Tuesday, March 8, 2011

Rehabilitation Protocols for Surgical and Nonsurgical Procedures: Lumbar Spine Review

Rehabilitation Protocols for Surgical and Nonsurgical Procedures: Lumbar Spine
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This book unfortunately is an accurate representation of how profoundly irresponsible is the field of spinal reabilitation physical therapy.The author should know that you can't correct for the blatantly bad medicine that many many spine surgeons practice. Almost in passing she states that many of the procedures performed by these surgeons are of questionable value, lacking any evidence based support.As an example, with over 300,000 spinal fusion surgeries performed a year in the US, each surgery costing from 30,000 to 50,000 dollars--well you do the math it comes to 9 to 15 billion dollars and that's just for one procedure- fusions-which lack scientific support.It would have made much more sense to write a book recounting the effects on the patients of these inexcusable and mostly scientifically unsupportable surgeries, along with appropriate PT protocols that can be used to optimise patient function and wellbeing.But then with that sort of a book she might have been out of a job.When will the physical therapy profession begin to refuse to remain under the control of a medical profession that understands little about physical therapy only paying lip service to its true value.For me the profession has alot of growing up to do with regards to refusing to participate in procedures that are mostly performed out of greed,ignorance to scientific best evidence, as well as disregard for the well being of the patients. On another noteone could not even use this book as a manual for implementing rehab protocols, as much of the information presented was too vague to be of much practical value.So even if one accepts the premise that the procedures presented are preformed for scientifically surportable reasons, still the book fails to fulfill its title promise. I hope that these criticisms are taken with a positive view of how the world of spinal rehab could become.Sometimes it is better to state that the emperor has no clothes rather than participate in a corrupt and morally inexcusable system.Respectfully, George Fett,MD

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Product Description:
This manual, written for healthcare professionals, explores the pros and cons of a wide range of currently practiced rehabilitation methods, and includes tests, illustrated exercises, and worksheets for evaluating patients.

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