Enjoylng Life With Emphysema, by Thomas L Petty MD and Louise M Nett RN RRT. Lea and Febiger, Philadelphia, 2nd edn, 1987. Available from Quest-Meridien, 145a Croydon Road, Beckenham, Kent BR3 3RB (ISBN 0 8121 1102 81. 178 pages. $14.95.

The 15 chapters in this book are present- ed in a simple, clear style which is addressed primarily to patients with emphysema and chronic bronchitis and their families. The first chapter, the anatomy and physiology of the respiratory system, is expressed in layman terms and conveys the educative message of the book. The simple assessment procedures are written to stimulate participation in management of their lifestyle and self-monitoring.

Encouragement is given to stop smoking and to work towards a cleaner atmosphere. It is interesting to note that there is a move away from the use of positive pressure 'breathing machines' to the introduction of bronchodilator therapy.

Anxiety, depression and somatic- preoccupation are a triad of symptoms discussed with reference to rehabilitation, work and recreation. Readers are given encouragement to experiment and to explore new avenues of interest, exercise and travel with the use of oxygen if necessary.

Remarkable stories about activities in support groups are encouraging for patients and stimulating for professionals and health workers. Helpful hints are given to assist in daily living tasks, reviewing of personal resources and maintaining productivity.

The final chapter is titled 'Remember to live'. The positive attitudes of the two authors will surely stimulate readers, who are not patients, to work constructively towards helping the patients to live the fullest life possible within the limits of their chronic condition.

DIANA INNOCENT1 MCSP

Musculoskeletal Pain - Diagnosis and Physical Treatment, by David A Zohn MD. Churchill Livingstone, Edinburgh, 2nd edn, 1987 (ISBN 0 316 98897 9). 261 pages. €29.95.

This is a book written primarily for doctors, and is intended to give them an overview of various musculoskeletal pain syndromes, their diagnosis and treatment. The second edition comes 11 years after the original publication and has been extensively up-dated.

The author is staff physician at the Rehabilitation Medicine Center of North

Virginia, USA. He has approached the subject in three main sectors - diagnosis, including anatomy, physiology and clinical examina- tion; treatment; and pain conditions, including descriptions of common syn- dromes of various origin.

The book is well laid out and the material is clearly presented, interesting and easy to read. However, it is designed for medical practitioners in America as a basic guide to help them through the complex subject of musculoskeletal pain, and is neither detailed or accurate enough to be really useful as a text for UK physiotherapists. Our own methods of physical examination and treat- ment are on a different level and while this book may provide a useful text for depart- ment libraries, I do not feel that it has anything original to contribute in the field of physiotherapy.

JEAN JOHNS MCSP

TMJ Disorders - Management of the craniomandibular complex. Vol 18: Clinics in Physical Therapy, edited by Steven L Kraus PT. Churchill Livingstone, New York, 1988 (ISBN 0 443 08484 XI. Illus. 422 pages. f 32.50.

This is an American book - the 18th volume in the series 'Clinics in Physical Therapy' - consisting of 12 chapters with contributions by 14 authors including physical therapists, dentists, orthodontists and oral-surgeons.

It is intended primarily for physio- therapists and dentists interested in the treatment of temporomandibular joint (TMJ) and craniomandibular disorders, and it aims to provide a better understanding of the anatomy and biomechanics of these disorders, their diagnoses and management.

Apart from the elaborate vocabulary, the text is well written and presented, accom- panied throughout by clear diagrams and photographs. Many of the chapters overlap slightly in the subjects covered. Chapter 3 on anatomy and biomechanics analyses in depth each individual structure associated with the craniomandibular joints and their specific and overall functions.

The chapters concerning physiotherapy treatment, particularly chapter 6, all emphasise the importance of making a thorough assessment of not only the TMJ but the whole of the 'upper quarter', includ- ing the cervical spine. Chapter 11 provides a detailed account of both subjective and objective examination, passive mobilisation techniques and home exercises, as well as the indications, applications and contra- indications for various electrical and

thermal treatments such as ultrasound, TENS, electro-acupuncture and biofeed- back.

Other chapters discuss the intiuence of the cervical spine, normal and faulty posture, the development of the upright posture in infants and the resulting adaptations that occur in the cranio- mandibular joints. The conservative and surgical management of TMJ disorders, including splinting methods, is covered.

I would recommend this worth-while book for all physiotherapists and dentists who encounter TMJ problems and also for those working with children's postural and developmental problems. It may, on first reading, appear somewhat awe-inspiring, but one should appreciate that it fills a gap to provide a wealth of information on a rather neglected joint. This is reflected in the relative scarcity of literature, and post- registration courses available on the TMJ compared with the abundance of informa- tion on other peripheral and spinal joints.

I would support the editor's concluding aim that two functions of this book are to stimulate further research on TMJ dis- orders and to promote a closer working relationship between physiotherapists, dentists and doctors working in this field.

DOMlNlQUE ROYLE MCSP

Manual Therapy for Chronic Headache, by Joy Edeling BSc(Phys). Butterworth, London, 1988 (ISBN 0 407 00560 9). Illus. 164 pages. €14.95.

The foreword is by G D Maitland. In the author's notes she refers to both his books of vertebral and peripheral manipulation.

The book is based on case histories of patients suffering from chronic headaches for many years, ie over a decade. The pain, its behaviour in nature and intensity, is established in depth with each patient, including the history. This is followed by a subjective and objective examination with illustrations. She includes her classification of headaches giving a differential diagnosis of the vascular migraine and the fully developed cervical articular headache.

The chapters included are on concepts of 'migraine and headaches'; assessments; techniques; management; indications and contra-indications with case histories.

It is clearly written with appropriate illustrations, particularly for the therapist to whom the subject may be new and also for revision purposes. A useful book for depart- ments and the individual who has a particular interest in musculoskeletal conditions.

J HODDER MCSP

Illustrations from 'Manual Therapy for Chronic Headache':

Far left: Lower cervical flexion combined with upper cervical extension

Left: The same movement with overpressure

590 physbtherapy, November 1988, vol74, no 1 1