Neck Trunk And Lower Extremity Muscle Chart

Cure Arthritis Naturally

Cure Arthritis Naturally

Get Instant Access




10-7-99 FPK

J-26-90 FPK


to to

5-15 68 HOK

4-3-50 HOK

2-27-50 HOK

JO-18-49 HOK

e weak


Neck Flexors

Neck Extensors

Back Extensors

10-18-49 HOK


2-21-50 HOK


Quaiiratus Lumbonim tO

to to tO

to to to

Trunk-raising Ki-ctus abdominis Internal iihfiquv

Leg-lowering Rectus abdominis External ohlique

Gluteus Maxim us

Gluteus Medius flip Abductors

Hip Adductors

Hip Medial Rotators to to to to to to a

to to to to to to

! lip Lateral Rotators

I lip Flexors

Tensor Fasciae Latae

Sartorius to to to m to

Medial I lamstrings

Lateral Hamsmngs




Peroneus Longus

Peroneus Brevis

Peroneus Tertius to to a

Tibialis Posterior

Tibialis Anterior

I \tensor llallucis Longos

I- lexor Haliucis Longu

Hesor Haliucis Brevis

Extensor Digitorum Longus

2 Extensor Digitorum Longus

3 Emensor Digitorum Longus

■* Extensor Digitorum Longus

Extensor Digitorum Brevis i:\tcnsorDignorum Brevi

Ixtensor Digitorum Brevis

I xtensor Digitorum Brevis

Flexor Digitorum Longos

Flexor Digitorum Longus

3 Flexor Digitorum Longus t t

Fletor Digitonun Longu

I lexor Digitorum Brevis

Flexor Digitorum Brc. is

Ficu'r Digitorum Brevis

Flexor Digitorum Brevi>




Lunibri calis

Leg Length

Tlugb Circumference t -ill t ircuiTiference to

4-31-51 HOK

5-15-68 HOK

1-26-90 FPK

10-7-99 FPK

to to to to to to to to e to to to to to to to to to to

to to to to

t tpWKj^M 4 and below ■ 5-7 ■ a^^^^ongeofm^jon limited wafcJsoré

~T'—„ ——-p-------— ____v / ~ ''«"ye i 11 luiiun

'--¿e-90 Quadriceps - cannot extend last, 15° of knee in

H> 1 -^CZ-Qn r---_ - _ _ ^ _ " ; :---:-----^L

— -■ -_-ZJ-^-------------------U, .yricc in fitting___

cannot rise on toes one foot at a time but can come up when rism0 on both at the ---same time k>ut with some forward displacement of the body c- l°-7-99 Cannot rise on toes one foot at a time ----

weak to to to to to to to to to to

io to t

' 3004 Elizabeth K. McCreary and Florence P. Kendall. Authors grant permission to reproduce for personal use but not for sale


\ Immunologic Impaired n \ Process Motor Neuron

\ Immunologic Impaired n \ Process Motor Neuron

Full Circle Skirt Pattern
Pain Syndromes

Schematic model showing three possible causes for late neuromuscular and musculoskeletal complications of polio and their interactions. (Adapted from 47 with permission).


Suggested Readings

1. Bruno, R.L., The Polio Paradox. Warner Books, Inc., New York, 2002

2. Mense, S., Simons, D.G., Muscle Pain Understanding Its Nature. Diagnosis, and Treatment. Lippincott Williams & Wilkins, Philadelphia, PA, 2001

3. Halstead, L.S., The Residual of Polio in the Aged. Topics in Geriatric Rehabilitation, 3 (4), 9-26, 1988

4. Dalakas, M.C., Elder G et al. A Long-term follow-up study of patients with post-poliomyelitis neuromuscular symptoms. New England J Med 314;959-63, 1986

5. Gawns, A.C., Halstead, L.S., Evaluation of the postpolio patient. The Lincolnshire Post-Polio Library. http://www. 1-4,2004

6. Swensrud, G. (note by) Post Polio Syndrome, Aging with a Disability. Oakland Kaiser Conference, Sept 19, 2003.

7. Perry, J, Fontaine J.D., Mulroy S, Findings in PostPoliomyelitis Syndrome, Weakness of Muscles of the calf as a source of late pain and Fatigue of muscles of the thigh after Poliomyelitis, The J of Bone and Joint Surgery, vol 77-A, 8, 1148-1153, 1995

8. Management of PPS. About Polio and PPS—Monograph 2003.

9. Gross, MT, Schuch, CP Exercise Programs for Patients with Post-Polio Syndrome: A Case Report, Physical Therapy, vol 69, 172-75. Jan 1989

10. Krivickas, L.S. Breathing Problems Caused by Post-Polio Syndrome, http://gbppa.Org/krivickas/.htm. 2003

11. Dean, E. Clinical Decision making in the Management of the Late Sequelae of Poliomyelitis. Physical Therapy vol71, 10 752-761, 1991.

