Mobilisation with Movement: The Art and the Science.
Author: Hendrick, Paul
Pub Date: 07/01/2011
Publication: Name: New Zealand Journal of Physiotherapy Publisher: New Zealand Society of Physiotherapists Audience: Academic Format: Magazine/Journal Subject: Health Copyright: COPYRIGHT 2011 New Zealand Society of Physiotherapists ISSN: 0303-7193
Issue: Date: July, 2011 Source Volume: 39 Source Issue: 2
Accession Number: 288537995
Full Text: Mobilisation with Movement: The Art and the Science. Bill Vicenzino, Wayne Hing, Darren Rivett, Toby Hall 2011. Elsevier Australia ISBN number: 9780729538954. Softcover with accompanying CD-ROM; 228 pages

The art and science of physiotherapy has long been debated and this current text continues this trend. The authors argue that mobilisations with movement (MWMs) are founded upon clinical observation with practical and reasoned application which has been increasingly been built upon by an evidence and research base. This book therefore represents a timely update of current knowledge in this field and reflects an evolving research informed understanding of manual therapy.

The books aims are to set out and develop a clinical framework for the use of MWMs which can then be modified and applied to a specific patient and condition. The book is set out in 5 parts. The first covers the concepts/and principles of MWMs; the 2nd part reviews the evidence for the efficacy of MWMs in the management of musculoskeletal pain and provides an evidence based update on the current strength of research evidence for their clinical application. The 3rd part examines proposed underlying mechanisms for MWMs and a number of relatively new concepts are introduced whilst older ones are challenged. The concept of the Client Specific Impairment Measure (CSIM) is introduced and its importance in terms of both functional measurement and application of MWM technique discussed. The evidence for the positional fault hypothesis is re-evaluated and the proposed neurophysiological mechanisms of MWMs extensively explored. Part 4 presents and discusses a series of case reports employing these techniques. It contains a rich array of information which details the application of MWMs within the context of complex clinical cases. This section includes invaluable information on the reasoning and rationale for the approach, application and progressions of MWMs in treatment. The accompanying DVD also demonstrates techniques from the text and features Brian Mulligan. The last section covers some troubleshooting issues relating to clinical application and addresses some of the common errors for their ineffectiveness. Perhaps the biggest criticism is the layout and structural organisation of this book which makes it somewhat heavy going and repetitive in places which could have been aided by the text being broken up with more pictorial representation and figures.

Overall the book brings the concepts of MWMs into a research and evidence based perspective. It also seeks to clarify how reasoning and handling sometimes termed the "art of practice"are vital to understanding the rationale behind their continued use and efficacy in clinical practice. This book successfully augments and builds on Mulligan's other books and courses and as such will prove to be a valuable text and reference for physiotherapy teachers, clinicians and post-graduate students.

Paul Hendrick, MPhty

Lecturer, School of Physiotherapy, University of Otago, Dunedin
Gale Copyright: Copyright 2011 Gale, Cengage Learning. All rights reserved.