials on wrist, thumb and hand splints and the use of the heat gun. A slight frustration is that the CD and book are devoted entirely to pattern-based splinting and no mention is made of alternative techniques. Although it can be argued that this book is aimed at beginners, this does seem to be an omission.

My overall view is that this book has the selling point of covering a wide range of subjects. However, for an introduction to splinting it is rather theoretical. Some readers may find it overly complex in parts and I am not sure that it would demystify the process of splinting for the uninitiated. It is a textbook more appropriate for libraries rather than a quick reference book or guide for the clinic.

Meirion Grimshaw, Clinical Specialist Occupational Therapist (Splinting and Bracing), Royal Cornwall Hospital, Truro, Cornwall.
Gale Copyright: Copyright 2010 Gale, Cengage Learning. All rights reserved.