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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7 сен 2024

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Комментарии : 155

@Muslimdoctor.1 4 года назад

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 3 года назад

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.

@Maxillz Год назад

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

@Nadasistschoen 4 года назад

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

@salwahassan2107 Год назад

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

@zen2911 5 лет назад

Concise and very helpful thanks for making this mate

@Physiotutors 5 лет назад

Ur welcome Wechat!

@mrghost8739 4 года назад

Thank you for the fast and informative video

@Physiotutors 4 года назад

Ur welcome!

@scottie56 7 лет назад

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 лет назад

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

@shreyajana7106 2 дня назад

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

@Suda11 5 лет назад

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

@Physiotutors 5 лет назад

No worries Ali, happy to help!

@gabrielmbarrios 3 года назад

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!

@sarithar3455 7 месяцев назад

From India.clearly understand.thank you

@wahyuadipratama3011 2 года назад

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

@jojoghareeb791 2 года назад

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

@Physiotutors 2 года назад

check resisted isometric testing for the shoulder

@ore6582 3 года назад

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

@user-cx5nk5up1p 8 месяцев назад

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

@imveryhungry112 3 месяца назад

This guy is smart

@rosybala2223 6 лет назад

very educational. Thanks a lot sir!

@Physiotutors 6 лет назад

Ur welcome, thanks for subscribing to our channel!

@mybaby4935 Год назад

best medical channel ever ..hellow from iraq

@Physiotutors Год назад

Thanks! Appreciate it

@jacobkuruvilla4502 4 года назад

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

@cesarbanuelos1753 Год назад

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

@tomweber9041 5 лет назад

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 лет назад

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 лет назад

@@Physiotutors Thank you soo much! :)

@Ameejack 3 года назад

Very great demo!

@Gibbonyoga 3 года назад

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 2 года назад

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

@luisa-mn5cq 7 лет назад

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 лет назад

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.

@drshinesha8467 5 лет назад

Great work sir...

@ahmedalbasri7280 Год назад

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

@tadasm.3265 3 года назад

The video these guys made I just Lovett.

@gizellamonoki Год назад

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

@nujxad 6 лет назад

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 6 лет назад

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 6 лет назад

Physiotutors thank you for the reply

@user-wq6hr9xi2n 5 лет назад

Good as always, thanks

@Physiotutors 5 лет назад

Thanks 🙏🏼

@fatimashaikh-vt7id Год назад

THANKYOU SO MUCH 😍

@IBMyositis 4 года назад

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?

@aishwaryarathod6937 3 года назад

Can you explain grade wise strengthening program?

@amandeepsingh-mj3tp 2 года назад

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

@jawahirsaif 2 года назад

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

@1809ines 4 года назад

Thank you so much, this video is perfectly

@khalidazia2507 Год назад

Thanks so mc for subtitle👍👍

@nidawaseem3041 6 лет назад

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

@Physiotutors 6 лет назад

you're welcome :)

@emilycuster5372 4 года назад

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

@Physiotutors 4 года назад

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 года назад

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

@soulatoutou8588 Месяц назад

But in icu has special MRC specipheque muscles

@jjay11a 5 лет назад

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

@Physiotutors 5 лет назад

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

@aigerimk9015 9 месяцев назад

Thank u

@Designworld_3 Год назад

Thanks sir it becomes very helpful 😊

@abdulhamid-xp7kf 2 года назад

Very nice

@ArnoldMambo 2 месяца назад

This is nice 👍

@lady9815 7 лет назад

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

@Physiotutors 7 лет назад

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

@rofaidaayoub3244 6 лет назад

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

@Physiotutors 6 лет назад

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

@rofaidaayoub3244 6 лет назад

Thanks ♡

@lowyeeliang7003 6 лет назад

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?

@mickiimickii8363 Год назад

Amazing

@hibaramona1771 Год назад

Very useful thanks

@Angel-bx8fz 2 года назад

Muscle and bone power

@siphesihleenock1549 5 лет назад

physiotutors big up good work

@Physiotutors 5 лет назад

thanks Siphesihle!

@yogeshchawla6213 5 лет назад

Thank you.

