Walk Tall! An Exercise Program for the Prevention and Treatment of Osteoporosis.

Walk Tall! An Exercise Program for the Prevention and Treatment of Osteoporosis Meeks S. Gainesville, FL 32604-1355, Triad Publishing Co, 1999, paperback, 94 pp, illus, ISBN: 0937404381, $16.95.

This book is a comprehensive guide to exercise for anyone who has osteoporosis or is at risk for developing this condition and for the clinician who provides health care to this patient population. An experienced physical therapist and geriatric clinical specialist, the author has consolidated information from her clinical practice and continuing education courses into this simple, yet thorough, programmed text.

The book is organized into 7 chapters that focus on mental imagery to improve posture, specific exercises designed to reduce spinal compression and increase the strength of the back extensor muscles, balance exercises to reduce fall risk, walking as a weight-bearing exercise, scapular stabilization, proper body mechanics while performing everyday activities, and suggestions for complementary activities including aquatic exercises, yoga, aerobic conditioning, tai chi, and recreational sports. Each chapter provides illustrations and step-by-step instructions that most readers can easily understand. A glossary of terms is also provided to define specific muscle groups, joint motions, and assistive devices that may be unfamiliar to the general public. Several of the exercises may appear to be redundant, but these variations are used as readers progress through the exercise sequence. Although the author provides helpful "tips" to describe the purpose of each exercise, she does not always include the criteria for this progression. In addition, information is provided on how to obtain videotapes of the exercises illustrated in this book and how to obtain a companion book that addresses the diagnostic and medical management of osteoporosis.

Because of its contents, this book is worth purchasing, especially considering the number of individuals who have osteoporosis but never have the opportunity to consult with a health care professional regarding an appropriate exercise program. I would encourage physical therapists and other health care professionals who counsel patients with osteoporosis or who participate in health promotion programs for middle-aged and older adults to recommend this book as a prevention and treatment guide.

Martha R Hinman, PT, EdD
The University of Texas Medical Branch
Galveston, Tex

Dr Hinman is Associate Professor in the Department of Physical Therapy. Her research interests include balance and mobility in older adults, reliability of various balance measures, and health promotion for older adults and individuals with osteoporosis.