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Book Review: Muscles: Testing and Function with Posture and Pain
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Title: Muscles: Testing and Function with Posture and Pain (5th edition)

Authors: Florence Peterson Kendall, Elizabeth Kendall McCreary, Patricia Geise Provance, Mary McIntyre Rodgers, and William Anthony Romani
Publisher: Lippincott, Williams, & Wilkins, 2005, 480 pages
Reviewed by: Brian White, MSPO, Prosthetic/Orthotic Resident

This text is a resourceful guide for physical and occupational therapists, as well as other medical clinicians who provide care for individuals of all ages with cerebral palsy. The intervention process model, which is adapted from the Occupational Performance Process Model (Canadian Association of Occupational Therapists, 2002) is used throughout the text as a standardized guideline for patient evaluation and intervention. It is a patient- and family-centered tool that allows clinicians to systematically follow a clinical reasoning process that includes initial assessment, intervention, and final evaluation of outcomes. It is based on an eight-step process that ultimately should resolve the initial goals and concerns of the patient, family, and treatment team. These steps include:

  • Initial data collection.
  • Identifying concerns.
  • Identifying relevant theory.
  • Assessment of body structure/function, activity, and participation.
  • Identifying contextual factors.
  • Negotiating the management plan.
  • Implementation of plan.
  • Evaluation of outcomes.

This hardcover textbook covers the function of muscles in the human body as well as the correct way to perform manual muscle testing. This book is written by multiple physical therapists. The authors intended this text to be a textbook for students and a reference book for practitioners in various medical and allied healthcare fields, where understanding muscle testing and function is critical.

The book is divided into seven chapters, and many of the chapters have multiple sections. The first chapter is titled Fundamental Concepts. As the title suggest, it includes various information needed to understand muscle testing and function. The second chapter is on posture. It includes sections on the fundamentals of posture (1), alignment (2), examinations (3), posture of children (4), and scoliosis (5). Chapter three is on the head and face. It includes sections on innervation (1), facial and eye muscles (2), facial paralysis (3), and muscles of deglutition (4). Chapter four covers the neck. Sections in this chapter include innervation (1), neck muscles (2), neck muscle tests (3), painful conditions (4), and treatment (5).

Chapter five focuses on the trunk and respiratory muscles. It includes sections on the trunk (1), abdominal muscles (2), painful conditions of the lower back (3), and muscles of respiration (4). Chapter six is on the upper extremities and the shoulder girdle. It includes sections on innervation (1), hand, wrist, forearm, and elbow (2), shoulder (3), painful condition of the upper back (4), and case studies (5). Chapter seven is on the lower extremities. It includes sections on innervation (1), joint movements (2), muscle strength tests (3), and painful conditions (4).

In summary: Muscles: Testing and Function with Posture and Pain is a great resource for any orthotic and prosthetic practitioner. While many practitioners will be familiar with these concepts, it can still serve as a great refresher for any practitioner. It includes color photos, drawings, and charts to convey the proper function of muscles and the proper positioning and techniques to perform manual muscle testing. The book is broken down where it is easy to find information on the muscle or body segment of interest, and the book serves as an excellent resource for any O&P practitioner.

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