@Physiotutors 5 лет назад

you're welcome

@annabeljade255 4 года назад

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

@princess-dh9rj 3 года назад

Very helpful thank u so much

@hashmibrothers4981 6 лет назад

this video helpedme

@Physiotutors 6 лет назад

Happy to hear!

@yasinsurve3888 4 года назад

Hi.. it's very knowledgeable video

@katz8358 4 года назад

thank you!

@Physiotutors 4 года назад

Ur welcome!

@healthandwlness 2 года назад

Thanks so much

@1ExplosionsHurt 4 года назад

thanks

@Maryamalamee 4 года назад

Thank you so much 💚💚💚💚

@sayadanyshal2060 4 года назад

Vry helpful

@dr.vijaychoudhary3296 5 лет назад

Thank you sir

@Physiotutors 5 лет назад

Ur welcome Vijay!

@dr.z492 2 месяца назад

Thank uuuuu 🤍

@user-kt3cp3ht5h Год назад

شكرا الك❤🌷

@ellapeters_ 5 лет назад

Big help❤️

@Physiotutors 5 лет назад

Glad we could help!

@rawdaswilam3800 6 лет назад

Good job❤❤

@Physiotutors 6 лет назад

Happy you like it Sas!

@shimarezaeikhoramnani3247 6 лет назад

Thank you soooooooooooo much you are the best☺☺

@Physiotutors 6 лет назад

No worries, thanks a lot for following!;)

@karansolanki82 3 года назад

Thanks a lot ❤️

@moniqueribeiro2709 4 года назад

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

@Physiotutors 4 года назад

Thanks!

@kasamhse817 6 лет назад

Thank u ❤

@DrMD-ve2gh 5 лет назад

Thank you 😍😍😍

@Physiotutors 5 лет назад

You’re welcome 😊

@samaradel8346 3 года назад

Good job 🌷🌷🌷

@situnarout8844 5 лет назад

Thanks sir

@Physiotutors 5 лет назад

Thank you!

@dxstar7597 6 лет назад

Thanks my bro

@Physiotutors 6 лет назад

You're welcome bro!

@dancebd470 4 года назад

not bad good ,,,tnx you

@wiamrafai 3 месяца назад

J ai besoin celle de la hanche svp

@yeonmj3527 7 лет назад

Thanks a lot!!!!

@Physiotutors 7 лет назад

+JoungBella thank you for subscribing!

@shahzadisaniyamehadi1471 4 года назад

Is difference occurs with male and female physios to assess MMT

@Physiotutors 4 года назад

Unreliable to distinguish between 4 and 5 for both genders

@rqa327 5 лет назад

Thank youuuuuu

@badaryasin562 5 лет назад

good

@Physiotutors 5 лет назад

Thx Badar!

@bigmock141 5 лет назад

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

@Physiotutors 5 лет назад

The world collapses

@Dakalo25 4 года назад

What is the principle of assessment of muscle strength?

@Physiotutors 4 года назад

What do you mean with principle?

@dkhle2880 6 лет назад

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

@Physiotutors 6 лет назад

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

@dkhle2880 6 лет назад

Thank you

@sasankamahanta7090 6 лет назад

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

@Physiotutors 6 лет назад

Same principle - so yes

@yangqian8617 4 года назад

@@Physiotutorswould you watch the videos of MMT testing?

@alexander4ever26 5 лет назад

What is the difference between MRC and MMT grading?

@Physiotutors 5 лет назад

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

@yangqian8617 4 года назад

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

@jrs18ph 8 лет назад

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

@Physiotutors 8 лет назад

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

@jrs18ph 8 лет назад

thanks :)

@anvitatelang6780 6 лет назад

How and when do you do a break test ?

@Physiotutors 6 лет назад

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 6 лет назад

Thank you for the reply

@venkatsripathi9121 6 лет назад

thank you

@Physiotutors 6 лет назад

Ur welcome Venkat! thanks for following!

@brownky3 3 года назад

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

@Physiotutors 3 года назад

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

@samaradel8346 3 года назад

طيب فيه +٥ او _٥

@sararafiee6426 Год назад

Always saving my ass from practical exam😅❤❤

@Physiotutors Год назад

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