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ger undertaking the introduction of the self-referral processnd the appendices also include very pertinent information.n particular, the Referral Tool and the Patient Self-referralnticipated Referral Rate Calculator (Appendices V and VI),sed to calculate predicted numbers of self-referrals, may behere the cautious manager would start.This book would be a very useful weapon in the armoury

f a busy therapy manager. It is succinct, easily read, coversll the main points of the self-referral process and could beonsidered essential reading before embarking on a project toet up and successfully manage this type of system. Overallhis is a very useful guide and is definitely good value for

oney. Do not travel the road to a patient self-referral processefore consulting this detailed road map!

Daniel KerrSchool of Health Sciences, University of Ulster,

Jordanstown, Co. Antrim, BT37 0QB, UK

Tel.: +44 289 0366462.E-mail address: dp.kerr@ulster.ac.uk

oi: 10.1016/j.physio.2006.11.004

ractical Evidence-based Physiotherapy. Herbert, G. Jamtvedt, J. Mead, K.B. Hagen, Butterwortheinemann, 2005, 234 pages, £29.99, ISBN 0-75-068820-3

The aim of this book is to assist clinicians in the imple-entation of evidence-based practice. The text provides a

urrent overview, demonstrating advances in thinking in thisrea. Care is taken to provide definitions and descriptions tonsure the clarity of the author’s arguments. Research meth-ds are reviewed for suitability for use in this field.

The text also covers feasible and efficient methods ofccessing high-quality clinical research online. Whilst theocus on current methods is important, this will necessitateuture revised editions to keep the ‘evidence finding’ sectionp to date. The inclusion of clinical guidelines completes atrongly referenced consideration of evidence. The focus ofhis book is towards quantitative-based research.

The content of this guide to evidence-based physiotherapyrovides the necessary theoretical foundation, but maintainsfocus towards clinical practice. However, more information

n terms of practical steps for the individual to change andanage the demands of evidence-based practice in today’sorking environment would be beneficial to clinicians. Theook lends itself well to reflective practice and directing con-inued professional development, as well as producing thevidence base for the most realistic models of patient care.

This book is designed with an enquiring approach

f what and how, and works through the processes ofvidence-based practice in a readable, largely chronologicalanner. Overviews and more detailed contents at the front

f chapters are helpful. It is not a book that one should dip

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nto for reference without having previously read the firstwo chapters, as sections do not stand alone. The black andwo-tone blue is pleasant, but more colour and diagramsould give the reader a clearer understanding, particularlyhere the book is describing processes and systems.This book succeeds in being an up-to-date, practical guide

o the application of evidence-based practice in today’s clin-cal environment. It will be most helpful to physiotherapylinicians, particularly those in the musculoskeletal field, andtudents may also benefit. Although pressures on time andesources may impede implementation of change, a culturef evidence-based practice is essential, where this book wille a useful resource.

Mark PerchardBrunel University, Osterley Campus, Borough Road

Isleworth, Middlesex TW7 5DU, UKE-mail address: Mark.perchard@brunel.ac.uk

oi: 10.1016/j.physio.2005.09.003

xford Textbook of Functional Anatomy. Vol. 1:usculo-skeletal System, 2nd ed.

amela MacKinnon, John Morris, Oxford University Press,005, 242 pages, £24.95, ISBN 0-19-856960-2

For those familiar with previous editions, the second edi-ion of this book has omitted the guidelines on dissection.rigins and insertions of muscles have been largely removedut are now shown in illustrations. Imaging pictures are usedo enhance clinical application, with highlighted ‘special clin-cal boxes’ and broad margins for the readers’ own notes.he authors’ main purpose is to reflect the changing face ofedicine, which is now using less invasive procedures and

maging techniques, and emphasising the three-dimensionalnatomy of the living body.

The introductory chapters cover anatomical planes, bodyissues, medical imaging and the embryonic developmentf the musculo-skeletal system. Sections on living anatomyllustrate the external view of an area with bony landmarksnd suggest simple practical exercises. The format is easyo follow, with relevant medical images used to clarify androaden understanding of clinical presentations. Questionsnd answers help to link theory to clinical presentation, assist-ng clinical reasoning and problem solving.

The book does not provide detailed sections on pathology,ut uses common conditions as working examples, e.g. theainful shoulder, swellings associated with the knee joint andslipped disc’. A chapter on human upright stance, sitting andocomotion provides a useful overview of this subject. Thehree separate paperback volumes are user friendly, and this

olume on the musculo-skeletal system is especially usefulor physiotherapy students.

