Journal of Rehabilitation Medicine 51-9 | Page 97
J Rehabil Med 2019; 51: 721
Physical Management for Neurological Conditions,
4 th edition, Shelia Lennon, Rita Ramdharry and Geert
Verheyden, pp. 592, 2018. ISBN: 9780702071744.
Elsevier, Amsterdam, The Netherlands.
The 4 th edition of this book focuses mainly on the prac-
tical side of the rehabilitation management of patients
affected by neurological conditions. This new edition
aspires to confirm itself as one of the most up-to-date
evidence-based textbooks for undergraduate students
in health professions and qualified therapists in this
field.
The authors comprise an international team of
experts (clinicians and researchers) in the field of
neurorehabilitation. The book consists of 24 chapters
divided into 3 main sections. The first section deals
with background knowledge about principles in neu-
rological rehabilitation, common impairments and
their impact on activity, observation and analysis of
movement, measurement tools, goal-setting in rehabi-
litation and respiratory management. The second sec-
tion addresses the management of specific conditions,
including stroke, traumatic brain injury, spinal cord
injury, multiple sclerosis, Parkinson’s disease, inhe-
rited neurological conditions (Huntington’s disease,
hereditary ataxias and hereditary spastic paraparesis),
motor neurone disease, polyneuropathies (Guillain-
Barré syndrome, chronic inflammatory demyelina-
ting polyradiculoneuropathy, diabetic neuropathy
and Charcot-Marie-Tooth disease), muscle disorders
and functional motor disorders. The third section is
about specific aspects of rehabilitation management,
including self-management, virtual reality and inter
active gaming technology, falls, physical activity and
exercise, vestibular rehabilitation, pain management,
clinical neuropsychology and complex cases.
Although there are a range of different authors, it
is appreciated that this book is a choral work with a
logical line connecting its main sections and their parts.
Every chapter is exhaustive and well-structured, inclu-
ding an introduction (with a useful outline categorizing
the main topics) followed by dissertations on the main
topics and conclusions. In addition, there are useful
keynotes (highlighted by a box), and self-assessment
questions at the end of each chapter. Charts provide cla-
rity to the topics discussed. The references range over
a long timeline, extending to the date of publication,
and appear to be fully up-to-date. They are clearly and
correctly explained by the authors, who often provide
useful comparisons among the current evidence in
the literature. At the end of the book, the “answer to
the self-assessment question” section is an interesting
editorial choice, which will be useful, in particular,
for students (according to the purpose of this book).
A suggestion for future editions would be to consider
the differentiation of levels of information, including
further details separately from the base knowledge.
This would be more in line with the different target
populations of this book (i.e. undergraduate stu-
dents in health professions and qualified therapists).
Furthermore, I suggest making greater use of figures/
photographs in order to enable easier comprehension
of some tools (in particular by students).
Looking in more detail at Section 1 (Background
knowledge), the inclusion of more in-depth reporting
of the interpretation of the clinical results of different
rehabilitation approaches would be of value. More-
over, the provision of further information about neu-
roanatomy would make the comprehension of some
paragraphs and concepts easier.
Regarding Section 2, I suggest further stressing the
importance of a multidisciplinary team for the physical
management of the several neurological conditions
reported here. In this respect, considering that this is
an “international” book and that the responsibilities/
roles of team components may vary across countries
according to their regulatory backgrounds, the a uthors
should focus mainly on the general principles of the
multidisciplinary management of neurological con-
ditions.
For Section 3, the importance of dedicating a spe-
cific chapter to neuropsychological rehabilitation is
understood. However, it would be useful if further
information was also given about this tool in some of
the chapters about complex neurological conditions,
such as stroke, which involve not only motor function
disabilities but also cognitive ones.
As a whole, this is a handy book, which sets out
the information with a high degree of accuracy. In my
view, the entire multidisciplinary team would benefit
from reading it.
Professor Nicola Smania
Neuromotor and Cognitive Rehabilitation Research Center
(CRRNC), Department of Neurosciences, Biomedicine and
Movement Sciences, University of Verona,
UOC Neuroriabilitazione, Policlinico Borgo Roma,
Piazzale L.A Scuro, 1, 37134 Verona, Italy.
E-mail: [email protected]
BOOK REVIEW
This is an open access article under the CC BY-NC license. www.medicaljournals.se/jrm
Journal Compilation © 2019 Foundation of Rehabilitation Information. ISSN 1650-1977
doi: 10.2340/16501977-2596