Collision Sports

1
Physiotherapy August 2000/vol 86/no 8 442 Blackwell Science, Oxford 1999 (ISBN 0 632 05108 6). 475 pages by Bridgit C Dimond £29.50 Professor Dimond’s excellent and wide-ranging guide reflects her own commitment and concern for the profession of physiotherapy, as its members encounter legal issues which impinge ever more seriously and more often upon practice. The increasing independence of the profession demands that its members are conversant with the law as it affects individuals’ rights, privileges and duties and their relationship with colleagues, other professionals and, above all, patients. It is readily acknowledged that, even at the time of publication, there are many changes in the law (including the statutory structure of the National Health Service and the regulatory role of professional bodies) coming into effect or foreseeable. What Professor Dimond successfully does is state the law clearly as it stood in August 1999 in such a way that any physiotherapist should feel informed and confident in practice, and determined to maintain knowledge and interest in the future (at least until the next edition). The text covers, in succinct and clear style, a whole range of issues, many of which could be the subject of a book in their own right. The main issue of a professional person’s accountability is well set out in its many forms. Although much of the law is of common application to many professions, this book is geared entirely to the practice of physiotherapy and the author is well aware of the special problems and considerations that arise. The law is set out in an approachable style and each chapter ends with questions and exercises that illuminate the problems in practice and properly test readers to ensure that, even if they do not know the answer to a question, they recognise where the problems and pitfalls may lie. The comprehensive footnotes and references should provide further answers. Many physiotherapists may hope (with good reason) to avoid contact with lawyers in their professional practice. This valuable book helps in that exercise, in friendly fashion, but is also there as a comprehensive ally, should the worst happen and complaint arise. This comprehensive text should be seen as a necessary resource, available to turn to at any stage of a career. John Taylor LLB Legal Aspects of Physiotherapy Butterworth Heinemann, Oxford 1998 (ISBN 0 7506 3142 2). Illus. 280 pages by David Fèvre MCSP £25 This single-authored text deals with the contact sports of association football (soccer) and rugby football. While the style of the text is casual, it manages to convey an air of professional confidence and authority. One aspect of the book, which in my opinion raises it above the level of mediocrity that many ‘sports injury’ texts attain, is the use of what the author calls ‘case studies’. These take the form of a few lines of usually anecdotal information gleaned from the author’s extensive experience. These bring the text alive and help readers to gain a very real appreciation of the actual practicalities of delivering a physiotherapy service in what at times can be demanding and challenging circumstances. The opening chapter gives a detailed description of the medical team and highlights the pivotal role that a physio- therapist should play in such a group. Chapter 3 deals with the management of injuries on the field of play. This includes a very useful section on head injuries, which details a concussion rating system and management protocol. Chapters 4 and 5 deal with acute and chronic injuries respectively. The latter includes descriptions of clinical approaches and therapeutic treatment modalities. These descriptions are generally too short to do justice to the subject matter. Use of case studies in this chapter might have been a better way of introducing and justifying the author’s preferred treatment strategies. The final three chapters are devoted to the practicalities of treating upper and lower limb injuries and to designing and implementing rehabilitation programmes. The rehabilitation examples have, where possible, a functional and sports specific bias. This should be commended but I would have serious reservations about adopting the idea of incorporating ball- dribbling skills on a treadmill! In the preface the author expresses his wish that this book would get ‘dog-eared’ through use in treatment rooms. However, I do not feel that this would be its best use. It is not the type of book to dip into as one would to check up on some anatomical detail that has slipped from mind or on a rarely used taping technique. Instead of using this book on the hoof in a treatment room it should be used when planning a treatment or rehabilitation programme or indeed a possible career in sports physiotherapy. This book is not a comprehensive text in terms of pathology and specific treatment and rehabilitation strategies. It does however address the key issues in identifying and managing the commonly encountered injuries in collision sports. Anyone who wants to gain an appreciation and understanding of what is required of a physiotherapist working with a contact sports team should read this book. Philip Newton MCSP Collision Sports Injury and repair

Transcript of Collision Sports

Page 1: Collision Sports

Physiotherapy August 2000/vol 86/no 8

442

Blackwell Science, Oxford1999 (ISBN 0 632 05108 6). 475 pages

by Bridgit C Dimond £29.50 Professor Dimond’s excellent and wide-ranging guide reflectsher own commitment and concern for the profession ofphysiotherapy, as its members encounter legal issues whichimpinge ever more seriously and more often upon practice. Theincreasing independence of the profession demands that itsmembers are conversant with the law as it affects individuals’rights, privileges and duties and their relationship withcolleagues, other professionals and, above all, patients.

