Muscles Testing and Function with Posture and Pain Fifth Edition Muscles Testing and Function with Posture and Pain 5th Edition Florence Peterson Kendall Elizabeth Kendall McCreary Patricia Gelse Provance Mary Mclntyre Rodgers William Anthony Romani Acquisitions Editor: Pamela Lappies Managing Editor; Anne Seitz/Hearthside Publishing Services Development Manager: Nancy Peterson Marketing Manager: Mary Martin Associate Production Manager: Kevin Johnson Artist: Diane Abeloff Compositor: Maryland Composition Inc. Printer: RR Donnelley & Sons/WiUard OH Copyright © 2005 Lippincott Williams & Wilkins 351 West Camden Street Baltimore, MD 21201 530 Walnut Street Philadelphia, PA 19106 All rights reserved. This book is protected by copyright. No part of this book may be reproduced in any form or by any means, including photocopying, or utilized by any information storage and retrieval system without written permission from the copyright owner. The publisher is not responsible (as a matter of product liability, negligence, or otherwise) for any injury resulting from any material contained herein. This publication contains information relating to general principles of medical care that should not be construed as specific instructions for indi vidual patients. Manufacturers' product information and package inserts should be reviewed for cur rent information, including contraindications, dosages, and precautions. Printed in the United States of America Library of Congress Cataloging-in-Publication Data Muscles, testing and functions / Florence Peterson Kendall...[et al.] 5th ed. p.; cm. Rev. ed. of: Muscles, testing and function / Florence Peterson Kendall, Elizabeth Kendall McCreary, Patricia Geise Provance. 4th ed. ©1993 Includes bibliographical references and index. ISBN 0-7817-4780-5 (alk. paper) 1. Muscles—Examination. 2. Physical therapy. 3. Pain 4. Posture disorders 5. Exercise. 1. Kendall, Florence Peterson, 1910- II. Kendall, Florence Peterson. 1910- [DNLM: 1. Muscles- physiology. 2. Musculoskeletal Diseases—diagnosis. 3. Musculoskeletal Diseases—therapy. 4. Posture. WE 500 M9872 2005] RM701.M87 2005 616.7'40754—dc22 2005001170 The publishers have made every effort to trace the copyright holders for borrowed material. If they have inadvertently overlooked any. they will be pleased to make the necessary arrangements at the first opportunity. To purchase additional copies of this book, call our customer service department at (800) 638-3030 or fax orders to (301) 824-7390. International customers should call (301) 714-2324. Visit Lippincott Williams & Wilkins on the Internet: http://www.LWW.com. Lippincott Williams & Wilkins customer service representatives are available from 8:30 am to 6:00 pm, EST. 06 07 08 09 23456789 10 Henry Otis Kendall, RT. (1898-1979) Co-author of first and second editions, and Posture and Pain Former Director of Physical Therapy Department, Children's Hospital, Baltimore, Maryland; Supervisor of Physical Therapy, Baltimore Board of Education; Instructor in Body Mechanics, Johns Hopkins School of nursing; private practice. Dedicated to Our Families, Our Students, and Our Patients Foreword to the Fifth Edition The fifth edition of Muscles, Testing and Function with examination findings. The sections on posture, face, Posture and Pain by Florence P. Kendall and her four as head, neck, trunk, extremities and respiration detail in sociate authors (two of whom are new to this edition) nervation, joint movement, muscle strength tests, painful continues to provide rehabilitation professionals with conditions and exercise interventions. The presentation, a wealth of knowledge and background in this all- photos and graphics were recognized for their clarity important aspect of the patient/client examination from the very first edition, and this standard of excel process. Florence and Henry Kendall were pioneers in lence continues with this fifth edition. There is absolutely the early development and refinement of the art and sci no doubt that this latest edition of Muscles, Testing and ence of muscle testing as evidenced by the publication Function with Posture and Pain will continue to be the of the first edition of this text in 1949. Each succeeding text of choice for students, clinicians and faculty in edition (1971, 1983, and 1993) further refined and ex volved in these crucial aspects of the examination, eval panded the methods of evaluating muscle performance uation and diagnostic processes of the musculoskeletal and function, and further recognized the need for under system. standing the relationships between muscle imbalances and their resultant faulty postures and pain syndromes. I feel so privileged to have been asked to write this fore This text has become the "gold standard" for practice. word for my colleague, my friend, and my mentor. One must always stand in awe of this truly remarkable This latest edition contains many new features. As one woman's contributions over more than three score years. would expect from Florence Kendall, a physical thera Her enthusiasm for and love of the material that make pist who has never let a moment go by without mentor up this text's "heart and soul" is evident in all of Flo ing, teaching, and sharing her deep insights, she has rence's professional endeavors. The comprehensiveness once again shown us the importance of maintaining cur of the text makes it continually stand the test of time, rency with professional developments affecting practice. just as the primary author has stood the test in her cho sen profession of physical therapy. This book's underlying philosophy is that we must al ways return to the tried and true basics that make us Marilyn Moffat, FT, PhD, FAPTA, CSCS more reflective practitioners regarding the appropriate Professor tests and measures selections needed to be better able to Department of Physical Therapy devise and select intervention strategies concurrent with New York University VÜ
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