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Muscle strength testing
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Muscle strength grading scale
5 full ROM against gravity and normal resistance 4 full ROM against gravity and some resistance 3 full ROM against gravity 2 full ROM with gravity removed 1 no motion, but slight contractility 0 no motion, no contractility
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MUSCLE STRENGTH TESTING – UPPER EXTREMITY
Deltoid: C5 / axillary nerve Elbow flexors (biceps): C6 / musculocutaneous nerve Elbow extensors (triceps): C7 / radial nerve Wrist extensors: C6 / radial nerve Wrist flexors: C7 / median & ulnar nerves Finger extensors: C7 / radial nerve Finger flexors: C8 / median & ulnar nerve Interossei: T1 / ulnar nerve
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Deltoid (C5 / axillary nerve)
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Elbow flexors - biceps (C6 / musculocutaneous nerve)
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Elbow extensors - triceps (C7 / radial nerve)
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Wrist extensors (C6 / radial nerve)
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Wrist flexors (C7 / median & ulnar nerves)
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Finger extensors (C7 / radial nerve)
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Finger flexors (C8 / median & ulnar nerves)
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Finger flexors (C8 / median & ulnar nerves)
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Finger flexors – dynamometer (grip) (C8 / median & ulnar nerves)
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Interossei – finger adductors (T1 / ulnar nerve)
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Interossei – finger abductors (T1 / ulnar nerve)
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Muscle strength testing grading scale
5 full ROM against gravity and normal resistance 4 full ROM against gravity and some resistance 3 full ROM against gravity 2 full ROM with gravity removed 1 no motion, but slight contractility 0 no motion, no contractility
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MUSCLE STRENGTH TESTING – LOWER EXTREMITY
Psoas: L1,2,3 / branches of lumbar plexus Quadriceps: L2-4 / femoral nerve Adductors: L2-4 / obturator nerve Anterior tibialis: L4 / deep peroneal nerve Dorsiflexiors: L5 / deep peroneal nerve EHL: L5 / deep peroneal nerve Plantarflexors: S1 / tibial nerve Evertors: S1 / superficial peroneal nerve Gluteus medius: L5 / superior gluteal nerve Gluteus maximus: S1 / inferior gluteal nerve
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Psoas (L1,2,3 / branches of lumbar plexus)
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Quadriceps – hip flexion (L2-4 / femoral nerve)
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Quadriceps – knee extension (L2-4 /femoral nerve)
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Adductors (L2-4 / obturator nerve)
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Anterior tibialis (dorsiflexion & inversion) (L4 / peroneal nerve – deep branch)
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Dorsiflexors (L5 / peroneal nerve – deep branch)
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Extensor Hallicus Longus (EHL) (L5 / peroneal nerve – deep branch)
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Plantarflexors (S1 / tibial nerve)
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Evertors (S1 / peroneal nerve –superficial branch)
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Gluteus Medius (L4, L5, S1 / superior gluteal nerve)
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Gluteus maximus (L5, S1, S2 / inferior gluteal nerve)
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