It is readily acknowledged that, even at the time of publication,there are many changes in the law (including the statutorystructure of the National Health Service and the regulatory roleof professional bodies) coming into effect or foreseeable. WhatProfessor Dimond successfully does is state the law clearly as itstood in August 1999 in such a way that any physiotherapistshould feel informed and confident in practice, and determinedto maintain knowledge and interest in the future (at least untilthe next edition).

The text covers, in succinct and clear style, a whole range ofissues, many of which could be the subject of a book in their ownright. The main issue of a professional person’s accountability iswell set out in its many forms.

Although much of the law is of common application to manyprofessions, this book is geared entirely to the practice ofphysiotherapy and the author is well aware of the specialproblems and considerations that arise. The law is set out in anapproachable style and each chapter ends with questions andexercises that illuminate the problems in practice and properlytest readers to ensure that, even if they do not know the answerto a question, they recognise where the problems and pitfallsmay lie. The comprehensive footnotes and references shouldprovide further answers.

Many physiotherapists may hope (with good reason) to avoidcontact with lawyers in their professional practice. This valuablebook helps in that exercise, in friendly fashion, but is also thereas a comprehensive ally, should the worst happen and complaintarise.

This comprehensive text should be seen as a necessaryresource, available to turn to at any stage of a career.

John Taylor LLB

Legal Aspects of Physiotherapy

Butterworth Heinemann, Oxford 1998 (ISBN 0 7506 3142 2). Illus. 280 pages

by David Fèvre MCSP £25This single-authored text deals with the contact sports ofassociation football (soccer) and rugby football. While the styleof the text is casual, it manages to convey an air of professionalconfidence and authority. One aspect of the book, which in myopinion raises it above the level of mediocrity that many ‘sportsinjury’ texts attain, is the use of what the author calls ‘casestudies’. These take the form of a few lines of usually anecdotalinformation gleaned from the author’s extensive experience.These bring the text alive and help readers to gain a very realappreciation of the actual practicalities of delivering aphysiotherapy service in what at times can be demanding andchallenging circumstances.

The opening chapter gives a detailed description of themedical team and highlights the pivotal role that a physio-therapist should play in such a group.

Chapter 3 deals with the management of injuries on the fieldof play. This includes a very useful section on head injuries,which details a concussion rating system and managementprotocol.

Chapters 4 and 5 deal with acute and chronic injuriesrespectively. The latter includes descriptions of clinicalapproaches and therapeutic treatment modalities. These

descriptions are generally too short to do justice to the subjectmatter. Use of case studies in this chapter might have been abetter way of introducing and justifying the author’s preferredtreatment strategies.

The final three chapters are devoted to the practicalities oftreating upper and lower limb injuries and to designing andimplementing rehabilitation programmes. The rehabilitationexamples have, where possible, a functional and sports specificbias. This should be commended but I would have seriousreservations about adopting the idea of incorporating ball-dribbling skills on a treadmill!

In the preface the author expresses his wish that this bookwould get ‘dog-eared’ through use in treatment rooms. However,I do not feel that this would be its best use. It is not the type ofbook to dip into as one would to check up on some anatomicaldetail that has slipped from mind or on a rarely used tapingtechnique. Instead of using this book on the hoof in a treatmentroom it should be used when planning a treatment orrehabilitation programme or indeed a possible career in sportsphysiotherapy.

This book is not a comprehensive text in terms of pathologyand specific treatment and rehabilitation strategies. It doeshowever address the key issues in identifying and managing thecommonly encountered injuries in collision sports. Anyone whowants to gain an appreciation and understanding of what isrequired of a physiotherapist working with a contact sports teamshould read this book.

Philip Newton MCSP

Collision Sports Injury and repair