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The Journal of the Canadian Chiropractic Association logoLink to The Journal of the Canadian Chiropractic Association
. 2012 Jun;56(2):156.

Therapeutic Electrophysical Agents, Evidence Behind Practice. Second Edition

Reviewed by: C Danny Myrtos 1
Therapeutic Electrophysical Agents, Evidence Behind Practice. Second Edition. Alain-Yvan Belanger, editor. Lippincott Williams & Williams: Baltimore, Maryland. 2010 Hardcover, 504 pages  $76.90 (CDN) ISBN: 0-7817-7001-7.
PMCID: PMC3364064

Despite the widespread use of therapeutic modalities, many studies have cited the paucity of quality research supporting their use. This text uses an evidence-based approach to guide the practitioner’s use of these agents illustrating how to integrate research into practice. The new textbook format – though less portable than the previous pocket-size edition – allows for more information and photographs to be included. It is a well-organized reference text designed to be used in an educational setting with clear learning objectives outlined at the beginning of each chapter and critical thinking questions at the end.

The first part reviews how tissue injury, the healing process and pain modulation dictate the selection of therapeutic agents. The second part clearly outlines the physiological effects of each modality, describing the indications, treatment parameters, contraindications and risk factors. Each modality is afforded a separate chapter with case studies utilized to walk the reader through an evidence-based approach to resolution of a clinical problem. The final part of the text consists of practical guidelines including information on purchasing units, avoidance of complications and maintenance of devices.

While it may be argued that a text that is research-dependent is outdated soon after publication, this book is nonetheless a valuable reference tool. It presents the strength of evidence and justification for usage of each modality and illustrates how this information should be combined with experience to facilitate clinical decision-making.


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