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Doody's Review ServiceReviewer: Amisha Klawonn, PT, DPT, OCS, FAAOMPT (A. T. Still University)
Description: The first five sections of this user-friendly manual focus on goniometry, while the last two tackle manual muscle testing.
Purpose: It is intended as a standalone quick reference on goniometry and manual muscle testing. It meets the author's objectives to create a compact summary of musculoskeletal examination.
Audience: The book is written primarily for physical therapists, athletic trainers, and occupational therapists, and the author states that "it would be at home on the office shelf of any health care provider who performs musculoskeletal examination." However, healthcare providers who have not had previous training in goniometry or manual muscle testing would find it difficult to follow when performing a musculoskeletal examination because it does not cover the theories, validity, or reliability for either. Similarly, students should be aware that it lacks specifics in the manual muscle testing section. The author has written two previous books on each topic.
Features: The sections on goniometry cover cervical spine, upper extremity, thoracic and lumbar spine, lower extremity and temporomandibular joint, and the sections on manual muscle testing cover the neck and upper extremities and the trunk and lower extremities. The eight appendixes detail general procedures for goniometric and manual muscle testing measurements, commonly used terms, normal range of motion values, anatomical zero, a key to manual muscle testing grading, and factors that may cause measurement error. The black-and-white photos of each of the goniometric measurements and manual muscle testing positions are well done and easy to follow. In the goniometry section, the type of joint, capsular pattern, normal ROM values, patient position, goniometer alignment, stabilization, and substitutions are presented on each page. The manual muscle testing section covers primary and secondary movers, the specific movement to be tested, stabilization, and grading. Each grade of testing (0-5) is presented with a figure, concise directions on testing, and common substitutions for the manual muscle test. An unusual feature of the book is that the muscle tests are arranged by primary movement, not by muscle. For example, elbow flexion lists the prime movers as biceps brachii, brachialis, and brachioradialis, but the manual muscle test covers elbow flexion primarily for biceps brachii without alternate positions available to test specifically for brachioradialis. The book's arrangement makes it difficult to find a specific measurement or MMT without going to the index. The sections are quite large, covering multiple joints in each segment. The book would be easier to follow if each joint were tabbed individually for goniometry and manual muscle testing. While the black-and-white photos are excellent, color photos would be easier to follow. Also, the manual muscle testing section describes only one method to test all of the prime and secondary movers without details for specific testing of each muscle.
Assessment: Readers looking for a new manual to replace an outdated version or who just need a reference on the shelf, this would make a good and useful addition. However, readers who already own a muscle testing book and a goniometry book, this is a less detailed duplicate of those. I would recommend this book for clinicians, specifically physical and occupational therapists, searching for a general resource to have in the clinic.