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    Assessing Muscle Strength

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    mabs_LV
    This document discusses how to assess muscle strength manually using a standardized 0-5 scale. It describes each level of the scale: 0/5 indicates total paralysis with no contraction; 1/5 is flicker movement only; 2/5 is unable to overcome gravity but can move in a gravity-reduced plane; 3/5 can overcome gravity but not resistance; 4/5 yields to resistance but provides some; and 5/5 is normal strength able to resist maximum force. It notes the scale can be expanded with plus or minus signs but these incremental grades are subjective. The standardized 0-5 scale allows functional assessment of individual muscles over time to monitor disease progression.

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    Assessing Muscle Strength

    Uploaded by

    mabs_LV
    70 views3 pages
    This document discusses how to assess muscle strength manually using a standardized 0-5 scale. It describes each level of the scale: 0/5 indicates total paralysis with no contraction; 1/5 is flicker movement only; 2/5 is unable to overcome gravity but can move in a gravity-reduced plane; 3/5 can overcome gravity but not resistance; 4/5 yields to resistance but provides some; and 5/5 is normal strength able to resist maximum force. It notes the scale can be expanded with plus or minus signs but these incremental grades are subjective. The standardized 0-5 scale allows functional assessment of individual muscles over time to monitor disease progression.

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    This document discusses how to assess muscle strength manually using a standardized 0-5 scale. It describes each level of the scale: 0/5 indicates total paralysis with no contraction; 1/5 is flicker movement only; 2/5 is unable to overcome gravity but can move in a gravity-reduced plane; 3/5 can overcome gravity but not resistance; 4/5 yields to resistance but provides some; and 5/5 is normal strength able to resist maximum force. It notes the scale can be expanded with plus or minus signs but these incremental grades are subjective. The standardized 0-5 scale allows functional assessment of individual muscles over time to monitor disease progression.

    Copyright:

    © All Rights Reserved
    Download as DOCX, PDF, TXT or read online from Scribd
    Download as docx, pdf, or txt
    70 views3 pages

    Assessing Muscle Strength

    Uploaded by

    mabs_LV
    This document discusses how to assess muscle strength manually using a standardized 0-5 scale. It describes each level of the scale: 0/5 indicates total paralysis with no contraction; 1/5 is flicker movement only; 2/5 is unable to overcome gravity but can move in a gravity-reduced plane; 3/5 can overcome gravity but not resistance; 4/5 yields to resistance but provides some; and 5/5 is normal strength able to resist maximum force. It notes the scale can be expanded with plus or minus signs but these incremental grades are subjective. The standardized 0-5 scale allows functional assessment of individual muscles over time to monitor disease progression.

    Copyright:

    © All Rights Reserved
    Download as DOCX, PDF, TXT or read online from Scribd
    Download as docx, pdf, or txt
    of 3

    Assessing Muscle Strength (Manual muscle

    testing)
    BY LIANE CLORES, RN MAN AUGUST 12, 2015
    Nursing care plan
    Practice Test
    Arbitrary
    Body Parts

    G eorge is feeling depressed. He thinks back on what he was like last week, working out at

    the gym, training like a beast and building up some nice biceps and triceps. He looked really strong
    with his toned body, but now he looks so fragile lying on the hospital bed and feeling weak. He is
    diagnosed with stroke and cant seem to move the right side of his body well.
    He closes his eyes and sighs as he hopes to recover from whatever condition he thinks hes in.
    Hopefully, hell be able to regain his strength and can finally live his life the way he did back then.
    How to assess muscle strength manually

    We always see these 0/5, 1/5 etc. assessment of


    doctors in the patients chart. We see them muscle scale scoring chart) posted in walls of the nurses
    station and bedside. However, what more do we know about these fractions and/or muscle
    assessments? How does one assess anothers muscle strength?
    Major skeletal muscles can be functionally assessed for their strength and are evaluated individually
    with comparison to that of the same muscle on the opposite side of the body. Muscle strength can be
    monitored over time to follow progression or remission of disease.

    Muscle strength is graded on a scale of 0-5, with 0 representing absolutely no visible contraction
    and 5 being normal.
    0/5. Total paralysis
    A 0/5 score means that you are unable to create any visible or noticeable contraction in a specific
    muscle. Here, the muscle is paralyzed, such as after a stroke, spinal cord injury or cervical or lumbar
    radiculopathy. Sometimes pain can prevent a muscle from contracting at all.

    1/5. Flicker movements only


    A grade of 1/5 occurs when muscle contraction is noted but no movement occurs. The muscle is not
    strong enough to lift the particular body part against gravity or move it when in a gravity-reduced
    position.

    2/5. Unable to overcome the force of gravity but able to move in the plane of the supported
    extremity
    This muscle-strength grade is assigned when your muscle can contract but cannot move the body part
    fully against gravity in other words, there is some movement but it is insufficient to counteract
    gravity. When gravity is reduced or eliminated during a change in body position, the muscle is able
    to move the body part through its full range of motion.

    3/5. Able to overcome gravity but not resistance


    A 3/5 grade means that you are able to fully contract your muscle and move your body part through
    its full range of motion against the force of gravity.But when resistance is applied, the muscle is
    unable to maintain the contraction.The movement is barely against gravity (with inability to
    resist any additional force).
    4/5. Being less than normal (but more than enough to resist gravity)
    A 4/5 grade indicates that the muscle yields to maximum resistance. The muscle is able to contract
    and provide some resistance, but when your physical therapist presses on the body part, the muscle is
    unable to maintain the contraction.

    5/5. Normal motor power


    This means the muscle is functioning normally and is able to maintain its position even when
    maximum resistance is applied.

    Sometimes, the 5 point scale is expanded into a 9 point scale by the addition of + symbols when
    strength seems to be between numbers. At other times, others add - symbols when a muscle seems
    to function just below a level. For example, a grade of 4+/5 indicates that your muscle yielded to
    maximum resistance, but was able to provide some resistance during the testing. A 4-/5 grade means
    that your muscle was not able to provide much resistance at all during testing.

    However, the use of these incremental grades is subjective, which makes them unreliable and quite
    arbitrary.

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