Physical Therapy of the Knee, Clinics in Physical Therapy series, vol. 19.

Physical Therapy of the Knee, Clinics in Physical Therapy series, vol 19 The objective of this text is to present a model that physical therapists can use to develop their own rehabilitation programs for patients with knee injury. The sequence of the chapters reflects this model; the editor includes such topics as anatomy, pathomechanics, evaluation, conservative versus surgical treatment, and innovative approaches to surgery and rehabilitation. The 10 chapters are adequately illustrated with line drawings, photographs, and radiographs.

The chapters on pathomechanics of injury to the joint and associated injuries include concise descriptions of injury mechanisms, ligamentous injuries, instabilities, classification of instabilities, meniscal injuries, and other common disabilities such as fractures, bursitis, and overuse syndromes. The editor frequently uses illustrations and graphic displays of data to enhance the clarity of these descriptions.

The evaluation process is outlined using a comprehensive, systematic approach to objective data collection. A form for recording past history, present status, and physical examination data is provided. Descriptions, again with numerous illustrations, are provided for specific tests of flexibility, ligamentous stability, and functional status.

Special attention is devoted to the relationship between foot pronation and knee pain. Foot structure and function are reviewed, and abnormal osseous relationships are described and illustrated. Evaluation procedures to assess foot pronation are provided, and corrective procedures are demonstrated.

In the chapters on the patellofemoral joint and ligamentous injuries, pathologies and mechanisms of injury are reviewed. Specific surgical techniques are outlined, and specific rehabilitation procedures are provided. Clear line drawings aid in the understanding of surgical repairs and procedures

Innovative approaches to surgery and rehabilitation focus on meniscal repair, abrasion arthroplasty, adn total joint replacement. The rehabilitation process follows a phased approach: maximal protection, return to activity, and maintenance. The surgical procedures are described clearly and related to normal mechanics.

The closing chapter is on the isokinetic approach to the knee. The various types of exercise modes are explained, and testing procedures and protocol are outlined. Special attention is given to data analysis and interpretation and to scientific and clinical rationales for the use of isokinetic exercise.

Overall, the editor meets his objectives for the text. He has succeeded in gathering a group fo experts in the treatment of knee dysfunction to provide state-of-the-art information on this major physical therapy problem. The next is appropriate for all practitioners and should be an asset to both personal and departmental libraries.