jU N IE 1976 F I S I O T E R A P I E 19 Book Reviews P H Y S IO T H E R A P Y IN P A E D IA T R IC S , by R o b e rta B. S hepherd, D ip .P h ty .(S y d .), W m . H e in e m a n n M edical Books L td ., 1974. Pp. 428. Ulus. P rice R l l, 8 0 . P.O . Box 11190, J o h a n n e sb u rg , 2000. This b o o k is a n a d m ira b le a tte m p t to fill the long-felt need for a co m p re h en siv e b o o k on p a e d ia tric phy sio th erap y . In tro d u cto ry sections o n the child, his p a ren ts a n d the physiotherapist as well as on th e n a tu re o f m ovem ent have been p lan n e d w ith insight a n d a re w ell-presented. L ine diagrams a re clearly re p ro d u c e d b u t are n o t sufficiently •iiscussed in the text to be really instructive. D e sp ite one or J / o ra th e r a rb itra ry sta te m en ts the a u th o r brings o u t the jftiportant aspects o f m o to r de v elo p m en t a n d illustrates these with p h o to g rap h s. U n fo rtu n a te ly som e o f the p h o to g ra p h s do n ot really illu stra te the featu res m en tio n ed in th e c aptions. It is a pity th a t th e analysis o f n o rm al m ovem ent is dealt with so briefly; o ne hopes th a t the re ad e r will (in the w o rd s o f the a u th o r) be stim u la te d to m ak e fu rth e r discoveries. Section II covers developm ental a n d neurological dis­ orders a n d m ore th a n tw o th ird s o f this section is devoted to cerebral palsy. T he a u th o r ’s a p p ro a c h to the assessm ent and tre a tm e n t o f c erebral palsy has a so u n d basis in the principles o f n e u ro d ev e lo p m e n ta l th e ra p y as developed by Dr. a n d M rs. B o b a th . T h e p roblem s o f assessing a young baby a re well a n alysed a n d include a n a stu te ev alu atio n o f the parents’ c om m ents on th e b a b y ’s re ac tio n s to feeding, dressing and o th er aspects o f h a ndling a t hom e. O th e r a p p ro a c h e s to therapy a re m en tio n ed briefly; one q u e stio n , how ever, the view th a t V o jta ’s a p p ro a c h m ay have p a rtic u la r relevance in the trea tm e n t o f y o ung babies. F rom the p o in t o f view o f physio th era p ists in S outh A frica it is a pity th a t b o th h e ad injuries a n d a cu te polineuritis have been a cc o rd ed o nly a brief tw o pages. This last o b se rv atio n p e rh ap s reflects a general criticism o f the b o o k ; it is n o t, in fact, a com prehensive review o f paediatric p h y sio th era p y b u t ra th e r reflects th e p a rtic u la r interests o f the a u th o r a n d her colleagues. C e reb ra l palsy a nd J i n a bifida d o m in a te the b o o k , follow ed by talipes equi- jpvarus, w ith a surprising a m o u n t on m u sc u la r torticollis to fne exclusion o f m any o th e r ra th e r co m m o n neurological a n d orthopaedic disorders. E ven m u sc u la r d y stro p h y is ra th e r briefly covered, a lth o u g h this m ight be d u e to the fact th a t in A ustralia, as in S o u th A frica, th e incidence is low in c o m ­ parison to th a t in th e n o rth e rn hem isphere. The section on re sp ira to ry d iso rd e rs h as a very goo d introduction a n d gives m an y p ractical p o in ts w hich will be of assistance in the m an a g em e n t o f cystic fibrosis a n d a sth m a . C ardiac co n d itio n s a n d the surgical tre a tm e n t o f chest diseases are n o t a d e q u a te ly covered. T here are, u n fo rtu n ately , a few e rro rs in the text which should have been e lim inated d u rin g p ro o f-rea d in g , including gram m atical e rro rs a n d reference to pages w hich in fact are u n related to the subject u n d e r discussion. D espite the a dverse c o m m e n ts a bove, this b ook gives excellent coverage in c ertain aspects o f p a e d ia tric p h ysio­ therapy. In p a rtic u la r the references a n d re ad in g lists given at the e n d o f each c h a p te r are really com prehensive a n