Finally, an evidence-based/informed textbook with clear and concise post-op rehabilitation guidelines for many different surgeries.
This 3rd edition of Rehabilitation for the Postsurgical Orthopedic Patient by Lisa Maxey and Jim Magnusson brings new chapters and updated protocols, with contributions from some well-known physiotherapists such as Mike Reinhold and Kevin Wilk.
It spans 34 chapters split into four parts: 1) introduction, 2) upper extremity, 3) spine, and 4) lower extremity. Since the last edition, a number of new chapters have been added: clinical applications of platelet-rich plasma (PRP), lumbar disc replacement, autologous chondrocyte implantation, bunionectomies, transitioning the patient back to running, transitioning the jumping athlete back to the court, and transitioning the throwing athlete back to the field. This book is definitely geared more towards physiotherapists, but it’s certainly of value to kinesiologists, osteopaths, chiropractors, and other health care providers involved in physical rehabilitation.
Rehabilitation for the Postsurgical Orthopedic Patient starts with two fantastic and thorough introduction chapters. The first is pathogenesis of soft tissue and bone repair and covers topics such as incision and wound healing, ligament, muscle, and tendon injuries/healing, and bone injuries/healing. The second chapter describes soft tissue healing considerations post-surgery, covering connective tissue structure and biomechanics, effects of immobilization, remobilization, and trauma, as well as sample connective tissue mobilization techniques. These are great refreshers for those who are a little rusty since learning this material back in school, but are also incredibly useful for students in class or on placements/internships to aid in their clinical experience(s) to better educate their patients and immediately put this material into practice.
Each of the following chapters cover a specific surgical procedure and follow the general format of introduction/etiology, surgical indications and considerations, an outline of the surgical procedure, therapy guidelines for rehabilitation, and troubleshooting. A word of caution: some of the surgical pictures are quite graphic, so for those who are a bit squeamish, covering-up the images while reading, looking elsewhere on the internet (physiopedia is a great place!), or having someone read the information to you may be a better option.
- Chapters are evidence-based/informed with thorough referencing
- Clinical case reviews at the end of each chapter cover brief cases as well as provide answers to common questions pertaining to the specific surgery/intervention
- Great use of tables to outline rehab phases, progression criteria, functional goals, and rationales, as well as images to show surgical procedure explanations and exercise instructions
- Troubleshooting sections provide great advice in cases where patients aren’t progressing as expected (e.g. checking cervical/thoracic spines, nerve tension, AC/SC/ST joints, etc, in those with rotator cuff repairs)
- The link to Exercise Pro doesn’t work
- The ability to print out protocol sheets in PDF/Word format from the website is great, but the sheets aren’t label in the list of protocols (being referred to only by chapter number) nor do they have the title at the top of the protocol page – as such, the reader must refer to the corresponding chapter in the book to know what surgical procedure the author(s) are referring to
- The quality of some exercise images could be better
Given the amount of up-to-date, clinically relevant, and in-depth information described within this textbook, Rehabilitation for the Postsurgical Orthopedic Patient is definitely worth taking the time to read for those in orthopedic practice.