Orthopedic Clinical Examination

Michael P. Reiman, PT, DPT, OCS, SCS, ATC, FAAOMPT, CSCS, is an assistant professor of physical therapy and the codirector of the orthopaedic manual therapy fellowship program at Duke University Medical Center. As a clinician, Reiman has more than 20 years of experience assessing, rehabilitating, and training athletes and clients. He has presented on orthopedic assessment and treatment methods at national and international conferences and actively participates in research regarding various testing methods for orthopedic examination and intervention and human performance. Reiman coauthored Functional Testing in Human Performance and has written 12 book chapters and more than 40 peer-reviewed articles. He currently serves on the editorial boards for multiple sport- and orthopedic-related journals. Reiman received his doctoral degree in physical therapy from MGH Institute of Health Professions and is currently pursuing his PhD. In addition to his certifications as an athletic trainer and strength and conditioning specialist, Reiman is a manual therapy fellow through the American Academy of Orthopedic and Manual Physical Therapists, a USA Weightlifting level 1 coach, and a USA Track and Field level 1 coach. He is also the chair of the Sports Section Hip Special Interest Group of the American Physical Therapy Association.

Part I. Review of Anatomy Systems Chapter 1. Musculoskeletal System Gilbert M. Willett, PT, PhD, OCS, CSCS; Michael P. Reiman, PT, DPT, OCS, SCS, ATC, FAAOMPT, CSCS Bones Joints Skeletal Muscle and Connective Tissues Conclusion Chapter 2. Nervous System and Pain Michael P. Reiman, PT, DPT, OCS, SCS, ATC, FAAOMPT, CSCS; Adriaan Louw, PT, PhD, CSMT Structural Divisions of the Nervous System Neuromuscular Control Neurophysiology of Pain Conclusion Chapter 3. Tissue Injury and Healing Mark F. Reinking, PT, PhD, SCS, ATC; Michael P. Reiman, PT, DPT, OCS, SCS, ATC, FAAOMPT, CSCS Tissue Healing Muscle Injury Tendon Injury Ligament Injury Bone Injury Articular Cartilage Injury Peripheral Nerve Injury Conclusion Part II. Concepts and Principles of Examination Chapter 4. Evidence-Based Practice and Client Examination Michael P. Reiman, PT, DPT, OCS, SCS, ATC, FAAOMPT, CSCS Evidence-Based Practice and Diagnostic Accuracy Study Quality Broad to Narrow or Funnel Examination Focus Integration of Funnel Examination Approach The Examination Continuum Basic Principles of the Examination Process Conclusion Chapter 5. Client Interview and Observation Jonathan Sylvain, PT, DPT, OCS, FAAOMPT; Michael P. Reiman, PT, DPT, OCS, SCS, ATC, FAAOMPT, CSCS Effective Communication in the Client Interview and History Common Barriers to Effective Communication Qualities of an Effective Interview Standard Client Interview Client Interviews Relative to Musculoskeletal Pain Outcome Measurements Observation Clinical Reasoning Conclusion Chapter 6. Triage and Differential Diagnosis Michael P. Reiman, PT, DPT, OCS, SCS, ATC, FAAOMPT, CSCS Triage Screening for Red and Yellow Flags Diagnostic Imaging Vital Signs Differential Diagnosis and Medical Screening Examination Treatment Based Classification Conclusion Chapter 7. Orthopedic Screening and Nervous System Examination Michael P. Reiman, PT, DPT, OCS, SCS, ATC, FAAOMPT, CSCS; Adriaan Louw, PT, PhD, CSMT Musculoskeletal Screening Examination of the Physical Health of the Nervous System Peripheral Nerve Examination Conclusion Chapter 8. Range of Motion Assessment Michael P. Reiman, PT, DPT, OCS, SCS, ATC, FAAOMPT, CSCS Range of Motion and Flexibility Goniometry Qualitative Assessment of Motion Conclusion Chapter 9. Muscle