Dear Mel
Thanks for the reply and once again I am in complete agreement. In the UK we
have an en vogue phrase in physio 'life long learning'. I try to avoid these
cliches but as a concept this is a hard one to avoid.
The more I learn the less I seem to know. The relationship and communication
between the body's systems eg; all aspects of neural tissue, vascular,
mechanical, chemical/hormonal is massive, To abbreviate something as complex
as a motor skill to one aspect of a system is a nonsense. It is also for
this reason that I feel the expression of definates in diagnosis of
complicated systems, can also look foolish.
Speak to you again some time Warm Regards Kevin Reese PT NE of England.
-----Original Message-----
From: [log in to unmask] <[log in to unmask]>
To: [log in to unmask] <[log in to unmask]>
Date: 05 September 1999 06:05
Subject: ISOLATED MUSCLE TESTING
>On 26/8/99, Kevin Reese<[log in to unmask]> wrote:
>
><<Dear Mel As always well said. The issue of movement and function is
>incredibly
>complex, but could the problem be a labelling mistake. That is to say, the
>tests and findings have some functional merit in the rehabing of
>individuals, but the rationale of isolation is flawed. The test may
identify
>a failing pattern of movement, but to blame one structure for this may be
>wrong. Your views please.>>
>
>***I fully agree. During university studies, students often are reminded
of
>appreciating patterns of movement, the fundamental role of patterns in PNF
>rehab, the principle that "the body knows only of movements and not
muscles",
>the underlying neural determinants of all movement and synergism among
>muscles, yet some years later and a few trendy new rehab courses later,
these
>early basics seem to be forgotten.
>
>Indeed, it can be most inappropriate and misleading to attribute some
>neuromotor or neuromuscular problem to some single muscle or other soft
>tissue structure. Often, a great deal more circumspection needs to be
>exercised when applying 'muscle tests' too literally and too
>isolationistically. This overemphasis on isolation testing in some ways
>seems to constitute a type of "muscle apartheid".
>
>Dr Mel C Siff
>Denver, USA
>[log in to unmask]
>
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