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
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
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.
Thanks! From a medical student in New Zealand... I love your channel!
Concise and very helpful thanks for making this mate
@Physiotutors
5 жыл бұрын
Ur welcome Wechat!
The video these guys made I just Lovett.
Fab!! Thank you!! Very practical and clear.
Thank you so much, this video is perfectly
Very great demo!
As your other videos, a very helpful and educative video. Thank you so much
@Physiotutors
5 жыл бұрын
No worries Ali, happy to help!
Great work sir...
Thank u so much ... very simple and informative 👍.
Great videos!!! Clear instructions👍 Could you make a video of range of motion measurements using goniometer, inclinometer mentioning anatomical landmarks. Thanks
Thank you for the fast and informative video
@Physiotutors
4 жыл бұрын
Ur welcome!
I had grade 0 for a month after surgery, was the weirdest thing ever, then it suddenly came back
Thank you!
very educational. Thanks a lot sir!
@Physiotutors
6 жыл бұрын
Ur welcome, thanks for subscribing to our channel!
From India.clearly understand.thank you
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!
Very helpful thank u so much
Thank u ❤
THANKYOU SO MUCH 😍
Thanks sir it becomes very helpful 😊
Thank's!!! I love this video!!
@Physiotutors
7 жыл бұрын
+lady9815 cool, glad u like it and thx for following!!!
Very useful thanks
Thanks so mc for subtitle👍👍
Thank you so much 💚💚💚💚
شكرا الك❤🌷
Very nice vedio ..thanks so much ..dr .ahmed from karbala .iraq .
Thanks a lot ❤️
Good as always, thanks
@Physiotutors
5 жыл бұрын
Thanks 🙏🏼
makasih bang videonya semoga sehat selalu, panjang umur, berkah ilmunya.🙏
Amazing
Thanks so much
Thank u
Very nice
best medical channel ever ..hellow from iraq
@Physiotutors
Жыл бұрын
Thanks! Appreciate it
Hi.. it's very knowledgeable video
Good job 🌷🌷🌷
thanks
Thanks a lot sir....its very helpful to me....👌
@Physiotutors
5 жыл бұрын
you're welcome :)
physiotutors big up good work
@Physiotutors
5 жыл бұрын
thanks Siphesihle!
Thank you!!
@Physiotutors
6 жыл бұрын
No worries - thanks for watching!
Good job❤❤
@Physiotutors
6 жыл бұрын
Happy you like it Sas!
Thank you soooooooooooo much you are the best☺☺
@Physiotutors
6 жыл бұрын
No worries, thanks a lot for following!;)
Thank youuuuuu
Thanks a lot!!!!
@Physiotutors
7 жыл бұрын
+JoungBella thank you for subscribing!
Thank u it was helpful
@Physiotutors
5 жыл бұрын
Ur welcome Huda!
Thank you 😍😍😍
@Physiotutors
5 жыл бұрын
You’re welcome 😊
Can you explain grade wise strengthening program?
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) .
Thanks my bro
@Physiotutors
6 жыл бұрын
You're welcome bro!
Big help❤️
@Physiotutors
5 жыл бұрын
Glad we could help!
Vry helpful
Thank you.
@Physiotutors
5 жыл бұрын
you're welcome
thank you!
@Physiotutors
4 жыл бұрын
Ur welcome!
This guy is smart
Thank you sir
@Physiotutors
5 жыл бұрын
Ur welcome Vijay!
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
7 жыл бұрын
to our knowledge - YES! Different countries, different terms I guess...
this video helpedme
@Physiotutors
5 жыл бұрын
Happy to hear!
not bad good ,,,tnx you
Hy, how would you do a resistance test for the abdominal muscles to test strength using the MRC scale? Thank you so much!!
@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
5 жыл бұрын
@@Physiotutors Thank you soo much! :)
Can this be done for all muscles??knee is easy..i find it tough for other muscles like how to position
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
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.
Please can you make video like this for shoulder muscles all movements
@Physiotutors
2 жыл бұрын
check resisted isometric testing for the shoulder
For geriatric patients who have age appropriate weakness bilaterally, do you rate that as 4/5 or 5/5?
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?
hi, could you explain the length of lever arm principle during grade 4-5 muscle tests?
Olá, coloca legenda em português nos seus vídeos. Sou fisioterapeuta do RJ/ Brasil. Obrigada!
@Physiotutors
4 жыл бұрын
Thanks!
What about unconscious patient, how can i assess muscle strength?
There is a guide to do this with every single muscle?
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
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
5 жыл бұрын
Physiotutors thank you for the reply
good
@Physiotutors
5 жыл бұрын
Thx Badar!
Muscle and bone power
J ai besoin celle de la hanche svp
Grade 3,4,5 doesn't work. Can it be diagnosed ?
why you did not explain (minus 2,3)and plus2,3 Thanks about the vedio
@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
6 жыл бұрын
Thanks ♡
@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?
These videos are sooo helpful. Anyone else catch the subtle fart at 0:47?
@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
4 жыл бұрын
@@Physiotutors Haha, wasn't expecting a reply. I'll take your word for it ;)
thank you
@Physiotutors
5 жыл бұрын
Ur welcome Venkat! thanks for following!
excuse me, how about 4-/5 and 4+/5?
Is difference occurs with male and female physios to assess MMT
@Physiotutors
3 жыл бұрын
Unreliable to distinguish between 4 and 5 for both genders
طيب فيه +٥ او _٥
How and when do you do a break test ?
@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
5 жыл бұрын
Thank you for the reply
What is the principle of assessment of muscle strength?
@Physiotutors
4 жыл бұрын
What do you mean with principle?
Guys, are we just going to ignore that this man eliminated gravity?? :O Teach me this
@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
what about advanced grade such as 2+ or 2- and 3+ etc....?
@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
6 жыл бұрын
Thank you
Is the MRC scale also known as MMT (manual muscle testing)????
@Physiotutors
6 жыл бұрын
Same principle - so yes
@yangqian8617
4 жыл бұрын
@@Physiotutorswould you watch the videos of MMT testing?
What if patient is sedated? How to rate the muscle strength?
@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
8 жыл бұрын
thanks :)
On grade 5 what if Superman give the full resistance to the subject?
@Physiotutors
4 жыл бұрын
The world collapses
What is the difference between MRC and MMT grading?
@Physiotutors
5 жыл бұрын
No idea to be honest, we have learned and used MRC only.
@yangqian8617
4 жыл бұрын
@@Physiotutors the method of testing grade 4 and 5 seems different
Always saving my ass from practical exam😅❤❤
@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
Wait, if I lie on my side, I can eliminate gravity? Amazing!
@Physiotutors
3 жыл бұрын
Yes, that's why we use a weighted blanket to sleep. Hated waking up being stuck to the ceiling
eliminating gravity, you can just move limb sideways while patient is comfortably lying supine , no?
🤣
Thanks sir
@Physiotutors
5 жыл бұрын
Thank you!
thanks
@Physiotutors
8 жыл бұрын
+BOTH ABDULLAH You´re welcome!