Performance and Neuromuscular Control Michael P. Reiman, PT, DPT, OCS, SCS, ATC, FAAOMPT, CSCS Components of Muscle Performance Factors Affecting Muscle Performance Clinical Measures of Muscle Performance Conclusion Chapter 10. Special Tests Michael P. Reiman, PT, DPT, OCS, SCS, ATC, FAAOMPT, CSCS Examination Procedure Diagnostic Application of Special Tests Conclusion Chapter 11. Palpation B. James Massey, PT, DPT, OCS, FAAOMPT Palpation Procedure Palpation Components of the Musculoskeletal Examination Abdominal Palpation Pulse Palpation Bony Landmark Palpation Joint Motion Conclusion Chapter 12. Physical Performance Measures Robert J. Butler, PT, DPT, PhD Overview of Testing Hierarchy Single Body-Weight Physical Performance Measures Single Body-Weight Loading Single Body-Weight Loading and Momentum Agility Aerobic Capacity Upper Extremity General Core Stabilization Conclusion Chapter 13. Gait Janice K. Loudon, PT, PhD, SCS, ATC Walking Gait Running Gait Biomechanical Analysis of Walking and Running Conclusion Chapter 14. Posture Michael P. Reiman, PT, DPT, OCS, SCS, ATC, FAAOMPT, CSCS Body Type Optimal Standing Posture Other Posture Positions Abnormal Postures Dynamic Posture Palpation Assessment of Thoracic Posture Conclusion Part III. Examination of the Head and Spine Chapter 15. Face and Head Michael P. Reiman, PT, DPT, OCS, SCS, ATC, FAAOMPT, CSCS Clinically Applied Anatomy Client Interview Observation Triage and Screening Motion Tests Muscle Performance Testing Special Tests Palpation Physical Performance Measures Common Orthopedic Conditions of the Face and Head Conclusion Chapter 16. Temporomandibular Joint Michael P. Reiman, PT, DPT, OCS, SCS, ATC, FAAOMPT, CSCS Clinically Applied Anatomy Client Interview Observation Triage and Screening Motion Tests Muscle Performance Testing Special Tests Palpation Physical Performance Measures Common Orthopedic Conditions of the Temporomandibular Joint Conclusion Chapter 17. Cervical Spine Michael P. Reiman, PT, DPT, OCS, SCS, ATC, FAAOMPT, CSCS Clinically Applied Anatomy Client Interview Observation Triage and Screening Motion Tests Muscle Performance Testing Special Tests Palpation Physical Performance Measures Common Orthopedic Conditions of the Cervical Spine Conclusion Chapter 18. Thoracic Spine Michael P. Reiman, PT, DPT, OCS, SCS, ATC, FAAOMPT, CSCS Clinically Applied Anatomy Client Interview Observation Triage and Screening Motion Tests Muscle Performance Testing Special Tests Palpation Physical Performance Measures Common Orthopedic Conditions of the Thoracic Spine Conclusion Chapter 19. Lumbar Spine Michael P. Reiman, PT, DPT, OCS, SCS, ATC, FAAOMPT, CSCS Clinically Applied Anatomy Client Interview Observation Triage and Screening Motion Tests Muscle Performance Testing Special Tests Palpation Physical Performance Measures Common Orthopedic Conditions of the Lumbar Spine Conclusion Chapter 20. Sacroiliac Joint and Pelvic Girdle Michael P. Reiman, PT, DPT, OCS, SCS, ATC, FAAOMPT, CSCS Clinically Applied Anatomy Client Interview Observation Triage and Screening Motion Tests Muscle Performance Testing Special Tests Palpation Physical Performance Measures Common Orthopedic Conditions of the Sacroiliac Joint and Pelvic Girdle Conclusion Part IV. Examination of the Extremities Chapter 21. Shoulder Michael P. Reiman, PT, DPT, OCS, SCS, ATC, FAAOMPT, CSCS; Christopher Fiander, PT, DPT, OCS, CSCS Clinically Applied Anatomy Client Interview Observation Triage and Screening Motion Tests Muscle Performance Testing Special Tests Palpation Physical Performance Measures Common Orthopedic Conditions of the Shoulder Joint Conclusion Chapter 22. Elbow