Book Review


Title: Physical Medicine and Rehabilitation: Q&A Review
Authors: Lyn D. Weiss, MD; Harry J. Lenaburg, MD; Jay M Weiss, MD
Publisher: Demos Medical; Number of pages: 474
Reviewed by: Jim Rogers, CPO, FAAOP

The field of physical medicine and rehabilitation has expanded to include many practicing orthotists and prosthetists, who may serve as adjunct faculty within their departments and otherwise educate residents on the subtleties of our unique clinical world. This book is for these clinicians who play a role in PM&R education.

Physical Medicine and Rehabilitation: Q&A Review describes itself as "a comprehensive active self-assessment tool for medical students, residents, and junior attending physicians in physical medicine and rehabilitation" and "the first question-and-answer review book in this field."

The text is broken down into 15 sections, each representing a PM&R topic. These include anatomy and the musculoskeletal system, neuromuscular disorders and brain injury, and allied health subjects relevant to PM&R, such as speech therapy and O&P.

The chapter on O&P includes additional content on assistive devices. The first part of the chapter consists of nearly 150 multiple choice questions, spanning the breadth of orthotics and prosthetics. Prosthetic topics include etiology, amputation methods and levels, post-operative management, socket design and component considerations, dermatological issues, pharmaceutical options, and gait deficits, with many questions specific to the management of upper limb amputation.

There is a great deal of material relating to upper limb orthotic considerations that many orthotists might find helpful to review. This is followed by additional material on AFO considerations, knee bracing, shoe modifications, and principles of spinal orthotics.

Following the 24 pages of questions is a 16-page section comprised of both the correct answers to the questions and fleshed-out explanations. For example, in the first section, the reader is asked to identify which of the following is an amputation at the tarsometatarsal junction: transmetatarsal, Syme's, Lizfranc, or Chopart. In the second section, in addition to the correct answer (Lizfranc), the text defines each of the other amputation types.

In summary: This text will be of the greatest value to the practicing clinician who plays a role in PM&R education. At its most basic level, it could be used to create a pre- or post-test or mock exam for students of PM&R. More broadly, the publication helps to identify the depth of content that is appropriate within the professional world of PM&R.

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