1. Need a sheet of paper to make a chart.

2. Grade 1Grade 2Grade 3 Strain Sprain

3. GRADE 1  Local pain which increases with tension on muscle.  Minor loss of strength.  Mild swelling and ecchymosis.  Local tenderness.  Where in the muscle can a strain occur?

4. GRADE 2  Similar to grade 1 but:  Moderate S/S  Impaired muscle function.

5. GRADE 3  S/S are severe.  Loss of muscle function.  Palpable defect.  Highest incidence muscles:  Hamstrings  Gastrocnemius  Quadriceps  Hip flexors  Rotator cuffs

6. GRADE 1  Some stretching and separation of fibers.  Minimal instability.  Mild pain, swelling and joint stiffness.

7. GRADE 2  Some tearing and separation of fibers.  Moderate instability.  Moderate pain, swelling, and joint stiffness.

8. GRADE 3  Total tearing of ligament.  Severe instability.  Can result in subluxation.  Severe pain then followed by no to little pain from disruption of nerve fibers.  Severe swelling and joint stiffness some hours later.  Rule out other ligament damage.