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Assessment of the Lower Limb

"Highly respected and well-established guide to lower limb examination"

Assessment of the Lower Limb

Assessment of the Lower Limb
Editors: Linda Merriman & Warren Turner

Publisher: Churchill Livingstone; 2nd edition;

December 2002; 502 pages

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The Second Edition of this highly respected and well-established guide to lower limb examination and assessment of the foot provides completely revised and comprehensive coverage of the subject. Assessment of the Lower Limb is a widely used textbook.

The extensive updating for this new edition of Assessment of the Lower Limb takes into account developments in the subject at undergraduate level and ensures that students, newly qualified podiatrists, physiotherapists and all those involved in the diagnosis of foot problems have at their disposal a thoroughly modern text which will continue to be their indispensable diagnostic guide.

Features of Assessment of the Lower Limb:

* Logical structure matches the clinical reasoning process leading to accurate diagnosis
* Each chapter serves as a 'mini book' on its topic and so can be dipped into easily in the office or the lecture theatre
* Examines specific points of concern in different patient groups eg children, the elderly, sportsmen, the diabetic - following the contemporary realities of the lifespan style of practice
* Includes case studies to illustrate the theory - grounding the student's reading in working life of a podiatrist
* Fully referenced for further study
* Highly illustrated with photographs, line diagrams and colour plates - a much better way of quickly identifying disorders and conditions
* Edited by experienced educators - who are aware of student needs
* With contributions from experienced clinicians who are up-to-date with the latest developments in the clinical field.

Table of Contents of Assessment of the Lower Limb:

Part 1: Approaching the Patient Assessment.
The interview.
The presenting problem.
Clinical measurement.
Part 2: Systems Examination
Medical and social history.
Vascular assessment.
Neurological assessment.
Assessment of the locomotor system.
Assessment of the skin and its appendages.
Footwear assessment.
Part 3: Laboratory and Hospital Investigations Radiographic assessment.
Methods of analysing gait.
Laboratory tests.
Part 4: Specific Client Groups
The paediatric patient.
The sports patient.
The painful foot.
Assessment of the 'at risk' foot.
Pre- and post-operative assessment.

*Assessment of the Lower Limb is highly recommened by ePodiatry*

Book review from Manul Therapy:

"This is the second edition of a textbook written mostly by podiatrists. It is a comprehensive text covering all aspects of lower limb assessment and includes some general but related issues such as clinical measurement. Physical examination is approached from a systems perspective (vascular, neurological, orthopaedic, skin and footwear) across separate chapters. This section is followed by the next, which explores the adaptation of general principles of assessment to different client groups, such as children and the `sports patient'.

The book generally appears to be mostly written from a podiatry perspective although this is not entirely consistent as an attempt has been made to make the book useful to a wider audience. Unsurprisingly, the chapter on gait analysis is a particular strength of the book. Although brief, it is sufficiently detailed to include calcaneal and navicular movement during the gait cycle. The chapter on orthopaedic assessment covers an orthopaedic overview of the lower limb, which is insufficiently detailed in regard to assessment of joint movements and muscle tissue for students or practitioners of manual therapy. Neurological assessment, however, is written from the view of diagnosing which part of the nervous system is functioning abnormally, rather than from a screening purpose. Some theoretical concepts are missing, for example, where the skin and wound healing is discussed, information on the patho-physiology of healing, atrophy, tissue biomechanics is omitted. The vascular assessment chapter, by contrast, includes broad explanatory physiological detail.

The book is clearly written and is in hardcover, with colour photographs at the beginning and halftones throughout. The text is accurate and provides a useful overview and would benefit from some further development through linkage to clinical decision making and intervention. It would be a useful addition to the library of any manual therapist, to dip into, and would be a valuable textbook to the podiatry student.

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Other links of interest of relevance to Assessment of the Lower Limb:

Bates' Guide to Physical Examination & History Taking

Mosby's Manual of Diagnostic and Laboratory Tests

Mosby's Physical Examination Handbook

Learning resources on foot assessment and examination

Learning resources on patient assessment and examination

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"Highly respected and well-established guide to lower limb examination"

Assessment of the Lower Limb

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