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Rehabilitation Management of Rheumatic Conditions. George E. Ehrlich. Baltimore Williams and Wilkins Company 1980. 322 pages 68 illustrations

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BOOK REVIEWS
I am concerned about accounts of nontraditional
therapy, such as special diets, acupuncture, and particularly the California physician who treats rheumatoid
arthritis with cocaine. Consequently, I'm not eager to
recommend this book to patients. I do believe, however,
that all professionals concerned with arthritis care will
find this book both revealing and informative.
JOHN J. CALABRO,
MD
Professor of Medicine and Pediatrics
University of Massachusetts Medical School
Worcester, Massachusetts
Rehabilitation Management of Rheumatic Conditions.
George E. Ehrlich. Baltimore, Williams and Wilkins
Company, 1980. 322 pages, 68 illustrations.
The title of this book may be misleading, because its main topic is actually rehabilitation of patients
with rheumatoid arthritis and its varients. Putting aside
this editorial point, however, the book serves well to introduce the multi-physician and multi-discipline care
necessitated by the diverse problems in the management
of rheumatoid arthritis and associated conditions.
An excellent educational resource to many different groups, the book covers the broad subject of
stafling for arthritis facilities in both hospitals and private care. It introduces the roles of nurses both as nursepractioners and inpatient attendants, and it describes
the roles of the psychiatrist, social worker, vocational
counselor, and transportation expert, as well as the roles
of physical and occupational therapists.
For many years, rehabilitation training has emphasized the orthopedic and neurologic disabilities
rather than the rheumatologic. This book may serve as
a reference for rehabilitation professionals who deal
with rheumatic conditions. The rheumatologist, on the
other hand, while learning about rheumatic conditions,
medication, and immunology, frequently does not find
out about rehabilitation methods used by the psychiatrist, physical therapist, occupational therapist, social
worker, or vocational counselor. For these rheumatologists,
- especially for fellows or residents, this book is a
good in&u&on to rehabilitation.
In summary, this is a well written book that provides solid information to professionals in many fields
and can be a basic text for those working in rehabilitation centers or in office practice.
MARTHA MINTEER,
MD
University of California Medical Center
San Diego, CA
Physiotherapy in Rheumatology. Sylvia H. Hyde. Boston, Blackwell ScientiJic Publications, 1980. 194 pages.
$25.
This book was written as an aid for student physical therapists in understanding the principles of treatment of those diseases encompassed by the term rheumatology. The text contains chapters on classification of
disease, muscle and exercise physiology, physical examination and assessment, the modalities of splinting and
hydrotherapy, and chapters describing these disorders.
The rheumatologic disorder chapters include a
description of the clinical features, physical findings, extraarticular signs, clinical tests for diagnosis, medical
treatment, and the rationale for the physical therapy
program. There are also chapters on social aspects and
the surgical management of rheumatoid arthritis. Two
appendices include one on the common laboratory tests
used in the rheumatologic disorders and one on drug
therapy and medication side effects.
This book is useful to students and graduate
therapists in learning about the rheumatologic disorders
and planning physical therapy programs. However,
there is a lack of information on inflammation, joint
structure, and joint pathology that should be included
in a basic textbook. Also lacking is a description of specific forms of heat and cold modalities that are easily included in a physical therapy program. These modalities,
when appropriately used, diminish pain prior to exercise and produce better results. The authors stress the
use of progressive resistive exercise to maintain muscle
strength, a therapy which is controversial. More accepted is the use of a generalized isometric exercise prorrrnm
giaiii.
Overall, the book is informative and well written
but has deficits.
MARTHAA. MINTEER,MD
University of California Medical Center
San Diego, CA
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georg, ehrlich, rehabilitation, 1980, company, page, management, wilkins, william, 322, rheumatic, illustration, baltimore, conditions
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