Sunday, 9 September 2018

Grades of Muscle power


Quick Revision


0
No movement
1
Flicker of Movement
2
Movement with gravity but not against
3
Movement against gravity but not resistance
4
Reduced power against resistance
5
Normal power against resistance














A pattern of findings in UMN vs LMN lesion
UMN
LMN
Inspection
Spastic posture
Wasting after 2 – 3 weeks
Fasciculation
Tone
Increased +/- clonus
Decreased
Power
Weakness (in a pyramidal pattern if cortical UMN lesion)
Weakness in distribution of nerve/root/muscle group
Reflexes
Hyperreflexic, extensor plantars
Hyporeflexic, flexor plantars

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