Ben Benjamin " Eversion of the Foot" June 2006

 

NO FUTHER COMMUNICATION FROM DR. BENJAMIN HAS BEEN RECEIVED

 

-----Original Message-----
From: Ted Nissen [mailto:questions@anatomyfacts.com]
Sent: Sunday, July 09, 2006 7:57 AM
To: Ben E. Benjamin PhD
Subject: Re Your " Eversion of the Foot" June 2006 Massage Today

 

Dear Dr. Benjamin                                                                                              7/9/2006

 

Since I didn’t here from you I assume the Cyriax reference [1] listed as an endnote below is the correct one. It is a 2nd edition published in 1993 so it is fairly current. In the aforementioned reference Cyriax states on page 115  “Painful resisted eversion of the foot indicates that the peroneal muscles are at fault.” Dr. Cyriax resisted eversion test is depicted in the following illustration http://www.anatomyfacts.com/Muscle/cyriaxeversion.bmp. Dr. Cyriax does not describe or illustrate any other tests for these muscles. The two other references listed, as endnotes below (Kendall & Walther) are also classic and well respected references for muscle testing. The Kendal reference depicts the peroneus brevis and longus muscle test as follows http://www.anatomyfacts.com/Muscle/peroneuslbtest2.bmp. The Walther reference is http://www.anatomyfacts.com/Muscle/peroneuslbtest1.bmp. All three references aforementioned are consistent with the muscle test I described  http://www.anatomyfacts.com/muscle/mteditorial1.htm and none of the references are as you depicted or described in your article. The elements of the classic references and my description are simple; 1.) Lateral illustration of the muscle test 2.)  Superior ankle stabilization 3.) Plantarflexion with eversion. None of the aforementioned references mention an additional test of the peroneus brevis with dorsiflexion and eversion as you do in your article. This may be because as I’ve indicated there is problematic recruitment of the peroneus tertius and Extensor Digitorum Longus and Reciprocal innervation may actually weaken the peroneus brevis. Please advise.

 

Your kind consideration is appreciated

 

Ted

 

 

 

 

 

 

 

Dear Dr. Benjamin,

 

Thanks for your kind attention. I will look in the only Cyriax reference I have which is "Cyriax's illustrated Manual of Orthopaedic Medicine" 2nd Edition. Please let me know if you are refering to another one of his books.

 

Thank you so much,

 

Ted

 

 

 

Dear Ted Nissen,

 

Thanks for your email letter. If you check Dr. Cyriax's text you will see that these are the tests to check for these injuries.  Of course many structures are at play when doing any assessment test.  The structures I indicted do the most work and are the most commonly injured. Where the pain is felt is also an important factor because there is little or no referred pain.  The assessment is therefore very easy in these cases.

 

Sincerely,

 

Ben Benjamin PhD

----- Original Message -----

From: Ted Nissen

To: Ben E. Benjamin PhD

Sent: Wednesday, July 05, 2006 10:52 AM

Subject: Re Your " Eversion of the Foot" June 2006 Massage Today

 

 

 

 

 

Dear Dr. Benjamin,                                                                                             7/5/2006                                                                        `          

 

I read your article referenced below and noticed that the peroneus brevis and longus in your article are illustrated with a distant photograph of the medial aspect of the foot.  This makes it difficult to see the tendons articulate when tested (visual feedback cue for correct muscle testing). The muscle test and stabilization also seem problematic at least according to my experience and references[2] [3]. I am so sorry we disagree on this matter as I do respect your writing and work. I have included my review of your article in the form of a letter to the editor of massage today magazine. Below are the links so that you could read what I’ve written. 

 

MY LETTER TO THE EDITOR

http://www.anatomyfacts.com/muscle/mteditorial1.htm

 

 

ARTICLE REVIEWED

Massage today magazine Ben Benjamin " Eversion of the Foot" June 2006

http://www.massagetoday.com/mpacms/mt/article.php?id=13429

 

 

 

Hope this finds you with great blessings and peace of heart and mind,

 

Ted

 

Long Beach California

E-Mail: questions@anatomyfacts.com

 

 

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[1] Cyriax Jh, Cyriax Pj. (1993). Cyriax's illustrated manual of orthopaedic medicine. Linacre House, Jordan Hill, Oxford: Butterworth-heinemann Ltd.

[2] Kendall Ho, Kendall Fp, Mccreary Ek, Provance  (1983). Muscles, testing and function. Baltimore, Maryland: Williams & Wilkins.

[3] Walther Ds. (1981). Applied kinesiology. Pueblo Colorado: Systems Dc.