16 of 17 people found the following review helpful
The Sensitive Nervous System,
This review is from: Sensitive Nervous System (Hardcover)
I have owned this book since it was first published and still continue to find it an extremely useful book in my clinical physiotherapy practice. The book remains relevant to practice and the content is supported by a developing evidence base..
This book covers neurodynamics, neurobiology and clinical reasoning. It is unique in its unravelling of the biopsychosocial framework and in developing better understanding and management of patients with neuro-musculoskeletal problems. The first four chapters teach the knowledge required to understand the basic pain and nervous system sciences. Much of this will not have been studied at undergraduate level but this will no doubt change as manual therapy and pain management approaches continue to develop.
Theory is drawn into clinical application over the subsequent chapters. e.g. peripheral and central sensitisation. The physiotherapist is given the skills to understand pain where there is no tissue injury or inflammation, the physiological influence of psychological or social issues as well as understanding the involvement and relevance of other systems including the sympathetic and the immune.
Two chapters present a clinical reasoning framework which is valuable for its inclusion of all the pathobiological mechanisms, as well as focusing on the dysfunction/s and providing a means to acknowledge the contributing factors. The chapter on neurological assessment has value for its acknowledgement of the variation between authors and researchers and presenting the best evidence in a clinically useful format (testing of peripheral and cranial nerves is included).
Until recently this has been the only book to present comprehensive neurodynamic testing and the application of these tests is supported by a chapter on their reliability and validity and the application of research findings.
The application to treatment is presented where this is researched and demonstrations linking the theory with problem-solving and clinical reasoning are included.
This book uncovers a relatively new area for physiotherapy and its limitations will be that the supporting current evidence, although developing, remains lacking. I would encourage any neuro-musculoskeletal physiotherapist to read this book in depth.