Whilst written for medical students, this book would suittudents of all healthcare professions, and would be a useful

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ddition to the departmental library as a basic anatomicaleference book and an excellent teaching aid for students andunior staff. The added dimensions of imaging techniques,ommon presentations and conditions make it a practical andseful resource.

Vivien NicholsUniversity of Warwick, UK

E-mail address: vivien.nichols@warwick.ac.uk

oi: 10.1016/j.physio.2005.10.002

ranial Manipulation Theory and Practice. Osseous andoft Tissue Approaches. Chaitow, Elsevier Churchill Livingstone, 436 pages,36.99, ISBN 0-443-07449-6

Cranial manipulation has continued to grow in popularitynd perceived scope of use amongst practitioners of chiro-ractic, physiotherapy and osteopathy over the last decade.eon Chaitow, together with six other contributors, attempts

o place this rapidly growing area of practise in the contextf more widely accepted biomechanical models.

The book begins by discussing the fundamental principlesf the cranial model of osteopathy, and how this overlapsith other models such as chiropractic. Various palpationome exercises are explored for both qualified practitionernd student alike. Assessment and treatment procedures areemonstrated with the use of helpful diagrams. There is somerossover with structural techniques here, and this representsome welcome revision for the less cranially inclined practi-ioner. This crossover with slightly more orthodox techniqueslso extends to treatment using positional release, musclenergy and the overlap with dentistry.

The book is well written, clearly understandable and bene-ts from an accompanying CD-rom with text and video clips.he diagrams are clear and appropriately labelled. There is

elatively little evidence from research for the efficacy ofranial forms of treatment. However, the authors have triedo make the book as evidence based as possible by quotinghat work has been done. However, large parts of the book

re theoretical rather than supported by research evidence.The book would make an excellent teaching aid in view of

ts clarity of lay out and practical approach. I would recom-end it to undergraduate osteopathic students as well as those

aking postgraduate courses as part of the Continuing Profes-ional Development requirement. Presumably, there woulde further scope for similar adoption by students and practi-ioners of both physiotherapy and chiropractic who wantedo broaden the scope of their practise.

In conclusion, this is a well-considered, well-presented

ook dealing with a manual treatment and underlying philos-phy that has grown in use enormously over the last decade.ittle research has so far been conducted to substantiate thelaims put forward for cranial techniques. d

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Charles PeersRoyal Parade Osteopathic Clinic, Kinterbury House,

Kinterbury Street, Plymouth P11 2DG, UK

Tel.: +44 1752 225567.E-mail address: charlese.peers@virgin.net

oi: 10.1016/j.physio.2005.12.005

rain Injury and Returning to Employment: a Guide forractitioners. Japp, Jessica Kingsley Publishers, 2005. 128 pages, £15.95,SBN 1-84310-292-7

This book gives an overview of the problems faced byeople with acquired brain injury, the implications of theseroblems in the workplace, and key support strategies to aidhe transition from rehabilitation to employment.

The main aim of the book is to bridge the gap between theedical provision for people with acquired brain injury and

heir social/practical needs as they return to the workplace.he author stresses that the book is not academic but ratherpractical guide for employment professionals. The book isasy to read and logically structured. As an overview of theubject, it achieves its aims but it is superficial throughout,roviding only an outline of the interventions that a practi-ioner may use with these clients.

The first four chapters introduce the reader to the spe-ific problems of brain-injured clients. A clear and succinctverview of the different types of neurological impairmentss given. There follows a brief review of the causes of brainnjury and resulting psychological and cognitive problems,ringing to light the difficulties such problems may presentn the workplace. The next two chapters describe vocationalssessment and rehabilitation, highlighting the key issuesnvolved. The remaining chapters outline techniques that maye used to support brain-injured clients in the workplace andssues relating to workplace re-integration. The final chapteromprises a series of case studies. This chapter strongly high-ights the emotional, social and personal problems of peopleho sustain a brain injury.This book would be useful as an introductory text for

mployment professionals who are working with clients whoave sustained a brain injury. However, it provides insuffi-ient detail to be of relevance for rehabilitation therapists.

Jackie ShanleyFaculty of Health and Life Sciences,

E-mail address: j.shanley@coventry.ac.uk

oi: 10.1016/j.physio.2006.02.005