Manual Muscle Test Grades

0/5

no evidence of muscle contraction by visual observation or palpation

1/5

slight muscle contraction but no joint movement in gravity-minimized position

1+/5

moves through less than 50% of ROM, gravity minimized position, no resistance

2-/5

moves through more than 50% of ROM, gravity minimized position, no resistance

2/5

movement performed through complete ROM in gravity-minimized position, no resistance

2+/5

moves through less than 50% of the range against gravity or moves through complete ROM in a gravity eliminated position and holds against pressure

3-/5

moves through more than 50% of the range (but not full AROM) against gravity, no resistance applied

3/5

movement performed through complete ROM against gravity in test position, not but manual resistance

3+/5

movement performed through complete ROM against gravity in test position AND able to hold against minimal manual resistance

4/5

movement performed through complete ROM against gravity in a TEST position and AND able to hold against moderate manual resistance

5/5

movement performed through complete ROM against gravity in TESt position AND able to hold against maximal manual position