Orthopaedic Manual Therapy: An Evidence-Based Approach.
Article Type: Book review
Subject: Books (Book reviews)
Author: Hendrick, Paul
Pub Date: 11/01/2007
Publication: Name: New Zealand Journal of Physiotherapy Publisher: New Zealand Society of Physiotherapists Audience: Academic Format: Magazine/Journal Subject: Health Copyright: COPYRIGHT 2007 New Zealand Society of Physiotherapists ISSN: 0303-7193
Issue: Date: Nov, 2007 Source Volume: 35 Source Issue: 3
Topic: NamedWork: Orthopaedic Manual Therapy: An Evidence-Based Approach (Book)
Persons: Reviewee: Cook, Chad
Accession Number: 173644799
Full Text: Orthopaedic Manual Therapy: An Evidence-Based Approach. Chad Cook 2006. Prentice Hall, New Jersey. ISBN 10: 0131717669. Hardcover: 624 pages. RRP $58.33

Essentially this book is focused on presenting specific assessment and treatment techniques commonly employed by manual and manipulative physiotherapists and describing the research based evidence and clinical rationale to support such techniques.

This is perhaps the first book to attempt to cover such a broad and extensive area of manual therapy in such a comprehensive manner.

The book presents the overall science and theory behind the use of manual techniques and provides an interesting outline and review of manual therapy backgrounds and the philosophies and rationale that underpin their use. The description of the key concepts and their supporting literature leads onto the development of clinical reasoning models providing a context for the discussion on the basic tenants of manual therapy assessment and treatment. Each of the separate chapters presents relevant anatomy and biomechanical considerations for the joint complex. A step by step guides than takes the reader through various manual and essentially Maitland based joint assessment procedures with pictures demonstrating the technique whilst the author discusses the research evidence in support of each of the techniques. Tables are presented on the clinical values for various diagnostic tests and key summaries provide an important breakdown of the main points. The tables are perhaps one of the strongest features of the book providing the clinician with easy to interpret diagnostic sensitivity, specificity and likelihood ratios for each test.

It is perhaps inevitable in attempting such a wide topic base that there are gaps in both the coverage of commonly employed manual techniques and also the appraisal of the literature is not fully elucidated and therefore sometimes difficult to interpret. The clinical anatomy and biomechanics of the joints provide a very useful discussion point and assists in the understanding, reasoning and evidence for the clinical techniques. Clinical cases and case based discussions would have added to the text and enabled the reader to put the techniques into context, introducing concepts such as pain mechanisms and also allowed debate on the combining of clinical information when forming clinical decisions. This evidence based perspective to manual examination and treatment will provide a useful reference text for post graduate manipulative students and clinicians working in the field of manual and orthopedic physiotherapy.

Paul Hendrick, MPhty, PGDMPhty, GradDipPhys, BSc

Professional Practice Fellow

School of Physiotherapy

University of Otago
Gale Copyright: Copyright 2007 Gale, Cengage Learning. All rights reserved.