12 Maynard, F.M. The Post-Polio Syndrome and ReRehabilitation, rehab.htm. 2003

13. Sharrad, W.J.W. Muscle Recovery in Poliomyelitis, The J of Bone and Joint Surgery, vol 37B.1, 63-79, 1955

14. Polio and the Era of Fear, The Mission, http://www. 1994

15. Polio and Post-Polio Fact Sheet, Post-Polio Health International, 2004.

16. Berry, P., West Nile Virus, Polio-like symptoms, The Clarion-Ledger, wnv-pol.htm. 2002

17. Kendall, H.O., Kendall, FP. Orthopedic and Physical Therapy Objectives in Poliomyelitis Treatment, The Physiotherap Review, vol 27, 3, 1947

18. Kendall, H.O., Kendall, F.P., Care During the Recovery Period in Paralytic Poliomyelitis, Public Health Bulletin no. 242, Washington, 1939 revised


1. Rash G. Electromyography Fundamentals. http:/Avww., Accessed 8/03, 2003.

2. Toffler A. Powershift. New York: Bantam Books; 1991.

3. Rheault W, Beal J, Kubick K, Novack T, Shepley J. Intertester reliability of the hand-held dynamometer for wrist flexion and extension. Archives of Physical Medicine and Rehabilitation. 1989;70:909.

4. Surburg P, Suomi R, Poppy W. Validity and reliability of a hand-held dynamometer applied to adults with mental retardation. Archives of Physical Medicine and Rehabilitation. 1992:73(6):535-539.

5. Wadsworth C, R K, Sear M, Harrold J, Nielsen D. Intrarater reliability of manual muscle testing and handheld dynametric muscle testing. Phys Ther. 1987,67(9): 1342-1347.

6. Brinkman JR. Comparison of a hand-held to a fixed dynamometer in tracking strength change. [Abstract R226] In: Abstracts of papers accepted for presentation at 67th Annual Conference of American Physical Therapy Association, June 14-16, 1992. Phys Ther. 1992,72(6) Suppl.

7. Marino M, Nicholas J. Gleim G, Rosenthal P, Nicholas J. The efficacy of manual assessment of muscle strength using a new device. Am J Sports Med. 1982; 10(6): 360-364.

8. Mulroy SJ, Lassen KD, Chambers SH, Perry J. The ability of male and female clinicians to effectively test knee extension strength using manual muscle testing. Journal ofOrthopaedic and Sports Physical Therapy. 1997:26(4)192-199.

9. Rothstein J. Muscle biology—clinical considerations. Phys Ther. 1982;62( 12): 1825.

10. Newton M, Waddell G. Trunk strength testing with isomachine. Part 1: Review of a decade of scientific evidence. Spine. I993;18(7):801-811.

11. Dirckx, JH. ed. Stedman's Concise Medical Dictionary. 4th ed. Baltimore. Lippincot Williams & Wilkins; 2001.

12. O'Connell A, Gardner E. Understanding the scientific basis of human motion. Baltimore: Williams & Wilkins; 1972.

13. Kendall F, McCreary E, Provance P. Muscles: Testing and Function wih Posture and Pain. 4th ed. Baltimore: Lippincott, Williams & Wilkins; 1993.

14. Goss CM, ed. Gray's Anatomy of the Human Body. 28th ed. Philadelphia: Lea & Febiger; 1966:380-381.

15. Legg AT. Physical therapy in infantile paralysis. In: Mock, ed. Principles and practice of physical therapy. Vol II. Hagerstown. MD: WF Prior; 1932:45.

16. Brodal A. Neurologic Anatomy: in Relation to Clinical Medicine. 3rd ed. New York: Oxford University Press, 1981.

17. Peele TL. The Neuroanatomy Basis for Clinical Neurology. 3rd ed. New York: McGraw-Hill; 1977.

18. Keegan J, Garrett F. The segmental distribution of the cutaneous nerves in the limbs of man. Anat Rec. 1948 1948:102.

