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A common method of evaluating muscle strength is the Medical Research Council Manual Muscle Testing Scale. [3] This method involves testing key muscles from the upper and lower extremities against gravity and the examiner’s resistance and grading the patient’s strength on a 0 to 5 scale. See Box 13.4 for the muscle strength testing scale.
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Adequate joint range of motion (ROM) is crucial for efficient movement. It also allows the body to respond more readily to various stresses. ROM is the arc of motion available at a single joint or series of joints.
Ask the patient to move major joints (knees, shoulders, hips, and ankles) through the expected ROM movements. Observe the quality and equality of motion bilaterally with the same body parts. Note any limitation, pain, or crepitus with movement. Use passive ROM if indicated and appropriate.
A common method of evaluating muscle strength is the Medical Research Council Manual Muscle Testing Scale. [3] This method involves testing key muscles from the upper and lower extremities against gravity and the examiner’s resistance and grading the patient’s strength on a 0 to 5 scale.
Joint Range of Motion (ROM) – Joint ROM Definition-the amount of motion available at a specific Joint, sometimes called Anatomical ROM. The normal ROM available to a joint within the anatomical limits of joint structure. – Place body in Anatomic Position: body at rest is at 0° of flexion, extension, abduction and adduction.
Range of motion of a joint is gauged during passive ROM (assisted) PROM or active ROM (independent) AROM. ROM is usually assessed during a physical therapy assessment or treatment. Normal values depend on the body part, and individual variations.
