MRC Scale | Muscle Strength Grading

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This is not medical advice. The content is intended as educational content for health care professionals and students. If you are a patient, seek care of a health care professional. Let Kai help you understand the theory behind graded MRC muscle strength testing using the knee joint (Quadriceps) as an example.
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Пікірлер: 151

  • @Muslimdoctor.1
    @Muslimdoctor.13 жыл бұрын

    Grade 0= no movement Grade 1=slight active without movement of limb Grade 2= full range of movement without gravity Grade 3=full range of movement against gravity without resistance offered by examinar Grade 4= full range of movement against gravity with moderate resistance offered by examinar Grade 5=full range of movement against gravity with full resistance offered by examinar

  • @Mikaela-sw9mp
    @Mikaela-sw9mp3 жыл бұрын

    Thank you so much. I have watched all of your playlist videos. I even have learnt techniques and special tests that were not taught during physio school. In my opinion, your videos and physiopedia are some of the best physiotherapy content on the internet. Keep doing what you're doing. From Australia.

  • @Nadasistschoen
    @Nadasistschoen3 жыл бұрын

    Thanks! From a medical student in New Zealand... I love your channel!

  • @zen2911
    @zen29115 жыл бұрын

    Concise and very helpful thanks for making this mate

  • @Physiotutors

    @Physiotutors

    5 жыл бұрын

    Ur welcome Wechat!

  • @tadasm.3265
    @tadasm.32653 жыл бұрын

    The video these guys made I just Lovett.

  • @gizellamonoki
    @gizellamonoki Жыл бұрын

    Fab!! Thank you!! Very practical and clear.

  • @1809ines
    @1809ines4 жыл бұрын

    Thank you so much, this video is perfectly

  • @Ameejack
    @Ameejack3 жыл бұрын

    Very great demo!

  • @Suda11
    @Suda115 жыл бұрын

    As your other videos, a very helpful and educative video. Thank you so much

  • @Physiotutors

    @Physiotutors

    5 жыл бұрын

    No worries Ali, happy to help!

  • @drshinesha8467
    @drshinesha84674 жыл бұрын

    Great work sir...

  • @jawahirsaif
    @jawahirsaif2 жыл бұрын

    Thank u so much ... very simple and informative 👍.

  • @jacobkuruvilla4502
    @jacobkuruvilla45023 жыл бұрын

    Great videos!!! Clear instructions👍 Could you make a video of range of motion measurements using goniometer, inclinometer mentioning anatomical landmarks. Thanks

  • @mrghost8739
    @mrghost87394 жыл бұрын

    Thank you for the fast and informative video

  • @Physiotutors

    @Physiotutors

    4 жыл бұрын

    Ur welcome!

  • @Maximilz
    @Maximilz10 ай бұрын

    I had grade 0 for a month after surgery, was the weirdest thing ever, then it suddenly came back

  • @sergeyryabov7262
    @sergeyryabov72624 жыл бұрын

    Thank you!

  • @rosybala2223
    @rosybala22236 жыл бұрын

    very educational. Thanks a lot sir!

  • @Physiotutors

    @Physiotutors

    6 жыл бұрын

    Ur welcome, thanks for subscribing to our channel!

  • @sarithar3455
    @sarithar34554 ай бұрын

    From India.clearly understand.thank you

  • @gabrielmbarrios
    @gabrielmbarrios3 жыл бұрын

    can you make a video about muscle strength assessment using a sphygmomanometer please? And if posible, not only the grip strength. Thank you for the great content!

  • @princess-dh9rj
    @princess-dh9rj3 жыл бұрын

    Very helpful thank u so much

  • @kasamhse817
    @kasamhse8176 жыл бұрын

    Thank u ❤

  • @fatimashaikh-vt7id
    @fatimashaikh-vt7id Жыл бұрын

    THANKYOU SO MUCH 😍

  • @Designworld_3
    @Designworld_3 Жыл бұрын

    Thanks sir it becomes very helpful 😊

  • @lady9815
    @lady98157 жыл бұрын

    Thank's!!! I love this video!!

