B o o k ^ treatment transforms fibroblasts into m yofibroblasts. A m erican ^ J o u rn a l o f P a th o lo g y , 137:171-178. Rajarathan S, B olton P & D y so n M. 1994. M acrophage resp o n siv e­ n ess to laser therapy with varying pu lsin g freq u en cies. O riginal arti­ cle, T issue Repair Research unit, U nited M edical and D ental S ch o ols, Guy's H ospital Cam pus, London. Silver 1A. 1984. O x yg en and T issue repairs. In Ryan TJ (ed .) An en v i­ ron m en t f o r h ea lin g : the role o f o cclu sio n . R oyal S o c ie ty o f M edicin e International C ongress and S ym p osium S eries, 1: 88:18. Skinner SM , G age JP, W ilce PA & Shaw RM . 1996. A preliminary study o f the effects o f laser radiation on co lla g en m etabolism in ce ll culture. A u stra lia n D e n ta l J ou rn a l, 4 1 :1 8 8 -1 9 2 , 1996. T occo G , L e Borgue de K a ov el C & Aubert C. 1985. H e N e and I.R. m id laser in flu en ces in skin ce lls in vitro; prelim inary results. P roceedings o f the International C ongress o f L asers in M edicin e and Surgery, 175-182. Van B reugel HH & Bar PR. 1992. P ow er density and exposure tim e o f H e-N e laser irradiation are more important than total energy clo se in photo-biom odulation o f human fibroblasts in vitro. L a s e r s in S u rg ery a n d M e d icin e , 1 2:528-537. Young S, B olton P, D yso n M , H arvey W & D iam antopoulis C. 1989. M acrophage resp on siveness to light therapy. L a s e r s in S u rg ery an d M e d icin e , 9 :4 9 7 -5 0 5 . Zugaro A , R izzo G L, P iccin n i M , C ontinenza M A & R icciardi G. 1991. A pplication o f infrared lasers on in vitro culture o f fibroblasts: effe cts o f the duration o f treatment parameter. A n n a li Ita lia n i d i C h iru rgia, 6 2:5 7 7 -5 8 0 . EXCELLENT WEEKLY PAY+BONUSES SHORT/LONG TERM POSITIONS NATIONWIDE UK ENTRY CLEARANCE ADVICE FREE INDEMNITY INSURANCE UK CPSM REGISTRATION REFUND FREE PERSONAL TAX ADVICE ACCOMMODATION OFTEN ARRANGED PERSONAL AND FRIENDLY SERVICE - ALWAYS FREEPHONE UK from SOUTH AFRICA 0800 990 767 or fax 09 44 181 554 9900 o r c o n ta c t o u r R ep re se n ta tiv e f o r S o u th A fric a DANIEL KOTZE BDIAC Social Work/BA(SW) a t o u r o ffic e s e ve ry M o n d a y PS. We also help O T s . Speech Pathologists Nursery Nurses and Social Workers V is it o u r W e b s ite h ttp :/ / w w w .a sa -locu m s.d em .on .co.u k Em ail lo c u m s @ a s a *lo c u m s . d e m o n , co.u k T h e C h a r te r H o u se • C h a r ie r M e w s - 18a B e e h iv e L a n e - Ilfo rd • E s se x - IG1 3 R D • U K R e v i e w CYRIAX'S ILLUSTRATED MANUAL OF ORTHOPAEDIC MEDICINE 2 n d edition E d ite d b y : Y v o nn e R B u rn s an d J u lie M a c D o n a ld Pub. WB Saunders Company Ltd (1996) ISBN: 0-7020-1942-9 Eds. J H C yriax and P H Cyriax. Butterworth and H einneman, Scotland, 1996. ISB N 0 7506 3274 4 R eview ed by Jessica Fortune This is the revised edition o f C yriax Illustrated M anual of O rthopaedic M edicine, w idely used by undergraduate students as part o f th e ir m usculo-skeletal course. T he focus o f the 2nd edition rem ains on the assessm ent, diagnosis and treatm ent o f m ainly soft tissue lesions and jo in t pathology. T he bo ok em phasizes a holistic approach to the assessm ent o f soft tissues including the join ts and spine. In the assessm ent o f a painful area, the structure and function o f each soft tissue is follow ed through logically to determ ine the possib le diagnosis. T h ese assessm ents are clearly illustrated. T he m ethod o f treat­ m ent used by C yriax is that o f deep m assage, intra-articular m anipulation and injections o f the painful areas. T hese are clearly illustrated using colour p hotographs and line draw ings. In the preface, C yriax acknow ledges that alternative form s o f treatm ent to that prescribed in the text exist. T he 2nd edition includes discussion about m o d e m eq uipm ent and diagnostic aids, w hich include M R I and diagnostic ultrasound. In ad d i­ tion, use o f alternative techniques to treat som e o f the soft tis­ sue pathology is m entioned, for exam ple, acupuncture. A lim i­ tation though is that there is very little discussion encom pass­ ing n ew er diagnostic m odalities and alternative form s o f treat­ m ent, w ith lim ited references. N o references are included to support or substantiate C yriax's techniques The publishers have im proved the layout, w ith a larger, easy- to-read type. T his brings the captions in closer proxim ity to their subject m atter on each page. M ost o f the illustrations used have been refined. Photographs have been replaced w ith new line draw ings; close-up photographs are enlarged m aking the exam ination sequences easy to follow. T he chapters are w ritten in a style w hich is sim ple and easy to follow. In addition, the chapters describing each jo in t assessm ent, differential d iagn o ­ sis and treatm ents are follow ed w ith a tabulated synopsis o f the m ost salient points. T hese synopses are enclosed as fact sheets in the appendix and ensure that the bo ok is w ell sum m arized. T he book is w ell indexed, m aking it very user friendly. Both the novice and experienced p h ysio th erap ist w ill find the text easy to read and the superb illustrations co m p lim en t the text very w ell. H ow ever, the m anual should n o t be exclusively relied on regarding the treatm ent o f soft tissue orthopaedic co n ­ ditions, as alternative techniques, have not been adequately addressed. In conclusion, this is a valuable reference fo r the assessm ent o f m ost soft tissue and jo in t pathologies. 22 SA J o u r n a l o f P h y s io th e r a p y 1998 V o l 54 No 1 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. ) http://www.asa-locums.dem.on.co.uk