The Pelvic Girdle: An Integration of Clinical Expertise by Diane Lee

This 452 page book illustrates and demystifies the pelvic girdle. If you have ever found yourself mystified by the nebulous diagnoses of ‘groin pain’ or ‘SIJ problems’ or ‘pelvic dysfunction’ then this book is for you.

The section on the anatomy of the lumbopelvic-hip complex is thoroughly illustrated with drawings, 3D models, MRI imaging and cadaveric specimens, providing an in-depth description and the tools to really visualise the functional anatomy of this area. Throughout the emphasis is on clinical reasoning giving frameworks that simplify how to think about the pelvic girdle.

The assessment section draws on the ‘Person in the Middle of the Puzzle’ framework of clinical reasoning, focusing on articular, neural, visceral and myofascial contributions to the symptoms. They are rich in ‘real life’ clinical illustrations of postural and movement analysis, providing a comprehensive guide to what to look for, aiding the reader to transfer the principles to the patient in their clinic.

The chapters on treatment give practical guidance in the application of a wide variety of manual therapy techniques as well as movement re-education and self help strategies for use by patients.

Format:

This book is available in the traditional printed format as well as in eBook form in either PDF or ePUB formats. All are illustrated in full colour and are supported by videos and further information on the book’s website.

Strengths:

The depth in which the subject matter is covered is excellent as is the synthesis of work and current thinking on the subject. Work on myofascial trains carried out by Myers is linked with the pain theories put forward by Butler and Melzack in a holistic patient centred approach.

Weaknesses:

Not all of the ebook formats are compatible with all devices, for example downloads via Adobe Digital Editions are not compatible with the iPad. Specialist abbreviations are used throughout the text, although these abbreviations are all listed, if un-familiar with this area the reader may find the flow of their reading hampered by having to cross reference these.

Audience:

This book would provide a valuable resource and clinical reasoning tool for any professionals interested in the interactions or posture, anatomy, neuromuscular control and biomechanics of the lumbopelvic-hip area.

Summary:

To say this book is a guide to the lumbopelvic-hip area is to do it a disservice, since whilst it most definitely is a thorough guide to the pelvic girdle it is much more than a handbook or a treatment recipe book. It is a thought provoking review of clinical reasoning in human movement and control.

The Pelvic Girdle

The Pelvic Girdle continues to provide the busy clinician with the latest evidence and clinical tools/knowledge to immediately impact and enhance daily practice for the management of lumbopelvic-hip pain and disability. The new model presented in this edition – The Integrated Systems Model and the Clinical Puzzle – co-developed by Diane Lee & Linda-Joy Lee, facilitates effective clinical reasoning, hypothesis development and prescriptive treatment.

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