What is Balanced Muscle Strength (BMS) referring to?
All of the muscles around any given joint need balanced strength pulling in each direction.  For example, the muscles that move your thigh backward, need to be as strong as the ones that move your thigh forward, to the outside, to the inside, rotating the thigh inward and outward.



Why is Balanced Muscle Strength important?
If one muscle around a joint is stronger or weaker than the rest, the bones of that joint will not remain centered properly.  Each time an imbalanced joint moves, it will tug to one side, leaving you at a mechanical disadvantage.  This imbalanced motion will stretch, scrape or pinch tissues abnormally, causing some damage.

As a result, your athletic performance suffers and your chance of developing pain and injuries increases.  Sports that use repetitive, one directional motions like running and cycling are particularly prone to muscle imbalance issues.



How are the tests done?
The Balanced Muscle Strength screening involves 1 Rep Max Resistance tests done in a variety of positions designed to isolate each individual muscle.  The examiner places the participant in the testing position and gradually exerts pressure against their limb in a specific direction until the participant can no longer hold the starting position.



How long does a BMS screen take?
A DxF examiner can perform a BMS screen on one person in 5-10 minutes.  This works out to 6-12 people per hour.  The total screening event time will depend on how many participants are evaluated. For larger events, DxF will bring multiple examiners.



How accurate is muscle strength testing?
Manual muscle testing is considered to be of “good reliability” with “good external and internal validity” (1).  These screens are semi-quantitative with each test receiving a score from 0-100+.



What does the DxF get out of doing these screenings?
The DxF is dedicated to promoting causal diagnosis as a way to help human safety, health & performance.  Holding screening events like this helps to get the word out about our mission.  We hope that as other people get to experience the powerful benefits of knowing their individual muscle strengths, it will excite them to join us in our cause as members, volunteers, becoming certified as muscle strength & balance screeners and with donations.

Long range – the DxF is building a new profession, the Doctor of Holistic Diagnosis.  Muscle strength & balance screens as well as certification programs are just early steps towards building a new health care paradigm.



1 – http://www.ncbi.nlm.nih.gov/pmc/articles/PMC1847521/




How long does the BMS certification course take?
A lot depends on what format your are taking.  If you are doing any of the Self Study programs (online, cd, printed or PLUS), you can learn the material as quickly or slowly as you want.  It takes about 20 hours to read everything and do all the drills as few times.

If you are taking the webinars, they are distributed over 3 weeks.  The seminar covers all the material in one weekend.  Doing additional study drills and practicing the muscle tests until you have them memorized could be another 5-10 hours of study.

The final examination processes (written exam, applied exam, 1 day internship, new screening venue development & essay) will involve another 5-10 hours of actual time, but because of scheduling, these steps could be spread over a few months.


What are the course components?

Whether you are taking the self study programs (online, CD or printed), the webinars or the seminar, they will all be covering the same material  They all include:

  • Course content – 19 modules
  • Drill packages – 17
  • Practice exams – 2
  • Forms – Sample forms to record results and to use during screenings

Final Exam Elements: all at Long Island & Metro NY locations

  • Final exam – proctored
  • Applied exam – with DxF examiner
  • Internship – supervised participation in 1 screening event




What is the course curriculum?
Anatomy & Biomechanics:
Muscle Names: 1-12
Bone Names: Lower Limb
Anatomy Regions: Lower Limbs
Anatomy Navigation
Bone Landmarks: Muscle Tests 1-12
Origin/Insertion/Action: Muscles 1-12
Introduction to Muscle Actions
Applied Diagnostics:
Introduction to Balanced Muscle Strength (BMS) testing
Muscle Testing Technique
Muscle Strength & Pain Measurement Scales
Muscle Tests: 1-12
Education Technology for MS&B
Screening Procedures
Screening vs. Diagnosis & Confidentiality
Intro to the Diagnosis Foundation
Certification Requirements


What formats is the course available in?

The following packages are available for this certification course. So whether you want to do it as a self study program, with a tutor, at webinars or a weekend seminar, we can accommodate you.  The self study programs also come in variable formats including:

  • Online & downloads
  • CD
  • Printed

Note: The certification exams and internships are all currently available on Long Island and Metro NY locations.



What are the pre-requisites?

The following are required prior to taking your Written exam.

  • 18 years of age
  • High School diploma or GED
  • CPR / AED online certification – See below for additional details

CPR/AED Pre-Requisite:

CPR/AED certification is taught and paid for through independent organizations, not through the DxF.

Examples of Acceptable Organizations

  • American Red Cross
  • American Heart Association
  • American Safety & Health Institute
  • St. John Ambulance
  • Emergency Care & Safety Institute
  • Emergency Medical Technician

Note: If you intend to continue on to advanced certification in BMS, CPR/AED certification will require a practical component with in person training (i.e. not just online).



What is BMS talking about?

We’re not talking about building up bulk or even overall strength.  We’re talking about the strength of each individual muscle around a specific joint being balanced with one another.  When the strength of all the muscles around a joint is imbalance, the joint will tug to one side and you will lose power, speed and endurance.  You’ll also get more susceptible to injury and joint disease.  Professional athletes know this information.  Now it is available for you.




What is studied?

This certification course involves learning how to test 12 individual leg muscles for their maximum strength capability.  We have many more BMS courses coming this year including: introduction to muscle testing in the arms and advanced muscle strength testing (MST).



Who is this course designed for?

This course is designed for individuals studying manual muscle strength testing for the first time.  It also has enough depth to satisfy the experienced muscle tester looking for a detailed review and new muscle testing variants. People that would benefit from this information include:

  • Fitness instructors and body workers: Personal trainers, yoga instructors, massage therapist, group exercise instructors (spin, zumba, pilates), Alexander, etc.
  • Sports: Coaches, trainers, athletes (runners, cyclists, team sports)
  • Individuals: Office workers, musicians, construction, sales, etc.…
  • Allied health professionals: Physician assistants, physical therapists, nurse practitioners, podiatrists, etc.
  • Practicing physicians: MD, DO, DC, ND