The text below is from the study on degnerative conditions of the cervical spine. Note the part where it discusses full power assesment of the muscles on a scale of 0-5. They are referring to standard muscle tests not kinesiology. A complete understanding of muscles, use and interpretation of standard muscle tests requires years of study to learn basics of origin, insertion, innervation, agonist and antagonist, quality of contraction, orthopedic and neurological conditions etc. AK was meant to build upon and add to the science not detract from it.
"...The basis of patient evaluation begins with a thorough history. The location, duration and quality of pain are all important considerations in assessing cervical spine patients. Questionnaires and visual analog scores are helpful for quantifying debility and how much the symptoms are affecting their activities of daily living. Aggravating and alleviating factors are clues which often help the clinician formulate a differential diagnosis, and then narrow the options to the most likely etiology for the compliant in the majority of cases.
The distribution of complaints (ie. axial, radicular, or myelopathic) is paramount in the patient evaluation, in that the particular pattern may help to localize where a structural pathology exists within the neuroaxis. For example, longstanding dull axial neck pain, possibly due to facet or disk degeneration in a multitude of sites in the neck, is much less specific as a complaint than acute burning pain into the right shoulder/deltoid that would suggest a disk herniation at C4/5. During the clinical evaluation, gait troubles, loss of function, coordination issues, and symptoms consistent with relative progression are all important factors to consider for these patients. Additionally, the physician must not overlook less common etiologies for neck pathology, such as exposure to infectious agents and environmental toxins, particularly in the setting of myelopathy.
A detailed physical exam is essential in evaluation of cervical spine disorders. A generalized inspection of the cervical spine and shoulder area should begin each examination. Evidence of trauma
, abnormal moles, café-au-lait spots can all suggest different etiologies for pain. As some shoulder issues may mimic cervical spine problems, a brief shoulder exam is often helpful to rule this out, looking specifically for signs of impingement. Palpation about the spine may reveal tenderness over bony prominences, spasm, and painful trigger points. Active and passive range of motion must also be assessed. At the same time Spurling’s manuver may be performed which involves rotation and extension of the neck to each side, thereby closing down the ipsilateral neuroforamen to the rotation, which may elicit pain in the setting of radiulopathy. L’hermittes sign can be seen during the course of range of motion, which will be reported by the patient as the presence of an electric shock sensation with flexion and extension of the neck in some patients with cervical myelopathy
. Interpretation of deep tendon reflexes may indicate radiculopathy, with loss of muscle activation unilaterally, while hyperreflexia or reflex spreading (ie. the inverted radial reflex) may indicate myelopathy or higher central nervous system disease. The Hoffman’s test is performed by the examiner rapidly flexing (ie. flicking) the distal interphalangeal joint of the middle finger, which elicits spontaneous thumb and index finger flexion in the patients demonstrating this sign. This should be performed to rule out myelopathy in conjunction with a Babinski reflex and assessment of clonus. A full muscle power examination of the upper and lower extemities with results reported on a scale of 0 to 5 is essential.
Sensation should be evaluated in a dermatomal pattern looking for specific distributions of numbness, pain, or other dysesthesias. Sensation to pinprick and vibration are also helpful in evaluating the condition of the cervical cord. Finally, an assessment of gait may point to cervical spine pathology. Myelopathic patients often struggle with tandem gait, may exhibit scissoring when they attempt to walk, and frequently have a mechanical appearing and wide based gait when they ambulate spontaneously..."
The link below is to a Wikipedia page on AK. It's not flattering for a good reason. It's turned into a circus that's good for parlor tricks, nothing more. My goal is to build upon Walther and some of the pioneers in AK contributed to the art of clinical sciences not denigrate it. Corny Kinesiology, occipital drops and checking leg length alone don't cut it in my book. http://en.wikipedia.org/wiki/Applied_kinesiology