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Posture and Pain. By Henry O. Kendall, Director, Physical Therapy Brain Tumors of Childhood. By Henry M. Cuneo. M.D.

, Assistant
Department, Florence P. Kendall, Assistant Director, Physical Therapy Clinical Professor of Neurological Surgery, University of Southern Cali-
Department, and Dorothy A. Boynton, Physical Therapist, Physical fornia, School of Medicine, Los Angeles, and Carl W. Rand, M.D.,
Therapy Department, Children's Hospital School, Baltimore. Cloth. $7. Clinical Professor of Neurological Surgery, University of Southern Cali-
Pp. 204, with 159 illustrations. Williams & Wilkins Company, Mount fornia, School of Medicine. Publication number 104, American Lecture
Royal and Guilford Aves., Baltimore 2, 1952. Series, monograph in Americal Lectures in Surgery, edited by Michael E.
De Bakey, M.D., Professor of Surgery and Chairman of Department of
The relation of faulty posture to the production of pain, as Surgery, Baylor University College of Medicine, Houston, and R. Glen
presented in this book, is based on the authors' many years of Spurling, M.D., Clinical Professor of Surgery, University of Louisville,
Louisville, Ky. Neurosurgical Division, editor: Barnes Woodhall, M.D.,
experience as physical therapists in the physical therapy depart- Professor of Neurosurgery, Duke Hospital, Durham. Cloth. $5.75. Pp.
ment at Children's Hospital School in Baltimore. 224, with 61 illustrations. Charles C Thomas, Publisher, 301-327 E.
The book deserves special commendation for its attractive Lawrence Ave., Springfield, Ill.; Blackwell Scientific Publications, Ltd.,
49 Broad St., Oxford, England; Ryerson Press, 299 Queen St., W.,
format and excellent illustrations. The first chapter considers
Toronto 2B, 1952.
standard posture, which, according to the text, refers to an "ideal"
posture rather than an average posture. It is further indicated This compact volume is in the American lecture series. In it,
in the text that "the authors have not seen an individual who the authors summarize their experiences with brain tumors in
matches the standard in all respects." The second chapter, which children at the Children's Hospital in Los Angeles during the
is about postural faults, considers deviations from this "stand- past decade. Eighty-three verified cases of brain tumor and/or
ard." It seems peculiar that deviations from a "standard" that granulomatous lesions resembling tumors are discussed.
has not been observed to exist should be considered as postural Each of the first 12 chapters is devoted to one pathological
faults. It would seem more proper that postural faults be con- type of tumor. In the final chapter, the authors discuss the gen-
sidered as deviations from an acceptable average posture. eral symptomatology and differential diagnosis of these lesions
The third, fourth, and fifth chapters contain a simple yet prac- as they occur in childhood. A brief quotation from some authority
tical analysis of muscle action and imbalance as related to faulty in this field at the beginning of each chapter sets the stage for
posture. The importance of muscle strength and tightness or loss the discussion that follows. A few case reports are included; these
of extensibility as a contributing factor to poor posture is dis¬ are brief and to the point, with excellent illustrations. Selected
cussed. A systematic and practical procedure for posture analysis references, mostly in English, are given at the end of each
is discussed in the sixth chapter. In the section of the text on chapter.
the treatment of faulty posture and pain associated with faulty
The authors' experiences with cerebellar astrocytoma and
body mechanics this statement is most properly included: "In medulloblastoma emphasize the importance of biopsy and histo-
discussing pain in relation to postural faults, there are those, logical verification of the tumor type before administration of
however, who are dubious. They often ask the very pertinent
question why it is that many cases of faulty posture exist with¬ x-ray therapy. The failure of ventricular estimation to differ-
entiate between cerebellar and third ventricle tumors is properly
out symptoms of pain. They also question why seemingly mild
postural defects give rise to symptoms of mechanical and muscu¬ emphasized and leads the authors to advise routine ven¬
lar strain." There follows a logical discussion of this contro¬ triculography for children who have symptoms of posterior fossa
tumors.
versial subject. The opinions expressed in the text are worthy
of consideration, even though some physicians may not agree. One wonders at the inclusion of cases of spongioblastoma
The physician may find many of the suggestions regarding the polare in the chapter on glioblastoma multiforme rather than in
use of various physical therapeutic agents useful in prescribing the chapter on astrocytoma, a tumor with which it is more closely
physical therapy and supports for the treatment or prevention related. This minor pathological point is compensated for by the
of faulty posture and the treatment of painful conditions of the inclusion of discussion of the granulomatous lesions, not ordi¬
neck, back, and extremities. narily considered under the heading of brain tumors in child¬
hood.
Infant Development: The Embryology of Early Human Behavior. By The
Arnold Gesell, M.D. Cloth. $3.50. Pp. 108, with illustrations. Harper & similarity of their results with those reported in the mono¬
Brothers, 49 E. 33rd St., New York 16, 1952. graph by Bailey, Buchanan, and Buey in 1939, emphasizes the
enormity of the therapeutic problems. This review will be espe¬
This book is beneficial to pediatricians and others confronted cially valuable to pediatricians and to neurologists and neuro-
with the evaluation of physical and mental development of surgeons who do not see many patients in this age group; how¬
infants and children. This volume presents an informal orienta- ever, it can be read with profit by all physicians who are interested
tive introduction to growth and forms of behavior at advancing in neoplastic diseases of the brain.
maturity levels from birth to the 10th year. It attempts to show
that there is a significant continuity of functional and physical A Review of Nursing with Outlines of Subjects: Questions and Answers.
development in both the prenatal and postnatal phases of human By Helen F. Hansen, R.N., M.A., Inspector, Schools of Nursing, State
growth. A study of premature infants throws light on growth Department of Public Health, California, Sacramento. Seventh edition.
changes that ordinarily take place in the prenatal period. There Cloth. $5.75. Pp. 844. W. B. Saunders Company, 218 W. Washington Sq.,
Philadelphia 5; 7 Grape St., Shaftesbury Ave., London, W.C.2, 1952.
is a discussion of comparative anatomy in lower animals em-
phasizing the embryonal development of the eyes and eye and The author of this review of nursing has extensive experience
hand behavior. A pictorial chapter has 50 photographs from in educational administration. Her positions as chief at the
their feature length film "The Embryology of Human Be- bureau of registration of nurses in California and executive sec-
havior" to demonstrate the progression of the growth cycle. retary of the board of nurse examiners in California were ex-
These excellent action photographs clearly illustrate develop- cellent background for the preparation of this book.
mental patterns at various age levels. A chapter on examination
The material is presented in outline form, and each section
methods and diagnostic procedures helps one to evaluate both
is followed by a battery of tests on the preceding subject. Cor-
the normal and abnormal child. An appendix includes sketches
rect answers to these tests are found at the back of the book.
and charts of growth patterns of the 28-week-old infant, a bibli¬
In this edition, the author has attempted to include more com-
ography, and a list of silent and sound movies by the Yale
Films of Child Development. prehensive situation type questions to stimulate additional read-
ing. True-false and completion type questions have been reduced
in number.
The reviews here published have been prepared by competent authorities
and do not represent the opinions of any official bodies unless specifically The fields covered are chemistry, anatomy, and physiology,
stated. psychology, nutrition, public health, pharmacology, and thera-

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