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Clinical Anatomy and Management of Cervical Spine Pain.


Clinical Anatomy and Management of Cervical Spine Pain Giles LGF, Singer KP, eds. Newton, MA 02158-1626, Butterworth-Heinemann, 1998, paperback, 214 pp, illus, $65.

This book is a comprehensive reference on the anatomy and biomechanics
1. The study of the mechanics of a living body, especially of the forces exerted by muscles and gravity on the skeletal structure.
2. The mechanics of a part or function of a living body, such as of the heart or of locomotion.
 of the neck, mechanisms of neck injury, and management of neck pain. The renowned contributors to this volume have diverse experiences and backgrounds and other detailed information in their areas of expertise.

The chapters are logically arranged to address the topic from anatomy through medical and surgical management. The first chapter describes the anatomy and the proper posture of the cervical region. This chapter includes a brief description of the consequences of motor vehicle accidents, which chapter 5 addresses in greater detail. The first chapter also describes innervation
1. the distribution or supply of nerves to a part.
2. the supply of nervous energy or of nerve stimulation sent to a part.inner´vatory


in·ner·va·tion (n
 and the autonomic nervous system autonomic nervous system: see nervous system., pain mechanisms, and degenerative processes involving the cervical spine. Chapter 2 further depicts anatomy, biomechanics, and head and neck mobility, often using helpful figures as illustration.

The cervicothoracic
1. Relating to the neck and thorax.
2. Relating to the disk between the seventh cervical vertebra and first thoracic vertebra, or to the fusion of these vertebrae.
 transition is an area that poses difficulties for clinicians. Chapter 3 describes the distinguishing features of the cervicothoracic junction and should be useful in understanding this less commonly described area of pain. Chapter 4 covers the radiological analysis of the kinematics of the cervical spine. Interestingly, line drawings, rather than photographs or stills from spine films, are used to supplement the text.

The scope, pathophysiology
1. The functional changes associated with or resulting from disease or injury.
2. The study of such changes. Also called physiopathology.

patho·physi·o·log, and sequelae of motor vehicle accidents arc described in chapter 5, and this chapter is a particularly strong portion of the text. Although the radiological analysis chapter did not include films, chapter 6, which addresses diagnostic imaging, more than compensates for this absence. This chapter will prove to be beneficial to physical therapists who have not had extensive radiology training.

In chapter 7
Chapter 7
A bankruptcy proceeding where a company stops all operations and goes completely out of business. A trustee is appointed to liquidate (sell) the company's assets, and the money is used to pay off debt.

Notes:
The investors who take the least risk are paid first. For example, secured creditors take less risk because the credit that they extend is usually backed by collateral, such as a mortgage or other asset of the company.
, Calliet describes the medical management of neck pain. This chapter is concerned primarily with posture and traction. The ensuing chapter deals with surgical management and, again, should prove useful for physical therapists. The following 3 chapters (9-11) address the management of the cervical spine by chiropractors, osteopaths os·te·op·a·thist (st-p, and physical therapists, respectively. The similarities and differences among the approaches are interesting and are helpful in increasing the reader's understanding of different schools of thought.

Chapter 12 thoroughly describes the contraindications contraindication /con·tra·in·di·ca·tion/ (-in?di-ka´shun) any condition which renders a particular line of treatment improper or undesirable.

con·tra·in·di·ca·tion (kn
 tar manipulation of the cervical spine. The medico med·i·co (md-k-legal implications and the potential tar disastrous consequences of high velocity thrust in the presence of vertebrobasilar insufficiency and spinal instability make this chapter especially important reading.

The prevalence of neck pain and the increasing use of computers in society warrant special attention regarding the diagnosis and management of cervical spine conditions. This book will prove to be a very useful resource for physical therapists who manage patients with neck pain.

Dr Schenk is Associate Professor inn the physical therapy program and President and owner of Schenk Physical Therapy. His research interests include orthopedic physical therapy and functional outcomes.
COPYRIGHT 1998 American Physical Therapy Association, Inc.
No portion of this article can be reproduced without the express written permission from the copyright holder.
Copyright 1998, Gale Group. All rights reserved. Gale Group is a Thomson Corporation Company.

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Article Details
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Author:Schenk, Ronald
Publication:Physical Therapy
Article Type:Book Review
Date:Sep 1, 1998
Words:468
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