  • @Physiotutors

    @Physiotutors

    7 жыл бұрын

    +lady9815 cool, glad u like it and thx for following!!!

  • @hibaramona1771
    @hibaramona1771 Жыл бұрын

    Very useful thanks

  • @khalidazia2507
    @khalidazia2507 Жыл бұрын

    Thanks so mc for subtitle👍👍

  • @Maryamalamee
    @Maryamalamee4 жыл бұрын

    Thank you so much 💚💚💚💚

  • @user-kt3cp3ht5h
    @user-kt3cp3ht5h Жыл бұрын

    شكرا الك❤🌷

  • @ahmedalbasri7280
    @ahmedalbasri7280 Жыл бұрын

    Very nice vedio ..thanks so much ..dr .ahmed from karbala .iraq .

  • @karansolanki82
    @karansolanki823 жыл бұрын

    Thanks a lot ❤️

  • @user-wq6hr9xi2n
    @user-wq6hr9xi2n5 жыл бұрын

    Good as always, thanks

  • @Physiotutors

    @Physiotutors

    5 жыл бұрын

    Thanks 🙏🏼

  • @wahyuadipratama3011
    @wahyuadipratama3011 Жыл бұрын

    makasih bang videonya semoga sehat selalu, panjang umur, berkah ilmunya.🙏

  • @mickiimickii8363
    @mickiimickii836311 ай бұрын

    Amazing

  • @healthandwlness
    @healthandwlness2 жыл бұрын

    Thanks so much

  • @aigerimk9015
    @aigerimk90156 ай бұрын

    Thank u

  • @abdulhamid-xp7kf
    @abdulhamid-xp7kf2 жыл бұрын

    Very nice

  • @mybaby4935
    @mybaby4935 Жыл бұрын

    best medical channel ever ..hellow from iraq

  • @Physiotutors

    @Physiotutors

    Жыл бұрын

    Thanks! Appreciate it

  • @yasinsurve3888
    @yasinsurve38884 жыл бұрын

    Hi.. it's very knowledgeable video

  • @samaradel8346
    @samaradel83463 жыл бұрын

    Good job 🌷🌷🌷

  • @1ExplosionsHurt
    @1ExplosionsHurt3 жыл бұрын

    thanks

  • @nidawaseem3041
    @nidawaseem30415 жыл бұрын

    Thanks a lot sir....its very helpful to me....👌

  • @Physiotutors

    @Physiotutors

    5 жыл бұрын

    you're welcome :)

  • @siphesihleenock1549
    @siphesihleenock15495 жыл бұрын

    physiotutors big up good work

  • @Physiotutors

    @Physiotutors

    5 жыл бұрын

    thanks Siphesihle!

  • @natdeu
    @natdeu6 жыл бұрын

    Thank you!!

  • @Physiotutors

    @Physiotutors

    6 жыл бұрын

    No worries - thanks for watching!

  • @rawdaswilam3800
    @rawdaswilam38006 жыл бұрын

    Good job❤❤

  • @Physiotutors

    @Physiotutors

    6 жыл бұрын

    Happy you like it Sas!

  • @shimarezaeikhoramnani3247
    @shimarezaeikhoramnani32476 жыл бұрын

    Thank you soooooooooooo much you are the best☺☺

  • @Physiotutors

    @Physiotutors

    6 жыл бұрын

    No worries, thanks a lot for following!;)

  • @rqa327
    @rqa3275 жыл бұрын

    Thank youuuuuu

  • @yeonmj3527
    @yeonmj35277 жыл бұрын

    Thanks a lot!!!!

  • @Physiotutors

    @Physiotutors

    7 жыл бұрын

    +JoungBella thank you for subscribing!

  • @hudashaikh4388
    @hudashaikh43885 жыл бұрын

    Thank u it was helpful

  • @Physiotutors

    @Physiotutors

    5 жыл бұрын

    Ur welcome Huda!

