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Báo cáo y học: " Motor grading of elbow flexion – is Medical Research Council grading good enough"
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Tuyển tập các báo cáo nghiên cứu về y học được đăng trên tạp chí y học Wertheim cung cấp cho các bạn kiến thức về ngành y đề tài: Motor grading of elbow flexion – is Medical Research Council grading good enough? | Journal of Brachial Plexus and Peripheral Nerve Injury BioMed Central Letter to the Editor Motor grading of elbow flexion - is Medical Research Council grading good enough Praveen Bhardwaj 1 and Navin Bhardwaj 2 Open Access Address Hand Microsurgery Ganga Hospital Coimbatore India and 2Consultant Physiotherapist Badli New Delhi- 110042 India Email Praveen Bhardwaj - drpb12@yahoo.co.in Navin Bhardwaj - praveenbhardwaj1@rediffmail.com Corresponding authors Published 13 May 2009 Received I November 2008 Journal of Brachial Plexus and Peripheral Nerve Injury 2009 4 3 doi 10.1186 1749-7221 -4-3 Accepted 13 May 2009 This article is available from http www.jbppni.com content 4 I 3 2009 Bhardwaj and Bhardwaj licensee BioMed Central Ltd. This is an Open Access article distributed under the terms of the Creative Commons Attribution License http creativecommons.org licenses by 2.0 which permits unrestricted use distribution and reproduction in any medium provided the original work is properly cited. Abstract Restoration of elbow flexion is top priority in reconstruction following brachial plexus injury. Medical Research Council MRC Grading is the most commonly used scale to grade muscle power. Though simple to use it has several limitations. Each grade represents a very wide range and hence precludes accurate assessment of function and outcome following a given procedure. Wide range of Grade 4 is most worrisome. Definitely all grade 4 labeled can not equate to good functional results. With most of the nerve transfer procedures described now claiming grade 4 recoveries in more than 80 of the reported cases a need for more detailed and accurate assessment of this grade is greatly felt. A modified MRC grading system is described which is comprehensive and easy to use. Recovery of elbow flexion is considered as top priority in reconstruction following brachial plexus injury hence lot of procedures have been described to restore it 1-4 . Nerve transfer is the most preferred method