Muscle and Sensory Testing / Edition 3

by Nancy Berryman Reese PT, PhD, MHSA, FAPTA

Overview

If you want to excel in the physical therapy field, you’ll need to first master the art of manual muscle testing. Written by a well-known PT expert, Muscle and Sensory Testing, 3^rd Edition provides you with everything you need to effectively perform manual muscle and sensory tests – all in one well-organized, easy-to-follow resource. Chapters include an overview of muscle strength assessment and detail precise anatomic testing techniques for upper extremities, lower extremities, and head, neck and trunk; functional muscle tests; tests for mental status, cranial nerves and superficial reflexes; and use of observational gait analysis as a screening tool. Photographs of testing procedures, line drawings of various innervations, and video clips showing manual muscle testing procedures augment your understanding of this important skill area.

• UNIQUE! Video clips on the companion Evolve website showcase techniques involving muscle tests, handheld dynamometry, sensory and neurologic testing, clinician and patient positioning, and force application.
• Chapter 6: Techniques of Pediatric Muscle Testing covers the different techniques for manual infant muscle testing that help determine prognosis and treatment.
• Consistent chapter layout and organization by joint and muscle system allow you to quickly and easily locate the information you need.
• Instructions for performing hand-held dynamometry of major trunk and extremity muscles are clear and concise to ease your comprehension.
• Chapter on functional muscle testing demonstrates positioning, examiner instructions, and expected response for patients of all ages.
• Detailed neurologic exam instructions with photos help you perform accurate screening and interpret exam results.
• Coverage of techniques such as gravity-resisted testing and gravity-eliminated testing clearly shows you how to perform alternative methods of manual muscle testing.
• Hundreds of photos and illustrations demonstrate various techniques and landmarks to give you a clear understanding of positioning, stabilization, and common substitutions.
• Clinical notes highlight useful information about particular symptoms or conditions that you may encounter in practice.
• Case vignettes challenge you to apply your knowledge to real-world situations and think creatively about clinical problems.
• Overview of normal gait cycle serves as a resource for identifying gait deviations and associated muscle weaknesses.
• Evaluation of current research methods addresses the validity, reliability, and limitations of muscle testing techniques.
• Companion Evolve website contains additional, up-to-date information on this topic, such as pediatric data on the hand-held dynamometer.

• UNIQUE! New video clips on the companion Evolve website demonstrate a screening examination of the cranial nerves, a screening examination of the motor portions of the cranial nerves, and additional pediatric dynamometry tests.
• EXPANDED! Chapter on techniques of functional muscle testing offers additional tests with proven validity for clients with higher level functioning, such as athletes.
• UPDATED! Chapter on handheld dynamometry for muscle testing features coverage of pediatric dynamometry not found in other texts.

Product Details

ISBN-13:	9781437716115
Publisher:	Elsevier Health Sciences
Publication date:	09/01/2011
Pages:	616
Product dimensions:	9.00(w) x 10.80(h) x 1.00(d)

About the Author

Reese, Nancy Berryman, PhD, PT (Univ of Central Arkansas)

Table of Contents

1: Introduction to Muscle Strength Testing

2: Techniques of Manual Muscle Testing: Upper Extremity

3: Techniques of Manual Muscle Testing: Head, Neck, and Trunk

4: Techniques of Manual Muscle Testing: Lower Extremity

5: Techniques of Functional Muscle Testing

6: Techniques of Pediatric Muscle Testing

7: Hand-held Dynamometry for Muscle Testing

8: Techniques of the Sensory Examination

9: Techniques of the Remainder of the Neurologic Examination: Coordination, Mental Status, Cranial Nerves, and Superficial Reflexes

10: Observational Gait Analysis as a Screening Tool

Appendix A: Average Joint Ranges of Motion

Appendix B: Muscle Innervations by Spinal Cord Level

Appendix C: Muscle Innervations by Peripheral Nerve

Index

What People are Saying About This

From the Publisher

Strengthen your skills in performing manual muscle and sensory tests!

Editorial Reviews

Reviewer: Lauren Y Perrone, MPT, OCS (Head 2 Toe Physical Therapy)
Description: This book represents a single source for muscle strength assessment and neurologic examination. A companion website uses video clips to demonstrate the techniques and offers related web links and references. The previous edition was published in 2010.
Purpose: The purpose is to provide students and healthcare professionals with accurate assessment techniques for the neuromusculoskeletal system. This edition places more emphasis on published evidence for the procedures it describes. It also expands on functional testing for more active individuals, and for pediatric hand-held dynamometry. The techniques it presents are essential skills that will enable clinicians to accurately assess patients and help guide them in their clinical decision making.
Audience: The target audience includes students and professionals in healthcare disciplines. It is an excellent resource for students, and also would be useful as a quick reference in the clinic.
Features: The beginning chapters cover manual muscle testing of the upper and lower extremities, head, neck, and trunk for pediatric patients through adults. Subsequent chapters cover functional muscle testing, hand-held dynamometry, the neurological screening examination, and using observational gait as a screening tool. Chapters are clearly organized using the same format throughout, allowing readers to quickly look up specific tests by muscle action. The well-done illustrations and photos provide clarity for patient position, stabilization, and patient and examiner action. Red arrows indicating direction of patient movement and examiner direction of resistance are especially useful for students. "Evidence for Practice" boxes following techniques offer the most up-to-date published research, and chapters conclude with case studies. The appendixes provide a concise reference for average joint ranges of motion, muscle innervation by spinal cord level and by peripheral nerve. The companion website, a great tool to enhance learning, is divided into two sections: student learning and instructor resources.
Assessment: This is a good update, with the change from DVD to learning system website, the addition of "Evidence for Practice" boxes, and the expansion of chapters to include functional testing for more active individuals and a greater variety of sensory testing techniques. The techniques of manual muscle testing and neurological assessment have not changed significantly through the years. That said, this book is useful for students and seasoned clinicians, as it provides the most recent research and at-a-glance access to tests.

Doody's Review Service

4 Stars! from Doody

This clinical text provides thorough coverage of testing procedures related to manual muscle testing, handheld dynamometer muscle strength assessment, and neurologic screening. A brief section on observational gait analysis as it applies to manual muscle testing is also included. The author's primary intent is to integrate manual muscle test procedures with neurologic screening techniques. This is a worthy objective and fills a void in some of the more traditional texts currently used in this area. The finished product meets the author's objectives. This is an excellent resource for physical therapists, occupational therapists, and other health professionals who routinely evaluate musculoskeletal integrity in clinical practice. A previous background in anatomy and basic understanding of kinesiology is assumed. The format of the text makes it ideal for use in a lecture or laboratory setting. Nine chapters are presented including fundamentals of manual muscle testing, manual muscle testing procedures for all major muscle groups in the body, a section on pediatric muscle testing, gait analysis as a screening tool, and a comprehensive section on neurologic exam procedures. A chapter review of handheld dynamometry is also included. References and a bibliography for each chapter are included. I especially liked the section on neurologic screening. The author presents the information in a very concise and readable format. The sections on pediatric muscle testing, handheld dynamometry, and the inclusion of gait analysis make this book unique. The manual muscle test procedures are clearly presented. This book is comprehensive and would be ideal for a physical therapy theory andprocedures course. In addition, practicing clinicians will find it to be an excellent reference. I highly recommend this book for students and clinicians and commend the author and contributors for their insight in publishing this ""one stop"" reference manual.

Christopher J. Hughes