  • @DrMD-ve2gh
    @DrMD-ve2gh5 жыл бұрын

    Thank you 😍😍😍

  • @Physiotutors

    @Physiotutors

    5 жыл бұрын

    You’re welcome 😊

  • @aishwaryarathod6937
    @aishwaryarathod69373 жыл бұрын

    Can you explain grade wise strengthening program?

  • @Cherrybaby226
    @Cherrybaby2263 жыл бұрын

    Great video. I there a rule on how many repetition the patient should be able to do ? Also it would be great if you could give an order in which muscles should be tested to prevent the patient to change position to often ? Let s say in a hospital environnement for example (patient room) .

  • @dxstar7597
    @dxstar75976 жыл бұрын

    Thanks my bro

  • @Physiotutors

    @Physiotutors

    6 жыл бұрын

    You're welcome bro!

  • @ellapeters_
    @ellapeters_5 жыл бұрын

    Big help❤️

  • @Physiotutors

    @Physiotutors

    5 жыл бұрын

    Glad we could help!

  • @sayadanyshal2060
    @sayadanyshal20604 жыл бұрын

    Vry helpful

  • @yogeshchawla6213
    @yogeshchawla62135 жыл бұрын

    Thank you.

  • @Physiotutors

    @Physiotutors

    5 жыл бұрын

    you're welcome

  • @katz8358
    @katz83584 жыл бұрын

    thank you!

  • @Physiotutors

    @Physiotutors

    4 жыл бұрын

    Ur welcome!

  • @imveryhungry112
    @imveryhungry11211 күн бұрын

    This guy is smart

  • @dr.vijaychoudhary3296
    @dr.vijaychoudhary32965 жыл бұрын

    Thank you sir

  • @Physiotutors

    @Physiotutors

    5 жыл бұрын

    Ur welcome Vijay!

  • @scottie56
    @scottie567 жыл бұрын

    Is the MRC scale also known as the Oxford Scale? I'm an undergrad and have only come across the term 'Oxford Scale' before. Many thanks.

  • @Physiotutors

    @Physiotutors

    7 жыл бұрын

    to our knowledge - YES! Different countries, different terms I guess...

  • @hashmibrothers4981
    @hashmibrothers49815 жыл бұрын

    this video helpedme

  • @Physiotutors

    @Physiotutors

    5 жыл бұрын

    Happy to hear!

  • @dancebd470
    @dancebd4704 жыл бұрын

    not bad good ,,,tnx you

  • @tomweber9041
    @tomweber90415 жыл бұрын

    Hy, how would you do a resistance test for the abdominal muscles to test strength using the MRC scale? Thank you so much!!

  • @Physiotutors

    @Physiotutors

    5 жыл бұрын

    That's going to be tough. Crunch, and crunch with resistance. (check the DOHA agreement video, which shows how to do it). Grade 2 is going to be difficult

  • @tomweber9041

    @tomweber9041

    5 жыл бұрын

    @@Physiotutors Thank you soo much! :)

  • @clearanatomy5608
    @clearanatomy56082 жыл бұрын

    Can this be done for all muscles??knee is easy..i find it tough for other muscles like how to position

  • @luisa-mn5cq
    @luisa-mn5cq7 жыл бұрын

    movement up to a partial range of motion in a elimnated gravity is any case grade 2? and and likewise, a partial range of motion against gravity and no resistance is grade 3?

  • @Physiotutors

    @Physiotutors

    7 жыл бұрын

    Hi Luisa, if your patient is able to move through the whole ROM without gravity, it is MRC grade 2. If he is able to move through full ROM against gravity (and no futher resistance) you assign him an MRC grade 3.

  • @jojoghareeb791
    @jojoghareeb7912 жыл бұрын

    Please can you make video like this for shoulder muscles all movements

  • @Physiotutors

    @Physiotutors

    2 жыл бұрын

    check resisted isometric testing for the shoulder

  • @user-cx5nk5up1p
    @user-cx5nk5up1p5 ай бұрын

    For geriatric patients who have age appropriate weakness bilaterally, do you rate that as 4/5 or 5/5?

