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Musculoskeletal Pain interesting variations, although Emanating from Head predominantly common findings. and Neck Thc final four chapters focus on Current Concepts in Diagnosis, chronic cervical and TM,J pain from Management and Cost Containment an intcgratcd behavioural perspec- edited by Murray E Allen MD Haworth tive. The biomedical and psycho-

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Press, 10 Alrce Street, Binghamton, New

0300 7) lllus 129 pages $19 95

logical concpptual models of pain 13904 15809 (ISBN 7890 are scrutinised in light of recent

behavioural research. the conclus- This excellent text the presentations given to the Banff Symposium on Whip- lash. The authors are highly reputed within their spec- ialist fields and prcsent empirical research findings investigating the cause and man- agement of ‘whip- lash associated disorder’ (WAD), including temporo- mandibular joint (TMJ) dysfunction and chronic pain. The editorials high- light the problem of the increasing reported cases of WAD, and a summ- ary of the Quebec Task Force findings.

The material is concise, well written

a summary of ions of‘ which have considerable

SVN A dorsal view of the atlanto-occipital and atlanto-axial artic- ulations in ‘Musculoskeletal Pain Emanating from the Head and Neck’. The vertebral arches, tectorial membrane and posterior longitudinal and apical ligarnents have been removed to demonstrate the innervation of the right upper cervical synovial joints. Articular branches innervating the atlanto-occipital [AO] and lateral atlanto-axial [AA] joints arise from the C1 and C2 ventral rami [VR] respectively. The median atlanto-axial joint and the transverse and alar ligarnents are innervated by branches of the C1 to C3 sinu- vertebral nerves /SVN].

and readable. The 14 chapters take the form ofjournal articles. The first four explore the dynamics of motor vehicle rear-end collisions, the effect on passengers and thus the possible mechanism of injury. A chapter investigating cervical spine histo- logical evidence of motor vehicle accident victims then presents the case for discal and zygapophyseal joint injuries being commonplace in whiplash injuries.

A further chapter is devoted to local cervical anaesthetic block evidence which further incriminates the zygapophyseal joint as a source of symptoms in whiplash.

The next chapter gives results of high reliability and validity scores for a Neck Disability Index based on the Owestry Low Back Disability Index, and its use is encouraged within future studies.

There follow two chapters ex- ploring the research-based evidence of mobilisation and manipulation efficacy presented by a chiropractor and then a physiotherapist, with

implications for a change in trad- itional physiotherapcutic patient management

For anyone interested in an updated research reflective perspec- tive of the treatment of WAD, I would highly recommend this book. I t would be equally valuable for specialist nianual therapists and medics, as well as more junior phys- iotherapists wanting to broadcn their appreciation of‘this disorder. Due to the specificity of each chapter, and the multi-dimensional perspectivcs taken, many clinical neuromusculoskeletal aspects are not explored and therefore it would ideally supplement other clinically oricntcd texts

The book succeeds in its objectives of addressing thc reasons for the increase in WAD cases, and its inef- fectual management and giving direction lor more appropriate management and future research.

Jason Varty MSc ManTherapy

Dermatology and Person-threatening Illness The patient, the family, the staff edited by Robert R Walker, Agnes Beachman and lona Ginsburg. Haworth Press, Binghamton, New York 13904- 1580, USA, 1996 (ISBN 1 56024 81 7 3). 227pages. $39.95.

The book is divided into two main sections - ‘Psychosocjal considera- tion’ and ‘Practical lessons in dermatologic diseases’. Although section 2 is of some interest I found section 1 more so.

Tho overview given by Iona Gins- burg is thought-provoking. Shc statos tha t an individual’s self- esteem and body image may help determine how tha t individual relates to a skin illness. For example, histrionic patients may be extremely threatened by skin prob- lems, or deprossed persons may view them as deserved punishment.

The chapter by Caroline S Koblenzcr covers dermatitis arte- facts, a self-destructive disorder of body image where patients produce lesions on their skin. They deny producing these clearly destructive lesions and are unconcerned about pain or how unsightly they look. Dr Koblenzer gives some excellent examples which prompted me to obtain and read the full article.

I was also interested to read about psychogenic purpura syndrome. The scenario described is dramatic and very well written; I could still imagine the scene some time after reading the article.

Generally, this book is well written and well referenced; several times I was prompted to ring my hospital library to check if we had a certain reference.

I t is a small hardback book which lies flat when open, and is printed on acid-free paper.

Although this book is not suitable for a general physiotherapy depart- ment, I do feel there is a definite need for physiotherapists who work in psychiatry to read it and I shall be writing to the Association of Chartered Physiotherapists in Mental Health to suggest it is put on their book list.

Christine Marsh MCSP

If you have come across a new book which might help other readers, and it has not been reviewed in Physio- 1 therapy, please let u s know.

Physiotherapy, November 1997, vol83, no 11