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ASIA Muscle Grading

Muscle grading according to ASIA for patients with spinal cord injury.

0Total paralysis.
1Palpable or visible contraction.
2Active movement, full range of motion, gravity eliminated.
3Active movement, full range of motion, against gravity.
4Active movement, full range of motion, against gravity and provides some resistance.
5Active movement, full range of motion, against gravity and provides
normal resistance.
5*Muscle able to exert, in examiner’s judgement, sufficient resistance to be considered normal if identifiable inhibiting factors were not present.

Reference

Link to PDF for Standard neurological classification of spinal cord injury.

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