  • @IBMyositis
    @IBMyositis3 жыл бұрын

    Kai, I am preparing a youtube video for people with a skeletal muscle disease called Inclusion Body Myositis, and talk about the MRC and MMT they experience during their evaluations. Can I reference this video in the comment section?

  • @annabeljade255
    @annabeljade2554 жыл бұрын

    hi, could you explain the length of lever arm principle during grade 4-5 muscle tests?

  • @moniqueribeiro2709
    @moniqueribeiro27094 жыл бұрын

    Olá, coloca legenda em português nos seus vídeos. Sou fisioterapeuta do RJ/ Brasil. Obrigada!

  • @Physiotutors

    @Physiotutors

    4 жыл бұрын

    Thanks!

  • @salwahassan2107
    @salwahassan2107 Жыл бұрын

    What about unconscious patient, how can i assess muscle strength?

  • @cesarbanuelos1753
    @cesarbanuelos1753 Жыл бұрын

    There is a guide to do this with every single muscle?

  • @nujxad
    @nujxad5 жыл бұрын

    Is this different from the Kendall version where if you can’t move the patients leg from the extended position it’s a 5. If you can break the extension hold it’s a 4?

  • @Physiotutors

    @Physiotutors

    5 жыл бұрын

    In general we know from research that distinguishing between a 4 or a 5 is not reliable. What you mention would also very much depend on the patient's general strength and your strength as the examiner - don't see any inter-rater reliability here.

  • @nujxad

    @nujxad

    5 жыл бұрын

    Physiotutors thank you for the reply

  • @badaryasin562
    @badaryasin5625 жыл бұрын

    good

  • @Physiotutors

    @Physiotutors

    5 жыл бұрын

    Thx Badar!

  • @Angel-bx8fz
    @Angel-bx8fz2 жыл бұрын

    Muscle and bone power

  • @wiamrafai
    @wiamrafai17 күн бұрын

    J ai besoin celle de la hanche svp

  • @amandeepsingh-mj3tp
    @amandeepsingh-mj3tp2 жыл бұрын

    Grade 3,4,5 doesn't work. Can it be diagnosed ?

  • @rofaidaayoub3244
    @rofaidaayoub32446 жыл бұрын

    why you did not explain (minus 2,3)and plus2,3 Thanks about the vedio

  • @Physiotutors

    @Physiotutors

    6 жыл бұрын

    Reliability is questionnable with the 0-5 rating already - all the plusses and minusses make it just more unreliable and confusing!

  • @rofaidaayoub3244

    @rofaidaayoub3244

    6 жыл бұрын

    Thanks ♡

  • @lowyeeliang7003

    @lowyeeliang7003

    6 жыл бұрын

    Thank you. But my supervisors does not agree with this and insist on using the plus and minusses. Is there an article for the standardised resistance?

  • @emilycuster5372
    @emilycuster53724 жыл бұрын

    These videos are sooo helpful. Anyone else catch the subtle fart at 0:47?

  • @Physiotutors

    @Physiotutors

    4 жыл бұрын

    Haha, we are like girls. We don't fart!;) But honestly believe that it was Andreas pushing the back of the knee into the bench

  • @emilycuster5372

    @emilycuster5372

    4 жыл бұрын

    @@Physiotutors Haha, wasn't expecting a reply. I'll take your word for it ;)

  • @venkatsripathi9121
    @venkatsripathi91215 жыл бұрын

    thank you

  • @Physiotutors

    @Physiotutors

    5 жыл бұрын

    Ur welcome Venkat! thanks for following!

  • @ore6582
    @ore65823 жыл бұрын

    excuse me, how about 4-/5 and 4+/5?

  • @shahzadisaniyamehadi1471
    @shahzadisaniyamehadi14713 жыл бұрын

    Is difference occurs with male and female physios to assess MMT

  • @Physiotutors

    @Physiotutors

    3 жыл бұрын

    Unreliable to distinguish between 4 and 5 for both genders

  • @samaradel8346
    @samaradel83463 жыл бұрын

    طيب فيه +٥ او _٥

  • @anvitatelang6780
    @anvitatelang67805 жыл бұрын

    How and when do you do a break test ?

