MRC Scale | Muscle Strength Grading

[@Muslimdoctor.1]

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]

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]

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

[@sarithar3455]

From India.clearly understand.thank you

[@zen2911]

Concise and very helpful thanks for making this mate

[@Physiotutors]

Ur welcome Wechat!

[@mrghost8739]

Thank you for the fast and informative video

[@Physiotutors]

Ur welcome!

[@wahyuadipratama3011]

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

[@drshinesha8467]

Great work sir...

[@Ameejack]

Very great demo!

[@Maxillz]

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

[@mybaby4935]

best medical channel ever ..hellow from iraq

[@Physiotutors]

Thanks! Appreciate it

[@Suda11]

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

[@Physiotutors]

No worries Ali, happy to help!

[@rosybala2223]

very educational. Thanks a lot sir!

[@Physiotutors]

Ur welcome, thanks for subscribing to our channel!

[@fatimashaikh-vt7id]

THANKYOU SO MUCH 😍

[@user-wq6hr9xi2n]

Good as always, thanks

[@Physiotutors]

Thanks 🙏🏼

[@tadasm.3265]

The video these guys made I just Lovett.

[@yogeshchawla6213]

Thank you.

[@Physiotutors]

you're welcome

[@gizellamonoki]

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

[@nidawaseem3041]

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

[@Physiotutors]

you're welcome :)

[@shreyajana7106]

Thank you sir...🙏 this video become very helpful to me❤

[@1809ines]

Thank you so much, this video is perfectly

[@Designworld_3]

Thanks sir it becomes very helpful 😊

[@hibaramona1771]

Very useful thanks

[@ahmedalbasri7280]

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

[@siphesihleenock1549]

physiotutors big up good work

[@Physiotutors]

thanks Siphesihle!

[@gabrielmbarrios]

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!

[@imveryhungry112]

This guy is smart

[@khalidazia2507]

Thanks so mc for subtitle👍👍

[@scottie56]

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]

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

[@salwahassan2107]

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

[@jawahirsaif]

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

[@rawdaswilam3800]

Good job❤❤

[@Physiotutors]

Happy you like it Sas!

[@healthandwlness]

Thanks so much

[@lady9815]

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

[@Physiotutors]

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

[@sayadanyshal2060]

Vry helpful

[@Maryamalamee]

Thank you so much 💚💚💚💚

[@karansolanki82]

Thanks a lot ❤️

[@dr.vijaychoudhary3296]

Thank you sir

[@Physiotutors]

Ur welcome Vijay!

[@حيدرورده-ت6ي]

شكرا الك❤🌷

[@jacobkuruvilla4502]

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

[@ChristineMiller-m1p]

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

[@jojoghareeb791]

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

[@Physiotutors]

check resisted isometric testing for the shoulder

[@yasinsurve3888]

Hi.. it's very knowledgeable video

[@aishwaryarathod6937]

Can you explain grade wise strengthening program?

[@aigerimk9015]

Thank u

[@rqa327]

Thank youuuuuu

[@hashmibrothers4981]

this video helpedme

[@Physiotutors]

Happy to hear!

[@ArnoldMambo]

This is nice 👍

[@kasamhse817]

Thank u ❤

[@tomweber9041]

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

[@Physiotutors]

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]

@@Physiotutors Thank you soo much! :)

[@ellapeters_]

Big help❤️

[@Physiotutors]

Glad we could help!

[@samaradel8346]

Good job 🌷🌷🌷

[@natdeu]

Thank you!!

[@Physiotutors]

No worries - thanks for watching!

[@abdulhamid-xp7kf]

Very nice

[@mickiimickii8363]

Amazing

[@DrMD-ve2gh]

Thank you 😍😍😍

[@Physiotutors]

You’re welcome 😊

[@dxstar7597]

Thanks my bro

[@Physiotutors]

You're welcome bro!

[@situnarout8844]

Thanks sir

[@Physiotutors]

Thank you!

[@cesarbanuelos1753]

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

[@hudashaikh4388]

Thank u it was helpful

[@Physiotutors]

Ur welcome Huda!

[@shimarezaeikhoramnani3247]

Thank you soooooooooooo much you are the best☺☺

[@Physiotutors]

No worries, thanks a lot for following!;)

[@Gibbonyoga]

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) .

[@clearanatomy5608]

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

[@jjay11a]

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

[@Physiotutors]

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

[@rofaidaayoub3244]

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

[@Physiotutors]

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

[@rofaidaayoub3244]

Thanks ♡

[@lowyeeliang7003]

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?

[@BG-yf2vt]

thanks

[@Physiotutors]

+BOTH ABDULLAH You´re welcome!

[@dancebd470]

not bad good ,,,tnx you

[@Angel-bx8fz]

Muscle and bone power

[@dr.z492]

Thank uuuuu 🤍

[@badaryasin562]

good

[@Physiotutors]

Thx Badar!

[@yeonmj3527]

Thanks a lot!!!!

[@Physiotutors]

+JoungBella thank you for subscribing!

[@nujxad]

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]

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]

Physiotutors thank you for the reply

[@luisa-mn5cq]

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]

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.

[@IBMyositis]

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?

[@emilycuster5372]

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

[@Physiotutors]

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]

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

[@amandeepsingh-mj3tp]

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

[@annabeljade255]

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

[@Dakalo25]

What is the principle of assessment of muscle strength?

[@Physiotutors]

What do you mean with principle?

[@venkatsripathi9121]

thank you

[@Physiotutors]

Ur welcome Venkat! thanks for following!

[@shahzadisaniyamehadi1471]

Is difference occurs with male and female physios to assess MMT

[@Physiotutors]

Unreliable to distinguish between 4 and 5 for both genders

[@soulatoutou8588]

But in icu has special MRC specipheque muscles

[@jrs18ph]

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

[@Physiotutors]

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

[@jrs18ph]

thanks :)

[@anvitatelang6780]

How and when do you do a break test ?

[@Physiotutors]

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]

Thank you for the reply

[@bigmock141]

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

[@Physiotutors]

The world collapses

[@moniqueribeiro2709]

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

[@Physiotutors]

Thanks!

[@alexander4ever26]

What is the difference between MRC and MMT grading?

[@Physiotutors]

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

[@yangqian8617]

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

[@sasankamahanta7090]

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

[@Physiotutors]

Same principle - so yes

[@yangqian8617]

@@Physiotutorswould you watch the videos of MMT testing?

[@wiamrafai]

J ai besoin celle de la hanche svp

[@dkhle2880]

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

[@Physiotutors]

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

[@dkhle2880]

Thank you

[@brownky3]

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

[@Physiotutors]

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

[@ore6582]

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

[@samaradel8346]

طيب فيه +٥ او _٥

[@sararafiee6426]

Always saving my ass from practical exam😅❤❤

[@Physiotutors]

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

[@etomidateem222]

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

[@michellewong9572]

🤣

[@1ExplosionsHurt]

thanks

[@katz8358]

thank you!

[@Physiotutors]

Ur welcome!

[@princess-dh9rj]

Very helpful thank u so much

[@sergeyryabov7262]

Thank you!