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Table 1 Medical research council grading of muscle strength

From: Physiotherapy for poliomyelitis: a descriptive study in the Republic of Congo

Grade 0

No movement is observed

Grade 1

Only a trace or flicker of movement is seen or felt in the muscle, or fasciculation is observed

Grade 2

Movement is possible only if the resistance of gravity is removed

Grade 3

Movement against gravity is possible but not against resistance of the examiner

Grade 4

Muscle strength is reduced but muscle contraction can move joint against gravity and resistance

Grade 5

Muscle contracts normally against full resistance