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Doody's Review ServiceReviewer: Edward Abraham, MD (University of Illinois at Chicago College of Medicine)
Description: This is a practical guide to the proper measuring of the human joint range of motion.
Purpose: The purpose is to show how to correctly measure joint range of motion so that the motion is reproducible and accurate. This most worthwhile objective is fully met.
Audience: The book is written for all those healthcare professionals seeking to better understand and assess range of motion. They include physicians, physical and occupational therapists, and nurses. The three authors all have extensive experience on this topic. They are most qualified to write on the subject.
Features: The first part of this book deals with basic principles of range of motion measurements. Here the Standardized Neutral Zero Measuring Method measurements and the Numerical System of Sagittal, Frontal, Transverse and Rotation Planes (SFTR) are described in detail. The proper uses the goniometer and inclinometer are presented with appropriate photographs and illustrations. The second part of the book deals with the specific measurements of the spine and upper and lower extremities. The authors depend almost exclusively on a measuring device consisting of a bar, swivel, telescopic extender, and inclinometer to demonstrate the degrees of motion. The use of this instrument to measure small joint range of motion, such as the hand, appears cumbersome. Each motion position is illustrated by photography. The pages are effectively organized in such a way that the text is on the left hand side and the photos are on the right hand side. The references are adequate and current. No advice is given on the brand names of inclinometers or where to purchase them.
Assessment: I do not own an inclinometer and I don't know of your average orthopedic surgeon who carries one around. It is used routinely by spine surgeons to measure the rotation of spinal scoliosis. The 5th edition of the Guide to the Evaluation of Permanent Impairment requires the examiner use the inclinometer to measure spine motion. Are the authors now subtly suggesting that the common plastic goniometers ought to be replaced by the bulky inclinometer in all motion measurements? They have correctly recognized a long list of nonexaminer factors affecting range of motion. These include pain, obesity, spasticity, age, secondary gain, activity level, time of day, and so on. A key component in assessing permanent impairment is loss of normal range of motion. This book attempts to help the user report the most accurate and reproducible motion. To this end, this work is a major contribution on the subject. It is very highly recommended to all physicians and allied health professionals caring for the musculoskeletal septum.