Manual Muscle Testing Grading System



Grading Scale Range: 0 to 5
0
  • None
  • No visible or palpable contraction
    1
  • Trace
  • Visible or palpable contraction with no motion ( a 1 )
    2
  • Poor
  • Full ROM gravity eliminated
    3
  • Fair
  • Full ROM against gravity
    4
  • Good
  • Full ROM against gravity, moderate resistance
    5
  • Normal
  • Full ROM against gravity, maximul resistance






    0 0 No visible or palpable contraction
    Trace I 1 Visible or palpable contraction (No ROM)

    Poor- 2- Partial ROM, gravity eliminated
    Poor II 2 Full ROM, gravity eliminated
    Poor+ 2+ Gravity eliminated/slight resistance or < 1/2 range against gravity

    Fair- 3- > 1/2 but < Full ROM, against gravity
    Fair III 3 Full ROM against gravity
    Fair+ 3+ Full ROM against gravity, slight resistance

    Good- 4- Full ROM against gravity, mild resistance
    Good IV 4 Full ROM against gravity, moderate resistance
    Good+ 4+ Full ROM against gravity, almost full resistance

    Normal V Normal, maximal resistance



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