and Forearm Dawn Driesner Kennedy, PT, DPT, OCS, COMT, FAAOMPT; Michael P. Reiman, PT, DPT, OCS, SCS, ATC, FAAOMPT, CSCS Clinically Applied Anatomy Client Interview Observation Triage and Screening Motion Tests Muscle Performance Testing Special Tests Palpation Physical Performance Measures Common Orthopedic Conditions of the Elbow Joint Conclusion Chapter 23. Wrist and Hand Jonathan Sylvain, PT, DPT, OCS, FAAOMPT; Michael P. Reiman, PT, DPT, OCS, SCS, ATC, FAAOMPT, CSCS; Gary P. Austin, PT, PhD, OCS, FAFS, FAAOMPT Clinically Applied Anatomy Client Interview Observation Triage and Screening Motion Tests Muscle Performance Testing Special Tests Palpation Physical Performance Measures Common Orthopedic Conditions of the Wrist and Hand Conclusion Chapter 24. Hip Michael P. Reiman, PT, DPT, OCS, SCS, ATC, FAAOMPT, CSCS Clinically Applied Anatomy Client Interview Observation Triage and Screening Motion Tests Muscle Performance Testing Special Tests Palpation Physical Performance Measures Common Orthopedic Conditions of the Hip Joint Conclusion Chapter 25. Knee David Logerstedt, PT, PhD, MPT, SCS; Michael P. Reiman, PT, DPT, OCS, SCS, ATC, FAAOMPT, CSCS Clinically Applied Anatomy Client Interview Observation Triage and Screening Motion Tests Muscle Performance Testing Special Tests Palpation Physical Performance Measures Common Orthopedic Conditions of the Knee Conclusion Chapter 26. Lower Leg, Ankle, and Foot Shefali Christopher, PT, DPT, SCS, LAT, ATC; Michael P. Reiman, PT, DPT, OCS, SCS, ATC, FAAOMPT, CSCS Clinically Applied Anatomy Client Interview Observation Triage and Screening Motion Tests Muscle Performance Testing Special Tests Palpation Physical Performance Measures Common Orthopedic Conditions of the Lower Leg, Ankle, and Foot Conclusion Part V. Examination of Special Populations Chapter 27. Emergency Sport Examination John DeWitt, PT, DPT, SCS, ATC; Mitch Salsbery, PT, DPT, SCS, CSCS Sports-Related Concussion Cervical Spine Injuries Cardiac Disorders Compartment Syndrome Asthma Pneumothorax Heat-Related Illness Fractures Endocrine emergencies Conclusion Chapter 28. Geriatric Examination Michael Schmidt, PT, DPT, OCS, FAAOMPT; Charles Sheets, PT, OCS, SCS, Dip MDT; Tasala Rufai, PT, DPT, GCS Influence of Age on Diagnosis Change in Tissue Properties as a Result of Aging Influence of Age on Pain Physical Requirements for Activities of Daily Living Osteoporosis Examination of Balance Conclusion Chapter 29. Pediatric Examination Dora J. Gosselin, PT, DPT, PCS, C/NDT Child's Musculoskeletal System Multisystem Pathologies Pathologies of the Spine Upper Extremity Pathology Lower Extremity Pathology Conclusion

"This is an excellent, comprehensive, evidence-based, orthopedic musculoskeletal clinical examination book. It provides more depth and breadth than any current orthopedic clinical examination books and is well organized and easy to follow. The accompanying online videos are detailed and easy to follow. "The review of systems is very detailed and serves as a knowledge base for the rest of the book. The client interview and differential diagnosis sections are excellent. . . . The pictures and video demonstrations are well done and easy to understand and follow. "This is an excellent and detailed guide to the orthopedic clinical examination. It is well written and comprehensive. There are many other orthopedic examination books available, but the strength of this one is the detailed coverage of each topic. The supplemental web resources with case studies and videos make it unique." -David M Nissenbaum, MPT, MA, LAT, OCS, PES (PRO Physical Therapy) Five Stars, Doody's Book Review