19. Sunderland S. Nerve andNen-e Injuries. 2" ed. New York: Churchill Livingstone; 1978.

20. O'Neill DB, Zarins B, Gelberman RH, Keating TM, Louis D. Compression of the anterior interosseous nerve after use of a sling for dislocation of the acromioclavicular joint. J Bone Joint SurgjAMJ. 1990. 72-A(7):ll00.

21. Post M, Mayer JM. Suprascapular nerve entrapment. Clin OrthopRelatRes. 1987;223:126-135.

22. Hadley MN, Sonntag VKH. Pittman HW. Suprascapular nerve entrapment. J Neurosurg. 1986;64:843-848.

23. Dawson DM, Hallett M, Millender LH. Entrapment Neuropathies. 2nd ed. Boston: Little, Brown; 1990.

24. Conway S, Jones H. Entrapment and compression neuropathies. In: Tollison C, ed. Handbook of Chronic Pain Management. Baltimore: Williams & Wilkins; 1989.433. 437, 438.

25. Kendall HO, Kendall FP, Boynton DA. Posture and Pain. Baltimore: Williams & Wilkins; 1952.

26. Cahill BR. Quadrilateral space syndrome. In: Omer GE Spinner M. Management of peripheral nerve problems. Philadelphia: WB Saunders; 1980:602-606.

27. Sunderland S. Nerve Injuries and Their Repair: A Critical Appraisal. London: Churchill Livingstone; 1991:161.

28. Freiberg AH, Vinke TH. Sciatica and sacro-iliac joint. J Bone Joint SurglAMJ. 1934; 16:126-136.

29. Jankiewic/ J J. Henrikus WL. Houkom JA. The appearance of the prirformis muscle syndrome in computed tomography and magnetic resonance imaging. Clin Orthop Relat Res. 1991;262:207.

30. Spinner M. Management of nerve compression lesions of the upper extremity. In: Omer G. Spinner M. eds. Management of Peripheral Nerve Problems. Philadelphia: WB Sanders; 1980.

31. Adams RD, et al. Diseases of Muscle. New York: Paul B Hoeber; 1953.

32. Lehman JH, ed. TherapeuticHeatand Cold. Baltimore: Williams & Wilkins; 1982:404, 563-564.

33. 15 Million children threatened by polio outbreak, (hup:// Accessed 1/22/04.

34. Polio f]. Accessed 6/29/04.

35. West Nile Virus statistics, surveillance, and control. t Accessed 1/21/04.

36. West Nile Virus can cause polio-like symptoms, (http:// Accessed 1/21/04.

37. Bruno R. Polio by any other name. West Nile Virus, postpolio syndrome, chronic fatigue syndrome, and a double standard of disbelief. l\'.print.cfm/ID=39381. Accessed 7/28/03. '

38. Postpolio syndrome fact sheet. National Institute of Neurological Disorders and Stroke [http://www.nmds. and medical/pubs/post-polio.html. Accessed 1/31/04.

39. Report onpostpolio syndrome in Australia, Canada, France, Germany. Japan, UK, and USA.: Disability World; 2001.

40. Mayo Clinic Staff. Postpolio Syndrome fhttp.www. Accessed 1/31/04.

41. Polio experts grapple with the complexities of postpolio syndrome. lhUp:// html]. Accessed 2/17/04.

42. Halstead L. Postpolio syndrome. SciAm. 1998;278(4): 36-44.

43. Bollenbach E. Polio biology X. A Lincolnshire PostPolio Library Publication [http://www,Qttzvn£t£ polio/lincolnshire/library/bollenbach/hiologvlO.htmn. Accessed 5/14/03.

44. Aston J. Postpolio syndrome. An emerging threat to polio survivors. Postguard Med. 1992;92:249-256.

45. Anderson W, Oregon tMABotPPPESo. An approach to the patient with suspected postpolio syndrome, fhttp:// Accessed 5/10/03.

46. Andres P. Rehabilitative principles and the role of the physical therapist In: Munsat T, ed. Postpolio Syndrome. Stondham, MA: Butterworth-Heinemann 1991; [] Accessed 4/27/03.

47. Halstead L. Late complications of poliomyelitis. In" Goodgold J, ed. Rehabilitative Medicine. St. Louis: CV Mosby; 1988:328-342.


Was this article helpful?

0 0
Natural Arthritis Pain Remedies

Natural Arthritis Pain Remedies

It's time for a change. Finally A Way to Get Pain Relief for Your Arthritis Without Possibly Risking Your Health in the Process. You may not be aware of this, but taking prescription drugs to get relief for your Arthritis Pain is not the only solution. There are alternative pain relief treatments available.

Get My Free Ebook

Post a comment