d should stim u la te the p h y sio th era p y stu d e n t, fo r w hom the book is inte n d e d , to m ake fu rth e r stu d y in h e r ow n field o f interest. S. IR W IN -C A R R U T H E R S . IN L E ID IN G IN D E K IN E S IO L O G IE VAN D E M E N S — D r. R. H . R o z an d a l. U itgew ery: S tam T echnische B oeken, B.V., 1974, C u lem b o rg , N e d erla n d . N o t available. H ierdie 3de d ru k van b o genoem de boek w a t in 1968 vir die eerste keer verskyn het, is o p baie p lekke heeltem al h e rsien ; o.a. is die h o o fstu k k e o o r s ta a n en die kinesiologie v an lo o p herskryw e om a a n te pas a a n m o d ern e o n d e rso ek op h ierdie gebied. D ie h o o fstu k k e o m v at sitologie en histologie, die skelet, vegetatiew e stelsels, sindesm ologie, m iologie, senuw eestelsel, funksionele a n ato m ie van arm , been en ro m p en die h o o f­ stu k k e o o r sta a n en loop. W at ’n g ro o t verbetering is, is d a t in die h o o fstu k k e o o r fu n ksionele a n a to m ie v an a rm , been en ro m p ruim a a n d a g geskenk is a a n o p p e rv la k sa n a to m ie en topografiese a n a to m ie van b loedvate en senuw ees. H ierdie h o o fstu k k e bevat, naas tabelle o o r senuw eevoorsiening en w ortelw aardes v an die spiere, o o k skem atiese o orsigte v a n die spiere m et hulle vern aa m ste funksies, w a a rb y aangegee is die funksie van die spier alleen en in sam ew erking m et a n d e re spiere. D it is baie insiggew end om die funksies van spiere op een bladsy n a as m e k a a r te he. Soos reeds gese is die kinesiologie van lo o p uitvoerig behandel en om een en a n d e r d u id elik er te m a a k is ’n a p a rt ho o fstu k o o r teoretiese m eganika toegevoeg. Die hele boek is ruim ge'illustreer m et tekeninge om die teks n a d e r toe te lig en vir elke h o o fstu k is d a a r ’n uitgebreide lite ratu u rly s vir verdere studie. As geheel gesien is hierdie d ru k ’n g ro o t v e rbetering o p die eerste d ru k en k a n d it v a n g ro o t n u t wees nie net vir veral die A frik aa n s sp re k en d e fisio te rap ie stu d en t nie, m a a r o o k vir die gekw alifiseerde fisio te rap e u t w at h ier baie gegewens kry w at in h a a r daaglikse w erk van w a ard e k a n wees. B. G O E D H A R T . Abstracts A N A P P R O A C H T O T H E P R O B L E M S O F O R O F A C IA L D Y S F U N C T IO N IN T H E A D U L T by M . C. de Jersey. A u st.J.P h y sio th er., XX1(1), 5-10. T h e m uscles o f th e face, to n g u e a n d th ro a t have been discussed w ith special reference to th eir fu n c tio n in speech expression a n d sw allow ing. T h e p roblem s facing th e p a tie n t w ith o rofacial d y sfunction are o u tlin e d a n d th eir assessm ent a n d tre a tm e n t described. I believe th a t physio th era p ists have a g reat deal to offer p a tie n ts in th is generally neglected a re a . W e k n o w best how to re -educate m uscles, using th e sam e principles o f re­ e d u c a tio n fo r the facial m uscles a n d the m uscles o f the to ngue, p alate a n d th ro a t as we d o fo r th e biceps o r the tibialis a n te rio r. Psychologically, a n d fu n c tio n ally the facial a re a is of vital im p o rta n ce so th a t o u r p a tie n ts can e a t socially, speak intelligibly a n d convey e m o tio n th ro u g h facial expression. P rogress in this a rea , as in m ost others, com es in sm all a m o u n ts th ro u g h m uch h a rd w o rk on the p a rt o f b oth th e ra p is t a n d patient. T h e best results, how ever, com e w hen the p a tie n t a n d the m em bers o f the m edical professions w ork to g eth e r to achieve fu n c tio n al goals w hich a re realistic a n d o rien ted to w a rd s the needs o f the m ost im p o rta n t m em b e r o f the team — the p atient. A u th o r’s S um m ary. R ep ro du ce d by S ab in et G at ew ay u nd er li ce nc e gr an te d by th e P ub lis he r (d at ed 2 01 3. )