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In this scale, muscle strength is graded on a scale from 0 to 5. For evaluating the strength of the intrinsic hand muscles, a small modification to the standard MRC grading has been made so that grade 3 indicates ‘full active range of motion’ as compared to ‘movement against gravity’: [2]
The patient must stand unsupported with eyes open and hands on hips for 30 seconds. If the patient takes a step or removes a hand from the hip, the timer is stopped. The patient may make two attempts to complete the 30 seconds. Similar to the sensory organization test, the visual pathway would then be removed by closing the eyes.
Radial side of the proximal phalanx of the index finger: 2 Radial side of the middle phalanx of the index finger: 3 Tip of the index finger: 4 Tip of the middle finger: 5 Tip of the ring finger: 6 Tip of the little finger: 7 Distal interphalangeal joint crease of the little finger: 8 Proximal interphalangeal joint crease of the little finger: 9
The radial nerve innervates the finger extensors and the thumb abductor; that is, the muscles that extend at the wrist and metacarpophalangeal joints (knuckles) and abduct and extend the thumb. The median nerve innervates the flexors of the wrist and digits, the abductors and opponens of the thumb, the first and second lumbricals .
Still elevated, the hand is then opened. It should appear blanched (pallor may be observed at the finger nails). Ulnar pressure is released while radial pressure is maintained, and the colour should return within 5 to 15 seconds. If color returns as described, Allen's test is considered to be normal.
Hand grip strength is very important when it comes to sports. [14] Before a player begins playing a hand grip strength test is important for determining a player's workout. [8] Hand grip strength determines a player's readiness for sports. In golf, hand grip strength is used to control the power a golfer hits a golf ball.
The range of motion for plantar flexion is usually indicated in the literature as 30° to 40°, but sometimes also 50°. The nerves are primarily from the sacral spinal cord roots S1 and S2. Compression of S1 roots may result in weakness in plantarflexion; these nerves run from the lower back to the bottom of the foot.
Glasgow Coma Scale: Glasgow: neurology: A neurological scale which aims to give a reliable and objective way of recording the conscious state of a person for initial as well as subsequent assessment. The sum of Eye, Motor and Verbal responses. Goetz sign: Robert H. Goetz: Patent Ductus Arteriosus