  • @Physiotutors

    @Physiotutors

    5 жыл бұрын

    In the videos we are showing "make" tests, so just an isometric contraction against resistance. In a break test you would push through the isometric resistance of the patient. Just two different ways of testing strength.

  • @anvitatelang6780

    @anvitatelang6780

    5 жыл бұрын

    Thank you for the reply

  • @Dakalo25
    @Dakalo254 жыл бұрын

    What is the principle of assessment of muscle strength?

  • @Physiotutors

    @Physiotutors

    4 жыл бұрын

    What do you mean with principle?

  • @jjay11a
    @jjay11a5 жыл бұрын

    Guys, are we just going to ignore that this man eliminated gravity?? :O Teach me this

  • @Physiotutors

    @Physiotutors

    5 жыл бұрын

    Well not literally 😉 but supporting the leg and then performing knee extension in the transversal plane "eliminates" gravity as much as possible

  • @dkhle2880
    @dkhle28806 жыл бұрын

    what about advanced grade such as 2+ or 2- and 3+ etc....?

  • @Physiotutors

    @Physiotutors

    6 жыл бұрын

    Totally unreliable, especially when trying to differentiate between 4 and 5. In those cases a hand-held dynamometer can help.

  • @dkhle2880

    @dkhle2880

    6 жыл бұрын

    Thank you

  • @sasankamahanta7090
    @sasankamahanta70906 жыл бұрын

    Is the MRC scale also known as MMT (manual muscle testing)????

  • @Physiotutors

    @Physiotutors

    6 жыл бұрын

    Same principle - so yes

  • @yangqian8617

    @yangqian8617

    4 жыл бұрын

    @@Physiotutorswould you watch the videos of MMT testing?

  • @jrs18ph
    @jrs18ph8 жыл бұрын

    What if patient is sedated? How to rate the muscle strength?

  • @Physiotutors

    @Physiotutors

    8 жыл бұрын

    In this case I would say: Use your own judgement to which degree a patient's strength is impaired by the sedative...

  • @jrs18ph

    @jrs18ph

    8 жыл бұрын

    thanks :)

  • @bigmock141
    @bigmock1414 жыл бұрын

    On grade 5 what if Superman give the full resistance to the subject?

  • @Physiotutors

    @Physiotutors

    4 жыл бұрын

    The world collapses

  • @alexander4ever26
    @alexander4ever265 жыл бұрын

    What is the difference between MRC and MMT grading?

  • @Physiotutors

    @Physiotutors

    5 жыл бұрын

    No idea to be honest, we have learned and used MRC only.

  • @yangqian8617

    @yangqian8617

    4 жыл бұрын

    ​@@Physiotutors the method of testing grade 4 and 5 seems different

  • @sararafiee6426
    @sararafiee6426 Жыл бұрын

    Always saving my ass from practical exam😅❤❤

  • @Physiotutors

    @Physiotutors

    Жыл бұрын

    We’re getting you that degree! But the fun begins after that 👍🏼 and we will still have your back and provide you with the necessary tools to be the best clinician you can be

  • @brownky3
    @brownky33 жыл бұрын

    Wait, if I lie on my side, I can eliminate gravity? Amazing!

  • @Physiotutors

    @Physiotutors

    3 жыл бұрын

    Yes, that's why we use a weighted blanket to sleep. Hated waking up being stuck to the ceiling

  • @etomidateem222
    @etomidateem2224 жыл бұрын

    eliminating gravity, you can just move limb sideways while patient is comfortably lying supine , no?

  • @michellewong9572
    @michellewong95723 жыл бұрын

    🤣

  • @situnarout8844
    @situnarout88445 жыл бұрын

    Thanks sir

  • @Physiotutors

    @Physiotutors

    5 жыл бұрын

    Thank you!

  • @BG-yf2vt
    @BG-yf2vt8 жыл бұрын

    thanks

  • @Physiotutors

    @Physiotutors

    8 жыл бұрын

    +BOTH ABDULLAH You´re welcome!