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Muscle Testing, Techniques of Manual

Examination

Article in JCCA. Journal of the Canadian Chiropractic Association. Journal de l'Association chiropratique
canadienne January 1974
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Silvano Mior
Canadian Memorial Chiropractic College
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Book Reviews*
The Aging Lumbar Spine by Sam Wiesel, M.D.; Philip
Bernini M.D.; and Richard Rothman.
W.B. Saunders Company, Toronto 1982. 257 pages.
Alas, another text on a topic that has previously been exposed in
voluminous works. Could this small text further clarify an
already elusive and cloudy topic? Not quite. In fact, one quickly
realizes that this is not the intention of the authors. They have,
however, presented a neatly summarized critique of the com-
mon ailments that affect the aging spine.
The text reviews the topics of examination, diagnosis, and
management, in a pattern that has become characteristic of most
texts on low back pain. The chapter on management includes
both surgical and conservative methods. The latter including a
brief but "empirical" description of manipulation. In reading
this text, one quickly realizes that the authors have strived to
present the topic in an informative, brief and readable format.
To that end, I must credit the authors. Each chapter is clearly
subdivided, neatly diagrammed, and concluding with a good list
of references and selected readings.
However, I must add, that if one is familiar with the previous
works of art of one of the authors (Rothman) the text will appear
quite familiar. This text does not cover the topic as extensively
as others have done. Consequently, as a major reference book in
low back pain, I cannot recommend it. But I do, as a text to be
used as a brief overview and summary of the ailments
encountered in "The Aging Lumbar Spine."
Silvano A. Mior, Dc, Clinician, CMCC
Muscle Testing, Techniques of Manual Examination,
(4th edition) L. Daniels, MA, and C. Dorthingham,
Ph.D., D.Sc.
W.B. Saunders Company, Toronto. 1980. 191 pages.
This text, or shall I say manual, is conveniently presented in a
coiled paper-back format to facilitate its use. The manual is
limited to the topic of muscle examination and evaluation. The
chapters are neatly divided into neck and trunk, upper and lower
extremities, including chapters for definitions and gait analysis.
Each chapter is clearly subdivided into specific joint movements
for very quick and easy reference. The muscles responsible for
these movements are clearly illustrated and labelled. Each
illustration depicts the muscle being tested, the position it is to
be tested in, as well as the abnormal result. The illustrations are
accompanied by a brief annotation. The authors make excellent
use of charts, reviewing the muscle's origin, insertion and
innervation. The final chapter is on gait analysis. Although
simplistic, it clearly diagrams the phases of gait and briefly
describes the common abnormalities one would encounter.
*Book review editor, Dr. Z. Szaraz
The Journal of the CCA/Volume 29 No. 1/March 1985
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As chiropractors, dealing extensively with the musculo-
skeletal system, a copy of a muscle testing manual should be
readily available. Although the majority of manuals are quite
similar, for those looking for a clear and concise manual that is
practical and functional, I feel this manual would be a welcomed
addition to your present office library. To the student, its
reasonable price further adds to its attractiveness.
Silvano A. Mior, DC, Clinician, CMCC
Orthopaedic Decision Making, by R. Bucholz, M.D.,
F. Lippert, HII, M.D., D. Winges, M.D., and
M. Ezahi, M.D. C. V. Mosby Co., Toronto, 1984, 299 pages.
Over the years, orthopaedic texts have become larger and much
more detailed. The diagnosis is often seen as a distinct entity.
The reader would be so concerned with the specifics that his
ability to formulate a logical differential diagnosis suffered.
This is not the case with this text.
This text forces the reader to examine each presenting
complaint in a logical and sequential process. The authors,
using a problem based approach, stress the critical variables
required to reach a clinical decision.
The text is divided into four major chapters. Orthopaedic
Trauma, Adult and Children Orthopaedics, and Hand Surgery.
Each chapter contains a number of common topics described
either by a patient's symptoms (i.e. elbow pain) or by a
condition (i.e. plantar fascitis). The topics are investigated by
the use of algorithms or decision trees. Each branch of the tree
evaluates a component of the condition forcing the reader to stop
and think prior to advancing to the next level of decision
making. The decisions are accompanied by a brief notation and
illustration on the facing page.
The algorithm reviews the condition by its presentation,
results of clinical examination and concludes with a suggested
plan of management. Since this text was written for orthopaedic
residents, surgical intervention is frequently referred to. Con-
sequently, some chiropractors may find this text of limited
value.
However, for those who wish to improve their clinical
decision making, I strongly recommend this text. Its simplistic
format allows the practitioner to review a presenting complaint
at a glance. If further reading is required or desired, a short list
of references relevant to the topic is included.
For the student who is trying to assimilate the vast amount of
knowledge into a logical form, this text will be extremely
helpful.
Silvano A. Mior, Dc, Clinician, cMcc
49