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Medical Research Council (MRC) Scale For Muscle Strength: Kekuatan

The document provides scales for measuring muscle strength, functional assessments of disability, and fatigue severity. The Medical Research Council (MRC) Scale for Muscle Strength ranges from 0-5 for measuring effort against resistance. The Clinical Grading scale ranges from 0-10 for assessing functional disability. The Fatigue Severity Score uses a 1-7 scale across 9 areas to evaluate the impact of fatigue.

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Fisio Terapi
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651 views2 pages

Medical Research Council (MRC) Scale For Muscle Strength: Kekuatan

The document provides scales for measuring muscle strength, functional assessments of disability, and fatigue severity. The Medical Research Council (MRC) Scale for Muscle Strength ranges from 0-5 for measuring effort against resistance. The Clinical Grading scale ranges from 0-10 for assessing functional disability. The Fatigue Severity Score uses a 1-7 scale across 9 areas to evaluate the impact of fatigue.

Uploaded by

Fisio Terapi
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as DOCX, PDF, TXT or read online on Scribd

KEKUATAN

Medical Research Council (MRC) Scale for Muscle Strength

EFFORT 0-5 SCALE


Muscle contracts against full resistance 5
Strength reduced, but contraction can still move joint
4
against resistance
Strength further reduced such that joint can be moved only
against gravity with examiner's resistance completely 3
removed.
Muscle can onlly move if resistance of gravity is removed. 2
Only a trace or flicker of movement is seen or felt, or
1
fasciculations are observed,
No movement 0
Reference:

1. Medical Research Council. Aids to the examination of the peripheral


nervous system, Memorandum no. 45, Her Majesty's Stationery Office,
London, 1981.
2. Hahn AF, Bolton CF, Pillay N, et al. Plasma exchange therapy in
chronic inflammatory
demyelinating polyneuropathy. A double-blind, sham controlled, cross-
over study.
Brain 1996;119:1055–66. [Medline]
3. Paternostro-Sluga T, Grim-Stieger M, Posch M, Schuhfried O, Vacariu
G, Mittermaier C, Bittner C, Fialka-Moser V. Reliability and validity of
the Medical Research Council (MRC) scale and a modified scale for
testing muscle strength in patients with radial palsy. J Rehabil Med.
2008 Aug;40(8):665-71. [Medline]

CLINICAL GRADING (FUNCTIONAL


0-10 SCALE
ASSESSMENTS)
Normal 0
No disability; minor sensory signs or areflexia 1
mild disability; ambulatory >200 m; mild weakness in >=1
2
limb and sensory impairment
Requires support to walk >50m without stick; moderate
3
weakness MRC Grade 4 and sensory impairment
Severe disability; able to walk >10m without support of
stick motor weakness MRC Grade 4 and sensory 4
impairment
Requires support to walk 5m; marked motor and sensory
5
signs
Cannot walk 5m; able to stand without support and to
6
transfer to wheelchair; able to feed independently
Bedridden; severe quadriparesis; max strength MRC Grade
7
3
Respirator [sic] and/or severe quadriparesis; max strength
8
MRC Grade 2
Respirator [sic] and quadriplegia 9
Dead 10
(1) Hahn AF, Bolton CF, Pillay N et al., Plasma Exchange
... Brain 1996; 119:1055-66

FATIGUE SEVERITY SCORE


DURING THE PAST WEEK, I HAVE FOUND THAT: Disagree<->Agree
My motivation is lower when I am fatigued 1 2 3 4 5 6 7
Exercise brings on my fatigue 1 2 3 4 5 6 7
I am easily fatigued 1 2 3 4 5 6 7
Fatigue interferes with my physical functioning 1 2 3 4 5 6 7
Fatigue causes frequent problems for me 1 2 3 4 5 6 7
My fatigue prevents sustained physical functioning 1 2 3 4 5 6 7
Fatigue interferes with carrying out certain duties and
1 2 3 4 5 6 7
responsibilities
Fatigue is among my most disabling symptoms 1 2 3 4 5 6 7
Fatigue interferes with my work, family, or social life 1 2 3 4 5 6 7

Scoring: >36: Suffering from fatigue.

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