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MRC Muscle Strength Grading

Grade Clinical Presentation
Grade 0 Complete paralysis
Grade 1 Muscle contractions present, but no movement of limb joints
Grade 2 Limb can complete the full range of joint motion, can move on the bed but cannot lift against gravity.
Grade 3 Limb can complete the full range of joint motion, can lift off the bed against gravity, but cannot resist additional resistance.
Grade 4 Limb can complete the full range of joint motion and can resist some external resistance, but does not reach normal.
Grade 5 Completely normal
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