Daniels and Worthingham's Muscle Testing
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Daniels and Worthingham's Muscle Grading Scale[edit | edit source]
Grade | Description |
---|---|
0 | Complete lack of voluntary muscle contraction.
The examiner is unable to feel or see any muscle contraction |
1 | Faint or “flicker” muscle contraction without any movement of the limb.
The examiner can see or palpate some contractile activity of the muscle/s or may be able to see or feel the tendon “pop up” or tense as the person tries to perform the contraction. |
2- | Gravity eliminated movement that is less than full range of motion. |
2 | Very weak muscle contraction with movement through complete range of motion in a position that eliminates or minimizes the force of gravity. |
2+ | In gravity minimized position, completes full available range and holds end position against mild resistance; or against gravity, completes up to half of the full range of motion. |
3- | Against gravity, more than half but less than full range of motion. |
3 | Muscle can complete a full range of motion against only the resistance of gravity. |
3+ | Completes full range of motion against gravity, and holds end position against mild resistance. |
4 | Able to complete the full range of motion against gravity and can tolerate strong resistance without breaking the test position. The Grade 4 muscle clearly breaks with maximal resistance. |
5 | Able to complete full range of motion and maintain end point range position against maximal resistance. The examiner cannot break the Athlete’s hold position. |
References[edit | edit source]
- ↑ Brown M, Hislop H, Avers D. Daniels and Worthingham's muscle Testing-E-Book: Techniques of manual examination and performance testing. Elsevier Health Sciences; 2013 Jan 25.