Table 1

Modified Medical Research Council system of grading elbow flexion

Grade
Subdivision
Description

0
-
No contraction

1
-
Perceptible contraction in the muscle but no movement

2

Gravity Eliminated


A
Motion less than or equal to half range

B
Motion more than half range

C
Full range of motion

3

Against Gravity

A
Motion less than or equal to half range

B
Motion more than half range

C
Full range of motion

4

Motion Against Resistance

A
Able to lift less than 30% weight of the normal side through full range

B
Able to lift 30–60% weight of the normal side through full range

C
Able to lift more than 60% weight of the normal side through full range

5

Normal strength

Bhardwaj and Bhardwaj Journal of Brachial Plexus and Peripheral Nerve Injury 2009 4:3   doi:10.1186/1749-7221-4-3

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