Annals of Indian Academy of Neurology
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Year : 2006  |  Volume : 9  |  Issue : 2  |  Page : 128

Regeneration, repair and rehabilitation redefined

Former Professor of Physical Medicine & Rehabilitation, Medical College, Trivandrum and Former National President of IAPMR, India

In general, the book makes good reading in which, the editors they have in a systematically presented the material under the subtitles like neurological rehabilitation, orthopaedic rehabilitation, alternative medicine in rehabilitation, rehabilitation of occupational hazards in computer professionals, advances in rehabilitation, emerging issues in rehabilitation, challenges in rehabilitation and a few appendices.

The section on neurological rehabilitation is a masterpiece on neurological issues, but would have done better with more details of modern principles of rehabilitation medicine. Under the title Orthopaedic Rehabilitation the author of the white paper on spinal cord 'Injured' has made a yeoman attempt to codify all aspects of spinal cord injuries. It will be an eye-opener for all readers. There is an urgent need to institute spinal cord injury (SCI) care centers in at least all the major city hospitals and medical colleges. This white paper will definitely serve a good purpose to initiate SCI care services. The chapters under the orthopedic rehabilitation are very well written, but the vast area of orthopedic rehabilitation is probably not exhaustively covered in this short book.

The titling of "Alternate medicine and rehabilitation" and inclusion of papers on four aspects of the theme - yoga, acupuncture, pranic healing and ayurveda on chronic disabilities - continue to spread the message of the hitherto-occult concepts derived by the modern medicine group. Whether these papers can be called as "Integration of Indian system of medicine", as pointed out in the preface of the book, or as an effort to promote the Indian and Indigenous systems of medicine, is upto the reader to decide.

The grouping of four papers given under the title of occupational hazards for the computer professionals is probably arbitarary, because there are occupational hazards for other professions also. These papers are of academic importance and the authors have discussed at length the various clinical aspects. It would have been desirable to include the details to be worked out in the computer environment.

All the papers under the title "Advances in rehabilitation" merit special consideration. The authors of all six papers in this group have dealt their topics commendably well and there are a lot of useful messages for the early care-givers attending to chronic disabilities. Functional MRI, neuronal plasticity in cerebral palsy, robot assisted rehabilitation etc. are all good treatises.

The two titles in "Appendix" merit special mention. 'The scores and scales in neurology' is an excellent reference point not only to the neurologists, but also to all practicing doctors including rehabilitation specialists concerned with the welfare of the neurological patients. There could have been some more rehabilitation scores and scales relating to neurology that would have made this section even better. The treatise on "disability acts" is an appropriate, concise guide and ready reckoner for the referring practitioner.

This book is a compendium of the proceedings of the XXXIII national conference of the Indian association of physical medicine and rehabilitation (IAPMRCON - 2005) and hence it has its own limitations in satisfying to the ideals contained in the title of the book. To conclude, this is a well-documented book of 289 pages. The printing and binding of the book are excellent. There are more neurological views in the neurorehabilitation papers. The papers under "Advances in rehabilitation" are excellent expositions of the current trends in the field. The other subsections are all of value to the discerning physician. The editors merit special congratulations on their sincere efforts to bring out this publication, arranging all the pebbles in a systematic way. This publication can be an eye-opener for future authors to pool their best efforts to further define and refine the various rehabilitation principles.


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