a patient's guide to hip and knee replacement

Physiotherapy August 1999/vol 85/no 8 445 Erskine Press, The Old Bakery, Banham, Norwich NR16 2HW 1998, 2nd edn. 36 pages by Hugh Phillips FRCS £2.95 The review of the first edition of this tiny booklet, published in this journal in July 1990, called it ‘essential reading for all patients who are waiting for joint replacement surgery’. It is printed on high quality paper, with coloured diagrams, and an attractive layout which makes the booklet easy to read and for the two types of patient -- hip and knee-- to sort out which sections apply to them. The text starts with basics: ‘Where are the hip and knee?’ Apart from the usual medical and anatomical information which is presented in an easily digestible form, there are ‘hospital diaries’ (the patients’ version of care pathways?) which outline what to expect from the day of admission to discharge. All the advice on patients’ reactions and recovery emphasises that experiences vary from person to person, and about the only sentence to which one could object is the breezy comment: ‘The timing of the first bowel movement is not important.’ To a largely immobile patient lying in an open ward -- oh yes it is! A Patient’s Guide to Hip and Knee Replacement Churchill Livingstone, Edinburgh 1997 (ISBN 0 443 08913 2). Illus. 488 pages by Susan Ryerson MAPT and Kathryn Levit BS OTR £65 The high quality of the content and presentation of this book should place it high on the essential reading list for students and qualified physiotherapists alike. The aim of the book is to provide therapists with a comprehensive model of normal movement and movement dysfunction and guidance on the successful use of handling skills and problem solving ability for the treatment of adult neurological patients.The information is directed towards treatment of stroke and other types of neurological damage that result in hemiplegia or unilateral loss of movement control. The authors have both trained with Bertha Bobath and have used her concepts of treatment to develop their own individual approach for neurological treatment based on clinical practice. This consists of a system for analysing normal movement patterns in the trunk, arm, and leg that are important for function, a detailed understanding of impairments that interfere with movement and limit function and strategies for relating treatment techniques for the re-education of movement and restoration of function to impairments. The quality of information provided is made accessible by the use of a clear prose style and logical sequencing and sectioning of the material. Important textual information is listed, tabulated or highlighted which is very helpful.. Each chapter has appropriate references and additional reading guidance and there is a comprehensive index. There are excellant complementary illustrations and photographs throughout which clarify the text and as a result the chapters dealing with movement analysis and practical handling are some of the best I have read. The authors anticipate that this book will stimulate debate and further research. It is a challenging and rewarding read. Susan J Horne MCSP Functional Movement Re-education Foot and ankle inversion (left) and eversion (right) to illustrate lower extremity movements in standing How a patient can expect to spend the first few days after a knee replacement operation Book reviews

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Page 1: A Patient's Guide to Hip and Knee Replacement

Physiotherapy August 1999/vol 85/no 8

445

Erskine Press, The Old Bakery, Banham, Norwich NR16 2HW1998, 2nd edn. 36 pages

by Hugh Phillips FRCS £2.95The review of the first edition of this tiny booklet, published inthis journal in July 1990, called it ‘essential reading for allpatients who are waiting for joint replacement surgery’. It isprinted on high quality paper, with coloured diagrams, and anattractive layout which makes the booklet easy to read and for thetwo types of patient -- hip and knee-- to sort out which sectionsapply to them.

The text starts with basics: ‘Where are the hip and knee?’ Apartfrom the usual medical and anatomical information which ispresented in an easily digestible form, there are ‘hospital diaries’(the patients’ version of care pathways?) which outline what toexpect from the day of admission to discharge.

All the advice on patients’ reactions and recovery emphasisesthat experiences vary from person to person, and about the onlysentence to which one could object is the breezy comment: ‘Thetiming of the first bowel movement is not important.’ To a largelyimmobile patient lying in an open ward -- oh yes it is!

A Patient’s Guide to Hip and KneeReplacement

Churchill Livingstone, Edinburgh1997 (ISBN 0 443 08913 2). Illus. 488 pages

by Susan Ryerson MAPT and Kathryn Levit BS OTR £65The high quality of the content and presentation of this bookshould place it high on the essential reading list for students andqualified physiotherapists alike.

The aim of the book is to provide therapists with acomprehensive model of normal movement and movementdysfunction and guidance on the successful use of handling skillsand problem solving ability for the treatment of adultneurological patients.The information is directed towardstreatment of stroke and other types of neurological damage thatresult in hemiplegia or unilateral loss of movement control.

The authors have both trained with Bertha Bobath and haveused her concepts of treatment to develop their own individualapproach for neurological treatment based on clinical practice.This consists of a system for analysing normal movement patternsin the trunk, arm, and leg that are important for function, adetailed understanding of impairments that interfere withmovement and limit function and strategies for relatingtreatment techniques for the re-education of movement andrestoration of function to impairments.

The quality of information provided is made accessible by theuse of a clear prose style and logical sequencing and sectioningof the material. Important textual information is listed,tabulated or highlighted which is very helpful.. Each chapter has

appropriate references and additional reading guidance andthere is a comprehensive index.

There are excellant complementary illustrations andphotographs throughout which clarify the text and as a result thechapters dealing with movement analysis and practical handlingare some of the best I have read.

The authors anticipate that this book will stimulate debate andfurther research. It is a challenging and rewarding read.

Susan J Horne MCSP

Functional Movement Re-education

Foot and ankle inversion (left) and eversion (right) toillustrate lower extremity movements in standing

How a patient can expect to spend the first few days after aknee replacement operation

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