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the chapters somewhat illogical and information broken up. The diagnosis and medical management, assessment and physical therapy management of arthritic conditions chapters are all separated and interspersed with relatively un- connected chapters which makes for some speedy page turning.

British readers will also find some of the treatment exercise examples prescriptive and not in line with current UK practice, eg a period of five days non-weight-bearing is recommended after an intra- articular injection in a weight- bearing joint. The use of splints also appea’rs to be an area of differing practice. Some medical terminology varies and the epidemi- ological statistics are mainly Canadian. However, the principles of management are the same and some case histories give ideas on specific treatment techniques.

Most of the chapters are well referenced and the tables and summary boxes included in the text illustrate the main points well. There is a user-friendly index and glossary. The appendices contain many references t o available resource literature, most of which originates from Canada and the US. There are also many examples of functional assessment question- naires used but none of British origin.

In conclusion$ this i s a useful hardback reference book that includes some colour photographs, which enhances understanding of the management of rheumatolog- ical conditions and also gives

Detail of a group exercise from ‘Physical Therapy in Arthritis’

physiotherapists some ideas for use in clinical practice in general out-patient departments, patients’ homes or rheumatology units. Phys- iotherapy departments, university libraries as well as individual ther- apists would benefit from buying it.

Anne V Chadwick MCSP

Muscles, Nerves and Movement Kinesiology in daily living by Barbara Tyldesley and June Grieve. Blackwell Science, Oxford (2nd edn), 1996 (ISBN 0 632 03603 6). Illus. 351 pages.

This undergraduate text aimed at occupational therapy students is in its second edition. The intention of this book is t o provide a balance between structural detail and rele- vant function in daily living. It also aims to facilitate a link between the understanding of normal movement and identification of some of the problems observed in patients.

In this edition the authors have introduced ‘clinical note pads’ which help t o achieve the link between theory and clinical practice. It would be good to expand further the use of this concept throughout the book. The learning objectives a t the end of each chapter have been extended and are a useful self- assessment tool for readers.

The book is divided into three sections. The first briefly covers the functional units of the muscu- loskeletal and nervous system and introduces movement terminology and biomechanical principles. The chapter on control systems is laid out in a clear and concise manner with good use being made of diagrams. This section is completed with a chapter on the functions of the peripheral nervous system.

Section 2 is called ‘Anatomy of movement’ and is divided into upper and lower joint and functional anatomy, which includes peripheral nerves, posture and breathing. This section covers the basic features of joint anatomy but students would need to refer t o more exhaustive texts to acquire a thorough under- standing. The upper limb is covered in more detail than the lower limb. The chapter on manipulative move- ments is particularly good with regard to hand function which is one

f 18.99.

of the reasons why this book may be more useful to occupational thera- pists.

Section 3, on integration of move- ment, highlights the important link between the sensory and other movement systems for the planning and performance of movement.

Generally, this book is clear in the ideas i t is trying t o express and is well laid out. The link between structure and function will make it particularly relevant for undergrad- uate students. It makes good use of clear diagrams.

References are suggested after each section but should be expanded upon, for example in the chapters on posture and gait analysis.

I would recommend this book as a useful support text for under- graduate physiotherapists studying kinesiology .

Mary O’Connell MSc MCSP MMACP

The Access Holiday Guide by Ian Wright. Access Holiday Guide, 7 Roundberry Drive, Salcombe, Devon TQ8 8 LY (4th edn) 1997. Illus. 86 pages. €3.50 (including UK postage).

Specifically for wheelchair users, this guide would be useful for people with any kind of handicap. I t describes youth hostels, nursing homes, boats, leisure centres and camp sites, as well as more conven- tional hotels and self-catering accommodation in the UK and abroad.

Some museums and places of interest are also described, and the author comments on special attractions such as home cooking, views and accessibility of hair- dressers.

The booklet ends with inform- ation on land, sea and air travel.

It is small and highly selective, but the advantage of this publica- tion is that all the residential venues described are personally vouched for by the author, himself a wheelchair user. Other establish- ments are merely listed and places of interest mentioned with their claims to accessibility stated.

More professionally presented and without the irritating verses of last year’s edition, this guide is a good armchair read even if you do not actually go on holiday.

JW

Physiotherapy, April 1997, vol83, no 4