745
Passive wrist movements: Flexion, extension, radial andd ulnar deviation (leftto right)
Resisted wrist movements: Flexion, extension, ulnar and radial deviation (leffto right)
The second editwn of ‘Cyrim’s Illustrated Manual of Orthopaedic Medicine’ uses drawings instead of photographs in all examination
procedures
Cyrlax’s illustrated Manual of
Orthopaedic Medicine
by J H Cyriax MD MRCP and P J Cyriax MCSF!
Butterworth-Heinemann Ltd, Oxford (2nd
edition), 1993 (ISBN 0 7506 1483 8). Illus. 268
pages.
This is a succinct, easy-to-follbw and
well-illustrated guide to the orthopaedic
medicine approach to diagnosis and
management of musculoskeletal dis-
orders. It is a useful companion for those
trained in the concept. It is not, however,
a substitute for the in-depth and
Physical Disability in Childhood
- An lnterdisclplinary approach
to management
edited by Gillian T McCarthy MB FRCP DCH.
Churchill Livingstone, Edinburgh, 1992 (lS8N
0 443 04288 8). Illus. 616 pages. €2750.
This is a detailed, informative, multi-
author book covering a vast range of
subjects within paediatrics. However,
although it is holistic in nature, it is
overwhelmingly professionally biased.
While providing a n extremely helpful
reference to a great number of con-
siderations within this field, it lacks
a human quality and is devoid (apart from
a sensitive chapter on bereavement) of the
perspective of the child and family despite
beginning with several articles from
parents and clients. Significantly they are
not referred to in the list of contributors
and this reflects the general flavour
throughout, so that parents and clients as
‘partners’ are not featured strongly. A
chapter on assessment presents a s
ruthlessly intrusive towards the family.
This said, the book covers most aspects
of childhood disability meticulously,
both from a theoretical and practical
viewpoint, but remains detached.
Nevertheless, it contains a plethora of up-
to-date information, topics ranging from
neonatal difficulties, through assessment
detailed information provided i n
Orthopaedic Medicine volume 1 by Dr
James Cyriax.
This long-awaited second edition,
edited by Mrs Cyriax, contains some
improvements on the first edition, the
main one being the substitution of
drawings for photographs in all the
examination procedures. This clarifies
mme of the hand positions and the
direction of resistance employed.
Another improvement on the fmt
edition is the enlarged section on sacro-
iliac techniques, but the written descrip-
which it covers extensively, to details of
various conditions.
In conclusion, although a degree ofbias
is unavoidable as most ofthe authors have
worked together at Chailey Heritage, and
despite important omissibns of pirental
equality in management planning, it
remains a very useful book, affordingboth
a n extremely pragmatic approach to
paediatrics together with a good deal
of academic analysis, referring to com-
Illustration from ‘Physical Disability in
Childhood’ shows the effects ofsitting on a
surface curved in the sagittal plane
Physiotherapy, October 1993, vol79, no 10
tion is complicated and would have been
better illustrated with drawings or
photographs as in all other sections.
However, it is unfortunate that the only
reference to recent research on discal
innervation is dismissive, and the most
modern reference on research into back
pain is 1971.
This book is a n interesting reference
to Dr Cyriax’s approach for those who
do not have the first edition.
Elizabeth Kelly MCSP
Stephanie Saunders MCSP
prehensive bibliographies at the end
of each chapter for further reading.
It would be a worth-while addition as
a reference book for physiotherapy
department bookshelves.
Pauline Raymond MTD BA MC-p
Llvlng With Arthritis
Working With Arthritis
Arthritis Care, 18 Stephenson Way, London NWI
2HD. 1993. Tripfych leaflets. Free with SAE.
These leaflets were produced to mark
Arthritis Care Week in September.
‘Living with Arthritis’ is perhaps a
misnomer because it simply details the
activities, services and support offered by
Arthritis Care branches and Young
Arthritis Care contacts.
‘Working with Arthritis’ is just what it
says - a look a t some of the problems of
finding and keeping a job in the 1990s for
people with arthritis. Headings include
‘Should I register as disabled?’ ‘When
should I tell my employer/colleagues?
‘What about special equipment?’ and
‘What about my career?’
The main value of both leaflets is to
draw the attention of the public to the
difficulties of sufferers.