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Nancy Berryman Reese PT PhD MHSA FAPTA - Muscle and Sensory Testing

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Mastering the art of manual muscle and sensory testing is the first step on your path to becoming a physical therapist (PT). This easy-to-follow, logically organized resource includes an overview of muscle strength assessment and 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.

  • Photographs and illustrations demonstrate various techniques
    • to help you better understand positioning, stabilization, and common substitutions.
  • Chapters follow a logical progression from muscle testing to sensory testing to gait assessment, making the learning process clear.
  • Chapters on dynamometry, sensory examination, neurologic examination, and gait provide you with additional need-to-know information on these key topics.
  • NEW! Techniques of Functional Muscle Testing chapter
    • includes completely revised content to give you a strong foundation of testing techniques.
  • UPDATED! Expanded clinical notes and case vignettes challenge you to apply your knowledge to real-world situations and think creatively about clinical problems.
  • UPDATED! Consistent chapter layout by joint and muscle system allows you to easily locate important information.
  • UPDATED! References throughout the book enable you to quickly find the most up-to-date sources on specific topics.
  • UNIQUE! 185 Video clips on the companion Evolve website reinforce your understanding of key techniques, such as muscle tests, handheld dynamometry, pediatric handheld dynamometry, sensory and neurologic testing, proper patient and clinician positioning, and force application.

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Nancy Berryman Reese PT PhD MHSA FAPTA
Muscle and Sensory Testing

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Table of Contents
List of Figures
  1. Figures in 1
  2. Figures in 2
  3. Figures in 3
  4. Figures in 4
  5. Figures in 5
  6. Figures in 6
  7. Figures in 7
  8. Figures in 8
  9. Figures in 9
  10. Figures in 10
List of Tables
  1. Tables in 1
  2. Tables in 5
  3. Tables in 7
  4. Tables in 9
  5. Tables in Appendix A
  6. Tables in Appendix B
  7. Tables in Appendix C
Landmarks
Muscle and Sensory Testing Fourth Edition Nancy Berryman Reese PT PhD MHSA - photo 1
Muscle and Sensory Testing
Fourth Edition
Nancy Berryman Reese, PT, PhD, MHSA, FAPTA
Professor and Chairperson, Department of Physical Therapy, University of Central Arkansas, Conway, Arkansas
Muscle and Sensory Testing - image 2
Table of Contents
Copyright
3251 Riverport Lane
St. Louis, Missouri 63043
Reese: Muscle and Sensory Testing, 4th edition ISBN: 978-0-323-59628-2
Copyright 2021 by Elsevier, Inc. All rights reserved.
No part of this publication may be reproduced or transmitted in any form or by any means, electronic or mechanical, including photocopying, recording, or any information storage and retrieval system, without permission in writing from the publisher. Details on how to seek permission, further information about the Publishers permissions policies and our arrangements with organizations such as the Copyright Clearance Center and the Copyright Licensing Agency, can be found at our website: www.elsevier.com/permissions.
This book and the individual contributions contained in it are protected under copyright by the Publisher (other than as may be noted herein).
Notices
Knowledge and best practice in this field are constantly changing. As new research and experience broaden our understanding, changes in research methods, professional practices, or medical treatment may become necessary.
Practitioners and researchers must always rely on their own experience and knowledge in evaluating and using any information, methods, compounds, or experiments described herein. In using such information or methods they should be mindful of their own safety and the safety of others, including parties for whom they have a professional responsibility.
With respect to any drug or pharmaceutical products identified, readers are advised to check the most current information provided (i) on procedures featured or (ii) by the manufacturer of each product to be administered, to verify the recommended dose or formula, the method and duration of administration, and contraindications. It is the responsibility of practitioners, relying on their own experience and knowledge of their patients, to make diagnoses, to determine dosages and the best treatment for each individual patient, and to take all appropriate safety precautions.
To the fullest extent of the law, neither the Publisher nor the authors, contributors, or editors, assume any liability for any injury and/or damage to persons or property as a matter of products liability, negligence or otherwise, or from any use or operation of any methods, products, instructions, or ideas contained in the material herein.
Library of Congress Control Number: 2020931963
Director, Content Development : Ellen Wurm-Cutter
Senior Content Strategist : Lauren Willis
Content Development Specialist : Dominque McPherson
Publishing Services Manager : Deepthi Unni
Project Manager : Bharat Narang
Design : Patrick Ferguson
Printed in the United States of America
Last digit is the print number: 9 8 7 6 5 4 3 2 1

Contributors Melissa Allen PT PhD DPT NCS CEEAA Assistant Professor - photo 3

Contributors

Melissa Allen, PT, PhD, DPT, NCS, CEEAA , Assistant Professor, Department of Physical Therapy, University of Central Arkansas, Conway, Arkansas

William D. Bandy, PT, PhD, SCS , Professor, Department of Physical Therapy, University of Central Arkansas, Conway, Arkansas

Loretta Knutson, PT, PhD , Guest Researcher, Karolinska Institute, Stockholm, Sweden

Chad Lairamore, PT, PhD, NCS, GCS, FNAP , Chair/Associate Professor, Department of Physical Therapy, Western University of Health Sciences Northwest Campus, Lebanon, Oregon

Venita Lovelace-Chandler, PT, PhD , Pediatric Certified Specialist Emeritus, Faculty, Pediatrics Post Professional DPT Program, Rocky Mountain University of Health Professions, Provo, Utah

Gary Soderberg, PT, PhD, FAPTA , Professor Emeritus, Department of Physical Therapy and Rehabilitation Science, University of Iowa, Iowa City, Iowa

Dedication

In loving memory of my mother, Geneva Irene Haynes Berryman (19222009), who taught me that anything worth doing is worth doing well and for my dad, Steve Berryman, who at 92 is still my hero.

Preface to the Fourth Edition
Health care professionals encounter individuals in need of neuromuscular assessment on a daily basis. Patients with weakness, sensory loss, balance problems, coordination deficits, gait disturbances, and myriad other issues all require neuromuscular assessment. Muscle and Sensory Testing is designed to provide students and professionals in health care disciplines the tools they need to provide accurate assessment of the muscular and neurologic systems. Muscle strength assessment techniques covered in this text include handheld dynamometry, manual muscle testing, and functional testing for screening muscle strength. Comprehensive coverage of the components of the neurologic examination also is included, providing the practitioner with techniques and interpretive comments necessary to become proficient in examining the nervous system. Each of the techniques presented in this text is an essential part of the repertoire of examination tools for all practitioners who deal with patients with neuromusculoskeletal disorders.
The first seven chapters of Muscle and Sensory Testing address muscle strength testing from birth through adulthood, using manual, dynamometric, and functional testing techniques. ).
The first edition of M uscle and Sensory Testing was designed to provide a single source for examination techniques of both the muscular and neurologic systems. The second edition expanded on the concept of the first edition to include case studies and clinical notes as a basis for application of testing techniques and a means of fostering critical thinking. A DVD containing a videotaped demonstration of all examination techniques in .
For the 4th edition of Muscle and Sensory Testing , references were updated throughout the text to reflect the latest evidence in the literature. Additional Evidence for Practice boxes were added to support examination techniques throughout the text. underwent major revision and now includes primarily examination techniques based on research evidence.
The alterations made to produce this fourth edition of Muscle and Sensory Testing have resulted in a text that is much more strongly based on published evidence. Mastery of the techniques presented herein will provide the clinician with a significant number of tools needed to perform a thorough and efficient examination of the neuromusculoskeletal system.
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